{ "resourceType" : "Bundle", "id" : "FHIRDocumentGeneticReportBundle-ctDNA", "meta" : { "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleDocument"] }, "language" : "en", "identifier" : { "system" : "urn:oid:2.16.724.4.8.10.200.10", "value" : "088ce7a7-d6ca-44ac-b345-208866d4f496" }, "type" : "document", "timestamp" : "2024-10-13T10:33:00+00:00", "entry" : [{ "fullUrl" : "urn:uuid:4bc6be60-53d2-4143-8239-f3e2d257e61f", "resource" : { "resourceType" : "Composition", "id" : "Composition-GenomicsReport-ctDNA", "meta" : { "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/Composition-GenomicReport"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Composition Composition-GenomicsReport-ctDNA

Profile: Composition Genomic Report

Document DiagnosticReport Reference: Diagnostic Report for 'Genetic report' for '->Theon SHEFFIELD'

identifier: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier/T26-59XG

status: Final

type: Genetic report

category: Genetics

date: 2025-10-14 15:59:16+0000

author: North West Genomics (Identifier: ODS Organisation Code/699X0)

title: Composition Genomics Report ctDNA

" }, "extension" : [{ "url" : "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference", "valueReference" : { "reference" : "urn:uuid:0a6ad8ec-b069-4a65-8c65-c7569d8413e3" } }], "identifier" : { "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier", "value" : "T26-59XG", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699X0" } } }, "status" : "final", "type" : { "coding" : [{ "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code" : "M4.14" }, { "system" : "http://snomed.info/sct", "code" : "1054161000000101", "display" : "Genetic report" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0074", "code" : "GE", "display" : "Genetics" }] }], "subject" : { "reference" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9737873858" }, "display" : "Theon SHEFFIELD" }, "date" : "2025-10-14T15:59:16+00:00", "author" : [{ "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699X0" }, "display" : "North West Genomics" }], "title" : "Composition Genomics Report ctDNA", "section" : [{ "title" : "Presented Format", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "77599-9" }] }, "text" : { "status" : "generated", "div" : "
This is a PDF document which holds the narrative which ideally would be contained in this Composition resource.
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See PDF
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See PDF
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Generated Narrative: Patient Patient-Sheffield

Profile: Patient

Theon SHEFFIELD (official) Male, DoB: 1986-09-12 ( Patient internal identifier)

Active:true
Other Id:National Health Plan Identifier/9737873858\u00a0(use:\u00a0official,\u00a0)
Contact DetailSPITAL STREET SHEFFIELD S3 9LB (home)
Links:
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Generated Narrative: ServiceRequest ServiceRequest-ctDNA

version: 1.0

Profile: ServiceRequest

identifier: Filler Identifier/T26-59XG

requisition: Placer Group Number/R26-15AY

status: Active

intent: Order

category: Molecular genetics procedure

code: 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

subject: Theon SHEFFIELD

requester: Identifier: ODS Organisation Code/RHQ

performer: Identifier: ODS Organisation Code/699X0

reasonCode: M4

specimen: Specimen: identifier = Filler Identifier; status = available; type = Blood specimen

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Generated Narrative: Specimen Specimen-ctDNA

version: 1.0

Profile: Specimen

identifier: Filler Identifier/S26-1K1Q

status: Available

type: Blood specimen

subject: Theon SHEFFIELD

Collections

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*2026-06-29
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Generated Narrative: DiagnosticReport DiagnosticReport-ctDNA

version: 1.0

Profile: Diagnostic Report

Genetic report (Genetics)

SubjectTheon SHEFFIELD (official) Male, DoB: 1986-09-12 ( Patient internal identifier)
Relevant Time2025-10-14 15:59:16+0000
Performer NW GMSA (Identifier: ODS Organisation Code/699X0)
Identifier https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier/T26-59XG

Report Details

Coded Conclusions:

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Generated Narrative: DocumentReference DocumentReference-ctDNA

Profile: DocumentReference

identifier: http://www.example.org/documentreference/identifier/94bf65ba-cd6c-4601-b339-6d547f424646

status: Current

type: Genetic report

subject: Theon SHEFFIELD

date: 2025-10-14 15:59:16+0000

custodian: NW GMSA (Identifier: ODS Organisation Code/699X0)

content

Attachments

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*application/pdfBinary: application/pdf (845 bytes base64)

context

event: 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

period: 2025-10-14 15:59:16+0000 --> 2025-10-14 15:59:16+0000

sourcePatientInfo: Identifier: Medical record number/RXR3302855

related:

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