England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: Document - GTT-Unstructured-Report-Example

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="Document-GTT-Unstructured-Report-Example"/>
  <meta>
    <profile
             value="https://fhir.nhs.uk/England/StructureDefinition/England-Bundle-Lab-Pathology|0.1.0"/>
  </meta>
  <language value="en"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:6c77446c-5805-5e5b-b0c1-c4720d5ecb20"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2022-03-08T12:09:00+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:8b80af44-9b43-5515-bb19-6bca382345d5"/>
    <resource>
      <Composition>
        <id value="8b80af44-9b43-5515-bb19-6bca382345d5"/>
        <meta>
          <profile
                   value="http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab|2.0.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_8b80af44-9b43-5515-bb19-6bca382345d5"> </a><table><tr><th>NHS Number</th><td>9999999549</td></tr><tr><th>Report number</th><td>REP-20220210-000218</td></tr><tr><th>Status</th><td>final</td></tr><tr><th>Requested by</th><td>Dr Gale GASKELL, PICKERING MEDICAL PRACTICE (B82033)</td></tr><tr><th>Laboratory</th><td>TD008362 PATH LAB 001 (Y8J7D)</td></tr><tr><th>Specimen</th><td>Venous blood specimen collected 2022-02-09T10:01:23+00:00; Venous blood specimen collected 2022-02-09T11:03:07+00:00; Venous blood specimen collected 2022-02-09T12:02:17+00:00</td></tr><tr><th>Issued</th><td>2022-02-10T11:49:00+00:00</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/report"/>
          <value value="REP-20220210-000218"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="721981007"/>
            <display value="Diagnostic studies report"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11502-2"/>
            <display value="Laboratory report"/>
          </coding>
        </type>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="394915009"/>
            <display value="General pathology (specialty)"/>
          </coding>
        </category>
        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
          </identifier>
        </subject>
        <date value="2022-02-10T11:49:00+00:00"/>
        <author>
          <reference value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </author>
        <title value="Laboratory Report"/>
        <attester>
          <mode value="official"/>
          <party>
            <reference value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
            <type value="Organization"/>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
            <display value="TD008362 PATH LAB 001"/>
          </party>
        </attester>
        <custodian>
          <reference value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </custodian>
        <section>
          <title value="Glucose tolerance test"/>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1005711000000106"/>
              <display value="Glucose tolerance test"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><th>Test</th><th>Result</th><th>Units</th><th>Reference range</th><th>Flag</th></tr><tr><td>Glucose tolerance test</td><td>GTT Fasting Glucose   4.8 mmol/L <br/> GTT Glucose 60 min    8.8 mmol/L<br/> GTT Glucose 120 min   6.4 mmol/L</td><td/><td/><td/></tr></table></div>
          </text>
          <entry>
            <reference value="urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4"/>
          </entry>
        </section>
        <section>
          <title value="Report comment"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48767-8"/>
              <display value="Annotation comment [Interpretation] Narrative"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><p>Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required.</p></div>
          </text>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7f1074fc-8637-5a74-b278-f7ab2aea5cd4"/>
    <resource>
      <DiagnosticReport>
        <id value="7f1074fc-8637-5a74-b278-f7ab2aea5cd4"/>
        <meta>
          <profile
                   value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab|2.0.0-nhs-fix"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_7f1074fc-8637-5a74-b278-f7ab2aea5cd4"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport 7f1074fc-8637-5a74-b278-f7ab2aea5cd4</b></p><a name="7f1074fc-8637-5a74-b278-f7ab2aea5cd4"> </a><a name="hc7f1074fc-8637-5a74-b278-f7ab2aea5cd4"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab|2.0.0-nhs-fix</code></p></div><h2><span title="Codes:{http://snomed.info/sct 721981007}, {http://loinc.org 11502-2}">Diagnostic studies report</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 CH}">Chemistry</span>, <span title="Codes:{http://snomed.info/sct 394915009}">General pathology (specialty)</span>) </h2><table class="grid"><tr><td>Subject</td><td>NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</td></tr><tr><td>Relevant Time</td><td>2022-02-09 10:01:23+0000</td></tr><tr><td>Reported</td><td>2022-02-10 11:49:00+0000</td></tr><tr><td>Performer</td><td> <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b">TD008362 PATH LAB 001</a></td></tr><tr><td>Identifier</td><td> Filler Identifier/REP-20220210-000218</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-95c09825-169a-524a-9569-f08c5f288ca4"><span title="Codes:{http://snomed.info/sct 1005711000000106}">Glucose tolerance test</span></a></td><td>GTT Fasting Glucose   4.8 mmol/L 
 GTT Glucose 60 min    8.8 mmol/L
 GTT Glucose 120 min   6.4 mmol/L</td><td>Final</td></tr></table><p>Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required.</p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
          <valueReference>
            <reference value="urn:uuid:8b80af44-9b43-5515-bb19-6bca382345d5"/>
          </valueReference>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/report"/>
          <value value="REP-20220210-000218"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </identifier>
        <basedOn>
          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="CH"/>
            <display value="Chemistry"/>
          </coding>
        </category>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="394915009"/>
            <display value="General pathology (specialty)"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="721981007"/>
            <display value="Diagnostic studies report"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11502-2"/>
            <display value="Laboratory report"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
          </identifier>
        </subject>
        <effectiveDateTime value="2022-02-09T10:01:23+00:00"/>
        <issued value="2022-02-10T11:49:00+00:00"/>
        <performer>
          <reference value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <specimen>
          <reference value="urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
        </specimen>
        <specimen>
          <reference value="urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
        </specimen>
        <specimen>
          <reference value="urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
        </specimen>
        <result>
          <reference value="urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4"/>
        </result>
        <conclusion
                    value="Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required."/>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
    <resource>
      <ServiceRequest>
        <id value="d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
        <meta>
          <profile
                   value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab|2.0.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_d5de16d3-fd12-56b0-8978-d8272aa75dcf"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest d5de16d3-fd12-56b0-8978-d8272aa75dcf</b></p><a name="d5de16d3-fd12-56b0-8978-d8272aa75dcf"> </a><a name="hcd5de16d3-fd12-56b0-8978-d8272aa75dcf"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/REQ-20220207-000013, Filler Identifier/REP-20220210-000218</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1005711000000106}">Glucose tolerance test</span></p><p><b>subject</b>: <a href="Bundle-Document-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>authoredOn</b>: 2022-02-07 09:20:00+0000</p><p><b>requester</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-84c94bb1-4336-5607-9124-6b82052db22a">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</a></p><p><b>performer</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b">TD008362 PATH LAB 001</a></p><p><b>specimen</b>: </p><ul><li><a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-1af6c6d6-64c1-5acc-bac8-9c96d266f5e8">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000082; accessionIdentifier = Accession ID: SPC-Lab-20220209-001531; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></li><li><a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-c6d12c68-b7f5-58f2-a15f-fae8ed14bfef">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000083; accessionIdentifier = Accession ID: SPC-Lab-20220209-001549; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></li><li><a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d4d97863-50e7-5114-a1af-c3d43e5f705d">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000084; accessionIdentifier = Accession ID: SPC-Lab-20220209-001587; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></li></ul></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system
                  value="http://B82033-pickeringmedicalpractice.com/labrequest"/>
          <value value="REQ-20220207-000013"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="B82033"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/report"/>
          <value value="REP-20220210-000218"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="completed"/>
        <intent value="order"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1005711000000106"/>
            <display value="Glucose tolerance test"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
          </identifier>
        </subject>
        <authoredOn value="2022-02-07T09:20:00+00:00"/>
        <requester>
          <reference value="urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"/>
        </requester>
        <performer>
          <reference value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <specimen>
          <reference value="urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
        </specimen>
        <specimen>
          <reference value="urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
        </specimen>
        <specimen>
          <reference value="urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
    <resource>
      <Patient>
        <id value="ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
        <meta>
          <profile
                   value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core|2.0.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_ce95bd35-3fbe-5e16-8275-54a730d8ee8b"> </a><p class="res-header-id"><b>Generated Narrative: Patient ce95bd35-3fbe-5e16-8275-54a730d8ee8b</b></p><a name="ce95bd35-3fbe-5e16-8275-54a730d8ee8b"> </a><a name="hcce95bd35-3fbe-5e16-8275-54a730d8ee8b"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/2.0.1/StructureDefinition-patient-eu-core.html">Patient (EU core)</a> version: 2.0.1</p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Patient internal identifier/Y8J7D0592374</li><li>National Health Plan Identifier/9999999549</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">EX1 2SS </td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="https://examplesihe.org.uk/Id/mrn/RCB"/>
          <value value="RCB6052841"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="RCB"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PI"/>
            </coding>
          </type>
          <system
                  value="https://examplesihe.org.uk/Id/patient-internal/Y8J7D"/>
          <value value="Y8J7D0592374"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NH"/>
            </coding>
          </type>
          <system value="https://fhir.nhs.uk/Id/nhs-number"/>
          <value value="9999999549"/>
        </identifier>
        <name>
          <family value="EDITESTPATIENT"/>
          <given value="NINE"/>
        </name>
        <gender value="female"/>
        <birthDate value="2002-02-02"/>
        <address>
          <postalCode value="EX1 2SS"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
    <resource>
      <Organization>
        <id value="44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
        <meta>
          <profile
                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_44b4c2c2-e882-59cb-bcab-4db2c6ed512b"> </a><p class="res-header-id"><b>Generated Narrative: Organization 44b4c2c2-e882-59cb-bcab-4db2c6ed512b</b></p><a name="44b4c2c2-e882-59cb-bcab-4db2c6ed512b"> </a><a name="hc44b4c2c2-e882-59cb-bcab-4db2c6ed512b"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">TD008362 PATH LAB 001 (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#Y8J7D)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the organization">Contact Detail</td><td colspan="3">PATHOLOGY LAB 7-8 WELLINGTON PLACE LEEDS LS1 4AP </td></tr></table></div>
        </text>
        <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:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
    <resource>
      <Specimen>
        <id value="1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
        <meta>
          <profile
                   value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"> </a><p class="res-header-id"><b>Generated Narrative: Specimen 1af6c6d6-64c1-5acc-bac8-9c96d266f5e8</b></p><a name="1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"> </a><a name="hc1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/SPC-REQ-20220209-000082</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220209-001531</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:">Venous blood specimen</span></p><p><b>subject</b>: <a href="Bundle-Document-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>receivedTime</b>: 2022-02-09 14:17:06+0000</p><p><b>request</b>: <a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf">ServiceRequest Glucose tolerance test</a></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2022-02-09 10:01:23+0000</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system
                  value="http://B82033-pickeringmedicalpractice.com/specimen"/>
          <value value="SPC-REQ-20220209-000082"/>
        </identifier>
        <accessionIdentifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/specimen"/>
          <value value="SPC-Lab-20220209-001531"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <type>
          <text value="Venous blood specimen"/>
        </type>
        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
          </identifier>
        </subject>
        <receivedTime value="2022-02-09T14:17:06+00:00"/>
        <request>
          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
        </request>
        <collection>
          <collectedDateTime value="2022-02-09T10:01:23+00:00"/>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
    <resource>
      <Specimen>
        <id value="c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
        <meta>
          <profile
                   value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"> </a><p class="res-header-id"><b>Generated Narrative: Specimen c6d12c68-b7f5-58f2-a15f-fae8ed14bfef</b></p><a name="c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"> </a><a name="hcc6d12c68-b7f5-58f2-a15f-fae8ed14bfef"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/SPC-REQ-20220209-000083</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220209-001549</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:">Venous blood specimen</span></p><p><b>subject</b>: <a href="Bundle-Document-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>receivedTime</b>: 2022-02-09 14:17:06+0000</p><p><b>request</b>: <a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf">ServiceRequest Glucose tolerance test</a></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2022-02-09 11:03:07+0000</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system
                  value="http://B82033-pickeringmedicalpractice.com/specimen"/>
          <value value="SPC-REQ-20220209-000083"/>
        </identifier>
        <accessionIdentifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/specimen"/>
          <value value="SPC-Lab-20220209-001549"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <type>
          <text value="Venous blood specimen"/>
        </type>
        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
          </identifier>
        </subject>
        <receivedTime value="2022-02-09T14:17:06+00:00"/>
        <request>
          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
        </request>
        <collection>
          <collectedDateTime value="2022-02-09T11:03:07+00:00"/>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
    <resource>
      <Specimen>
        <id value="d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
        <meta>
          <profile
                   value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_d4d97863-50e7-5114-a1af-c3d43e5f705d"> </a><p class="res-header-id"><b>Generated Narrative: Specimen d4d97863-50e7-5114-a1af-c3d43e5f705d</b></p><a name="d4d97863-50e7-5114-a1af-c3d43e5f705d"> </a><a name="hcd4d97863-50e7-5114-a1af-c3d43e5f705d"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/SPC-REQ-20220209-000084</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220209-001587</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:">Venous blood specimen</span></p><p><b>subject</b>: <a href="Bundle-Document-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>receivedTime</b>: 2022-02-09 14:17:06+0000</p><p><b>request</b>: <a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf">ServiceRequest Glucose tolerance test</a></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2022-02-09 12:02:17+0000</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system
                  value="http://B82033-pickeringmedicalpractice.com/specimen"/>
          <value value="SPC-REQ-20220209-000084"/>
        </identifier>
        <accessionIdentifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/specimen"/>
          <value value="SPC-Lab-20220209-001587"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <type>
          <text value="Venous blood specimen"/>
        </type>
        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
          </identifier>
        </subject>
        <receivedTime value="2022-02-09T14:17:06+00:00"/>
        <request>
          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
        </request>
        <collection>
          <collectedDateTime value="2022-02-09T12:02:17+00:00"/>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4"/>
    <resource>
      <Observation>
        <id value="95c09825-169a-524a-9569-f08c5f288ca4"/>
        <meta>
          <profile
                   value="https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_95c09825-169a-524a-9569-f08c5f288ca4"> </a><p class="res-header-id"><b>Generated Narrative: Observation 95c09825-169a-524a-9569-f08c5f288ca4</b></p><a name="95c09825-169a-524a-9569-f08c5f288ca4"> </a><a name="hc95c09825-169a-524a-9569-f08c5f288ca4"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf">ServiceRequest Glucose tolerance test</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://snomed.info/sct 394915009}">General pathology (specialty)</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1005711000000106}">Glucose tolerance test</span></p><p><b>subject</b>: <a href="Bundle-Document-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>effective</b>: 2022-02-09 10:01:23+0000</p><p><b>issued</b>: 2022-02-10 11:49:00+0000</p><p><b>performer</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b">TD008362 PATH LAB 001</a></p><p><b>value</b>: GTT Fasting Glucose   4.8 mmol/L 
 GTT Glucose 60 min    8.8 mmol/L
 GTT Glucose 120 min   6.4 mmol/L</p><p><b>specimen</b>: <a href="Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-1af6c6d6-64c1-5acc-bac8-9c96d266f5e8">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000082; accessionIdentifier = Accession ID: SPC-Lab-20220209-001531; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></p></div>
        </text>
        <basedOn>
          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="394915009"/>
            <display value="General pathology (specialty)"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1005711000000106"/>
            <display value="Glucose tolerance test"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
          </identifier>
        </subject>
        <effectiveDateTime value="2022-02-09T10:01:23+00:00"/>
        <issued value="2022-02-10T11:49:00+00:00"/>
        <performer>
          <reference value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <valueString
                     value="GTT Fasting Glucose   4.8 mmol/L 
 GTT Glucose 60 min    8.8 mmol/L
 GTT Glucose 120 min   6.4 mmol/L"/>
        <specimen>
          <reference value="urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"/>
    <resource>
      <PractitionerRole>
        <id value="84c94bb1-4336-5607-9124-6b82052db22a"/>
        <meta>
          <profile
                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_84c94bb1-4336-5607-9124-6b82052db22a"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 84c94bb1-4336-5607-9124-6b82052db22a</b></p><a name="84c94bb1-4336-5607-9124-6b82052db22a"> </a><a name="hc84c94bb1-4336-5607-9124-6b82052db22a"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="The practitioner who is able to provide the services in this role">Practitioner:</td><td colspan="3"><a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-73062312-924a-5a6d-972b-1a454bb5a8c6">Dr Gale GASKELL</a></td></tr><tr><td style="background-color: #f3f5da" title="The organization where the practitioner performs the roles">Organization:</td><td colspan="3"><a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-7f2280d3-a318-510e-98c8-389ad7c30671">PICKERING MEDICAL PRACTICE</a></td></tr></table></div>
        </text>
        <practitioner>
          <reference value="urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6"/>
          <type value="Practitioner"/>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="C1008215"/>
          </identifier>
          <display value="Dr Gale GASKELL"/>
        </practitioner>
        <organization>
          <reference value="urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="B82033"/>
          </identifier>
          <display value="PICKERING MEDICAL PRACTICE"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6"/>
    <resource>
      <Practitioner>
        <id value="73062312-924a-5a6d-972b-1a454bb5a8c6"/>
        <meta>
          <profile
                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_73062312-924a-5a6d-972b-1a454bb5a8c6"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 73062312-924a-5a6d-972b-1a454bb5a8c6</b></p><a name="73062312-924a-5a6d-972b-1a454bb5a8c6"> </a><a name="hc73062312-924a-5a6d-972b-1a454bb5a8c6"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Gale GASKELL (official) (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#C1008215)</p><hr/></div>
        </text>
        <identifier>
          <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
          <value value="C1008215"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="GASKELL"/>
          <given value="Gale"/>
          <prefix value="Dr"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671"/>
    <resource>
      <Organization>
        <id value="7f2280d3-a318-510e-98c8-389ad7c30671"/>
        <meta>
          <profile
                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_7f2280d3-a318-510e-98c8-389ad7c30671"> </a><p class="res-header-id"><b>Generated Narrative: Organization 7f2280d3-a318-510e-98c8-389ad7c30671</b></p><a name="7f2280d3-a318-510e-98c8-389ad7c30671"> </a><a name="hc7f2280d3-a318-510e-98c8-389ad7c30671"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">PICKERING MEDICAL PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#B82033)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the organization">Contact Detail</td><td colspan="3">SOUTHGATE PICKERING YO18 8BL </td></tr></table></div>
        </text>
        <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:1d5925a5-1e62-542d-b17f-ac0249167cc7"/>
    <resource>
      <Provenance>
        <id value="1d5925a5-1e62-542d-b17f-ac0249167cc7"/>
        <meta>
          <profile
                   value="https://fhir.nhs.uk/England/StructureDefinition/England-Provenance-Lab-Pathology|0.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_1d5925a5-1e62-542d-b17f-ac0249167cc7"> </a><p>Laboratory report REP-20220210-000218 sent by product EXAMPLE-PRODUCT:Y8J7D.</p></div>
        </text>
        <target>
          <reference value="urn:uuid:8b80af44-9b43-5515-bb19-6bca382345d5"/>
        </target>
        <recorded value="2022-03-08T12:09:00+00:00"/>
        <activity>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"/>
            <code value="transform"/>
          </coding>
        </activity>
        <agent>
          <who>
            <identifier>
              <system
                      value="https://api.service.nhs.uk/pathology-laboratory-reporting/test-reporting-system"/>
              <value value="EXAMPLE-PRODUCT:Y8J7D"/>
            </identifier>
          </who>
        </agent>
      </Provenance>
    </resource>
  </entry>
</Bundle>