North West Genomics Testing Workflow (GTW)
0.0.1 - ci-build
North West Genomics Testing Workflow (GTW)
0.0.1 - ci-build
DRAFT Implementation Guide
This is for collaboration and discussion purposes and is subject to change.
North West Genomics Testing Workflow (GTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="GenomicsOrderSearchSet"/>
<type value="searchset"/>
<total value="1"/>
<link>
<relation value="self"/>
<url
value="http://rie.mft.nhs.uk/Bundle?message.reciever:identifier=R0A&_lastUpdated=>2025-03-01T02:00:02+01:00"/>
</link>
<entry>
<fullUrl value="http://example.org/fhir/Bundle/GenomicsOrderMessage"/>
<resource>
<Bundle>
<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>
<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"/>
<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"/>
<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"/>
<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>
<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"/>
<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"/>
</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>
<hasMember>
<reference
value="urn:uuid:f39cc804-5280-4807-91d4-075be16928e5"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd"/>
</hasMember>
<hasMember>
<reference
value="urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f39cc804-5280-4807-91d4-075be16928e5"/>
<resource>
<Observation>
<id value="EPIC-OBX-1"/>
<identifier>
<value value="1"/>
</identifier>
<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?"/>
</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="Test on Stored DNA"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"/>
<resource>
<Observation>
<id value="EPIC-OBX-2"/>
<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"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"/>
<resource>
<Observation>
<id value="EPIC-OBX-3"/>
<identifier>
<value value="3"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="281269004"/>
<display value="High infection risk sample"/>
</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>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"/>
<resource>
<Observation>
<id value="EPIC-OBX-4"/>
<identifier>
<value value="4"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="https://mft.nhs.uk/Id/IGENE"/>
<code value="230016"/>
<display value="Test Type"/>
</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="Diagnostic Screen/Test"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"/>
<resource>
<Observation>
<id value="EPIC-OBX-5"/>
<identifier>
<value value="5"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77386006"/>
<display value="Pregnancy"/>
</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>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"/>
<resource>
<Observation>
<id value="EPIC-OBX-6"/>
<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"/>
<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"/>
<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"/>
<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"/>
<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"/>
<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"/>
<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>
<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>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
</Bundle>
IG © 2024+ Manchester University NHS Foundation Trust. Package nhs.mft.fhir#0.0.1 based on FHIR 4.0.1. Generated 2025-02-23
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