NHS North West Genomics
2.1.4 - ci-build
NHS North West Genomics - Local Development build (v2.1.4) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="Bundle-Message-FillerOrder"/>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"/>
</meta>
<language value="en"/>
<identifier>
<value value="728357"/>
</identifier>
<type value="message"/>
<timestamp value="2026-07-02T08:44:38.631Z"/>
<entry>
<fullUrl value="urn:uuid:3bed1f74-173f-4841-b3c0-c112b8d53e12"/>
<resource>
<MessageHeader>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_null"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader </b></p><p><b>event</b>: <a href="http://terminology.hl7.org/7.2.0/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&canonical=http://fhir.org/packages/fhir.r4.ukcore.stu3.currentbuild/https//fhir.mft.nhs.uk/Endpoint/RIE">https//fhir.mft.nhs.uk/Endpoint/RIE</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&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.html#urn-uuid-afae0544-f0d1-4cb1-afb9-572ee5dad285">ServiceRequest ctDNA_M4</a></p></div>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="O21"/>
</eventCoding>
<destination>
<endpoint value="https//fhir.mft.nhs.uk/Endpoint/RIE"/>
<receiver>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</receiver>
</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</sender>
<source>
<name value="IGENE"/>
<software value="NW GLH"/>
<endpoint value="https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"/>
</source>
<focus>
<reference value="urn:uuid:afae0544-f0d1-4cb1-afb9-572ee5dad285"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:17d826c4-911c-4b49-8910-fa079f50705f"/>
<resource>
<Patient>
<language value="en"/>
<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;">Alicent DURHAM Female, DoB: 1993-12-27 ( 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/336389</li><li>Medical record number/336577</li></ul></td></tr></table></div>
</text>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<code value="05"/>
<display
value="Trace needs to be resolved - (NHS number or patient detail conflict)"/>
</coding>
</valueCodeableConcept>
</extension>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737873998"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-PatientIdentifier"/>
<value value="336389"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="336577"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAE"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="DURHAM"/>
<given value="Alicent"/>
</name>
<gender value="female"/>
<birthDate value="1993-12-27"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b3cc579c-66b5-4fb1-91d4-dcc07d0f548c"/>
<resource>
<Specimen>
<language value="en"/>
<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>: Filler Identifier/S26-1K74</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 119297000}">Blood specimen</span></p><p><b>subject</b>: <a href="Bundle-Bundle-Message-FillerOrder.html#urn-uuid-17d826c4-911c-4b49-8910-fa079f50705f">Alicent DURHAM Female, DoB: 1993-12-27 ( 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>2026-06-26</td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-SpecimenIdentifier"/>
<value value="S26-1K74"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119297000"/>
<display value="Blood specimen"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:17d826c4-911c-4b49-8910-fa079f50705f"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737873998"/>
</identifier>
</subject>
<collection>
<collectedDateTime value="2026-06-26"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ae7d645c-f0e0-468b-a34f-a40aa2246874"/>
<resource>
<ServiceRequest>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_null"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest </b></p><p><b>identifier</b>: Filler Identifier/R26-15F8</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 M4.14}">PACKAGE: M4.14 - Non-Small Cell Lung Cancer, Multi-target ctDNA combined Multi-target NGS panel - small variant (EGFR, ALK, BRAF, KRAS, MET exon 14 skipping and copy number variations) and structural variant (ROS1, RET, ALK, NTRK1, NTRK2, NTRK3, MET exon </span></p><p><b>subject</b>: <a href="Bundle-Bundle-Message-FillerOrder.html#urn-uuid-17d826c4-911c-4b49-8910-fa079f50705f">Alicent DURHAM Female, DoB: 1993-12-27 ( 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>/RAE</p><p><b>specimen</b>: <a href="Bundle-Bundle-Message-FillerOrder.html#urn-uuid-b3cc579c-66b5-4fb1-91d4-dcc07d0f548c">Specimen: identifier = Filler Identifier; status = available; type = Blood specimen</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-ReferralIdentifier"/>
<value value="R26-15F8"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="active"/>
<intent value="original-order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116148004"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="M4.14"/>
</coding>
<text
value="PACKAGE: M4.14 - Non-Small Cell Lung Cancer, Multi-target ctDNA combined Multi-target NGS panel - small variant (EGFR, ALK, BRAF, KRAS, MET exon 14 skipping and copy number variations) and structural variant (ROS1, RET, ALK, NTRK1, NTRK2, NTRK3, MET exon "/>
</code>
<subject>
<reference value="urn:uuid:17d826c4-911c-4b49-8910-fa079f50705f"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737873998"/>
</identifier>
</subject>
<requester>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAE"/>
</identifier>
</requester>
<specimen>
<reference value="urn:uuid:b3cc579c-66b5-4fb1-91d4-dcc07d0f548c"/>
<type value="Specimen"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:afae0544-f0d1-4cb1-afb9-572ee5dad285"/>
<resource>
<ServiceRequest>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_null"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest </b></p><p><b>identifier</b>: Placer Identifier/T26-5AMV</p><p><b>basedOn</b>: <a href="Bundle-Bundle-Message-FillerOrder.html#urn-uuid-ae7d645c-f0e0-468b-a34f-a40aa2246874">ServiceRequest Non-Small Cell Lung Cancer, Multi-target ctDNA combined Multi-target NGS panel, small variant (EGFR, ALK, BRAF, KRAS, MET exon 14 skipping and copy number variations) and structural variant (ROS1, RET, ALK, NTRK1, NTRK2, NTRK3, MET exon</a></p><p><b>requisition</b>: Placer Group Number/R26-15F8</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>code</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory ctDNA_M4}">PACKAGE: M4.14 - Non-Small Cell Lung Cancer, Multi-target ctDNA combined Multi-target NGS panel - small variant (EGFR, ALK, BRAF, KRAS, MET exon 14 skipping and copy number variations) and structural variant (ROS1, RET, ALK, NTRK1, NTRK2, NTRK3, MET exon </span></p><p><b>subject</b>: <a href="Bundle-Bundle-Message-FillerOrder.html#urn-uuid-17d826c4-911c-4b49-8910-fa079f50705f">Alicent DURHAM Female, DoB: 1993-12-27 ( National Health Plan Identifier)</a></p><p><b>authoredOn</b>: 2026-06-30</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>/699X0</p><p><b>specimen</b>: <a href="Bundle-Bundle-Message-FillerOrder.html#urn-uuid-b3cc579c-66b5-4fb1-91d4-dcc07d0f548c">Specimen: identifier = Filler Identifier; status = available; type = Blood specimen</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-TestIdentifier"/>
<value value="T26-5AMV"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference value="urn:uuid:ae7d645c-f0e0-468b-a34f-a40aa2246874"/>
</basedOn>
<requisition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PGN"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/Identifier/IGENE-ReferralIdentifier"/>
<value value="R26-15F8"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</requisition>
<status value="active"/>
<intent value="filler-order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116148004"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="ctDNA_M4"/>
</coding>
<text
value="PACKAGE: M4.14 - Non-Small Cell Lung Cancer, Multi-target ctDNA combined Multi-target NGS panel - small variant (EGFR, ALK, BRAF, KRAS, MET exon 14 skipping and copy number variations) and structural variant (ROS1, RET, ALK, NTRK1, NTRK2, NTRK3, MET exon "/>
</code>
<subject>
<reference value="urn:uuid:17d826c4-911c-4b49-8910-fa079f50705f"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737873998"/>
</identifier>
</subject>
<authoredOn value="2026-06-30"/>
<requester>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</requester>
<performer>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</performer>
<specimen>
<reference value="urn:uuid:b3cc579c-66b5-4fb1-91d4-dcc07d0f548c"/>
<type value="Specimen"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
</Bundle>