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 Report - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "GenomicsReportMessage",
  "identifier" : {
    "system" : "https://tools.ietf.org/html/rfc4122",
    "value" : "9612365d-52a4-4fab-87e7-8a09d753f095"
  },
  "type" : "message",
  "timestamp" : "2024-10-13T10:33:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "MessageHeaderGenomicReport",
        "meta" : {
          "lastUpdated" : "2025-02-01T13:39:26+00:00"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderGenomicReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderGenomicReport</b></p><a name=\"MessageHeaderGenomicReport\"> </a><a name=\"hcMessageHeaderGenomicReport\"> </a><a name=\"MessageHeaderGenomicReport-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: 2025-02-01 13:39:26+0000</p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0003.html#v2-0003-R01\">eventType R01</a>: ORU/ACK - Unsolicited transmission of an observation message</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//tie.mft.nhs.uk\">https//tie.mft.nhs.uk</a></td><td>ALDER HEY CHILDREN'S NHS FOUNDATION TRUST (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/RBS)</td></tr></table><p><b>sender</b>: NORTH WEST GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0)</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 TIE</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//tie.alderhey.nhs.uk/\">https//tie.alderhey.nhs.uk/</a></td></tr></table><p><b>focus</b>: </p><ul><li><a href=\"Bundle-GenomicsReportMessage.html#urn-uuid-233ff41a-5067-46c4-b6aa-5d6f87719f5f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-94bf65ba-cd6c-4601-b339-6d547f424646\">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></li></ul></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code" : "R01"
        },
        "destination" : [
          {
            "endpoint" : "https//tie.mft.nhs.uk",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RBS"
              },
              "display" : "ALDER HEY CHILDREN'S NHS FOUNDATION TRUST"
            }
          }
        ],
        "sender" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          },
          "display" : "NORTH WEST GLH"
        },
        "source" : {
          "software" : "MFT TIE",
          "endpoint" : "https//tie.alderhey.nhs.uk/"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:233ff41a-5067-46c4-b6aa-5d6f87719f5f",
            "type" : "DiagnosticReport"
          },
          {
            "reference" : "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646",
            "type" : "DocumentReference"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:233ff41a-5067-46c4-b6aa-5d6f87719f5f",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "DiagnosticReportGenomicsReport",
        "meta" : {
          "versionId" : "1.0"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_DiagnosticReportGenomicsReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReport</b></p><a name=\"DiagnosticReportGenomicsReport\"> </a><a name=\"hcDiagnosticReportGenomicsReport\"> </a><a name=\"DiagnosticReportGenomicsReport-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><h2><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-09-07 11:45:41+0000</td></tr><tr><td>Performers</td><td> NW GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0) FICTITIOUS, Ralph (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C1234567)</td></tr><tr><td>Identifier</td><td> <code>https://fhir.nwglh.nhs.uk/Id</code>/25edee2b-add8-4522-9fa2-1ee8f229bd75</td></tr></table><p><b>Report Details</b></p><p>Normal - no action</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
            "valueReference" : {
              "reference" : "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646",
              "type" : "DocumentReference"
            }
          }
        ],
        "identifier" : [
          {
            "system" : "https://fhir.nwglh.nhs.uk/Id",
            "value" : "25edee2b-add8-4522-9fa2-1ee8f229bd75",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }
        ],
        "basedOn" : [
          {
            "type" : "ServiceRequest",
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "FILL"
                  }
                ]
              },
              "system" : "https://fhir.mft.nhs.uk/Id/FillerOrderNumber",
              "value" : "1001166717",
              "assigner" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "699X0"
                }
              }
            }
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "GE",
                "display" : "Genetics"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R240.1"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
          },
          "display" : "Octavia CHISLETT"
        },
        "encounter" : {
          "identifier" : {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "VN"
                }
              ]
            },
            "system" : "https://fhir.nhs.uk/Id/visit-number/R0A",
            "value" : "1001166717",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        },
        "effectiveDateTime" : "2023-09-07T11:45:41+00:00",
        "performer" : [
          {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            },
            "display" : "NW GLH"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/event-performerFunction",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "SPRF"
                    }
                  ]
                }
              }
            ],
            "type" : "Practitioner",
            "identifier" : {
              "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
              "value" : "C1234567"
            },
            "display" : "FICTITIOUS, Ralph"
          }
        ],
        "resultsInterpreter" : [
          {
            "type" : "Practitioner",
            "identifier" : {
              "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
              "value" : "C1234567"
            },
            "display" : "FICTITIOUS, Ralph"
          }
        ],
        "conclusion" : "Normal - no action",
        "presentedForm" : [
          {
            "contentType" : "application/pdf",
            "language" : "en-GB",
            "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f",
            "size" : 43272,
            "title" : "Genomic Report for Octavia CHISLETT",
            "creation" : "2023-11-24"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Patient-OctaviaCHISLETT-9449305552",
        "text" : {
          "status" : "generated",
          "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\u00a0(use:\u00a0official,\u00a0)</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>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }
              ]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552",
            "assigner" : {
              "identifier" : {
                "value" : "X24"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "value" : "A12356565",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RBS"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "value" : "633",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "CHISLETT",
            "given" : [
              "Octavia"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "2008-09-20",
        "address" : [
          {
            "use" : "home",
            "type" : "both",
            "line" : [
              "1 RAVENSFIELD GARDENS"
            ],
            "city" : "EPSOM",
            "district" : "SURREY",
            "postalCode" : "KT19 0ST"
          }
        ],
        "contact" : [
          {
            "name" : {
              "use" : "official",
              "family" : "DAWKINS",
              "given" : [
                "Bob"
              ]
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "077021231231",
                "use" : "mobile"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:fe5a1b08-84c9-46e6-8162-d2dcf3e67141",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "fe5a1b08-84c9-46e6-8162-d2dcf3e67141",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_fe5a1b08-84c9-46e6-8162-d2dcf3e67141\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter fe5a1b08-84c9-46e6-8162-d2dcf3e67141</b></p><a name=\"fe5a1b08-84c9-46e6-8162-d2dcf3e67141\"> </a><a name=\"hcfe5a1b08-84c9-46e6-8162-d2dcf3e67141\"> </a><a name=\"fe5a1b08-84c9-46e6-8162-d2dcf3e67141-en-GB\"> </a><p><b>identifier</b>: 1001</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 REF}\">referrer</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>/P1S8J</td></tr></table></div>"
        },
        "identifier" : [
          {
            "value" : "1001",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }
        ],
        "status" : "finished",
        "class" : {
          "code" : "AMB"
        },
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
          },
          "display" : "Octavia CHISLETT"
        },
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code" : "REF"
                  }
                ]
              }
            ],
            "individual" : {
              "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
            }
          }
        ],
        "period" : {
          "start" : "2025-01-29T10:37:26+00:00"
        },
        "location" : [
          {
            "location" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-site-code",
                "value" : "P1S8J",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "699X0"
                  }
                }
              }
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "94bf65ba-cd6c-4601-b339-6d547f424646",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 94bf65ba-cd6c-4601-b339-6d547f424646</b></p><a name=\"94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><a name=\"hc94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><a name=\"94bf65ba-cd6c-4601-b339-6d547f424646-en-GB\"> </a><p><b>identifier</b>: <code>https://fhir.mft.nhs.uk/Id</code>/94bf65ba-cd6c-4601-b339-6d547f424646</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 1054161000000101}\">Genetic report</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><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-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6eeedd1-92d3-45b9-bf33-6401e804425f\">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></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-fe5a1b08-84c9-46e6-8162-d2dcf3e67141\">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><td><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span></td><td>Identifier: Medical record number/633</td><td>Identifier: Filler Identifier/1001166717</td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "https://fhir.mft.nhs.uk/Id",
            "value" : "94bf65ba-cd6c-4601-b339-6d547f424646",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }
        ],
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1054161000000101",
              "display" : "Genetic report"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
          },
          "display" : "Octavia CHISLETT"
        },
        "date" : "2025-01-29T10:37:26+00:00",
        "content" : [
          {
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"
            }
          }
        ],
        "context" : {
          "encounter" : [
            {
              "reference" : "urn:uuid:fe5a1b08-84c9-46e6-8162-d2dcf3e67141"
            }
          ],
          "event" : [
            {
              "coding" : [
                {
                  "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                  "code" : "R240.1"
                }
              ]
            }
          ],
          "sourcePatientInfo" : {
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "MR"
                  }
                ]
              },
              "value" : "633",
              "assigner" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "R0A"
                }
              }
            }
          },
          "related" : [
            {
              "type" : "ServiceRequest",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "FILL"
                    }
                  ]
                },
                "system" : "https://fhir.mft.nhs.uk/Id/FillerOrderNumber",
                "value" : "1001166717",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "699X0"
                  }
                }
              }
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f",
      "resource" : {
        "resourceType" : "Binary",
        "id" : "d6eeedd1-92d3-45b9-bf33-6401e804425f",
        "contentType" : "application/pdf",
        "data" : "ig-loader-XT_d6eeedd1-92d3-45b9-bf33-6401e804425f.pdf"
      }
    },
    {
      "fullUrl" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
        "text" : {
          "status" : "generated",
          "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>"
        },
        "practitioner" : {
          "identifier" : {
            "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
            "value" : "C3456789"
          },
          "display" : "Dr Samuel Darwin"
        },
        "organization" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "R0A"
          }
        },
        "specialty" : [
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            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code" : "100"
              }
            ]
          }
        ]
      }
    }
  ]
}