North West Genomics Testing Workflow (GTW)
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DRAFT Implementation Guide

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

: Bundle 'Message' - Genomics Order with Attachment - TTL Representation

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

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

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "GenomicsOrderMessageAttachment"] ; # 
  fhir:identifier [
fhir:system [ fhir:v "https://tools.ietf.org/html/rfc4122"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9612365d-52a4-4fab-87e7-8a09d753f095" ]
  ] ; # 
  fhir:type [ fhir:v "message"] ; # 
  fhir:timestamp [ fhir:v "2024-10-13T10:33:00+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0> )
  ] ) . # 

<urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63> a fhir:MessageHeader ;
  fhir:id [ fhir:v "MessageHeaderGenomicOrder"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2025-01-29T10:39:26+00:00"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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&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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:event [
a fhir:Coding ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0003"^^xsd:anyURI ] ;
fhir:code [ fhir:v "O21" ]
  ] ; # 
  fhir:destination ( [
fhir:endpoint [ fhir:v "https//fhir.mft.nhs.uk/Endpoint/LIMS"^^xsd:anyURI ] ;
fhir:receiver [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]       ] ;
fhir:display [ fhir:v "NORTH WEST GLH" ]     ]
  ] ) ; # 
  fhir:sender [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]     ] ;
fhir:display [ fhir:v "MANCHESTER UNIVERSITY NHS FOUNDATION TRUST" ]
  ] ; # 
  fhir:source [
fhir:software [ fhir:v "MFT Epic" ] ;
fhir:endpoint [ fhir:v "https//fhir.mft.nhs.uk/Endpoint/HIVE"^^xsd:anyURI ]
  ] ; # 
  fhir:focus ( [
fhir:reference [ fhir:v "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564" ] ;
fhir:type [ fhir:v "ServiceRequest"^^xsd:anyURI ]
  ] ) . # 

<urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd> a fhir:Patient ;
  fhir:id [ fhir:v "Patient-OctaviaCHISLETT-9449305552"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-OctaviaCHISLETT-9449305552\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-OctaviaCHISLETT-9449305552</b></p><a name=\"Patient-OctaviaCHISLETT-9449305552\"> </a><a name=\"hcPatient-OctaviaCHISLETT-9449305552\"> </a><a name=\"Patient-OctaviaCHISLETT-9449305552-en-GB\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>National Health Plan Identifier/9449305552 (use: official, )</li><li>Medical record number/633</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 RAVENSFIELD GARDENS EPSOM KT19 0ST (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>Bob DAWKINS (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NH" ]       ] )     ] ;
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ] ;
fhir:assigner [
fhir:identifier [
fhir:value [ fhir:v "X24" ]       ]     ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]       ] )     ] ;
fhir:value [ fhir:v "A12356565" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "RBS" ]       ]     ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]       ] )     ] ;
fhir:value [ fhir:v "633" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]       ]     ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name ( [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "CHISLETT" ] ;
    ( fhir:given [ fhir:v "Octavia" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "2008-09-20"^^xsd:date] ; # 
  fhir:address ( [
fhir:use [ fhir:v "home" ] ;
fhir:type [ fhir:v "both" ] ;
    ( fhir:line [ fhir:v "1 RAVENSFIELD GARDENS" ] ) ;
fhir:city [ fhir:v "EPSOM" ] ;
fhir:district [ fhir:v "SURREY" ] ;
fhir:postalCode [ fhir:v "KT19 0ST" ]
  ] ) ; # 
  fhir:contact ( [
fhir:name [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "DAWKINS" ] ;
      ( fhir:given [ fhir:v "Bob" ] )     ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "077021231231" ] ;
fhir:use [ fhir:v "mobile" ]     ] )
  ] ) . # 

<urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3> a fhir:Encounter ;
  fhir:id [ fhir:v "984b8a89-4194-4eb4-a7ea-ca8049ebeea3"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 --&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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "1001166717" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]       ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:code [ fhir:v "AMB" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] ; # 
  fhir:participant ( [
    ( fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ATND" ]       ] )     ] ) ;
fhir:individual [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]     ]
  ] ) ; # 
  fhir:period [
fhir:start [ fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime ]
  ] ; # 
  fhir:location ( [
fhir:location [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-site-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A09" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]           ]         ]       ]     ]
  ] ) . # 

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

<urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "ServiceRequestGenomicsOrder2"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1.0" ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestGenomicsOrder2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestGenomicsOrder2</b></p><a name=\"ServiceRequestGenomicsOrder2\"> </a><a name=\"hcServiceRequestGenomicsOrder2\"> </a><a name=\"ServiceRequestGenomicsOrder2-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>performer</b>: North West Genomic Laboratory Hub in Manchester  (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/P1S8J)</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-GenomicsOrderMessageAttachment.html#urn-uuid-a293b4a6-e46b-4402-9b2b-d9517afc7137\">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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PLAC" ]       ] )     ] ;
fhir:system [ fhir:v "https://fhir.mft.nhs.uk/Id/PlacerOrderNumber/Hive"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1601737" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]       ]     ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ACSN" ]       ] )     ] ;
fhir:system [ fhir:v "https://fhir.mft.nhs.uk/Id/AccessionNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1001166717" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]       ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
    ( fhir:coding [
a sct:116148004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "116148004" ] ;
fhir:display [ fhir:v "Molecular genetics procedure" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cancer-wgs" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "R240.1" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2025-01-29"^^xsd:date] ; # 
  fhir:requester [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ; # 
  fhir:performer ( [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "P1S8J" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "699X0" ]         ]       ]     ] ;
fhir:display [ fhir:v "North West Genomic Laboratory Hub in Manchester " ]
  ] ) ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
a sct:363349007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "363349007" ] ;
fhir:display [ fhir:v "Malignant tumour of stomach" ]     ] )
  ] ) ; # 
  fhir:supportingInfo ( [
fhir:reference [ fhir:v "urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137" ]
  ] ) ; # 
  fhir:specimen ( [
fhir:reference [ fhir:v "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0" ]
  ] ) . # 

<urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137> a fhir:DocumentReference ;
  fhir:id [ fhir:v "a293b4a6-e46b-4402-9b2b-d9517afc7137"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_a293b4a6-e46b-4402-9b2b-d9517afc7137\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference a293b4a6-e46b-4402-9b2b-d9517afc7137</b></p><a name=\"a293b4a6-e46b-4402-9b2b-d9517afc7137\"> </a><a name=\"hca293b4a6-e46b-4402-9b2b-d9517afc7137\"> </a><a name=\"a293b4a6-e46b-4402-9b2b-d9517afc7137-en-GB\"> </a><p><b>identifier</b>: <code>https://fhir.mft.nhs.uk/Id</code>/a293b4a6-e46b-4402-9b2b-d9517afc7137</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 721965002}\">Laboratory order</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>date</b>: 2025-01-29 10:37:26+0000</p><p><b>author</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><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-0a898233-763c-405d-8172-8c4f07e6e636\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style=\"display: none\">*</td><td><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></td><td>Identifier: Medical record number/633</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://fhir.mft.nhs.uk/Id"^^xsd:anyURI ] ;
fhir:value [ fhir:v "a293b4a6-e46b-4402-9b2b-d9517afc7137" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]       ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
    ( fhir:coding [
a sct:721965002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "721965002" ] ;
fhir:display [ fhir:v "Laboratory order" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] ; # 
  fhir:date [ fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:content ( [
fhir:attachment [
fhir:contentType [ fhir:v "application/pdf" ] ;
fhir:url [ fhir:v "urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636"^^xsd:anyURI ]     ]
  ] ) ; # 
  fhir:context [
    ( fhir:encounter [
fhir:reference [ fhir:v "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3" ]     ] ) ;
fhir:sourcePatientInfo [
fhir:identifier [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ]           ] )         ] ;
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/medical-record-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "633" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]           ]         ]       ]     ]
  ] . # 

<urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636> a fhir:Binary ;
  fhir:id [ fhir:v "0a898233-763c-405d-8172-8c4f07e6e636"] ; # 
  fhir:contentType [ fhir:v "application/pdf"] ; # 
  fhir:data [ fhir:v "SGVsbG8gV29ybGQ="^^xsd:base64Binary] . # 

<urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0> a fhir:Specimen ;
  fhir:id [ fhir:v "SpecimenExample"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1.0" ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://fhir.mft.nhs.uk/Id/Specimen/Beaker"^^xsd:anyURI ] ;
fhir:value [ fhir:v "25GEN-029GN00001" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R0A" ]       ]     ]
  ] ) ; # 
  fhir:accessionIdentifier [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ACSN" ]       ] )     ] ;
fhir:system [ fhir:v "https://fhir.mft.nhs.uk/Id/AccessionNumber/Beaker"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1001166717" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ] ;
fhir:value [ fhir:v "690S0" ]       ]     ]
  ] ; # 
  fhir:status [ fhir:v "available"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] . #