North West Genomics Testing Workflow (GTW)
0.0.1 - ci-build
DRAFT Implementation Guide
This is for collaboration and discussion purposes and is subject to change.
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
{
"resourceType" : "Bundle",
"id" : "GenomicsOrderMessage",
"identifier" : {
"system" : "https://tools.ietf.org/html/rfc4122",
"value" : "9612365d-52a4-4fab-87e7-8a09d753f095"
},
"type" : "message",
"timestamp" : "2024-10-13T10:33:00+00:00",
"entry" : [
{
"fullUrl" : "urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "MessageHeaderGenomicOrder",
"meta" : {
"lastUpdated" : "2025-01-29T10:39:26+00:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderGenomicOrder\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderGenomicOrder</b></p><a name=\"MessageHeaderGenomicOrder\"> </a><a name=\"hcMessageHeaderGenomicOrder\"> </a><a name=\"MessageHeaderGenomicOrder-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\">Last updated: 2025-01-29 10:39:26+0000</p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0003.html#v2-0003-O21\">eventType O21</a>: OML - Laboratory order</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.18-pre-release&canonical=https://simplifier.net/guide/ukcoreversionhistory/https//fhir.mft.nhs.uk/Endpoint/LIMS\">https//fhir.mft.nhs.uk/Endpoint/LIMS</a></td><td>NORTH WEST GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0)</td></tr></table><p><b>sender</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MFT Epic</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.18-pre-release&canonical=https://simplifier.net/guide/ukcoreversionhistory/https//fhir.mft.nhs.uk/Endpoint/HIVE\">https//fhir.mft.nhs.uk/Endpoint/HIVE</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-54b526e9-60a7-4602-9cb3-50ab3be7b564\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O21"
},
"destination" : [
{
"endpoint" : "https//fhir.mft.nhs.uk/Endpoint/LIMS",
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699X0"
},
"display" : "NORTH WEST GLH"
}
}
],
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
},
"display" : "MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"
},
"source" : {
"software" : "MFT Epic",
"endpoint" : "https//fhir.mft.nhs.uk/Endpoint/HIVE"
},
"focus" : [
{
"reference" : "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
"type" : "ServiceRequest"
}
]
}
},
{
"fullUrl" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient-OctaviaCHISLETT-9449305552",
"text" : {
"status" : "generated",
"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\u00a0(use:\u00a0official,\u00a0)</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>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NH"
}
]
},
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552",
"assigner" : {
"identifier" : {
"value" : "X24"
}
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"value" : "A12356565",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RBS"
}
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"value" : "633",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "CHISLETT",
"given" : [
"Octavia"
]
}
],
"gender" : "female",
"birthDate" : "2008-09-20",
"address" : [
{
"use" : "home",
"type" : "both",
"line" : [
"1 RAVENSFIELD GARDENS"
],
"city" : "EPSOM",
"district" : "SURREY",
"postalCode" : "KT19 0ST"
}
],
"contact" : [
{
"name" : {
"use" : "official",
"family" : "DAWKINS",
"given" : [
"Bob"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "077021231231",
"use" : "mobile"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
"resource" : {
"resourceType" : "Encounter",
"id" : "984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 984b8a89-4194-4eb4-a7ea-ca8049ebeea3</b></p><a name=\"984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </a><a name=\"hc984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </a><a name=\"984b8a89-4194-4eb4-a7ea-ca8049ebeea3-en-GB\"> </a><p><b>identifier</b>: 1001166717</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 ATND}\">attender</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 --> (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>/R0A09</td></tr></table></div>"
},
"identifier" : [
{
"value" : "1001166717",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
],
"status" : "finished",
"class" : {
"code" : "AMB"
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "ATND"
}
]
}
],
"individual" : {
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
}
],
"period" : {
"start" : "2025-01-29T10:37:26+00:00"
},
"location" : [
{
"location" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-site-code",
"value" : "R0A09",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
}
}
]
}
},
{
"fullUrl" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
"text" : {
"status" : "generated",
"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>"
},
"practitioner" : {
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C3456789"
},
"display" : "Dr Samuel Darwin"
},
"organization" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
},
"specialty" : [
{
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code" : "100"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ServiceRequestGenomicsOrder",
"meta" : {
"versionId" : "1.0"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestGenomicsOrder\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestGenomicsOrder</b></p><a name=\"ServiceRequestGenomicsOrder\"> </a><a name=\"hcServiceRequestGenomicsOrder\"> </a><a name=\"ServiceRequestGenomicsOrder-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><p><b>identifier</b>: Placer Identifier/1601737, Accession ID/1001166717</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 116148004}\">Molecular genetics procedure</span>, <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory cancer-wgs}\">Cancer - WGS</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>authoredOn</b>: 2025-01-29</p><p><b>requester</b>: <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></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 363349007}\">Malignant tumour of stomach</span></p><p><b>supportingInfo</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-27ca6057-e481-426a-ba8a-2acfffc0c1c4\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>specimen</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-89e66518-9197-4553-9253-5ab5133b62c0\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "https://fhir.mft.nhs.uk/Id/PlacerOrderNumber/Hive",
"value" : "1601737",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
}
]
},
"system" : "https://fhir.mft.nhs.uk/Id/AccessionNumber",
"value" : "1001166717",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699X0"
}
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "116148004",
"display" : "Molecular genetics procedure"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
"code" : "cancer-wgs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code" : "R240.1"
}
]
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"authoredOn" : "2025-01-29",
"requester" : {
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "363349007",
"display" : "Malignant tumour of stomach"
}
]
}
],
"supportingInfo" : [
{
"reference" : "urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4"
}
],
"specimen" : [
{
"reference" : "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"
}
]
}
},
{
"fullUrl" : "urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBR-1",
"text" : {
"status" : "generated",
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},
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{
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"code" : "GENEAP",
"display" : "GENETICS TEST PERFORMABLE"
}
],
"text" : "GENETICS TEST"
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
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"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
"hasMember" : [
{
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},
{
"reference" : "urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"
},
{
"reference" : "urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"
},
{
"reference" : "urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"
},
{
"reference" : "urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"
},
{
"reference" : "urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"
},
{
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},
{
"reference" : "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7"
},
{
"reference" : "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e"
},
{
"reference" : "urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d"
},
{
"reference" : "urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd"
},
{
"reference" : "urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e"
}
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}
},
{
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"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-1</b></p><a name=\"EPIC-OBX-1\"> </a><a name=\"hcEPIC-OBX-1\"> </a><a name=\"EPIC-OBX-1-en-GB\"> </a><p><b>identifier</b>: 1</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE 230056}\">What Type of Referral Do You Require?</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: Test on Stored DNA</p></div>"
},
"identifier" : [
{
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],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "230056",
"display" : "What Type of Referral Do You Require?"
}
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},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
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"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
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"valueString" : "Test on Stored DNA"
}
},
{
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"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-2</b></p><a name=\"EPIC-OBX-2\"> </a><a name=\"hcEPIC-OBX-2\"> </a><a name=\"EPIC-OBX-2-en-GB\"> </a><p><b>identifier</b>: 2</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 363349007}\">Malignant tumour of stomach</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p></div>"
},
"identifier" : [
{
"value" : "2"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "363349007",
"display" : "Malignant tumour of stomach"
}
]
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
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"performer" : [
{
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}
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}
},
{
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"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-3</b></p><a name=\"EPIC-OBX-3\"> </a><a name=\"hcEPIC-OBX-3\"> </a><a name=\"EPIC-OBX-3-en-GB\"> </a><p><b>identifier</b>: 3</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 281269004}\">High infection risk sample</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: false</p></div>"
},
"identifier" : [
{
"value" : "3"
}
],
"status" : "final",
"code" : {
"coding" : [
{
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"code" : "281269004",
"display" : "High infection risk sample"
}
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},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
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},
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"performer" : [
{
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{
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"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-4</b></p><a name=\"EPIC-OBX-4\"> </a><a name=\"hcEPIC-OBX-4\"> </a><a name=\"EPIC-OBX-4-en-GB\"> </a><p><b>identifier</b>: 4</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE 230016}\">Test Type</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: Diagnostic Screen/Test</p></div>"
},
"identifier" : [
{
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}
],
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"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "230016",
"display" : "Test Type"
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"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
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"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
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{
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{
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"resource" : {
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"id" : "EPIC-OBX-5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-5</b></p><a name=\"EPIC-OBX-5\"> </a><a name=\"hcEPIC-OBX-5\"> </a><a name=\"EPIC-OBX-5-en-GB\"> </a><p><b>identifier</b>: 5</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 77386006}\">Pregnancy</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: false</p></div>"
},
"identifier" : [
{
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}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "77386006",
"display" : "Pregnancy"
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},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
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"performer" : [
{
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}
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}
},
{
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"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-6",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-6</b></p><a name=\"EPIC-OBX-6\"> </a><a name=\"hcEPIC-OBX-6\"> </a><a name=\"EPIC-OBX-6-en-GB\"> </a><p><b>identifier</b>: 6</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE 231284}\">Please Select R240 Test(s):</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: R240.1: Targeted variant testing</p></div>"
},
"identifier" : [
{
"value" : "6"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "231284",
"display" : "Please Select R240 Test(s):"
}
]
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
"valueString" : "R240.1: Targeted variant testing"
}
},
{
"fullUrl" : "urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-7",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-7</b></p><a name=\"EPIC-OBX-7\"> </a><a name=\"hcEPIC-OBX-7\"> </a><a name=\"EPIC-OBX-7-en-GB\"> </a><p><b>identifier</b>: 7</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE 231285}\">Please Select R242 Test(s):</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: R242.1: Targeted variant testing</p></div>"
},
"identifier" : [
{
"value" : "7"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "231285",
"display" : "Please Select R242 Test(s):"
}
]
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
"valueString" : "R242.1: Targeted variant testing"
}
},
{
"fullUrl" : "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-8",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-8</b></p><a name=\"EPIC-OBX-8\"> </a><a name=\"hcEPIC-OBX-8\"> </a><a name=\"EPIC-OBX-8-en-GB\"> </a><p><b>identifier</b>: 8</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE 230027}\">Email Addresses of Non-MFT Clinicians for Result Reports</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: charu</p></div>"
},
"identifier" : [
{
"value" : "8"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "230027",
"display" : "Email Addresses of Non-MFT Clinicians for Result Reports"
}
]
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
"valueString" : "charu"
}
},
{
"fullUrl" : "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-9",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-9</b></p><a name=\"EPIC-OBX-9\"> </a><a name=\"hcEPIC-OBX-9\"> </a><a name=\"EPIC-OBX-9-en-GB\"> </a><p><b>identifier</b>: 9</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 762911000000102}\">Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: true</p></div>"
},
"identifier" : [
{
"value" : "9"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "762911000000102",
"display" : "Informed consent given for treatment"
}
],
"text" : "Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent"
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
"valueBoolean" : true
}
},
{
"fullUrl" : "urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-10",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-10\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-10</b></p><a name=\"EPIC-OBX-10\"> </a><a name=\"hcEPIC-OBX-10\"> </a><a name=\"EPIC-OBX-10-en-GB\"> </a><p><b>identifier</b>: 10</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE 230037}\">Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: Acknowledged</p></div>"
},
"identifier" : [
{
"value" : "10"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "230037",
"display" : "Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing"
}
]
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
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{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
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}
},
{
"fullUrl" : "urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-11",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-11\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-11</b></p><a name=\"EPIC-OBX-11\"> </a><a name=\"hcEPIC-OBX-11\"> </a><a name=\"EPIC-OBX-11-en-GB\"> </a><p><b>identifier</b>: 11</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE 230039}\">Is the Person Ordering the Test the Referring Clinician</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: No</p></div>"
},
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{
"value" : "11"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "230039",
"display" : "Is the Person Ordering the Test the Referring Clinician"
}
]
},
"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
"valueString" : "No"
}
},
{
"fullUrl" : "urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-12",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-12\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-12</b></p><a name=\"EPIC-OBX-12\"> </a><a name=\"hcEPIC-OBX-12\"> </a><a name=\"EPIC-OBX-12-en-GB\"> </a><p><b>identifier</b>: 12</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://mft.nhs.uk/Id/IGENE unknown}\">Name of Supervising Clinician</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <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></p><p><b>value</b>: DESHPANDE, CHARULATA</p></div>"
},
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{
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}
],
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"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
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"display" : "Name of Supervising Clinician"
}
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},
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"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
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},
"display" : "Octavia CHISLETT"
},
"encounter" : {
"reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
},
"effectiveDateTime" : "2025-01-29T10:37:26+00:00",
"performer" : [
{
"reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
}
],
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}
},
{
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"resource" : {
"resourceType" : "Specimen",
"id" : "SpecimenExample",
"meta" : {
"versionId" : "1.0"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_SpecimenExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen SpecimenExample</b></p><a name=\"SpecimenExample\"> </a><a name=\"hcSpecimenExample\"> </a><a name=\"SpecimenExample-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><p><b>identifier</b>: <code>https://fhir.mft.nhs.uk/Id/Specimen/Beaker</code>/25GEN-029GN00001</p><p><b>accessionIdentifier</b>: Accession ID/1001166717</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p></div>"
},
"identifier" : [
{
"system" : "https://fhir.mft.nhs.uk/Id/Specimen/Beaker",
"value" : "25GEN-029GN00001",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
],
"accessionIdentifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
}
]
},
"system" : "https://fhir.mft.nhs.uk/Id/AccessionNumber/Beaker",
"value" : "1001166717",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "690S0"
}
}
},
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"subject" : {
"reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
"display" : "Octavia CHISLETT"
}
}
}
]
}