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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="GenomicsOrderMessageAttachment"/>
  <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>: Visit number/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>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="VN"/>
            </coding>
          </type>
          <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="ServiceRequestGenomicsOrder2"/>
        <meta>
          <versionId value="1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </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>
        <performer>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="P1S8J"/>
            <assigner>
              <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                <value value="699X0"/>
              </identifier>
            </assigner>
          </identifier>
          <display value="North West Genomic Laboratory Hub in Manchester "/>
        </performer>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="363349007"/>
            <display value="Malignant tumour of stomach"/>
          </coding>
        </reasonCode>
        <supportingInfo>
          <reference value="urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137"/>
        </supportingInfo>
        <specimen>
          <reference value="urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137"/>
    <resource>
      <DocumentReference>
        <id value="a293b4a6-e46b-4402-9b2b-d9517afc7137"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="https://fhir.mft.nhs.uk/Id"/>
          <value value="a293b4a6-e46b-4402-9b2b-d9517afc7137"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="721965002"/>
            <display value="Laboratory order"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449305552"/>
          </identifier>
          <display value="Octavia CHISLETT"/>
        </subject>
        <date value="2025-01-29T10:37:26+00:00"/>
        <author>
          <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
        </author>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <url value="urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636"/>
          </attachment>
        </content>
        <context>
          <encounter>
            <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
          </encounter>
          <sourcePatientInfo>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                </coding>
              </type>
              <value value="633"/>
              <assigner>
                <identifier>
                  <system
                          value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                  <value value="R0A"/>
                </identifier>
              </assigner>
            </identifier>
          </sourcePatientInfo>
        </context>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636"/>
    <resource>
      <Binary>
        <id value="0a898233-763c-405d-8172-8c4f07e6e636"/>
        <contentType value="application/pdf"/>
        <data value="SGVsbG8gV29ybGQ="/>
      </Binary>
    </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>