North West Genomics Testing Workflow (GTW)
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DRAFT Implementation Guide

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: Bundle 'Message' - Genomics Order with Structured Data - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="GenomicsOrderMessage"/>
  <identifier>
    <system value="https://tools.ietf.org/html/rfc4122"/>
    <value value="9612365d-52a4-4fab-87e7-8a09d753f095"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2024-10-13T10:33:00+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63"/>
    <resource>
      <MessageHeader>
        <id value="MessageHeaderGenomicOrder"/>
        <meta>
          <lastUpdated value="2025-01-29T10:39:26+00:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <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&amp;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&amp;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>
        </text>
        <eventCoding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
          <code value="O21"/>
        </eventCoding>
        <destination>
          <endpoint value="https//fhir.mft.nhs.uk/Endpoint/LIMS"/>
          <receiver>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699X0"/>
            </identifier>
            <display value="NORTH WEST GLH"/>
          </receiver>
        </destination>
        <sender>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="R0A"/>
          </identifier>
          <display value="MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"/>
        </sender>
        <source>
          <software value="MFT Epic"/>
          <endpoint value="https//fhir.mft.nhs.uk/Endpoint/HIVE"/>
        </source>
        <focus>
          <reference value="urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564"/>
          <type value="ServiceRequest"/>
        </focus>
      </MessageHeader>
    </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:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
    <resource>
      <Encounter>
        <id value="984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        <text>
          <status value="generated"/>
          <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 --&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>/R0A09</td></tr></table></div>
        </text>
        <identifier>
          <value value="1001166717"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </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="ATND"/>
            </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="R0A09"/>
              <assigner>
                <identifier>
                  <system
                          value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                  <value value="R0A"/>
                </identifier>
              </assigner>
            </identifier>
          </location>
        </location>
      </Encounter>
    </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>
  <entry>
    <fullUrl value="urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564"/>
    <resource>
      <ServiceRequest>
        <id value="ServiceRequestGenomicsOrder"/>
        <meta>
          <versionId value="1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system value="https://fhir.mft.nhs.uk/Id/PlacerOrderNumber/Hive"/>
          <value value="1601737"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
            </coding>
          </type>
          <system value="https://fhir.mft.nhs.uk/Id/AccessionNumber"/>
          <value value="1001166717"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699X0"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="116148004"/>
            <display value="Molecular genetics procedure"/>
          </coding>
        </category>
        <category>
          <coding>
            <system
                    value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory"/>
            <code value="cancer-wgs"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <authoredOn value="2025-01-29"/>
        <requester>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </requester>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="363349007"/>
            <display value="Malignant tumour of stomach"/>
          </coding>
        </reasonCode>
        <supportingInfo>
          <reference value="urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4"/>
        </supportingInfo>
        <specimen>
          <reference value="urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4"/>
    <resource>
      <Observation>
        <id value="EPIC-OBR-1"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_EPIC-OBR-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation EPIC-OBR-1</b></p><a name="EPIC-OBR-1"> </a><a name="hcEPIC-OBR-1"> </a><a name="EPIC-OBR-1-en-GB"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://mft.nhs.uk/Id/IGEAP GENEAP}">GENETICS TEST</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>hasMember</b>: </p><ul><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-f39cc804-5280-4807-91d4-075be16928e5">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-47f34393-cc83-428f-b8dd-54bcd372c847">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-edd4debe-dd82-445f-b3e5-e175760da105">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-390c7633-fd63-483c-8e32-e8858f232339">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-66b690c6-eb2c-49bb-9546-97cff782d978">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-f36a0ed4-e5c3-4ac8-846f-571b4a500e17">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-ddf248a2-6323-4b7a-b4a3-e968c36311b7">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-0d472ee5-8c21-467a-aafe-29c89a42ed4e">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-4b910bc3-68c6-4252-a218-076110f0d23d">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-3a3ba1ed-831d-4f82-b487-e40860a2befd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href="Bundle-GenomicsOrderMessage.html#urn-uuid-298e99de-fd29-4802-bcf2-78f901b33a6e">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGEAP"/>
            <code value="GENEAP"/>
            <display value="GENETICS TEST PERFORMABLE"/>
          </coding>
          <text value="GENETICS TEST"/>
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        <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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
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        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
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        <hasMember>
          <reference value="urn:uuid:f39cc804-5280-4807-91d4-075be16928e5"/>
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        <hasMember>
          <reference value="urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"/>
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        <hasMember>
          <reference value="urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"/>
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        <hasMember>
          <reference value="urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"/>
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        <hasMember>
          <reference value="urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"/>
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        <hasMember>
          <reference value="urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"/>
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        <hasMember>
          <reference value="urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17"/>
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        <hasMember>
          <reference value="urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7"/>
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        <hasMember>
          <reference value="urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e"/>
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        <hasMember>
          <reference value="urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d"/>
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        <hasMember>
          <reference value="urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd"/>
        </hasMember>
        <hasMember>
          <reference value="urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e"/>
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  <entry>
    <fullUrl value="urn:uuid:f39cc804-5280-4807-91d4-075be16928e5"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-1"/>
        <text>
          <status value="generated"/>
          <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>
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        <identifier>
          <value value="1"/>
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        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="230056"/>
            <display value="What Type of Referral Do You Require?"/>
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        </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"/>
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        <encounter>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
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        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueString value="Test on Stored DNA"/>
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    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-2"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="2"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="363349007"/>
            <display value="Malignant tumour of stomach"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
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  <entry>
    <fullUrl value="urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-3"/>
        <text>
          <status value="generated"/>
          <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>
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          <value value="3"/>
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        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="281269004"/>
            <display value="High infection risk sample"/>
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          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
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          <display value="Octavia CHISLETT"/>
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        <encounter>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
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        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
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        <valueBoolean value="false"/>
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    <fullUrl value="urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-4"/>
        <text>
          <status value="generated"/>
          <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>
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          <value value="4"/>
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        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="230016"/>
            <display value="Test Type"/>
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          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
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          <display value="Octavia CHISLETT"/>
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        <encounter>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
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        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
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        <valueString value="Diagnostic Screen/Test"/>
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  <entry>
    <fullUrl value="urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-5"/>
        <text>
          <status value="generated"/>
          <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>
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          <value value="5"/>
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        <status value="final"/>
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          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="77386006"/>
            <display value="Pregnancy"/>
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        <subject>
          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
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          <display value="Octavia CHISLETT"/>
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        <encounter>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
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        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
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        <valueBoolean value="false"/>
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  <entry>
    <fullUrl value="urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-6"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="6"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="231284"/>
            <display value="Please Select R240 Test(s):"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueString value="R240.1: Targeted variant testing"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-7"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="7"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="231285"/>
            <display value="Please Select R242 Test(s):"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueString value="R242.1: Targeted variant testing"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-8"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="8"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="230027"/>
            <display
                     value="Email Addresses of Non-MFT Clinicians for Result Reports"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueString value="charu"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-9"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="9"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="762911000000102"/>
            <display value="Informed consent given for treatment"/>
          </coding>
          <text
                value="Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent"/>
        </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueBoolean value="true"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-10"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="10"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="230037"/>
            <display
                     value="Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueString value="Acknowledged"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-11"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="11"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="230039"/>
            <display
                     value="Is the Person Ordering the Test the Referring Clinician"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueString value="No"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e"/>
    <resource>
      <Observation>
        <id value="EPIC-OBX-12"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <value value="12"/>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system value="https://mft.nhs.uk/Id/IGENE"/>
            <code value="unknown"/>
            <display value="Name of Supervising Clinician"/>
          </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>
          <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
        </encounter>
        <effectiveDateTime value="2025-01-29T10:37:26+00:00"/>
        <performer>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </performer>
        <valueString value="DESHPANDE, CHARULATA"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"/>
    <resource>
      <Specimen>
        <id value="SpecimenExample"/>
        <meta>
          <versionId value="1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="https://fhir.mft.nhs.uk/Id/Specimen/Beaker"/>
          <value value="25GEN-029GN00001"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <accessionIdentifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
            </coding>
          </type>
          <system value="https://fhir.mft.nhs.uk/Id/AccessionNumber/Beaker"/>
          <value value="1001166717"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="690S0"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <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>
      </Specimen>
    </resource>
  </entry>
</Bundle>