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 'SearchSet' - Genomics Order - 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 "GenomicsOrderSearchSet"] ; # 
  fhir:type [ fhir:v "searchset"] ; # 
  fhir:total [ fhir:v "1"^^xsd:nonNegativeInteger] ; # 
  fhir:link ( [
fhir:relation [ fhir:v "self" ] ;
fhir:url [ fhir:v "http://rie.mft.nhs.uk/Bundle?message.reciever:identifier=R0A&_lastUpdated=>2025-03-01T02:00:02+01:00"^^xsd:anyURI ]
  ] ) ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Bundle/GenomicsOrderMessage"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Bundle/GenomicsOrderMessage> ) ;
fhir:search [
fhir:mode [ fhir:v "match" ]     ]
  ] ) . # 

<http://example.org/fhir/Bundle/GenomicsOrderMessage> a fhir:Bundle ;
  fhir:id [ fhir:v "GenomicsOrderMessage"] ; # 
  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:27ca6057-e481-426a-ba8a-2acfffc0c1c4"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:f39cc804-5280-4807-91d4-075be16928e5"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:f39cc804-5280-4807-91d4-075be16928e5> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:390c7633-fd63-483c-8e32-e8858f232339> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e> )
  ] [
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: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: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:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "VN" ]       ] )     ] ;
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: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 "ServiceRequestGenomicsOrder"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1.0" ]
  ] ; # 
  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: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:27ca6057-e481-426a-ba8a-2acfffc0c1c4" ]
  ] ) ; # 
  fhir:specimen ( [
fhir:reference [ fhir:v "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0" ]
  ] ) . # 

<urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBR-1"] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGEAP"^^xsd:anyURI ] ;
fhir:code [ fhir:v "GENEAP" ] ;
fhir:display [ fhir:v "GENETICS TEST PERFORMABLE" ]     ] ) ;
fhir:text [ fhir:v "GENETICS TEST" ]
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:hasMember ( [
fhir:reference [ fhir:v "urn:uuid:f39cc804-5280-4807-91d4-075be16928e5" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:390c7633-fd63-483c-8e32-e8858f232339" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd" ]
  ] [
fhir:reference [ fhir:v "urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e" ]
  ] ) . # 

<urn:uuid:f39cc804-5280-4807-91d4-075be16928e5> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-1"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "1" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "230056" ] ;
fhir:display [ fhir:v "What Type of Referral Do You Require?" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "Test on Stored DNA"
  ] . # 

<urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-2"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "2" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( 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: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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) . # 

<urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-3"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "3" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:281269004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "281269004" ] ;
fhir:display [ fhir:v "High infection risk sample" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:boolean ;
fhir:v "false"^^xsd:boolean
  ] . # 

<urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-4"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "4" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "230016" ] ;
fhir:display [ fhir:v "Test Type" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "Diagnostic Screen/Test"
  ] . # 

<urn:uuid:390c7633-fd63-483c-8e32-e8858f232339> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-5"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "5" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:77386006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "77386006" ] ;
fhir:display [ fhir:v "Pregnancy" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:boolean ;
fhir:v "false"^^xsd:boolean
  ] . # 

<urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-6"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "6" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "231284" ] ;
fhir:display [ fhir:v "Please Select R240 Test(s):" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "R240.1: Targeted variant testing"
  ] . # 

<urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-7"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "7" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "231285" ] ;
fhir:display [ fhir:v "Please Select R242 Test(s):" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "R242.1: Targeted variant testing"
  ] . # 

<urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-8"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "8" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "230027" ] ;
fhir:display [ fhir:v "Email Addresses of Non-MFT Clinicians for Result Reports" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "charu"
  ] . # 

<urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-9"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "9" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:762911000000102 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "762911000000102" ] ;
fhir:display [ fhir:v "Informed consent given for treatment" ]     ] ) ;
fhir:text [ fhir:v "Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent" ]
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:boolean ;
fhir:v "true"^^xsd:boolean
  ] . # 

<urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-10"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "10" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "230037" ] ;
fhir:display [ fhir:v "Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "Acknowledged"
  ] . # 

<urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-11"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "11" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "230039" ] ;
fhir:display [ fhir:v "Is the Person Ordering the Test the Referring Clinician" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "No"
  ] . # 

<urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e> a fhir:Observation ;
  fhir:id [ fhir:v "EPIC-OBX-12"] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "12" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://mft.nhs.uk/Id/IGENE"^^xsd:anyURI ] ;
fhir:code [ fhir:v "unknown" ] ;
fhir:display [ fhir:v "Name of Supervising Clinician" ]     ] )
  ] ; # 
  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:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:string ;
fhir:v "DESHPANDE, CHARULATA"
  ] . # 

<urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0> a fhir:Specimen ;
  fhir:id [ fhir:v "SpecimenExample"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1.0" ]
  ] ; # 
  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" ]
  ] . #