NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW)
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DRAFT Implementation Guide

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: Bundle `Document` - Genetic Report - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "FHIRDocumentGeneticReportBundle"] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:oid:2.16.724.4.8.10.200.10"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1d7155e8-b5b8-4406-adda-01a474d5ff6c" ]
  ] ; # 
  fhir:type [ fhir:v "document"] ; # 
  fhir:timestamp [ fhir:v "2024-10-13T10:33:00+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8> )
  ] ) . # 

<urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d> a fhir:Composition ;
  fhir:id [ fhir:v "Composition-GenomicsReport-OctaviaCHISLETT"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_Composition-GenomicsReport-OctaviaCHISLETT\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition Composition-GenomicsReport-OctaviaCHISLETT</b></p><a name=\"Composition-GenomicsReport-OctaviaCHISLETT\"> </a><a name=\"hcComposition-GenomicsReport-OctaviaCHISLETT\"> </a><a name=\"Composition-GenomicsReport-OctaviaCHISLETT-en-GB\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 1054161000000101}\">Genetic report</span></p><p><b>date</b>: 2024-10-13 10:33:00+0000</p><p><b>author</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A)</p><p><b>title</b>: Composition Genomics Report Octavia CHISLETT</p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a sct:1054161000000101 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1054161000000101" ] ;
fhir:display [ fhir:v "Genetic report" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] ; # 
  fhir:date [ fhir:v "2024-10-13T10:33:00+00:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]     ] ;
fhir:display [ fhir:v "MANCHESTER UNIVERSITY NHS FOUNDATION TRUST" ]
  ] ) ; # 
  fhir:title [ fhir:v "Composition Genomics Report Octavia CHISLETT"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Results" ] ;
fhir:code [
      ( fhir:coding [
a loinc:30954-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "30954-2" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Genetics Report</li></ul></div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80" ]     ] [
fhir:reference [ fhir:v "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646" ]     ] )
  ] ) . # 

<urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd> a fhir:Patient ;
  fhir:id [ fhir:v "Patient-OctaviaCHISLETT-9449305552"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-OctaviaCHISLETT-9449305552\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-OctaviaCHISLETT-9449305552</b></p><a name=\"Patient-OctaviaCHISLETT-9449305552\"> </a><a name=\"hcPatient-OctaviaCHISLETT-9449305552\"> </a><a name=\"Patient-OctaviaCHISLETT-9449305552-en-GB\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>National Health Plan Identifier/9449305552 (use: official, )</li><li>Medical record number/633</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 RAVENSFIELD GARDENS EPSOM KT19 0ST (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>Bob DAWKINS (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NH" ]       ] )     ] ;
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]       ] )     ] ;
fhir:system [ fhir:v "https://devmtx-restapis-stable.meditech.com:443/identifier/MRN"^^xsd:anyURI ] ;
fhir:value [ fhir:v "A12356565" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "RBS" ]       ]     ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]       ] )     ] ;
fhir:system [ fhir:v "http://open.epic.com/FHIR/StructureDefinition/patient-fhir-id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "633" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]       ]     ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "CHISLETT" ] ;
    ( fhir:given [ fhir:v "Octavia" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "2008-09-20"^^xsd:date] ; # 
  fhir:address ( [
fhir:use [ fhir:v "home" ] ;
fhir:type [ fhir:v "both" ] ;
    ( fhir:line [ fhir:v "1 RAVENSFIELD GARDENS" ] ) ;
fhir:city [ fhir:v "EPSOM" ] ;
fhir:district [ fhir:v "SURREY" ] ;
fhir:postalCode [ fhir:v "KT19 0ST" ]
  ] ) ; # 
  fhir:contact ( [
fhir:name [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "DAWKINS" ] ;
      ( fhir:given [ fhir:v "Bob" ] )     ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "077021231231" ] ;
fhir:use [ fhir:v "mobile" ]     ] )
  ] ) . # 

<urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80> a fhir:DiagnosticReport ;
  fhir:id [ fhir:v "DiagnosticReportGenomicsReport"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1.0" ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_DiagnosticReportGenomicsReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReport</b></p><a name=\"DiagnosticReportGenomicsReport\"> </a><a name=\"hcDiagnosticReportGenomicsReport\"> </a><a name=\"DiagnosticReportGenomicsReport-en-GB\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1.0</p></div><h2><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-09-07 11:45:41+0000</td></tr><tr><td>Performers</td><td> NW GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0) FICTITIOUS, Ralph (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C1234567)</td></tr><tr><td>Identifier</td><td> <code>https://fhir.nwglh.nhs.uk/Id/ReportId</code>/25edee2b-add8-4522-9fa2-1ee8f229bd75</td></tr></table><p><b>Report Details</b></p><p>Normal - no action</p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646" ] ;
fhir:type [ fhir:v "DocumentReference"^^xsd:anyURI ]     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://fhir.nwglh.nhs.uk/Id/ReportId"^^xsd:anyURI ] ;
fhir:value [ fhir:v "25edee2b-add8-4522-9fa2-1ee8f229bd75" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]       ]     ]
  ] ) ; # 
  fhir:basedOn ( [
fhir:type [ fhir:v "ServiceRequest"^^xsd:anyURI ] ;
fhir:identifier [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "FILL" ]         ] )       ] ;
fhir:system [ fhir:v "https://fhir.nwgmsa.nhs.uk/Id/OrderFillerNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1001166717" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]         ]       ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ;
fhir:code [ fhir:v "GE" ] ;
fhir:display [ fhir:v "Genetics" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "R240.1" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] ; # 
  fhir:encounter [
fhir:identifier [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "VN" ]         ] )       ] ;
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/visit-number/R0A"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1001166717" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]         ]       ]     ]
  ] ; # 
  fhir:effective [
a fhir:dateTime ;
fhir:v "2023-09-07T11:45:41+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]     ] ;
fhir:display [ fhir:v "NW GLH" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/event-performerFunction"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SPRF" ]         ] )       ]     ] ) ;
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.hl7.org.uk/Id/gmc-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "C1234567" ]     ] ;
fhir:display [ fhir:v "FICTITIOUS, Ralph" ]
  ] ) ; # 
  fhir:resultsInterpreter ( [
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.hl7.org.uk/Id/gmc-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "C1234567" ]     ] ;
fhir:display [ fhir:v "FICTITIOUS, Ralph" ]
  ] ) ; # 
  fhir:conclusion [ fhir:v "Normal - no action"] ; # 
  fhir:presentedForm ( [
fhir:contentType [ fhir:v "application/pdf" ] ;
fhir:language [ fhir:v "en-GB" ] ;
fhir:url [ fhir:v "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"^^xsd:anyURI ] ;
fhir:size [ fhir:v "43272"^^xsd:nonNegativeInteger ] ;
fhir:title [ fhir:v "Genomic Report for Octavia CHISLETT" ] ;
fhir:creation [ fhir:v "2023-11-24"^^xsd:date ]
  ] ) . # 

<urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646> a fhir:DocumentReference ;
  fhir:id [ fhir:v "94bf65ba-cd6c-4601-b339-6d547f424646"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 94bf65ba-cd6c-4601-b339-6d547f424646</b></p><a name=\"94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><a name=\"hc94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><a name=\"94bf65ba-cd6c-4601-b339-6d547f424646-en-GB\"> </a><p><b>identifier</b>: <code>urn:oid:1.2.840.114350.1.13.5325.1.7.2.798268</code>/94bf65ba-cd6c-4601-b339-6d547f424646</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 1054161000000101}\">Genetic report</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>date</b>: 2025-01-29 10:37:26+0000</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6eeedd1-92d3-45b9-bf33-6401e804425f\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#1d7155e8-b5b8-4406-adda-01a474d5ff6c; type = document; timestamp = 2024-10-13 10:33:00+0000</a></td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td>Identifier: Visit number/1001166717</td><td><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span></td><td>Identifier: Medical record number/633</td><td>Identifier: Filler Identifier/1001166717</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:1.2.840.114350.1.13.5325.1.7.2.798268"^^xsd:anyURI ] ;
fhir:value [ fhir:v "94bf65ba-cd6c-4601-b339-6d547f424646" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]       ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
    ( fhir:coding [
a sct:1054161000000101 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1054161000000101" ] ;
fhir:display [ fhir:v "Genetic report" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] ; # 
  fhir:date [ fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime] ; # 
  fhir:content ( [
fhir:attachment [
fhir:contentType [ fhir:v "application/pdf" ] ;
fhir:url [ fhir:v "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"^^xsd:anyURI ]     ]
  ] ) ; # 
  fhir:context [
    ( fhir:encounter [
fhir:identifier [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "VN" ]           ] )         ] ;
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/visit-number/R0A"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1001166717" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]           ]         ]       ]     ] ) ;
    ( fhir:event [
      ( fhir:coding [
fhir:system [ fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "R240.1" ]       ] )     ] ) ;
fhir:sourcePatientInfo [
fhir:identifier [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]           ] )         ] ;
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/medical-record-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "633" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]           ]         ]       ]     ] ;
    ( fhir:related [
fhir:type [ fhir:v "ServiceRequest"^^xsd:anyURI ] ;
fhir:identifier [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "FILL" ]           ] )         ] ;
fhir:system [ fhir:v "https://fhir.mft.nhs.uk/Id/FillerOrderNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1001166717" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]           ]         ]       ]     ] )
  ] . # 

<urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f> a fhir:Binary ;
  fhir:id [ fhir:v "d6eeedd1-92d3-45b9-bf33-6401e804425f"] ; # 
  fhir:contentType [ fhir:v "application/pdf"] ; # 
  fhir:data [ fhir:v "ig-loader-XT_d6eeedd1-92d3-45b9-bf33-6401e804425f.pdf"^^xsd:base64Binary] . # 

<urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8> a fhir:PractitionerRole ;
  fhir:id [ fhir:v "ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8</b></p><a name=\"ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </a><a name=\"hcee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </a><a name=\"ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8-en-GB\"> </a><p><b>practitioner</b>: Dr Samuel Darwin (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C3456789)</p><p><b>organization</b>: Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 100}\">General Surgery</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:practitioner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.hl7.org.uk/Id/gmc-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "C3456789" ]     ] ;
fhir:display [ fhir:v "Dr Samuel Darwin" ]
  ] ; # 
  fhir:organization [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]     ]
  ] ; # 
  fhir:specialty ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "100" ]     ] )
  ] ) . #