NHS North West Genomics
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NHS North West Genomics - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: 748683741 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="748683741"/>
  <identifier>
    <value value="748683741"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2025-11-11T07:47:53+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:f2ae3b74-9199-4ca3-972c-d3de93c7e65c"/>
    <resource>
      <MessageHeader>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_null"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader </b></p><p><b>event</b>: <a href="http://terminology.hl7.org/7.0.1/CodeSystem-v2-0003.html#v2-0003-O21">event 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@0.0.19-pre-release&amp;canonical=https://simplifier.net/guide/ukcoreversionhistory/https//fhir.mft.nhs.uk/Endpoint/iGene">https//fhir.mft.nhs.uk/Endpoint/iGene</a></td><td>Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/SMHGEN</td></tr></table><p><b>sender</b>: Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/MFT</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>NW GLH</td><td><a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.north-west.england.nhs.uk/Endpoint/EpicBeaker">https://fhir.north-west.england.nhs.uk/Endpoint/EpicBeaker</a></td></tr></table><p><b>focus</b>: </p><ul><li><a href="Bundle-748683741.html#urn-uuid-fbbf3f64-4fee-44de-ac11-da98a32ff1b4">ServiceRequest M213.22</a></li><li><a href="Bundle-748683741.html#urn-uuid-af7d8130-2940-4743-beb3-1d904c14e3aa">ServiceRequest M213.13</a></li><li><a href="Bundle-748683741.html#urn-uuid-f6f3ba92-549f-42e8-80ec-b91251048d21">ServiceRequest M213.23</a></li></ul></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/iGene"/>
          <receiver>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="SMHGEN"/>
            </identifier>
          </receiver>
        </destination>
        <sender>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="MFT"/>
          </identifier>
        </sender>
        <source>
          <software value="NW GLH"/>
          <endpoint
                    value="https://fhir.north-west.england.nhs.uk/Endpoint/EpicBeaker"/>
        </source>
        <focus>
          <reference value="urn:uuid:fbbf3f64-4fee-44de-ac11-da98a32ff1b4"/>
        </focus>
        <focus>
          <reference value="urn:uuid:af7d8130-2940-4743-beb3-1d904c14e3aa"/>
        </focus>
        <focus>
          <reference value="urn:uuid:f6f3ba92-549f-42e8-80ec-b91251048d21"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
    <resource>
      <Patient>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_null"> </a><p class="res-header-id"><b>Generated Narrative: Patient </b></p><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">1979 MILKY WAY &quot;&quot; VERONA 53593 </td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="https://nw-gmsa.github.io/Id/MR"/>
          <value value="207003"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <name>
          <family value="Johnson"/>
          <given value="Lori"/>
          <prefix value="&quot;&quot;"/>
        </name>
        <gender value="female"/>
        <birthDate value="2013-10-21"/>
        <address>
          <line value="1979 MILKY WAY"/>
          <line value="&quot;&quot;"/>
          <city value="VERONA"/>
          <district value="WI"/>
          <postalCode value="53593"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1b9d42c1-ef8e-445a-a8d8-2a8a48aa1404"/>
    <resource>
      <PractitionerRole>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_null"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole </b></p><p><b>practitioner</b>: ARMITAGE, GEMMA (Identifier: <a href="NamingSystem-gmcnumber-namingsystem.html" title="General Medical Council Consultant Code. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_council_reference_number.html)">GMC Number</a>/999)</p><p><b>organization</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/R0A)</p></div>
        </text>
        <practitioner>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="999"/>
          </identifier>
          <display value="ARMITAGE, GEMMA"/>
        </practitioner>
        <organization>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="R0A"/>
          </identifier>
          <display value="MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:9355d363-cc63-4bcb-a57f-6ef82dd0e6c3"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230056-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230056}">What Type of Referral Do You Require?</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: Standard</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230056-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230056"/>
            <display value="What Type of Referral Do You Require?"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="Standard"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d2955ceb-4d4b-4ef7-9808-d4ad401036b7"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230048-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230048}">Please Select Clinical Indication(s)</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: M213: Glial and Glioneuronal Tumour Differential - Paediatric</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230048-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230048"/>
            <display value="Please Select Clinical Indication(s)"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString
                     value="M213: Glial and Glioneuronal Tumour Differential - Paediatric"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:42a459ac-1540-434a-a65f-fe1d9dbc9c9f"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-231610-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 231610}">Clinical Utility (Please Select as Appropriate and Provide Any Additional Information in the Comments Section)</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: Patient management (determining therapeutic decisions and/or clinical investigations and/or surveillance programme)</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-231610-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="231610"/>
            <display
                     value="Clinical Utility (Please Select as Appropriate and Provide Any Additional Information in the Comments Section)"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString
                     value="Patient management (determining therapeutic decisions and/or clinical investigations and/or surveillance programme)"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:819110cc-da75-4428-a674-ca94328c45eb"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230030-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230030}">Neoplastic Cell Content Level</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: &lt;10%</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230030-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230030"/>
            <display value="Neoplastic Cell Content Level"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="&lt;10%"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:fc9bd807-fd99-49db-903c-2577b2e92b3e"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230038-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230038}">Please Confirm the Pathology Report will Accompany the Sample to the Laboratory</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: Yes</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230038-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230038"/>
            <display
                     value="Please Confirm the Pathology Report will Accompany the Sample to the Laboratory"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="Yes"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:2336e28c-3bff-4220-82d9-7843dd6d981c"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230027-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230027}">Email Addresses of Non-MFT Clinicians for Result Reports</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: peter.volek@mft.nhs.uk</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230027-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230027"/>
            <display
                     value="Email Addresses of Non-MFT Clinicians for Result Reports"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="peter.volek@mft.nhs.uk"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:01a0493d-b41d-4d5d-9223-fac8358a15fa"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230029-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230029}">Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: Completed Electronically on HIVE</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230029-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230029"/>
            <display
                     value="Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="Completed Electronically on HIVE"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:c3da7c89-207e-4563-9977-a8198226f443"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230037-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230037}">Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: Acknowledged</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230037-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <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:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="Acknowledged"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:5af7d8ca-4d22-4d4d-bd8e-13300973070a"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230039-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230039}">Are you the Patient�s Consultant?</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: No</p></div>
        </text>
        <identifier>
          <system
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          <value value="R0A-1000162341-230039-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230039"/>
            <display value="Are you the Patient�s Consultant?"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="No"/>
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    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:01887302-a78b-44e8-8a88-1b5d54b1819f"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-230049-IGENE</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230049}">Name of Supervising Consultant</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>effective</b>: 2025-11-11 07:47:48+0000</p><p><b>value</b>: PETERS, ROBERT</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-230049-IGENE"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds"/>
            <code value="230049"/>
            <display value="Name of Supervising Consultant"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <effectiveDateTime value="2025-11-11T07:47:48+00:00"/>
        <valueString value="PETERS, ROBERT"/>
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    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0621355d-1d67-4fb9-8935-ab09e9f39d0a"/>
    <resource>
      <Observation>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>identifier</b>: <code>https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier</code>/R0A-1000162341-46098-0-</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:">Patient's Sex Assigned at Birth</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>value</b>: F</p></div>
        </text>
        <identifier>
          <system
                  value="https://fhir.nwgenomics.nhs.uk/Id/ResourceIdentifier"/>
          <value value="R0A-1000162341-46098-0-"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="final"/>
        <code>
          <coding>
            <code value="46098-0"/>
            <display value="Patient's Sex Assigned at Birth"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <valueString value="F"/>
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  </entry>
  <entry>
    <fullUrl value="urn:uuid:41ed5392-b022-4eeb-9e94-33d15f3611a8"/>
    <resource>
      <Specimen>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_null"> </a><p class="res-header-id"><b>Generated Narrative: Specimen </b></p><p><b>status</b>: Unavailable</p><p><b>type</b>: <span title="Codes:">SAMPLE: BL</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p></div>
        </text>
        <status value="unavailable"/>
        <type>
          <coding>
            <code value="SAMPLE: BL"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:fbbf3f64-4fee-44de-ac11-da98a32ff1b4"/>
    <resource>
      <ServiceRequest>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_null"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest </b></p><p><b>identifier</b>: Placer Identifier/1000162341</p><p><b>requisition</b>: Placer Group Number/1000162341</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 116148004}">Molecular genetics procedure</span></p><p><b>code</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory M213.22}">M213.22</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>authoredOn</b>: 2025-11-11 07:47:48+0000</p><p><b>requester</b>: <a href="Bundle-748683741.html#urn-uuid-1b9d42c1-ef8e-445a-a8d8-2a8a48aa1404">PractitionerRole</a></p><p><b>supportingInfo</b>: </p><ul><li><a href="Bundle-748683741.html#urn-uuid-9355d363-cc63-4bcb-a57f-6ef82dd0e6c3">Observation What Type of Referral Do You Require?</a></li><li><a href="Bundle-748683741.html#urn-uuid-d2955ceb-4d4b-4ef7-9808-d4ad401036b7">Observation Please Select Clinical Indication(s)</a></li><li><a href="Bundle-748683741.html#urn-uuid-42a459ac-1540-434a-a65f-fe1d9dbc9c9f">Observation Clinical Utility (Please Select as Appropriate and Provide Any Additional Information in the Comments Section)</a></li><li><a href="Bundle-748683741.html#urn-uuid-819110cc-da75-4428-a674-ca94328c45eb">Observation Neoplastic Cell Content Level</a></li><li><a href="Bundle-748683741.html#urn-uuid-fc9bd807-fd99-49db-903c-2577b2e92b3e">Observation Please Confirm the Pathology Report will Accompany the Sample to the Laboratory</a></li><li><a href="Bundle-748683741.html#urn-uuid-2336e28c-3bff-4220-82d9-7843dd6d981c">Observation Email Addresses of Non-MFT Clinicians for Result Reports</a></li><li><a href="Bundle-748683741.html#urn-uuid-01a0493d-b41d-4d5d-9223-fac8358a15fa">Observation Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent</a></li><li><a href="Bundle-748683741.html#urn-uuid-c3da7c89-207e-4563-9977-a8198226f443">Observation Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing</a></li><li><a href="Bundle-748683741.html#urn-uuid-5af7d8ca-4d22-4d4d-bd8e-13300973070a">Observation Are you the Patient�s Consultant?</a></li><li><a href="Bundle-748683741.html#urn-uuid-01887302-a78b-44e8-8a88-1b5d54b1819f">Observation Name of Supervising Consultant</a></li><li><a href="Bundle-748683741.html#urn-uuid-0621355d-1d67-4fb9-8935-ab09e9f39d0a">Observation Patient's Sex Assigned at Birth</a></li></ul><p><b>specimen</b>: <a href="Bundle-748683741.html#urn-uuid-41ed5392-b022-4eeb-9e94-33d15f3611a8">Specimen: status = unavailable; type = SAMPLE: BL</a></p></div>
        </text>
        <identifier>
          <type>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
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          <system value="https://nw-gmsa.github.io/Id/PLAC"/>
          <value value="1000162341"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <requisition>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PGN"/>
            </coding>
          </type>
          <system value="https://nw-gmsa.github.io/Id/PLAC"/>
          <value value="1000162341"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </requisition>
        <status value="active"/>
        <intent value="original-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="116148004"/>
          </coding>
        </category>
        <code>
          <coding>
            <system
                    value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
            <code value="M213.22"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <authoredOn value="2025-11-11T07:47:48+00:00"/>
        <requester>
          <reference value="urn:uuid:1b9d42c1-ef8e-445a-a8d8-2a8a48aa1404"/>
        </requester>
        <supportingInfo>
          <reference value="urn:uuid:9355d363-cc63-4bcb-a57f-6ef82dd0e6c3"/>
          <type value="Observation"/>
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        <supportingInfo>
          <reference value="urn:uuid:d2955ceb-4d4b-4ef7-9808-d4ad401036b7"/>
          <type value="Observation"/>
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        <supportingInfo>
          <reference value="urn:uuid:42a459ac-1540-434a-a65f-fe1d9dbc9c9f"/>
          <type value="Observation"/>
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        <supportingInfo>
          <reference value="urn:uuid:819110cc-da75-4428-a674-ca94328c45eb"/>
          <type value="Observation"/>
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        <supportingInfo>
          <reference value="urn:uuid:fc9bd807-fd99-49db-903c-2577b2e92b3e"/>
          <type value="Observation"/>
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        <supportingInfo>
          <reference value="urn:uuid:2336e28c-3bff-4220-82d9-7843dd6d981c"/>
          <type value="Observation"/>
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        <supportingInfo>
          <reference value="urn:uuid:01a0493d-b41d-4d5d-9223-fac8358a15fa"/>
          <type value="Observation"/>
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        <supportingInfo>
          <reference value="urn:uuid:c3da7c89-207e-4563-9977-a8198226f443"/>
          <type value="Observation"/>
        </supportingInfo>
        <supportingInfo>
          <reference value="urn:uuid:5af7d8ca-4d22-4d4d-bd8e-13300973070a"/>
          <type value="Observation"/>
        </supportingInfo>
        <supportingInfo>
          <reference value="urn:uuid:01887302-a78b-44e8-8a88-1b5d54b1819f"/>
          <type value="Observation"/>
        </supportingInfo>
        <supportingInfo>
          <reference value="urn:uuid:0621355d-1d67-4fb9-8935-ab09e9f39d0a"/>
          <type value="Observation"/>
        </supportingInfo>
        <specimen>
          <reference value="urn:uuid:41ed5392-b022-4eeb-9e94-33d15f3611a8"/>
          <type value="Specimen"/>
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      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:af7d8130-2940-4743-beb3-1d904c14e3aa"/>
    <resource>
      <ServiceRequest>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_null"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest </b></p><p><b>identifier</b>: Placer Identifier/1000162341-M213.13</p><p><b>requisition</b>: Placer Group Number/1000162341</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></p><p><b>code</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory M213.13}">M213.13</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>authoredOn</b>: 2025-11-11 07:47:48+0000</p><p><b>requester</b>: <a href="Bundle-748683741.html#urn-uuid-1b9d42c1-ef8e-445a-a8d8-2a8a48aa1404">PractitionerRole</a></p><p><b>specimen</b>: <a href="Bundle-748683741.html#urn-uuid-41ed5392-b022-4eeb-9e94-33d15f3611a8">Specimen: status = unavailable; type = SAMPLE: BL</a></p></div>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
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          <system value="https://nw-gmsa.github.io/Id/PLAC"/>
          <value value="1000162341-M213.13"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
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          </assigner>
        </identifier>
        <requisition>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PGN"/>
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          <system value="https://nw-gmsa.github.io/Id/PLAC"/>
          <value value="1000162341"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
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          </assigner>
        </requisition>
        <status value="active"/>
        <intent value="order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="116148004"/>
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        </category>
        <code>
          <coding>
            <system
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            <code value="M213.13"/>
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        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <authoredOn value="2025-11-11T07:47:48+00:00"/>
        <requester>
          <reference value="urn:uuid:1b9d42c1-ef8e-445a-a8d8-2a8a48aa1404"/>
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        <specimen>
          <reference value="urn:uuid:41ed5392-b022-4eeb-9e94-33d15f3611a8"/>
          <type value="Specimen"/>
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      </ServiceRequest>
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  </entry>
  <entry>
    <fullUrl value="urn:uuid:f6f3ba92-549f-42e8-80ec-b91251048d21"/>
    <resource>
      <ServiceRequest>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_null"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest </b></p><p><b>identifier</b>: Placer Identifier/1000162341-M213.23</p><p><b>requisition</b>: Placer Group Number/1000162341</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></p><p><b>code</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory M213.23}">M213.23</span></p><p><b>subject</b>: <a href="Bundle-748683741.html#urn-uuid-2cc74315-590b-463e-a999-ef58d0255f5c">Lori Johnson  Female, DoB: 2013-10-21 ( Medical record number)</a></p><p><b>authoredOn</b>: 2025-11-11 07:47:48+0000</p><p><b>requester</b>: <a href="Bundle-748683741.html#urn-uuid-1b9d42c1-ef8e-445a-a8d8-2a8a48aa1404">PractitionerRole</a></p><p><b>specimen</b>: <a href="Bundle-748683741.html#urn-uuid-41ed5392-b022-4eeb-9e94-33d15f3611a8">Specimen: status = unavailable; type = SAMPLE: BL</a></p></div>
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        <identifier>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
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          <system value="https://nw-gmsa.github.io/Id/PLAC"/>
          <value value="1000162341-M213.23"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
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          </assigner>
        </identifier>
        <requisition>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PGN"/>
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          </type>
          <system value="https://nw-gmsa.github.io/Id/PLAC"/>
          <value value="1000162341"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
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          </assigner>
        </requisition>
        <status value="active"/>
        <intent value="order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="116148004"/>
          </coding>
        </category>
        <code>
          <coding>
            <system
                    value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
            <code value="M213.23"/>
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        </code>
        <subject>
          <reference value="urn:uuid:2cc74315-590b-463e-a999-ef58d0255f5c"/>
        </subject>
        <authoredOn value="2025-11-11T07:47:48+00:00"/>
        <requester>
          <reference value="urn:uuid:1b9d42c1-ef8e-445a-a8d8-2a8a48aa1404"/>
        </requester>
        <specimen>
          <reference value="urn:uuid:41ed5392-b022-4eeb-9e94-33d15f3611a8"/>
          <type value="Specimen"/>
        </specimen>
      </ServiceRequest>
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</Bundle>