North West Genomic Medicine Service Alliance
0.0.7 - ci-build
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 xmlns="http://hl7.org/fhir">
<id value="Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example"/>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="156bb6ab-15e7-42f3-a819-ecd16a5b4fbd"/>
</identifier>
<type value="message"/>
<timestamp value="2024-10-13T10:33:00+00:00"/>
<entry>
<fullUrl value="urn:uuid:156bb6ab-15e7-42f3-a819-ecd16a5b4fbd"/>
<resource>
<MessageHeader>
<id value="MessageHeaderGenomicOrderCancer"/>
<meta>
<lastUpdated value="2025-01-29T10:39:26+00:00"/>
</meta>
<text>
<status value="generated"/>
<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&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&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>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="O21"/>
</eventCoding>
<destination>
<endpoint value="http://www.acme.org/endpoint/LIMS"/>
<receiver>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RJZ"/>
</identifier>
<display value="KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUSTH"/>
</receiver>
</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</sender>
<source>
<software value="MFT Epic"/>
<endpoint value="http://www.acme.org/endpoint/HIVE"/>
</source>
<focus>
<reference value="urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50"/>
<type value="ServiceRequest"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e98a0266-85e1-41bb-833e-387f2f1dd838"/>
<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>: 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>
</text>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="9999999998"/>
</identifier>
<display value="Dr. Hazel Smith"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="820"/>
<display value="General Pathology"/>
</coding>
</specialty>
<telecom>
<system value="phone"/>
<value value="02085467711"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Hazel.smith14@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="pathologyseckingston@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="respiratorykingston@nhs.net"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:887d7209-4bd2-44e6-ae81-1bab209bd235"/>
<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>: 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>
</text>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="9999999997"/>
</identifier>
<display value="Dr. James Taylor"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="820"/>
<display value="General Pathology"/>
</coding>
</specialty>
<telecom>
<system value="phone"/>
<value value="02085467711"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="pathologyseckingston@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="respiratorykingston@nhs.net"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:202517a8-57d3-4b18-ab04-21793feddf79"/>
<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>: 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>
</text>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="9999999996"/>
</identifier>
<display value="Dr. Anna Lane"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="820"/>
<display value="General Pathology"/>
</coding>
</specialty>
<telecom>
<system value="phone"/>
<value value="02085467711"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="pathologyseckingston@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="respiratorykingston@nhs.net"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661"/>
<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;">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&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&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&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>
</text>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"/>
<code value="F"/>
<display value="Female"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland"/>
<code value="A"/>
<display value="White - British"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<version value="2.2.0"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307555"/>
</identifier>
<identifier>
<system value="http://www.acme.org/patient/identifier"/>
<value value="RWT17335"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Hadjkiss"/>
<given value="Zelma"/>
</name>
<birthDate value="2011-03-19"/>
<address>
<line value="2 Barclay Close"/>
<line value="Fetcham"/>
<line value="Leatherhead"/>
<line value="Surrey"/>
<postalCode value="KT22 9SY"/>
</address>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G9999999"/>
</identifier>
<display value="Dr. Aero Smith"/>
</generalPractitioner>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/ODS-code"/>
<value value="AP123"/>
</identifier>
<display value="anywhere place"/>
</generalPractitioner>
<link>
<other>
<reference
value="https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555"/>
</other>
<type value="seealso"/>
</link>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:96901f41-92f8-47eb-847b-2475939e114a"/>
<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>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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="128462008"/>
<display value="Metastatic malignant neoplasm"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307555"/>
</identifier>
</subject>
<effectiveDateTime value="2023-09-08"/>
<valueQuantity>
<value value="25"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
<specimen>
<identifier>
<system value="https://fhir.add.nhs.uk/Id/specimenId"/>
<value value="RA257630"/>
</identifier>
</specimen>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="369755005"/>
<display value="Multiple tumours"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a9129941-a2c5-45b2-a9d9-ed4c2624f690"/>
<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>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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="6574001"/>
<display value="Necrosis"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307555"/>
</identifier>
</subject>
<effectiveDateTime value="2023-09-08"/>
<valueQuantity>
<value value="5"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
<text value="Cellularity"/>
</interpretation>
<specimen>
<identifier>
<system value="https://fhir.add.nhs.uk/Id/specimenId"/>
<value value="RA257630"/>
</identifier>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:46144bc0-fad7-4b2e-a2da-90fc4f31be3d"/>
<resource>
<Condition>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="recurrence"/>
<display value="Recurrence"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="provisional"/>
<display value="Provisional"/>
</coding>
</verificationStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="363358000"/>
<display value="Malignant tumour of lung"/>
</coding>
</code>
<subject>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307555"/>
</identifier>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50"/>
<resource>
<ServiceRequest>
<text>
<status value="extensions"/>
<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>
</div></blockquote></div>
</text>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory"/>
<code value="nhs-england"/>
<display value="NHS England"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact">
<valueReference>
<reference value="urn:uuid:202517a8-57d3-4b18-ab04-21793feddf79"/>
</valueReference>
</extension>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact">
<valueReference>
<reference value="urn:uuid:887d7209-4bd2-44e6-ae81-1bab209bd235"/>
</valueReference>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory"/>
<code value="cancer-non-wgs"/>
<display value="Cancer - Non-WGS"/>
</coding>
</category>
<priority value="routine"/>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<version value="9"/>
<code value="M119.5"/>
<display value="Multi Target NGS Panel Small"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307555"/>
</identifier>
</subject>
<authoredOn value="2023-09-08"/>
<requester>
<reference value="urn:uuid:e98a0266-85e1-41bb-833e-387f2f1dd838"/>
</requester>
<performer>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RJZ"/>
</identifier>
<display value="KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST"/>
</performer>
<reasonCode>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics"/>
<code value="relapse"/>
<display value="Relapse"/>
</coding>
</reasonCode>
<supportingInfo>
<reference value="urn:uuid:96901f41-92f8-47eb-847b-2475939e114a"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:a9129941-a2c5-45b2-a9d9-ed4c2624f690"/>
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<supportingInfo>
<reference value="urn:uuid:46144bc0-fad7-4b2e-a2da-90fc4f31be3d"/>
</supportingInfo>
<specimen>
<reference value="urn:uuid:b27ef240-5b85-4726-aa3b-d19c5ed6fb16"/>
</specimen>
<note>
<text
value="Free text for diagnosis/reason for referral, transplant, life status at time of request details/ e.g. malignant tumour - molecular assessment will aid management"/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b27ef240-5b85-4726-aa3b-d19c5ed6fb16"/>
<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>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>
</text>
<identifier>
<system value="https://fhir.add.nhs.uk/Id/specimenId"/>
<value value="RA257630"/>
</identifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="364611000000101"/>
<display value="Tissue resection sample"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307555"/>
</identifier>
</subject>
<request>
<reference value="urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50"/>
</request>
<collection>
<collector>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="9999999998"/>
</identifier>
<display value="ClinicalScientist-John Taylor"/>
</collector>
<collectedDateTime value="2023-09-09T11:00:00Z"/>
</collection>
<condition>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState"/>
<code value="fresh-unfixed"/>
<display value="Fresh Unfixed"/>
</coding>
</condition>
</Specimen>
</resource>
</entry>
</Bundle>