North West Genomics Testing Workflow (GTW)
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DRAFT Implementation Guide

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North West Genomics Testing Workflow (GTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Bundle `Document` - Genetic Report - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="FHIRDocumentGeneticReportBundle"/>
  <identifier>
    <system value="urn:oid:2.16.724.4.8.10.200.10"/>
    <value value="1d7155e8-b5b8-4406-adda-01a474d5ff6c"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2024-10-13T10:33:00+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"/>
    <resource>
      <Composition>
        <id value="Composition-GenomicsReport-OctaviaCHISLETT"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1054161000000101"/>
            <display value="Genetic report"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
          </identifier>
          <display value="Octavia CHISLETT"/>
        </subject>
        <date value="2024-10-13T10:33:00+00:00"/>
        <author>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="R0A"/>
          </identifier>
          <display value="MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"/>
        </author>
        <title value="Composition Genomics Report Octavia CHISLETT"/>
        <section>
          <title value="Results"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30954-2"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Genetics Report</li></ul></div>
          </text>
          <entry>
            <reference value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
          </entry>
          <entry>
            <reference value="urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
    <resource>
      <Patient>
        <id value="Patient-OctaviaCHISLETT-9449305552"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <use value="official"/>
          <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="9449305552"/>
          <assigner>
            <identifier>
              <value value="X24"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <value value="A12356565"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="RBS"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <value value="633"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="CHISLETT"/>
          <given value="Octavia"/>
        </name>
        <gender value="female"/>
        <birthDate value="2008-09-20"/>
        <address>
          <use value="home"/>
          <type value="both"/>
          <line value="1 RAVENSFIELD GARDENS"/>
          <city value="EPSOM"/>
          <district value="SURREY"/>
          <postalCode value="KT19 0ST"/>
        </address>
        <contact>
          <name>
            <use value="official"/>
            <family value="DAWKINS"/>
            <given value="Bob"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="077021231231"/>
            <use value="mobile"/>
          </telecom>
        </contact>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
    <resource>
      <DiagnosticReport>
        <id value="DiagnosticReportGenomicsReport"/>
        <meta>
          <versionId value="1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <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</code>/25edee2b-add8-4522-9fa2-1ee8f229bd75</td></tr></table><p><b>Report Details</b></p><p>Normal - no action</p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
          <valueReference>
            <reference value="urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"/>
            <type value="DocumentReference"/>
          </valueReference>
        </extension>
        <identifier>
          <system value="https://fhir.nwglh.nhs.uk/Id"/>
          <value value="25edee2b-add8-4522-9fa2-1ee8f229bd75"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699X0"/>
            </identifier>
          </assigner>
        </identifier>
        <basedOn>
          <type value="ServiceRequest"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="FILL"/>
              </coding>
            </type>
            <system value="https://fhir.mft.nhs.uk/Id/FillerOrderNumber"/>
            <value value="1001166717"/>
            <assigner>
              <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                <value value="699X0"/>
              </identifier>
            </assigner>
          </identifier>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="GE"/>
            <display value="Genetics"/>
          </coding>
        </category>
        <code>
          <coding>
            <system
                    value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
            <code value="R240.1"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
          </identifier>
          <display value="Octavia CHISLETT"/>
        </subject>
        <encounter>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="VN"/>
              </coding>
            </type>
            <system value="https://fhir.nhs.uk/Id/visit-number/R0A"/>
            <value value="1001166717"/>
            <assigner>
              <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                <value value="R0A"/>
              </identifier>
            </assigner>
          </identifier>
        </encounter>
        <effectiveDateTime value="2023-09-07T11:45:41+00:00"/>
        <performer>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="699X0"/>
          </identifier>
          <display value="NW GLH"/>
        </performer>
        <performer>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/event-performerFunction">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                <code value="SPRF"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <type value="Practitioner"/>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="C1234567"/>
          </identifier>
          <display value="FICTITIOUS, Ralph"/>
        </performer>
        <resultsInterpreter>
          <type value="Practitioner"/>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="C1234567"/>
          </identifier>
          <display value="FICTITIOUS, Ralph"/>
        </resultsInterpreter>
        <conclusion value="Normal - no action"/>
        <presentedForm>
          <contentType value="application/pdf"/>
          <language value="en-GB"/>
          <url value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
          <size value="43272"/>
          <title value="Genomic Report for Octavia CHISLETT"/>
          <creation value="2023-11-24"/>
        </presentedForm>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:fe5a1b08-84c9-46e6-8162-d2dcf3e67141"/>
    <resource>
      <Encounter>
        <id value="fe5a1b08-84c9-46e6-8162-d2dcf3e67141"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_fe5a1b08-84c9-46e6-8162-d2dcf3e67141"> </a><p class="res-header-id"><b>Generated Narrative: Encounter fe5a1b08-84c9-46e6-8162-d2dcf3e67141</b></p><a name="fe5a1b08-84c9-46e6-8162-d2dcf3e67141"> </a><a name="hcfe5a1b08-84c9-46e6-8162-d2dcf3e67141"> </a><a name="fe5a1b08-84c9-46e6-8162-d2dcf3e67141-en-GB"> </a><p><b>identifier</b>: 1001</p><p><b>status</b>: Finished</p><p><b>class</b>: [not stated] AMB: AMB</p><p><b>subject</b>: <a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd">Octavia CHISLETT</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType REF}">referrer</span></td><td><a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8">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><p><b>period</b>: 2025-01-29 10:37:26+0000 --&gt; (ongoing)</p><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td></tr><tr><td style="display: none">*</td><td>Identifier: <code>https://fhir.nhs.uk/Id/ods-site-code</code>/P1S8J</td></tr></table></div>
        </text>
        <identifier>
          <value value="1001"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699X0"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="finished"/>
        <class>
          <code value="AMB"/>
        </class>
        <subject>
          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
          </identifier>
          <display value="Octavia CHISLETT"/>
        </subject>
        <participant>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
              <code value="REF"/>
            </coding>
          </type>
          <individual>
            <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
          </individual>
        </participant>
        <period>
          <start value="2025-01-29T10:37:26+00:00"/>
        </period>
        <location>
          <location>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-site-code"/>
              <value value="P1S8J"/>
              <assigner>
                <identifier>
                  <system
                          value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                  <value value="699X0"/>
                </identifier>
              </assigner>
            </identifier>
          </location>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"/>
    <resource>
      <DocumentReference>
        <id value="94bf65ba-cd6c-4601-b339-6d547f424646"/>
        <text>
          <status value="generated"/>
          <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>https://fhir.mft.nhs.uk/Id</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><a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-fe5a1b08-84c9-46e6-8162-d2dcf3e67141">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><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>
        </text>
        <identifier>
          <system value="https://fhir.mft.nhs.uk/Id"/>
          <value value="94bf65ba-cd6c-4601-b339-6d547f424646"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699X0"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1054161000000101"/>
            <display value="Genetic report"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
          </identifier>
          <display value="Octavia CHISLETT"/>
        </subject>
        <date value="2025-01-29T10:37:26+00:00"/>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <url value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
          </attachment>
        </content>
        <context>
          <encounter>
            <reference value="urn:uuid:fe5a1b08-84c9-46e6-8162-d2dcf3e67141"/>
          </encounter>
          <event>
            <coding>
              <system
                      value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
              <code value="R240.1"/>
            </coding>
          </event>
          <sourcePatientInfo>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                </coding>
              </type>
              <value value="633"/>
              <assigner>
                <identifier>
                  <system
                          value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                  <value value="R0A"/>
                </identifier>
              </assigner>
            </identifier>
          </sourcePatientInfo>
          <related>
            <type value="ServiceRequest"/>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="FILL"/>
                </coding>
              </type>
              <system value="https://fhir.mft.nhs.uk/Id/FillerOrderNumber"/>
              <value value="1001166717"/>
              <assigner>
                <identifier>
                  <system
                          value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                  <value value="699X0"/>
                </identifier>
              </assigner>
            </identifier>
          </related>
        </context>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
    <resource>
      <Binary>
        <id value="d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
        <contentType value="application/pdf"/>
        <data value="ig-loader-XT_d6eeedd1-92d3-45b9-bf33-6401e804425f.pdf"/>
      </Binary>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
    <resource>
      <PractitionerRole>
        <id value="ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <practitioner>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="C3456789"/>
          </identifier>
          <display value="Dr Samuel Darwin"/>
        </practitioner>
        <organization>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="R0A"/>
          </identifier>
        </organization>
        <specialty>
          <coding>
            <system
                    value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
            <code value="100"/>
          </coding>
        </specialty>
      </PractitionerRole>
    </resource>
  </entry>
</Bundle>