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 - XML Representation

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<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&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>
        </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&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>
        </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
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            <code value="relapse"/>
            <display value="Relapse"/>
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        <supportingInfo>
          <reference value="urn:uuid:96901f41-92f8-47eb-847b-2475939e114a"/>
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        <supportingInfo>
          <reference value="urn:uuid:a9129941-a2c5-45b2-a9d9-ed4c2624f690"/>
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        <supportingInfo>
          <reference value="urn:uuid:46144bc0-fad7-4b2e-a2da-90fc4f31be3d"/>
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        <specimen>
          <reference value="urn:uuid:b27ef240-5b85-4726-aa3b-d19c5ed6fb16"/>
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        <note>
          <text
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        </note>
      </ServiceRequest>
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  </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>