<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="Message-Urine-MCS-Unstructured-Report-Example"/>
  <meta>
    <profile value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
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  <language value="en"/>
  <identifier>
    <value value="NHSE-EX-0009"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2022-03-08T12:09:00+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:8100da70-e6bb-51ad-8d2d-ba73de3eb679"/>
    <resource>
      <MessageHeader>
        <id value="8100da70-e6bb-51ad-8d2d-ba73de3eb679"/>
        <meta>
          <lastUpdated value="2022-03-08T12:09:00+00:00"/>
          <profile value="https://examplesihe.org.uk/StructureDefinition/MessageHeader"/>
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        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_8100da70-e6bb-51ad-8d2d-ba73de3eb679"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader 8100da70-e6bb-51ad-8d2d-ba73de3eb679</b></p><a name="8100da70-e6bb-51ad-8d2d-ba73de3eb679"> </a><a name="hc8100da70-e6bb-51ad-8d2d-ba73de3eb679"> </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">Last updated: 2022-03-08 12:09:00+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MessageHeader.html">Document Message (MessageHeader)</a></p></div><p><b>event</b>: <a href="http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-R01">event: R01</a> (ORU/ACK - Unsolicited transmission of an observation message)</p><h3>Destinations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style="display: none">*</td><td>GPSYSTEM</td><td>urn:hl7-v2:GPSYSTEM</td><td>Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/B82033</td></tr></table><p><b>sender</b>: Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/Y8J7D</p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>LIMS</td><td>urn:hl7-v2:LIMS</td></tr></table><p><b>focus</b>: <a href="Bundle-Document-Urine-MCS-Unstructured-Report-Example.html#urn-uuid-a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c">Diagnostic Report for 'Diagnostic studies report' for '-&gt;NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)'</a></p><p><b>definition</b>: <a href="MessageDefinition-laboratory-result.html">Laboratory Result (R01)</a></p></div>
        </text>
        <eventCoding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
          <code value="R01"/>
          <display value="ORU/ACK - Unsolicited transmission of an observation message"/>
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        <destination>
          <name value="GPSYSTEM"/>
          <endpoint value="urn:hl7-v2:GPSYSTEM"/>
          <receiver>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="B82033"/>
            </identifier>
          </receiver>
        </destination>
        <sender>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
        </sender>
        <source>
          <name value="LIMS"/>
          <endpoint value="urn:hl7-v2:LIMS"/>
        </source>
        <focus>
          <reference value="urn:uuid:a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c"/>
        </focus>
        <definition value="https://examplesihe.org.uk/MessageDefinition/laboratory-result"/>
      </MessageHeader>
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  </entry>
  <entry>
    <fullUrl value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
    <resource>
      <Patient>
        <id value="ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/Patient"/>
        </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="StructureDefinition-Patient.html">Patient</a></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>
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        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
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          </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"/>
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          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NH"/>
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          </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"/>
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      </Patient>
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  <entry>
    <fullUrl value="urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"/>
    <resource>
      <PractitionerRole>
        <id value="84c94bb1-4336-5607-9124-6b82052db22a"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/PractitionerRole"/>
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        <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: <a href="StructureDefinition-PractitionerRole.html">PractitionerRole</a></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">Dr Gale GASKELL (Identifier: <a href="NamingSystem-gmcnumber-namingsystem.html" title="General Medical Council Consultant Code. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_council_reference_number.html)">GMC Number</a>/C1008215)</td></tr><tr><td style="background-color: #f3f5da" title="The organization where the practitioner performs the roles">Organization:</td><td colspan="3">PICKERING MEDICAL PRACTICE (Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/B82033)</td></tr></table></div>
        </text>
        <practitioner>
          <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>
          <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>
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  </entry>
  <entry>
    <fullUrl value="urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6"/>
    <resource>
      <ServiceRequest>
        <id value="1e5cda28-2dc4-522e-b44e-8d744ffb1bb6"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><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: <a href="StructureDefinition-LaboratoryOrder.html">Laboratory Order</a></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>: TD008362 PATH LAB 001 (Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/Y8J7D)</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>
        </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-20220221-000018"/>
          <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-20220225-006301"/>
          <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="995581000000104"/>
            <display value="Urinary microscopy, culture and sensitivities"/>
          </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="2022-02-21T10:29:00+00:00"/>
        <requester>
          <reference value="urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"/>
        </requester>
        <performer>
          <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:94faba98-45af-533f-8368-d8e0f9d6f5a0"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:94faba98-45af-533f-8368-d8e0f9d6f5a0"/>
    <resource>
      <Specimen>
        <id value="94faba98-45af-533f-8368-d8e0f9d6f5a0"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/Specimen"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><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: <a href="StructureDefinition-Specimen.html">Specimen</a></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>
        </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-20220221-000024"/>
        </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-20220221-004306"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <type>
          <text value="Urine 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="2022-02-21T14:58:00+00:00"/>
        <request>
          <reference value="urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6"/>
        </request>
        <collection>
          <collectedDateTime value="2022-02-21T11:07:00+00:00"/>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:15604bfd-37f1-5404-bb09-45c3950eac21"/>
    <resource>
      <Observation>
        <id value="15604bfd-37f1-5404-bb09-45c3950eac21"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><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: <a href="StructureDefinition-LaboratoryResult.html">Laboratory Result</a></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></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>: TD008362 PATH LAB 001 (Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/Y8J7D)</p><p><b>value</b>: Microscopy
Casts  None seen
White cells  &gt;35 x10*6/L
Red cells  10-35 x10*6/L
Epithelial cells  +

Culture
1. Staphylococcus aureus   Scanty growth

Sensitivities  1
Flucloxacillin   S
Trimethoprim  S
Nitrofurantoin  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>
        </text>
        <basedOn>
          <reference value="urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="995581000000104"/>
            <display value="Urinary microscopy, culture and sensitivities"/>
          </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="2022-02-21T11:07:00+00:00"/>
        <issued value="2022-02-25T13:47:00+00:00"/>
        <performer>
          <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>
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        <id value="a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c"/>
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Casts  None seen
White cells  &gt;35 x10*6/L
Red cells  10-35 x10*6/L
Epithelial cells  +

Culture
1. Staphylococcus aureus   Scanty growth

Sensitivities  1
Flucloxacillin   S
Trimethoprim  S
Nitrofurantoin  R</td><td>Final</td></tr></table><p>Likely to be clinically significant.</p></div>
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