{
  "resourceType" : "Bundle",
  "id" : "Document-Urine-MCS-Unstructured-Report-Example",
  "meta" : {
    "profile" : ["https://fhir.nhs.uk/England/StructureDefinition/England-Bundle-Lab-Pathology|0.1.0"]
  },
  "language" : "en",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:c4d100fe-6763-552e-a796-586dfcd4c72b"
  },
  "type" : "document",
  "timestamp" : "2022-03-08T12:09:00+00:00",
  "entry" : [{
    "fullUrl" : "urn:uuid:a696a20b-837a-5830-bb14-ccd24a71a21f",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "a696a20b-837a-5830-bb14-ccd24a71a21f",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab|2.0.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_a696a20b-837a-5830-bb14-ccd24a71a21f\"> </a><table><tr><th>NHS Number</th><td>9999999549</td></tr><tr><th>Report number</th><td>REP-20220225-006301</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>Urine specimen collected 2022-02-21T11:07:00+00:00</td></tr><tr><th>Issued</th><td>2022-02-25T13:47:00+00:00</td></tr></table></div>"
      },
      "identifier" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
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        "system" : "http://Y8J7D-pathlab001.com/report",
        "value" : "REP-20220225-006301",
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          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "Y8J7D"
          }
        }
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "721981007",
          "display" : "Diagnostic studies report"
        },
        {
          "system" : "http://loinc.org",
          "code" : "11502-2",
          "display" : "Laboratory report"
        }]
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      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "394915009",
          "display" : "General pathology (specialty)"
        }]
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      "subject" : {
        "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9999999549"
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      "date" : "2022-02-25T13:47:00+00:00",
      "author" : [{
        "reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
        "type" : "Organization",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "Y8J7D"
        },
        "display" : "TD008362 PATH LAB 001"
      }],
      "title" : "Laboratory Report",
      "attester" : [{
        "mode" : "official",
        "party" : {
          "reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
          "type" : "Organization",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "Y8J7D"
          },
          "display" : "TD008362 PATH LAB 001"
        }
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      "custodian" : {
        "reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
        "type" : "Organization",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "Y8J7D"
        },
        "display" : "TD008362 PATH LAB 001"
      },
      "section" : [{
        "title" : "Urinary microscopy, culture and sensitivities",
        "code" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "995581000000104",
            "display" : "Urinary microscopy, culture and sensitivities"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>Urinary microscopy, culture and sensitivities</td><td>Microscopy<br/>Casts  None seen<br/>White cells  &gt;35 x10*6/L<br/>Red cells  10-35 x10*6/L<br/>Epithelial cells  +<br/><br/>Culture<br/>1. Staphylococcus aureus   Scanty growth<br/><br/>Sensitivities  1<br/>Flucloxacillin   S<br/>Trimethoprim  S<br/>Nitrofurantoin  R</td><td/><td/><td/></tr></table></div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:15604bfd-37f1-5404-bb09-45c3950eac21"
        }]
      },
      {
        "title" : "Report comment",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "48767-8",
            "display" : "Annotation comment [Interpretation] Narrative"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Likely to be clinically significant.</p></div>"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c",
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab|2.0.0-nhs-fix"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c</b></p><a name=\"a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c\"> </a><a name=\"hca11b0a76-81f5-5a71-ac29-7ae5f3d3d90c\"> </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 MB}\">Microbiology</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>2022-02-21 11:07:00+0000</td></tr><tr><td>Reported</td><td>2022-02-25 13:47:00+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-20220225-006301</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-Urine-MCS-Unstructured-Report-Example.html#urn-uuid-15604bfd-37f1-5404-bb09-45c3950eac21\"><span title=\"Codes:{http://snomed.info/sct 995581000000104}\">Urinary microscopy, culture and sensitivities</span></a></td><td>Microscopy\nCasts  None seen\nWhite cells  &gt;35 x10*6/L\nRed cells  10-35 x10*6/L\nEpithelial cells  +\n\nCulture\n1. Staphylococcus aureus   Scanty growth\n\nSensitivities  1\nFlucloxacillin   S\nTrimethoprim  S\nNitrofurantoin  R</td><td>Final</td></tr></table><p>Likely to be clinically significant.</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
        "valueReference" : {
          "reference" : "urn:uuid:a696a20b-837a-5830-bb14-ccd24a71a21f"
        }
      }],
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "http://Y8J7D-pathlab001.com/report",
        "value" : "REP-20220225-006301",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "Y8J7D"
          }
        }
      }],
      "basedOn" : [{
        "reference" : "urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "MB",
          "display" : "Microbiology"
        }]
      },
      {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "394915009",
          "display" : "General pathology (specialty)"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "721981007",
          "display" : "Diagnostic studies report"
        },
        {
          "system" : "http://loinc.org",
          "code" : "11502-2",
          "display" : "Laboratory report"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9999999549"
        }
      },
      "effectiveDateTime" : "2022-02-21T11:07:00+00:00",
      "issued" : "2022-02-25T13:47:00+00:00",
      "performer" : [{
        "reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
        "type" : "Organization",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "Y8J7D"
        },
        "display" : "TD008362 PATH LAB 001"
      }],
      "specimen" : [{
        "reference" : "urn:uuid:94faba98-45af-533f-8368-d8e0f9d6f5a0"
      }],
      "result" : [{
        "reference" : "urn:uuid:15604bfd-37f1-5404-bb09-45c3950eac21"
      }],
      "conclusion" : "Likely to be clinically significant."
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  },
  {
    "fullUrl" : "urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "1e5cda28-2dc4-522e-b44e-8d744ffb1bb6",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab|2.0.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_1e5cda28-2dc4-522e-b44e-8d744ffb1bb6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 1e5cda28-2dc4-522e-b44e-8d744ffb1bb6</b></p><a name=\"1e5cda28-2dc4-522e-b44e-8d744ffb1bb6\"> </a><a name=\"hc1e5cda28-2dc4-522e-b44e-8d744ffb1bb6\"> </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-20220221-000018, Filler Identifier/REP-20220225-006301</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 995581000000104}\">Urinary microscopy, culture and sensitivities</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>: 2022-02-21 10:29:00+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>: <a href=\"Bundle-Document-Urine-MCS-Unstructured-Report-Example.html#urn-uuid-94faba98-45af-533f-8368-d8e0f9d6f5a0\">Specimen: identifier = Placer Identifier: SPC-REQ-20220221-000024; accessionIdentifier = Accession ID: SPC-Lab-20220221-004306; status = available; type = Urine specimen; receivedTime = 2022-02-21 14:58:00+0000</a></p></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
          }]
        },
        "system" : "http://B82033-pickeringmedicalpractice.com/labrequest",
        "value" : "REQ-20220221-000018",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "B82033"
          }
        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "http://Y8J7D-pathlab001.com/report",
        "value" : "REP-20220225-006301",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "Y8J7D"
          }
        }
      }],
      "status" : "completed",
      "intent" : "order",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "995581000000104",
          "display" : "Urinary microscopy, culture and sensitivities"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9999999549"
        }
      },
      "authoredOn" : "2022-02-21T10:29:00+00:00",
      "requester" : {
        "reference" : "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"
      },
      "performer" : [{
        "reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
        "type" : "Organization",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "Y8J7D"
        },
        "display" : "TD008362 PATH LAB 001"
      }],
      "specimen" : [{
        "reference" : "urn:uuid:94faba98-45af-533f-8368-d8e0f9d6f5a0"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core|2.0.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
          }]
        },
        "system" : "https://examplesihe.org.uk/Id/mrn/RCB",
        "value" : "RCB6052841",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RCB"
          }
        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PI"
          }]
        },
        "system" : "https://examplesihe.org.uk/Id/patient-internal/Y8J7D",
        "value" : "Y8J7D0592374",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "Y8J7D"
          }
        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NH"
          }]
        },
        "system" : "https://fhir.nhs.uk/Id/nhs-number",
        "value" : "9999999549"
      }],
      "name" : [{
        "family" : "EDITESTPATIENT",
        "given" : ["NINE"]
      }],
      "gender" : "female",
      "birthDate" : "2002-02-02",
      "address" : [{
        "postalCode" : "EX1 2SS"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
      "meta" : {
        "profile" : ["https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "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:94faba98-45af-533f-8368-d8e0f9d6f5a0",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "94faba98-45af-533f-8368-d8e0f9d6f5a0",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_94faba98-45af-533f-8368-d8e0f9d6f5a0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen 94faba98-45af-533f-8368-d8e0f9d6f5a0</b></p><a name=\"94faba98-45af-533f-8368-d8e0f9d6f5a0\"> </a><a name=\"hc94faba98-45af-533f-8368-d8e0f9d6f5a0\"> </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-20220221-000024</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220221-004306</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:\">Urine 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>: 2022-02-21 14:58:00+0000</p><p><b>request</b>: <a href=\"Bundle-Document-Urine-MCS-Unstructured-Report-Example.html#urn-uuid-1e5cda28-2dc4-522e-b44e-8d744ffb1bb6\">ServiceRequest Urinary microscopy, culture and sensitivities</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>2022-02-21 11:07:00+0000</td></tr></table></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
          }]
        },
        "system" : "http://B82033-pickeringmedicalpractice.com/specimen",
        "value" : "SPC-REQ-20220221-000024"
      }],
      "accessionIdentifier" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN"
          }]
        },
        "system" : "http://Y8J7D-pathlab001.com/specimen",
        "value" : "SPC-Lab-20220221-004306",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "Y8J7D"
          }
        }
      },
      "status" : "available",
      "type" : {
        "text" : "Urine specimen"
      },
      "subject" : {
        "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9999999549"
        }
      },
      "receivedTime" : "2022-02-21T14:58:00+00:00",
      "request" : [{
        "reference" : "urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6"
      }],
      "collection" : {
        "collectedDateTime" : "2022-02-21T11:07:00+00:00"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:15604bfd-37f1-5404-bb09-45c3950eac21",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "15604bfd-37f1-5404-bb09-45c3950eac21",
      "meta" : {
        "profile" : ["https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_15604bfd-37f1-5404-bb09-45c3950eac21\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 15604bfd-37f1-5404-bb09-45c3950eac21</b></p><a name=\"15604bfd-37f1-5404-bb09-45c3950eac21\"> </a><a name=\"hc15604bfd-37f1-5404-bb09-45c3950eac21\"> </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-Urine-MCS-Unstructured-Report-Example.html#urn-uuid-1e5cda28-2dc4-522e-b44e-8d744ffb1bb6\">ServiceRequest Urinary microscopy, culture and sensitivities</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 995581000000104}\">Urinary microscopy, culture and sensitivities</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>: 2022-02-21 11:07:00+0000</p><p><b>issued</b>: 2022-02-25 13:47:00+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>: Microscopy\nCasts  None seen\nWhite cells  &gt;35 x10*6/L\nRed cells  10-35 x10*6/L\nEpithelial cells  +\n\nCulture\n1. Staphylococcus aureus   Scanty growth\n\nSensitivities  1\nFlucloxacillin   S\nTrimethoprim  S\nNitrofurantoin  R</p><p><b>specimen</b>: <a href=\"Bundle-Document-Urine-MCS-Unstructured-Report-Example.html#urn-uuid-94faba98-45af-533f-8368-d8e0f9d6f5a0\">Specimen: identifier = Placer Identifier: SPC-REQ-20220221-000024; accessionIdentifier = Accession ID: SPC-Lab-20220221-004306; status = available; type = Urine specimen; receivedTime = 2022-02-21 14:58:00+0000</a></p></div>"
      },
      "basedOn" : [{
        "reference" : "urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }]
      },
      {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "394915009",
          "display" : "General pathology (specialty)"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "995581000000104",
          "display" : "Urinary microscopy, culture and sensitivities"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9999999549"
        }
      },
      "effectiveDateTime" : "2022-02-21T11:07:00+00:00",
      "issued" : "2022-02-25T13:47:00+00:00",
      "performer" : [{
        "reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
        "type" : "Organization",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "Y8J7D"
        },
        "display" : "TD008362 PATH LAB 001"
      }],
      "valueString" : "Microscopy\nCasts  None seen\nWhite cells  >35 x10*6/L\nRed cells  10-35 x10*6/L\nEpithelial cells  +\n\nCulture\n1. Staphylococcus aureus   Scanty growth\n\nSensitivities  1\nFlucloxacillin   S\nTrimethoprim  S\nNitrofurantoin  R",
      "specimen" : {
        "reference" : "urn:uuid:94faba98-45af-533f-8368-d8e0f9d6f5a0"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "84c94bb1-4336-5607-9124-6b82052db22a",
      "meta" : {
        "profile" : ["https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "practitioner" : {
        "reference" : "urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6",
        "type" : "Practitioner",
        "identifier" : {
          "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
          "value" : "C1008215"
        },
        "display" : "Dr Gale GASKELL"
      },
      "organization" : {
        "reference" : "urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671",
        "type" : "Organization",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "B82033"
        },
        "display" : "PICKERING MEDICAL PRACTICE"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "73062312-924a-5a6d-972b-1a454bb5a8c6",
      "meta" : {
        "profile" : ["https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "identifier" : [{
        "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
        "value" : "C1008215"
      }],
      "name" : [{
        "use" : "official",
        "family" : "GASKELL",
        "given" : ["Gale"],
        "prefix" : ["Dr"]
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "7f2280d3-a318-510e-98c8-389ad7c30671",
      "meta" : {
        "profile" : ["https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "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:3c414698-a169-5781-afea-0be53c3dfa40",
    "resource" : {
      "resourceType" : "Provenance",
      "id" : "3c414698-a169-5781-afea-0be53c3dfa40",
      "meta" : {
        "profile" : ["https://fhir.nhs.uk/England/StructureDefinition/England-Provenance-Lab-Pathology|0.1.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_3c414698-a169-5781-afea-0be53c3dfa40\"> </a><p>Laboratory report REP-20220225-006301 sent by product EXAMPLE-PRODUCT:Y8J7D.</p></div>"
      },
      "target" : [{
        "reference" : "urn:uuid:a696a20b-837a-5830-bb14-ccd24a71a21f"
      }],
      "recorded" : "2022-03-08T12:09:00+00:00",
      "activity" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
          "code" : "transform"
        }]
      },
      "agent" : [{
        "who" : {
          "identifier" : {
            "system" : "https://api.service.nhs.uk/pathology-laboratory-reporting/test-reporting-system",
            "value" : "EXAMPLE-PRODUCT:Y8J7D"
          }
        }
      }]
    }
  }]
}