UK Core Clinical and Technical Assurance Sprint 6 Documentation Pack

UK Core Clinical and Technical Assurance Sprint 6 Documentation Pack

MC&S Microbiology Report

Message Bundle Example - MC&S Microbiology Report - Request

<Bundle xmlns="http://hl7.org/fhir">
    <id value="path-R4-example-bundle-urine-MCS-request" />
    <meta>
        <lastUpdated value="2022-02-15T11:07:00+00:00" />
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="3a5f5411-2a7b-4052-a70e-a8f14c0cf318" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
        <resource>
            <MessageHeader>
                <!--  TBC Review content of MessageHeader  -->
                <id value="f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" />
                </meta>
                <eventCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="371528001" />
                    <display value="Pathology report" />
                </eventCoding>
                <destination>
                    <name value="TD008362 PATH LAB 001" />
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                    <!--  Performing Laboratory  -->
                    <receiver>
                        <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    </receiver>
                </destination>
                <sender>
                    <!--  Requesting Organisation  -->
                    <reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                </sender>
                <source>
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                </source>
                <focus>
                    <!--  ServiceRequest  -->
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
        <resource>
            <Organization>
                <!--  Performing Laboratory  -->
                <id value="8a6d85b8-9837-4fed-a257-4cf207988338" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="Y8J7D" />
                </identifier>
                <name value="TD008362 PATH LAB 001" />
                <address>
                    <line value="PATHOLOGY LAB" />
                    <line value="7-8 WELLINGTON PLACE" />
                    <city value="LEEDS" />
                    <district value="WEST YORKSHIRE" />
                    <postalCode value="LS1 4AP" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
        <resource>
            <Organization>
                <!--  Requesting Organisation  -->
                <id value="3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="B82033" />
                </identifier>
                <name value="PICKERING MEDICAL PRACTICE" />
                <address>
                    <line value="SOUTHGATE" />
                    <city value="PICKERING" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO18 8BL" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
        <resource>
            <Practitioner>
                <!--  Requesting Practitioner  -->
                <id value="9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                    <!--  Confirm SDS user id  -->
                    <value value="TBC" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="GASKELL" />
                    <given value="Gale" />
                    <prefix value="Dr" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <resource>
            <Patient>
                <id value="ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                </meta>
                <identifier>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus" />
                                <code value="number-present-and-verified" />
                                <display value="Number present and verified" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9727710859" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="MOXEY" />
                    <given value="Judy" />
                </name>
                <gender value="female" />
                <birthDate value="2004-05-06" />
                <address>
                    <line value="1 CASTLEGATE" />
                    <city value="PICKERING" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO18 7AY" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
        <resource>
            <ServiceRequest>
                <id value="1c38d507-9ad7-4b49-ba91-7da204842cac" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220215-000014" />
                </identifier>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  UTL Requestable (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="401324008" />
                        <display value="Urinary microscopy, culture and sensitivities" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <authoredOn value="2022-02-15T11:07:00+00:00" />
                <requester>
                    <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                    <display value="GASKELL, Gale" />
                </requester>
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
            </ServiceRequest>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "path-R4-example-bundle-urine-MCS-request",
    "meta": {
        "lastUpdated": "2022-02-15T11:07:00+00:00",
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle"
        ]
    },
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "3a5f5411-2a7b-4052-a70e-a8f14c0cf318"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader"
                    ]
                },
                "eventCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "371528001",
                    "display": "Pathology report"
                },
                "destination":  [
                    {
                        "name": "TD008362 PATH LAB 001",
                        "endpoint": "TBC",
                        "receiver": {
                            "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
                        }
                    }
                ],
                "sender": {
                    "reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434"
                },
                "source": {
                    "endpoint": "TBC"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
            "resource": {
                "resourceType": "Organization",
                "id": "8a6d85b8-9837-4fed-a257-4cf207988338",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "Y8J7D"
                    }
                ],
                "name": "TD008362 PATH LAB 001",
                "address":  [
                    {
                        "line":  [
                            "PATHOLOGY LAB",
                            "7-8 WELLINGTON PLACE"
                        ],
                        "city": "LEEDS",
                        "district": "WEST YORKSHIRE",
                        "postalCode": "LS1 4AP"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434",
            "resource": {
                "resourceType": "Organization",
                "id": "3c43b5b3-06d6-445f-ae9a-48d5f05df434",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "B82033"
                    }
                ],
                "name": "PICKERING MEDICAL PRACTICE",
                "address":  [
                    {
                        "line":  [
                            "SOUTHGATE"
                        ],
                        "city": "PICKERING",
                        "district": "NORTH YORKSHIRE",
                        "postalCode": "YO18 8BL"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
            "resource": {
                "resourceType": "Practitioner",
                "id": "9a835acf-d715-4d84-8dcf-a8435f6417fe",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "TBC"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "GASKELL",
                        "given":  [
                            "Gale"
                        ],
                        "prefix":  [
                            "Dr"
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
            "resource": {
                "resourceType": "Patient",
                "id": "ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
                    ]
                },
                "identifier":  [
                    {
                        "extension":  [
                            {
                                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus",
                                            "code": "number-present-and-verified",
                                            "display": "Number present and verified"
                                        }
                                    ]
                                }
                            }
                        ],
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9727710859"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "MOXEY",
                        "given":  [
                            "Judy"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "2004-05-06",
                "address":  [
                    {
                        "line":  [
                            "1 CASTLEGATE"
                        ],
                        "city": "PICKERING",
                        "district": "NORTH YORKSHIRE",
                        "postalCode": "YO18 7AY"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac",
            "resource": {
                "resourceType": "ServiceRequest",
                "id": "1c38d507-9ad7-4b49-ba91-7da204842cac",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://B82033-pickeringmedicalpractice.com/labrequest",
                        "value": "REQ-20220215-000014"
                    }
                ],
                "status": "active",
                "intent": "order",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "401324008",
                            "display": "Urinary microscopy, culture and sensitivities"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "authoredOn": "2022-02-15T11:07:00+00:00",
                "requester": {
                    "reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
                    "display": "GASKELL, Gale"
                },
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ]
            }
        }
    ]
}

Message Bundle Example - MC&S Microbiology Report - Report

<Bundle xmlns="http://hl7.org/fhir">
    <id value="path-R4-example-bundle-urine-MCS-report" />
    <meta>
        <lastUpdated value="2022-02-18T16:04:00+00:00" />
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="4fbc7460-39e1-420e-b8c9-97ae4cb4b9a3" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
        <resource>
            <MessageHeader>
                <!--  TBC Review content of MessageHeader  -->
                <id value="f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" />
                </meta>
                <eventCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="371528001" />
                    <display value="Pathology report" />
                </eventCoding>
                <destination>
                    <name value="PICKERING MEDICAL PRACTICE" />
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                    <!--  Requesting Organisation  -->
                    <receiver>
                        <reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                    </receiver>
                </destination>
                <sender>
                    <!--  Performing Laboratory  -->
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                </sender>
                <source>
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                </source>
                <focus>
                    <!--  DiagnosticReport  -->
                    <reference value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
        <resource>
            <Organization>
                <!--  Performing Laboratory  -->
                <id value="8a6d85b8-9837-4fed-a257-4cf207988338" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="Y8J7D" />
                </identifier>
                <name value="TD008362 PATH LAB 001" />
                <address>
                    <line value="PATHOLOGY LAB" />
                    <line value="7-8 WELLINGTON PLACE" />
                    <city value="LEEDS" />
                    <district value="WEST YORKSHIRE" />
                    <postalCode value="LS1 4AP" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
        <resource>
            <Organization>
                <!--  Requesting Organisation  -->
                <id value="3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="B82033" />
                </identifier>
                <name value="PICKERING MEDICAL PRACTICE" />
                <address>
                    <line value="SOUTHGATE" />
                    <city value="PICKERING" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO18 8BL" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
        <resource>
            <Practitioner>
                <!--  Requesting Practitioner  -->
                <id value="9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                    <!--  Confirm SDS user id  -->
                    <value value="TBC" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="GASKELL" />
                    <given value="Gale" />
                    <prefix value="Dr" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <resource>
            <Patient>
                <id value="ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                </meta>
                <identifier>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus" />
                                <code value="number-present-and-verified" />
                                <display value="Number present and verified" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9727710859" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="MOXEY" />
                    <given value="Judy" />
                </name>
                <gender value="female" />
                <birthDate value="2004-05-06" />
                <address>
                    <line value="1 CASTLEGATE" />
                    <city value="PICKERING" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO18 7AY" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
        <resource>
            <ServiceRequest>
                <id value="1c38d507-9ad7-4b49-ba91-7da204842cac" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220215-000014" />
                </identifier>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  UTL Requestable (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="401324008" />
                        <display value="Urinary microscopy, culture and sensitivities" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <authoredOn value="2022-02-15T11:07:00+00:00" />
                <requester>
                    <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                    <display value="GASKELL, Gale" />
                </requester>
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
            </ServiceRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
        <resource>
            <Specimen>
                <id value="bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/specimen" />
                    <value value="SPC-REQ-20220215-000031" />
                </identifier>
                <accessionIdentifier>
                    <system value="http://Y8J7D-pathlab001.com/specimen" />
                    <value value="SPC-LAB-20220215-005813" />
                </accessionIdentifier>
                <status value="available" />
                <type>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="122575003" />
                        <display value="Urine specimen" />
                    </coding>
                </type>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <receivedTime value="2022-02-15T15:28:00+00:00" />
                <request>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </request>
                <collection>
                    <collectedDateTime value="2022-02-15T11:34:00+00:00" />
                </collection>
            </Specimen>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
        <resource>
            <DiagnosticReport>
                <id value="35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport" />
                </meta>
                <identifier>
                    <system value="http://Y8J7D-pathlab001.com/report" />
                    <value value="REP-20220218-008037" />
                </identifier>
                <basedOn>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                    <type value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
                </basedOn>
                <status value="final" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="721981007" />
                        <display value="Diagnostic studies report" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
                <result>
                    <!--  Microscopy results group  -->
                    <reference value="urn:uuid:e8507937-f805-4911-851c-5426f1920015" />
                </result>
                <result>
                    <!--  Escherichia coli ESBL positive - culture and sensitivity results group  -->
                    <reference value="urn:uuid:daa1a9af-81c5-434d-88d2-0075a55951d9" />
                </result>
                <result>
                    <!--  Escherichia coli - culture and sensitivity results group  -->
                    <reference value="urn:uuid:617b393d-b6a2-4325-9ee3-e5e55286fa9d" />
                </result>
            </DiagnosticReport>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:e8507937-f805-4911-851c-5426f1920015" />
        <resource>
            <Observation>
                <!--  Microscopy results group  -->
                <id value="e8507937-f805-4911-851c-5426f1920015" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="191a4ab9-9858-40b2-a9cc-5880e931103c" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Requestable (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="127800008" />
                        <display value="Microscopic urinalysis" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  White blood cell count in urine  -->
                    <reference value="urn:uuid:de78d6e2-f6c4-47cb-bed3-4f5b50b2c058" />
                </hasMember>
                <hasMember>
                    <!--  Red blood cell count in urine  -->
                    <reference value="urn:uuid:f72feb4e-b4d4-4049-b2e0-9c697cbe4f08" />
                </hasMember>
                <hasMember>
                    <!--  Epithelial cells in urine  -->
                    <reference value="urn:uuid:81864c11-7067-4fc6-ba3c-babf5f19e2e2" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:de78d6e2-f6c4-47cb-bed3-4f5b50b2c058" />
        <resource>
            <Observation>
                <!--  White blood cell count in urine  -->
                <id value="de78d6e2-f6c4-47cb-bed3-4f5b50b2c058" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="2af46949-4938-4c57-bad4-c4363e1965d5" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="42331000237103" />
                        <display value="White blood cell count in urine" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="100" />
                    <comparator value="&gt;" />
                    <unit value="/mm^3" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="uL" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:f72feb4e-b4d4-4049-b2e0-9c697cbe4f08" />
        <resource>
            <Observation>
                <!--  Red blood cell count in urine  -->
                <id value="f72feb4e-b4d4-4049-b2e0-9c697cbe4f08" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="2af46949-4938-4c57-bad4-c4363e1965d5" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="43331000237105" />
                        <display value="Red blood cell count in urine" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="20" />
                    <unit value="/mm^3" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="uL" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:81864c11-7067-4fc6-ba3c-babf5f19e2e2" />
        <resource>
            <Observation>
                <!--  Epithelial cells in urine  -->
                <id value="81864c11-7067-4fc6-ba3c-babf5f19e2e2" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="2af46949-4938-4c57-bad4-c4363e1965d5" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  TBC - awaiting creation of SNOMED CT/UTL concept  -->
                        <system value="http://snomed.info/sct" />
                        <code value="TBC" />
                        <display value="TBC" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="1" />
                    <unit value="/mm^3" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="uL" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:daa1a9af-81c5-434d-88d2-0075a55951d9" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - culture and sensitivity results group  -->
                <id value="daa1a9af-81c5-434d-88d2-0075a55951d9" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="127ba6b2-7ea4-48bb-85f4-85dbd4860331" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  TBC - awaiting creation of SNOMED CT/UTL concept  -->
                        <system value="http://snomed.info/sct" />
                        <code value="TBC" />
                        <display value="TBC" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - culture result  -->
                    <reference value="urn:uuid:b667ffe8-a264-41de-a8ed-89af04d98b3e" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - sensitivities group  -->
                    <reference value="urn:uuid:f46ae8ea-3c56-4111-bc42-8c7025d673c6" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:b667ffe8-a264-41de-a8ed-89af04d98b3e" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - culture result  -->
                <id value="b667ffe8-a264-41de-a8ed-89af04d98b3e" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="2af46949-4938-4c57-bad4-c4363e1965d5" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  TBC - awaiting creation of SNOMED CT/UTL concept  -->
                        <system value="http://snomed.info/sct" />
                        <code value="TBC" />
                        <display value="TBC" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueString value="Heavy growth (++)" />
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:f46ae8ea-3c56-4111-bc42-8c7025d673c6" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - sensitivities group  -->
                <id value="f46ae8ea-3c56-4111-bc42-8c7025d673c6" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="3a108b1d-a34f-4623-ac27-bb3aad2bfbfd" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Requestable (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="14788002" />
                        <display value="Antimicrobial susceptibility test" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - sensitivity result - ampicillin  -->
                    <reference value="urn:uuid:19b20b30-72e4-49c9-873b-d1dd3971ff1c" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - sensitivity result - ciprofloxacin  -->
                    <reference value="urn:uuid:003ec021-ce26-48ed-aa61-373668f2e34a" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - sensitivity result - gentamicin  -->
                    <reference value="urn:uuid:2eca7a53-feba-4cc3-b612-5c63496bcfa7" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - sensitivity result - pivmecillinam  -->
                    <reference value="urn:uuid:77ce2cb7-3bea-4190-9ae9-bb9da5e029e8" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - sensitivity result - nitrofurantoin  -->
                    <reference value="urn:uuid:c050a06a-d870-4119-85aa-5ba2c178bcc4" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli ESBL positive - sensitivity result - trimethoprim  -->
                    <reference value="urn:uuid:8ebc1bd2-6da2-4882-ace2-7ff0a7ee0398" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:19b20b30-72e4-49c9-873b-d1dd3971ff1c" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - sensitivity result - ampicillin  -->
                <id value="19b20b30-72e4-49c9-873b-d1dd3971ff1c" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="2af46949-4938-4c57-bad4-c4363e1965d5" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="58311000237109" />
                        <display value="Organism susceptibility to ampicillin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="R" />
                        <display value="Resistant" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:003ec021-ce26-48ed-aa61-373668f2e34a" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - sensitivity result - ciprofloxacin  -->
                <id value="003ec021-ce26-48ed-aa61-373668f2e34a" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="7d519205-6e53-4685-a6be-2b5f44af2deb" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="56691000237107" />
                        <display value="Organism susceptibility to ciprofloxacin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="R" />
                        <display value="Resistant" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:2eca7a53-feba-4cc3-b612-5c63496bcfa7" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - sensitivity result - gentamicin  -->
                <id value="2eca7a53-feba-4cc3-b612-5c63496bcfa7" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="c970df4a-beab-4600-8ffe-20acbc5b437e" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="58831000237106" />
                        <display value="Organism susceptibility to gentamicin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="S" />
                        <display value="Susceptible" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:77ce2cb7-3bea-4190-9ae9-bb9da5e029e8" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - sensitivity result - pivmecillinam  -->
                <id value="77ce2cb7-3bea-4190-9ae9-bb9da5e029e8" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="3338bf2f-6c98-469d-87da-1988ec0b5ac5" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="54691000237102" />
                        <display value="Organism susceptibility to pivmecillinam" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="S" />
                        <display value="Susceptible" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:c050a06a-d870-4119-85aa-5ba2c178bcc4" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - sensitivity result - nitrofurantoin  -->
                <id value="c050a06a-d870-4119-85aa-5ba2c178bcc4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="48ad6edd-2f81-450e-be32-01616aa9659c" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="53851000237109" />
                        <display value="Organism susceptibility to nitrofurantoin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="S" />
                        <display value="Susceptible" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:8ebc1bd2-6da2-4882-ace2-7ff0a7ee0398" />
        <resource>
            <Observation>
                <!--  Escherichia coli ESBL positive - sensitivity result - trimethoprim  -->
                <id value="8ebc1bd2-6da2-4882-ace2-7ff0a7ee0398" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="561c5618-ee94-4531-80c5-d6c5d38e1a1b" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable(observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="53781000237107" />
                        <display value="Organism susceptibility to trimethoprim" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="S" />
                        <display value="Susceptible" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:617b393d-b6a2-4325-9ee3-e5e55286fa9d" />
        <resource>
            <Observation>
                <!--  Escherichia coli - culture and sensitivity results group  -->
                <id value="617b393d-b6a2-4325-9ee3-e5e55286fa9d" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="7fd2e167-f0b7-4349-b4fd-271cf985a400" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  TBC - awaiting creation of SNOMED CT/UTL concept  -->
                        <system value="http://snomed.info/sct" />
                        <code value="TBC" />
                        <display value="TBC" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Escherichia coli - culture result  -->
                    <reference value="urn:uuid:a3af34eb-687e-4764-9c1b-0cd4b1014146" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli - sensitivities group  -->
                    <reference value="urn:uuid:01255445-dfca-4b2e-a6eb-f1345857d740" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a3af34eb-687e-4764-9c1b-0cd4b1014146" />
        <resource>
            <Observation>
                <!--  Escherichia coli - culture result  -->
                <id value="a3af34eb-687e-4764-9c1b-0cd4b1014146" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="bcb8f894-6ed8-4322-b50d-c18abc3120e1" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="43801000237106" />
                        <display value="Escherichia coli culture qualitative result" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueString value="Heavy growth (++)" />
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:01255445-dfca-4b2e-a6eb-f1345857d740" />
        <resource>
            <Observation>
                <!--  Escherichia coli - sensitivities group  -->
                <id value="01255445-dfca-4b2e-a6eb-f1345857d740" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="9d9f2a48-7eaf-4433-a22d-e9a4dc352f3d" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Requestable (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="14788002" />
                        <display value="Antimicrobial susceptibility test" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Escherichia coli - sensitivity result - ampicillin  -->
                    <reference value="urn:uuid:61d80861-ba35-46bf-a9b9-9b72ccdb16d9" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli - sensitivity result - ciprofloxacin  -->
                    <reference value="urn:uuid:ecc1827b-29f1-4f8e-8e78-6d8717e788b5" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli - sensitivity result - gentamicin  -->
                    <reference value="urn:uuid:525b1191-ee20-4957-85c0-e7026add0565" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli - sensitivity result - pivmecillinam  -->
                    <reference value="urn:uuid:b2bab3d3-1f8f-46aa-ac0b-fb507a132a93" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli - sensitivity result - nitrofurantoin  -->
                    <reference value="urn:uuid:74d1c4c3-3561-4e11-a176-4f262be33d5f" />
                </hasMember>
                <hasMember>
                    <!--  Escherichia coli - sensitivity result - trimethoprim  -->
                    <reference value="urn:uuid:7be2eee4-6efa-4b51-9bbf-68d03d6f6883" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:61d80861-ba35-46bf-a9b9-9b72ccdb16d9" />
        <resource>
            <Observation>
                <!--  Escherichia coli - sensitivity result - ampicillin  -->
                <id value="61d80861-ba35-46bf-a9b9-9b72ccdb16d9" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="5ffc219b-c9f3-4d7a-9ae1-493438382132" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="58311000237109" />
                        <display value="Organism susceptibility to ampicillin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="R" />
                        <display value="Resistant" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ecc1827b-29f1-4f8e-8e78-6d8717e788b5" />
        <resource>
            <Observation>
                <!--  Escherichia coli - sensitivity result - ciprofloxacin  -->
                <id value="ecc1827b-29f1-4f8e-8e78-6d8717e788b5" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="6d35d041-42b1-413d-b09d-d7d11f1f7379" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="56691000237107" />
                        <display value="Organism susceptibility to ciprofloxacin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
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                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="R" />
                        <display value="Resistant" />
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                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:525b1191-ee20-4957-85c0-e7026add0565" />
        <resource>
            <Observation>
                <!--  Escherichia coli - sensitivity result - gentamicin  -->
                <id value="525b1191-ee20-4957-85c0-e7026add0565" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="e29b58ac-6e5c-49c0-a15c-4dfaf7549398" />
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                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="58831000237106" />
                        <display value="Organism susceptibility to gentamicin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="S" />
                        <display value="Susceptible" />
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                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:b2bab3d3-1f8f-46aa-ac0b-fb507a132a93" />
        <resource>
            <Observation>
                <!--  Escherichia coli - sensitivity result - pivmecillinam  -->
                <id value="b2bab3d3-1f8f-46aa-ac0b-fb507a132a93" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="f671ec89-ffaa-45d0-a996-00a48a05762d" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="54691000237102" />
                        <display value="Organism susceptibility to pivmecillinam" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="R" />
                        <display value="Resistant" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:74d1c4c3-3561-4e11-a176-4f262be33d5f" />
        <resource>
            <Observation>
                <!--  Escherichia coli - sensitivity result - nitrofurantoin  -->
                <id value="74d1c4c3-3561-4e11-a176-4f262be33d5f" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="f8fe2403-0f61-4527-9812-b24c7b48fc82" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="53851000237109" />
                        <display value="Organism susceptibility to nitrofurantoin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="S" />
                        <display value="Susceptible" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:7be2eee4-6efa-4b51-9bbf-68d03d6f6883" />
        <resource>
            <Observation>
                <!--  Escherichia coli - sensitivity result - trimethoprim  -->
                <id value="7be2eee4-6efa-4b51-9bbf-68d03d6f6883" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="d3f9bcb2-78ff-44fb-bd63-fd134dd82b0e" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="53781000237107" />
                        <display value="Organism susceptibility to trimethoprim" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-18T16:04:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <interpretation>
                    <coding>
                        <system value="http://hl7.org/fhir/v2/0078" />
                        <code value="S" />
                        <display value="Susceptible" />
                    </coding>
                </interpretation>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "path-R4-example-bundle-urine-MCS-report",
    "meta": {
        "lastUpdated": "2022-02-18T16:04:00+00:00",
        "profile":  [
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        "value": "4fbc7460-39e1-420e-b8c9-97ae4cb4b9a3"
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            "fullUrl": "urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
                "meta": {
                    "profile":  [
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                },
                "eventCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "371528001",
                    "display": "Pathology report"
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                "destination":  [
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                        "name": "PICKERING MEDICAL PRACTICE",
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                    "endpoint": "TBC"
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                "id": "8a6d85b8-9837-4fed-a257-4cf207988338",
                "meta": {
                    "profile":  [
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                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "Y8J7D"
                    }
                ],
                "name": "TD008362 PATH LAB 001",
                "address":  [
                    {
                        "line":  [
                            "PATHOLOGY LAB",
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        {
            "fullUrl": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434",
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                "resourceType": "Organization",
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                },
                "identifier":  [
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                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
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                ],
                "name": "PICKERING MEDICAL PRACTICE",
                "address":  [
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}
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