{ "resourceType" : "Bundle", "id" : "Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example", "meta" : { "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"] }, "language" : "en", "identifier" : { "system" : "https://tools.ietf.org/html/rfc4122", "value" : "156bb6ab-15e7-42f3-a819-ecd16a5b4fbd" }, "type" : "message", "timestamp" : "2024-10-13T10:33:00+00:00", "entry" : [{ "fullUrl" : "urn:uuid:156bb6ab-15e7-42f3-a819-ecd16a5b4fbd", "resource" : { "resourceType" : "MessageHeader", "id" : "MessageHeaderGenomicOrderCancer", "meta" : { "lastUpdated" : "2025-01-29T10:39:26+00:00" }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: MessageHeader MessageHeaderGenomicOrder

Last updated: 2025-01-29 10:39:26+0000

event: eventType O21: OML - Laboratory order

Destinations

-EndpointReceiver
*http://www.acme.org/endpoint/LIMSNORTH WEST GLH (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/699X0)

sender: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/R0A)

Sources

-SoftwareEndpoint
*MFT Epichttp://www.acme.org/endpoint/HIVE

focus: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000

" }, "eventCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v2-0003", "code" : "O21" }, "destination" : [{ "endpoint" : "http://www.acme.org/endpoint/LIMS", "receiver" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RJZ" }, "display" : "KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUSTH" } }], "sender" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" }, "display" : "Kingston Hospital NHS Foundation Trust" }, "source" : { "software" : "MFT Epic", "endpoint" : "http://www.acme.org/endpoint/HIVE" }, "focus" : [{ "reference" : "urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50", "type" : "ServiceRequest" }] } }, { "fullUrl" : "urn:uuid:e98a0266-85e1-41bb-833e-387f2f1dd838", "resource" : { "resourceType" : "PractitionerRole", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole

practitioner: Dr. Hazel Smith (Identifier: https://fhir.nhs.uk/Id/sds-user-id/9999999998)

organization: Kingston Hospital NHS Foundation Trust (Identifier: ODS Organisation Code/RAX01)

specialty: General Pathology

telecom: ph: 02085467711, Hazel.smith14@nhs.net, pathologyseckingston@nhs.net, respiratorykingston@nhs.net

" }, "practitioner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/sds-user-id", "value" : "9999999998" }, "display" : "Dr. Hazel Smith" }, "organization" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX01" }, "display" : "Kingston Hospital NHS Foundation Trust" }, "specialty" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode", "code" : "820", "display" : "General Pathology" }] }], "telecom" : [{ "system" : "phone", "value" : "02085467711" }, { "system" : "email", "value" : "Hazel.smith14@nhs.net" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "pathologyseckingston@nhs.net" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "respiratorykingston@nhs.net" }] } }, { "fullUrl" : "urn:uuid:887d7209-4bd2-44e6-ae81-1bab209bd235", "resource" : { "resourceType" : "PractitionerRole", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole

practitioner: Dr. James Taylor (Identifier: https://fhir.nhs.uk/Id/sds-user-id/9999999997)

organization: Kingston Hospital NHS Foundation Trust (Identifier: ODS Organisation Code/RAX01)

specialty: General Pathology

telecom: ph: 02085467711, pathologyseckingston@nhs.net, respiratorykingston@nhs.net

" }, "practitioner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/sds-user-id", "value" : "9999999997" }, "display" : "Dr. James Taylor" }, "organization" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX01" }, "display" : "Kingston Hospital NHS Foundation Trust" }, "specialty" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode", "code" : "820", "display" : "General Pathology" }] }], "telecom" : [{ "system" : "phone", "value" : "02085467711" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "pathologyseckingston@nhs.net" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "respiratorykingston@nhs.net" }] } }, { "fullUrl" : "urn:uuid:202517a8-57d3-4b18-ab04-21793feddf79", "resource" : { "resourceType" : "PractitionerRole", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole

practitioner: Dr. Anna Lane (Identifier: https://fhir.nhs.uk/Id/sds-user-id/9999999996)

organization: Kingston Hospital NHS Foundation Trust (Identifier: ODS Organisation Code/RAX01)

specialty: General Pathology

telecom: ph: 02085467711, pathologyseckingston@nhs.net, respiratorykingston@nhs.net

" }, "practitioner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/sds-user-id", "value" : "9999999996" }, "display" : "Dr. Anna Lane" }, "organization" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX01" }, "display" : "Kingston Hospital NHS Foundation Trust" }, "specialty" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode", "code" : "820", "display" : "General Pathology" }] }], "telecom" : [{ "system" : "phone", "value" : "02085467711" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "pathologyseckingston@nhs.net" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "respiratorykingston@nhs.net" }] } }, { "fullUrl" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661", "resource" : { "resourceType" : "Patient", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient

Zelma Hadjkiss (no stated gender), DoB: 2011-03-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307555)

Other Id:http://www.acme.org/patient/identifier/RWT17335
Contact Detail2 Barclay Close Fetcham Leatherhead Surrey KT22 9SY
Links:
  • General Practitioner: Dr. Aero Smith (Identifier: GMP Number/G9999999)
  • General Practitioner: anywhere place (Identifier: https://fhir.hl7.org.uk/Id/ODS-code/AP123)
Extension UK Core Ethnic CategoryWhite - British
Extension UK Core Birth SexFemale
" }, "extension" : [{ "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender", "code" : "F", "display" : "Female" }] } }, { "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory", "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland", "code" : "A", "display" : "White - British" }] } }], "identifier" : [{ "extension" : [{ "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus", "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland", "version" : "2.2.0", "code" : "01", "display" : "Number present and verified" }] } }], "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307555" }, { "system" : "http://www.acme.org/patient/identifier", "value" : "RWT17335", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX01" } } }], "name" : [{ "family" : "Hadjkiss", "given" : ["Zelma"] }], "birthDate" : "2011-03-19", "address" : [{ "line" : ["2 Barclay Close", "Fetcham", "Leatherhead", "Surrey"], "postalCode" : "KT22 9SY" }], "generalPractitioner" : [{ "identifier" : { "system" : "https://fhir.hl7.org.uk/Id/gmp-number", "value" : "G9999999" }, "display" : "Dr. Aero Smith" }, { "identifier" : { "system" : "https://fhir.hl7.org.uk/Id/ODS-code", "value" : "AP123" }, "display" : "anywhere place" }] } }, { "fullUrl" : "urn:uuid:96901f41-92f8-47eb-847b-2475939e114a", "resource" : { "resourceType" : "Observation", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

status: Final

code: Metastatic malignant neoplasm

subject: Zelma Hadjkiss (no stated gender), DoB: 2011-03-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307555)

effective: 2023-09-08

value: 25 % (Details: UCUM code% = '%')

specimen: Identifier: https://fhir.add.nhs.uk/Id/specimenId/RA257630

Components

-CodeValue[x]
*Multiple tumourstrue
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "128462008", "display" : "Metastatic malignant neoplasm" }] }, "subject" : { "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307555" } }, "effectiveDateTime" : "2023-09-08", "valueQuantity" : { "value" : 25, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "specimen" : { "identifier" : { "system" : "https://fhir.add.nhs.uk/Id/specimenId", "value" : "RA257630" } }, "component" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "369755005", "display" : "Multiple tumours" }] }, "valueBoolean" : true }] } }, { "fullUrl" : "urn:uuid:a9129941-a2c5-45b2-a9d9-ed4c2624f690", "resource" : { "resourceType" : "Observation", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

status: Final

code: Necrosis

subject: Zelma Hadjkiss (no stated gender), DoB: 2011-03-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307555)

effective: 2023-09-08

value: 5 % (Details: UCUM code% = '%')

interpretation: Cellularity

specimen: Identifier: https://fhir.add.nhs.uk/Id/specimenId/RA257630

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "6574001", "display" : "Necrosis" }] }, "subject" : { "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307555" } }, "effectiveDateTime" : "2023-09-08", "valueQuantity" : { "value" : 5, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }], "text" : "Cellularity" }], "specimen" : { "identifier" : { "system" : "https://fhir.add.nhs.uk/Id/specimenId", "value" : "RA257630" } } } }, { "fullUrl" : "urn:uuid:46144bc0-fad7-4b2e-a2da-90fc4f31be3d", "resource" : { "resourceType" : "Condition", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition

clinicalStatus: Recurrence

verificationStatus: Provisional

code: Malignant tumour of lung

subject: Identifier: NHS Number/9449307555

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "recurrence", "display" : "Recurrence" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "provisional", "display" : "Provisional" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "363358000", "display" : "Malignant tumour of lung" }] }, "subject" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307555" } } } }, { "fullUrl" : "urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50", "resource" : { "resourceType" : "ServiceRequest", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: ServiceRequest

Extension UK Core Coverage: NHS England

Extension UK Core Additional Contact: PractitionerRole: specialty = General Pathology; telecom = ph: 02085467711,pathologyseckingston@nhs.net,respiratorykingston@nhs.net

Extension UK Core Additional Contact: PractitionerRole: specialty = General Pathology; telecom = ph: 02085467711,pathologyseckingston@nhs.net,respiratorykingston@nhs.net

status: Active

intent: Order

category: Cancer - Non-WGS

priority: Routine

code: Multi Target NGS Panel Small

subject: Zelma Hadjkiss (no stated gender), DoB: 2011-03-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307555)

authoredOn: 2023-09-08

requester: PractitionerRole: specialty = General Pathology; telecom = ph: 02085467711,Hazel.smith14@nhs.net,pathologyseckingston@nhs.net,respiratorykingston@nhs.net

performer: KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST (Identifier: ODS Organisation Code/RJZ)

reasonCode: Relapse

supportingInfo:

specimen: Specimen: identifier = https://fhir.add.nhs.uk/Id/specimenId#RA257630; status = available; type = Tissue resection sample; condition = Fresh Unfixed

note:

Free text for diagnosis/reason for referral, transplant, life status at time of request details/ e.g. malignant tumour - molecular assessment will aid management

\n
" }, "extension" : [{ "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage", "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory", "code" : "nhs-england", "display" : "NHS England" }] } }, { "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact", "valueReference" : { "reference" : "urn:uuid:202517a8-57d3-4b18-ab04-21793feddf79" } }, { "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact", "valueReference" : { "reference" : "urn:uuid:887d7209-4bd2-44e6-ae81-1bab209bd235" } }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory", "code" : "cancer-non-wgs", "display" : "Cancer - Non-WGS" }] }], "priority" : "routine", "code" : { "coding" : [{ "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code" : "M119.5", "display" : "Multi Target NGS Panel Small" }] }, "subject" : { "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307555" } }, "authoredOn" : "2023-09-08", "requester" : { "reference" : "urn:uuid:e98a0266-85e1-41bb-833e-387f2f1dd838" }, "performer" : [{ "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RJZ" }, "display" : "KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST" }], "reasonCode" : [{ "coding" : [{ "system" : "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics", "code" : "relapse", "display" : "Relapse" }] }], "supportingInfo" : [{ "reference" : "urn:uuid:96901f41-92f8-47eb-847b-2475939e114a" }, { "reference" : "urn:uuid:a9129941-a2c5-45b2-a9d9-ed4c2624f690" }, { "reference" : "urn:uuid:46144bc0-fad7-4b2e-a2da-90fc4f31be3d" }], "specimen" : [{ "reference" : "urn:uuid:b27ef240-5b85-4726-aa3b-d19c5ed6fb16" }], "note" : [{ "text" : "Free text for diagnosis/reason for referral, transplant, life status at time of request details/ e.g. malignant tumour - molecular assessment will aid management" }] } }, { "fullUrl" : "urn:uuid:b27ef240-5b85-4726-aa3b-d19c5ed6fb16", "resource" : { "resourceType" : "Specimen", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen

identifier: https://fhir.add.nhs.uk/Id/specimenId/RA257630

status: Available

type: Tissue resection sample

subject: Zelma Hadjkiss (no stated gender), DoB: 2011-03-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307555)

request: ServiceRequest Multi Target NGS Panel Small

Collections

-CollectorCollected[x]
*ClinicalScientist-John Taylor (Identifier: https://fhir.nhs.uk/Id/sds-user-id/9999999998)2023-09-09 11:00:00+0000

condition: Fresh Unfixed

" }, "identifier" : [{ "system" : "https://fhir.add.nhs.uk/Id/specimenId", "value" : "RA257630" }], "status" : "available", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "364611000000101", "display" : "Tissue resection sample" }] }, "subject" : { "reference" : "urn:uuid:335bd074-a09c-40c5-a6a5-8fb766a90661", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307555" } }, "request" : [{ "reference" : "urn:uuid:51479894-77f0-48ec-b67a-70d7d5dffc50" }], "collection" : { "collector" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/sds-user-id", "value" : "9999999998" }, "display" : "ClinicalScientist-John Taylor" }, "collectedDateTime" : "2023-09-09T11:00:00Z" }, "condition" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-BiopsyState", "code" : "fresh-unfixed", "display" : "Fresh Unfixed" }] }] } }] }