{
  "resourceType" : "Bundle",
  "id" : "Bundle-Message-FillerOrder-K1S6S",
  "meta" : {
    "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"]
  },
  "language" : "en",
  "identifier" : {
    "value" : "729946"
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  "timestamp" : "2026-07-02T10:42:50.048Z",
  "entry" : [{
    "fullUrl" : "urn:uuid:d7020a25-0cc4-4299-9603-c3049234a726",
    "resource" : {
      "resourceType" : "MessageHeader",
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader </b></p><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-v2-0003.html#v2-0003-O21\">event: O21</a> (OML - Laboratory order)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&amp;canonical=http://fhir.org/packages/fhir.r4.ukcore.stu3.currentbuild/https//fhir.mft.nhs.uk/Endpoint/STARLIMS\">https//fhir.mft.nhs.uk/Endpoint/STARLIMS</a></td><td>Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/699X0</td></tr></table><p><b>sender</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/699X0</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>IGENE</td><td>NW GLH</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&amp;canonical=https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE\">https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-Bundle-Message-FillerOrder-K1S6S.html#urn-uuid-ee5fd453-712f-419f-bf84-9475c806e97c\">ServiceRequest: identifier = Placer Identifier; requisition = Placer Group Number; status = active; intent = filler-order; category = Molecular genetics procedure; authoredOn = 2026-07-01; note = REDACTED</a></p></div>"
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      "eventCoding" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
        "code" : "O21"
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      "destination" : [{
        "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/STARLIMS",
        "receiver" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
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      "sender" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "699X0"
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      },
      "source" : {
        "name" : "IGENE",
        "software" : "NW GLH",
        "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
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      "focus" : [{
        "reference" : "urn:uuid:ee5fd453-712f-419f-bf84-9475c806e97c"
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  {
    "fullUrl" : "urn:uuid:a7d47478-79ca-444b-a53a-84b79ac65dd2",
    "resource" : {
      "resourceType" : "Patient",
      "language" : "en",
      "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;\">Rob LEEDS  Male, DoB: 1978-01-17 ( National Health Plan Identifier)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Patient internal identifier/330684</li><li>Medical record number/12184219</li></ul></td></tr></table></div>"
      },
      "identifier" : [{
        "extension" : [{
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            "coding" : [{
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              "code" : "05",
              "display" : "Trace needs to be resolved - (NHS number or patient detail conflict)"
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            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NH"
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        "system" : "https://fhir.nhs.uk/Id/nhs-number",
        "value" : "9737383222"
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        "type" : {
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            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
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        "system" : "https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-PatientIdentifier",
        "value" : "330684",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
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        "value" : "12184219",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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      "name" : [{
        "family" : "LEEDS",
        "given" : ["Rob"]
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      "gender" : "male",
      "birthDate" : "1978-01-17"
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  {
    "fullUrl" : "urn:uuid:6857f5af-a048-460a-801b-edf39e1fcb34",
    "resource" : {
      "resourceType" : "Specimen",
      "language" : "en",
      "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>: Filler Identifier/S26-1KAP</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href=\"Bundle-Bundle-Message-FillerOrder-K1S6S.html#urn-uuid-a7d47478-79ca-444b-a53a-84b79ac65dd2\">Rob LEEDS  Male, DoB: 1978-01-17 ( National Health Plan Identifier)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2026-06-29</td></tr></table></div>"
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      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
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        },
        "system" : "https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-SpecimenIdentifier",
        "value" : "S26-1KAP",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
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        }
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      "status" : "available",
      "subject" : {
        "reference" : "urn:uuid:a7d47478-79ca-444b-a53a-84b79ac65dd2",
        "identifier" : {
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "NH"
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          },
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9737383222"
        }
      },
      "collection" : {
        "collectedDateTime" : "2026-06-29"
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  {
    "fullUrl" : "urn:uuid:185ea5de-1529-4c21-8197-73dc6809b220",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "language" : "en",
      "text" : {
        "status" : "generated",
        "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>identifier</b>: Placer Identifier/1034438528.0, Filler Identifier/R26-15HE</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 116148004}\">Molecular genetics procedure</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R314.2}\">PACKAGE: R314.2 - Ambiguous genitalia (Karyotype)</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Message-FillerOrder-K1S6S.html#urn-uuid-a7d47478-79ca-444b-a53a-84b79ac65dd2\">Rob LEEDS  Male, DoB: 1978-01-17 ( National Health Plan Identifier)</a></p><p><b>requester</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/R0A</p><p><b>specimen</b>: <a href=\"Bundle-Bundle-Message-FillerOrder-K1S6S.html#urn-uuid-6857f5af-a048-460a-801b-edf39e1fcb34\">Specimen: identifier = Filler Identifier; status = available</a></p></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
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        },
        "value" : "1034438528.0",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-ReferralIdentifier",
        "value" : "R26-15HE",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          }
        }
      }],
      "status" : "active",
      "intent" : "original-order",
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "116148004"
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      "code" : {
        "coding" : [{
          "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
          "code" : "R314.2"
        }],
        "text" : "PACKAGE: R314.2 - Ambiguous genitalia (Karyotype)"
      },
      "subject" : {
        "reference" : "urn:uuid:a7d47478-79ca-444b-a53a-84b79ac65dd2",
        "identifier" : {
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "NH"
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          },
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9737383222"
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      },
      "requester" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "R0A"
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      "specimen" : [{
        "reference" : "urn:uuid:6857f5af-a048-460a-801b-edf39e1fcb34",
        "type" : "Specimen"
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  {
    "fullUrl" : "urn:uuid:ee5fd453-712f-419f-bf84-9475c806e97c",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "language" : "en",
      "text" : {
        "status" : "generated",
        "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>identifier</b>: Placer Identifier/T26-5B4U</p><p><b>basedOn</b>: <a href=\"Bundle-Bundle-Message-FillerOrder-K1S6S.html#urn-uuid-185ea5de-1529-4c21-8197-73dc6809b220\">ServiceRequest Ambiguous genitalia (Karyotype)</a></p><p><b>requisition</b>: Placer Group Number/R26-15HE</p><p><b>status</b>: Active</p><p><b>intent</b>: Filler Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 116148004}\">Molecular genetics procedure</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Message-FillerOrder-K1S6S.html#urn-uuid-a7d47478-79ca-444b-a53a-84b79ac65dd2\">Rob LEEDS  Male, DoB: 1978-01-17 ( National Health Plan Identifier)</a></p><p><b>authoredOn</b>: 2026-07-01</p><p><b>requester</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/699X0</p><p><b>performer</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/K1S6S</p><p><b>specimen</b>: <a href=\"Bundle-Bundle-Message-FillerOrder-K1S6S.html#urn-uuid-6857f5af-a048-460a-801b-edf39e1fcb34\">Specimen: identifier = Filler Identifier; status = available</a></p><p><b>note</b>: </p><blockquote><div><p>REDACTED</p>\n</div></blockquote></div>"
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        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
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        },
        "system" : "https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-TestIdentifier",
        "value" : "T26-5B4U",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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      "basedOn" : [{
        "reference" : "urn:uuid:185ea5de-1529-4c21-8197-73dc6809b220"
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      "requisition" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PGN"
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        },
        "system" : "https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-ReferralIdentifier",
        "value" : "R26-15HE",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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        }
      },
      "status" : "active",
      "intent" : "filler-order",
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "116148004"
        }]
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      "subject" : {
        "reference" : "urn:uuid:a7d47478-79ca-444b-a53a-84b79ac65dd2",
        "identifier" : {
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "NH"
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          },
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9737383222"
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      "authoredOn" : "2026-07-01",
      "requester" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "699X0"
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      "performer" : [{
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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      "specimen" : [{
        "reference" : "urn:uuid:6857f5af-a048-460a-801b-edf39e1fcb34",
        "type" : "Specimen"
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      "note" : [{
        "text" : "REDACTED"
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}