North West Genomic Medicine Service Alliance
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North West Genomic Medicine Service Alliance - Local Development build (v0.0.7) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example",
  "identifier" : {
    "system" : "https://tools.ietf.org/html/rfc4122",
    "value" : "156bb6ab-15e7-42f3-a819-ecd16a5b4fbd"
  },
  "type" : "message",
  "timestamp" : "2024-10-13T10:33:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:156bb6ab-15e7-42f3-a819-ecd16a5b4fbd",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "MessageHeaderGenomicOrderCancer",
        "meta" : {
          "lastUpdated" : "2025-01-29T10:39:26+00:00"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderGenomicOrderCancer\"> </a><a name=\"MessageHeader_MessageHeaderGenomicOrder\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderGenomicOrder</b></p><a name=\"MessageHeaderGenomicOrder\"> </a><a name=\"hcMessageHeaderGenomicOrder\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2025-01-29 10:39:26+0000</p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/6.2.0/CodeSystem-v2-0003.html#v2-0003-O21\">eventType O21</a>: OML - Laboratory order</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://simplifier.net/guide/ukcoreversionhistory/http://www.acme.org/endpoint/LIMS\">http://www.acme.org/endpoint/LIMS</a></td><td>NORTH WEST GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0)</td></tr></table><p><b>sender</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MFT Epic</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://simplifier.net/guide/ukcoreversionhistory/http://www.acme.org/endpoint/HIVE\">http://www.acme.org/endpoint/HIVE</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-54b526e9-60a7-4602-9cb3-50ab3be7b564\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code" : "O21"
        },
        "destination" : [
          {
            "endpoint" : "http://www.acme.org/endpoint/LIMS",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RJZ"
              },
              "display" : "KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUSTH"
            }
          }
        ],
        "sender" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RAX"
          },
          "display" : "Kingston Hospital NHS Foundation Trust"
        },
        "source" : {
          "software" : "MFT Epic",
          "endpoint" : "http://www.acme.org/endpoint/HIVE"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50",
            "type" : "ServiceRequest"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:e98a0266-85e1-41bb-833e-387f2f1dd838",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "text" : {
          "status" : "generated",
          "div" : "<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>: Dr. Hazel Smith (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999998)</p><p><b>organization</b>: Kingston Hospital 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>/RAX01)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 820}\">General Pathology</span></p><p><b>telecom</b>: ph: 02085467711, <a href=\"mailto:Hazel.smith14@nhs.net\">Hazel.smith14@nhs.net</a>, <a href=\"mailto:pathologyseckingston@nhs.net\">pathologyseckingston@nhs.net</a>, <a href=\"mailto:respiratorykingston@nhs.net\">respiratorykingston@nhs.net</a></p></div>"
        },
        "practitioner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/sds-user-id",
            "value" : "9999999998"
          },
          "display" : "Dr. Hazel Smith"
        },
        "organization" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RAX01"
          },
          "display" : "Kingston Hospital NHS Foundation Trust"
        },
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code" : "820",
                "display" : "General Pathology"
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "02085467711"
          },
          {
            "system" : "email",
            "value" : "Hazel.smith14@nhs.net"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "pathologyseckingston@nhs.net"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "respiratorykingston@nhs.net"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:887d7209-4bd2-44e6-ae81-1bab209bd235",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "text" : {
          "status" : "generated",
          "div" : "<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>: Dr. James Taylor (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999997)</p><p><b>organization</b>: Kingston Hospital 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>/RAX01)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 820}\">General Pathology</span></p><p><b>telecom</b>: ph: 02085467711, <a href=\"mailto:pathologyseckingston@nhs.net\">pathologyseckingston@nhs.net</a>, <a href=\"mailto:respiratorykingston@nhs.net\">respiratorykingston@nhs.net</a></p></div>"
        },
        "practitioner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/sds-user-id",
            "value" : "9999999997"
          },
          "display" : "Dr. James Taylor"
        },
        "organization" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RAX01"
          },
          "display" : "Kingston Hospital NHS Foundation Trust"
        },
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code" : "820",
                "display" : "General Pathology"
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "02085467711"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "pathologyseckingston@nhs.net"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "respiratorykingston@nhs.net"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:202517a8-57d3-4b18-ab04-21793feddf79",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "text" : {
          "status" : "generated",
          "div" : "<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>: Dr. Anna Lane (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999996)</p><p><b>organization</b>: Kingston Hospital 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>/RAX01)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 820}\">General Pathology</span></p><p><b>telecom</b>: ph: 02085467711, <a href=\"mailto:pathologyseckingston@nhs.net\">pathologyseckingston@nhs.net</a>, <a href=\"mailto:respiratorykingston@nhs.net\">respiratorykingston@nhs.net</a></p></div>"
        },
        "practitioner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/sds-user-id",
            "value" : "9999999996"
          },
          "display" : "Dr. Anna Lane"
        },
        "organization" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RAX01"
          },
          "display" : "Kingston Hospital NHS Foundation Trust"
        },
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code" : "820",
                "display" : "General Pathology"
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "02085467711"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "pathologyseckingston@nhs.net"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "respiratorykingston@nhs.net"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661",
      "resource" : {
        "resourceType" : "Patient",
        "text" : {
          "status" : "generated",
          "div" : "<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;\">Zelma Hadjkiss  (no stated gender), DoB: 2011-03-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307555)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>http://www.acme.org/patient/identifier</code>/RWT17335</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">2 Barclay Close Fetcham Leatherhead Surrey KT22 9SY </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: Dr. Aero Smith (Identifier: <a href=\"NamingSystem-gmpnumber-namingsystem.html\" title=\"General Practitioner (GMP) number. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_practitioner_ppd_code.html)\">GMP Number</a>/G9999999)</li><li>General Practitioner: anywhere place (Identifier: <code>https://fhir.hl7.org.uk/Id/ODS-code</code>/AP123)</li><li>Also see: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555\">https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Information that describes the patient's ethnic category.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory\">Extension UK Core Ethnic Category</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland A}\">White - British</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An extension to support the patient's phenotypic sex at birth.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex\">Extension UK Core Birth Sex</a></td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender F}\">Female</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
                  "code" : "F",
                  "display" : "Female"
                }
              ]
            }
          },
          {
            "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
                  "code" : "A",
                  "display" : "White - British"
                }
              ]
            }
          }
        ],
        "identifier" : [
          {
            "extension" : [
              {
                "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                      "version" : "2.2.0",
                      "code" : "01",
                      "display" : "Number present and verified"
                    }
                  ]
                }
              }
            ],
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307555"
          },
          {
            "system" : "http://www.acme.org/patient/identifier",
            "value" : "RWT17335",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RAX01"
              }
            }
          }
        ],
        "name" : [
          {
            "family" : "Hadjkiss",
            "given" : [
              "Zelma"
            ]
          }
        ],
        "birthDate" : "2011-03-19",
        "address" : [
          {
            "line" : [
              "2 Barclay Close",
              "Fetcham",
              "Leatherhead",
              "Surrey"
            ],
            "postalCode" : "KT22 9SY"
          }
        ],
        "generalPractitioner" : [
          {
            "identifier" : {
              "system" : "https://fhir.hl7.org.uk/Id/gmp-number",
              "value" : "G9999999"
            },
            "display" : "Dr. Aero Smith"
          },
          {
            "identifier" : {
              "system" : "https://fhir.hl7.org.uk/Id/ODS-code",
              "value" : "AP123"
            },
            "display" : "anywhere place"
          }
        ],
        "link" : [
          {
            "other" : {
              "reference" : "https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555"
            },
            "type" : "seealso"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:96901f41-92f8-47eb-847b-2475939e114a",
      "resource" : {
        "resourceType" : "Observation",
        "text" : {
          "status" : "generated",
          "div" : "<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>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 128462008}\">Metastatic malignant neoplasm</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-335bd074-a09c-40c5-a6a5-8fb766a90661\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2023-09-08</p><p><b>value</b>: 25 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>specimen</b>: Identifier: <code>https://fhir.add.nhs.uk/Id/specimenId</code>/RA257630</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 369755005}\">Multiple tumours</span></td><td>true</td></tr></table></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "128462008",
              "display" : "Metastatic malignant neoplasm"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307555"
          }
        },
        "effectiveDateTime" : "2023-09-08",
        "valueQuantity" : {
          "value" : 25,
          "unit" : "%",
          "system" : "http://unitsofmeasure.org",
          "code" : "%"
        },
        "specimen" : {
          "identifier" : {
            "system" : "https://fhir.add.nhs.uk/Id/specimenId",
            "value" : "RA257630"
          }
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "369755005",
                  "display" : "Multiple tumours"
                }
              ]
            },
            "valueBoolean" : true
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:a9129941-a2c5-45b2-a9d9-ed4c2624f690",
      "resource" : {
        "resourceType" : "Observation",
        "text" : {
          "status" : "generated",
          "div" : "<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>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6574001}\">Necrosis</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-335bd074-a09c-40c5-a6a5-8fb766a90661\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2023-09-08</p><p><b>value</b>: 5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">Cellularity</span></p><p><b>specimen</b>: Identifier: <code>https://fhir.add.nhs.uk/Id/specimenId</code>/RA257630</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "6574001",
              "display" : "Necrosis"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307555"
          }
        },
        "effectiveDateTime" : "2023-09-08",
        "valueQuantity" : {
          "value" : 5,
          "unit" : "%",
          "system" : "http://unitsofmeasure.org",
          "code" : "%"
        },
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "H",
                "display" : "High"
              }
            ],
            "text" : "Cellularity"
          }
        ],
        "specimen" : {
          "identifier" : {
            "system" : "https://fhir.add.nhs.uk/Id/specimenId",
            "value" : "RA257630"
          }
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:46144bc0-fad7-4b2e-a2da-90fc4f31be3d",
      "resource" : {
        "resourceType" : "Condition",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition </b></p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical recurrence}\">Recurrence</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}\">Provisional</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 363358000}\">Malignant tumour of lung</span></p><p><b>subject</b>: Identifier: <a href=\"NamingSystem-nhs-number-namingsystem.html\" title=\"NHS Number allocated to the patient in England and Wales. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/nhs_number.html)\">NHS Number</a>/9449307555</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "recurrence",
              "display" : "Recurrence"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "provisional",
              "display" : "Provisional"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "363358000",
              "display" : "Malignant tumour of lung"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307555"
          }
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "text" : {
          "status" : "extensions",
          "div" : "<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>Extension UK Core Coverage</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory nhs-england}\">NHS England</span></p><p><b>Extension UK Core Additional Contact</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-202517a8-57d3-4b18-ab04-21793feddf79\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>Extension UK Core Additional Contact</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-887d7209-4bd2-44e6-ae81-1bab209bd235\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory cancer-non-wgs}\">Cancer - Non-WGS</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory M119.5}\">Multi Target NGS Panel Small</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-335bd074-a09c-40c5-a6a5-8fb766a90661\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>authoredOn</b>: 2023-09-08</p><p><b>requester</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-e98a0266-85e1-41bb-833e-387f2f1dd838\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>performer</b>: KING'S COLLEGE HOSPITAL 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>/RJZ)</p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics relapse}\">Relapse</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-96901f41-92f8-47eb-847b-2475939e114a\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-a9129941-a2c5-45b2-a9d9-ed4c2624f690\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-46144bc0-fad7-4b2e-a2da-90fc4f31be3d\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li></ul><p><b>specimen</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-b27ef240-5b85-4726-aa3b-d19c5ed6fb16\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>note</b>: </p><blockquote><div><p>Free text for diagnosis/reason for referral, transplant, life status at time of request details/ e.g. malignant tumour - molecular assessment will aid management</p>\n</div></blockquote></div>"
        },
        "extension" : [
          {
            "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory",
                  "code" : "nhs-england",
                  "display" : "NHS England"
                }
              ]
            }
          },
          {
            "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact",
            "valueReference" : {
              "reference" : "urn:uuid:202517a8-57d3-4b18-ab04-21793feddf79"
            }
          },
          {
            "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact",
            "valueReference" : {
              "reference" : "urn:uuid:887d7209-4bd2-44e6-ae81-1bab209bd235"
            }
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                "code" : "cancer-non-wgs",
                "display" : "Cancer - Non-WGS"
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          }
        ],
        "priority" : "routine",
        "code" : {
          "coding" : [
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "version" : "9",
              "code" : "M119.5",
              "display" : "Multi Target NGS Panel Small"
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          ]
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        "subject" : {
          "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307555"
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        "authoredOn" : "2023-09-08",
        "requester" : {
          "reference" : "urn:uuid:e98a0266-85e1-41bb-833e-387f2f1dd838"
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        "performer" : [
          {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "RJZ"
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        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                "code" : "relapse",
                "display" : "Relapse"
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          }
        ],
        "supportingInfo" : [
          {
            "reference" : "urn:uuid:96901f41-92f8-47eb-847b-2475939e114a"
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          {
            "reference" : "urn:uuid:a9129941-a2c5-45b2-a9d9-ed4c2624f690"
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          {
            "reference" : "urn:uuid:46144bc0-fad7-4b2e-a2da-90fc4f31be3d"
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          {
            "reference" : "urn:uuid:b27ef240-5b85-4726-aa3b-d19c5ed6fb16"
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        "note" : [
          {
            "text" : "Free text for diagnosis/reason for referral, transplant, life status at time of request details/ e.g. malignant tumour - molecular assessment will aid management"
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        ]
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    {
      "fullUrl" : "urn:uuid:b27ef240-5b85-4726-aa3b-d19c5ed6fb16",
      "resource" : {
        "resourceType" : "Specimen",
        "text" : {
          "status" : "generated",
          "div" : "<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>identifier</b>: <code>https://fhir.add.nhs.uk/Id/specimenId</code>/RA257630</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 364611000000101}\">Tissue resection sample</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-335bd074-a09c-40c5-a6a5-8fb766a90661\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>request</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example.html#urn-uuid-51479894-77f0-48ec-b67a-70d7d5dffc50\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#156bb6ab-15e7-42f3-a819-ecd16a5b4fbd; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collector</b></td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>ClinicalScientist-John Taylor (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999998)</td><td>2023-09-09 11:00:00+0000</td></tr></table><p><b>condition</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState fresh-unfixed}\">Fresh Unfixed</span></p></div>"
        },
        "identifier" : [
          {
            "system" : "https://fhir.add.nhs.uk/Id/specimenId",
            "value" : "RA257630"
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        ],
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "364611000000101",
              "display" : "Tissue resection sample"
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        "subject" : {
          "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307555"
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        },
        "request" : [
          {
            "reference" : "urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50"
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        "collection" : {
          "collector" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/sds-user-id",
              "value" : "9999999998"
            },
            "display" : "ClinicalScientist-John Taylor"
          },
          "collectedDateTime" : "2023-09-09T11:00:00Z"
        },
        "condition" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState",
                "code" : "fresh-unfixed",
                "display" : "Fresh Unfixed"
              }
            ]
          }
        ]
      }
    }
  ]
}