{
  "resourceType" : "Bundle",
  "id" : "FHIRDocumentGeneticReportBundle",
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    "system" : "urn:oid:2.16.724.4.8.10.200.10",
    "value" : "1d7155e8-b5b8-4406-adda-01a474d5ff6c"
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  "type" : "document",
  "timestamp" : "2024-10-13T10:33:00+00:00",
  "entry" : [{
    "fullUrl" : "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "Composition-GenomicsReport-OctaviaCHISLETT",
      "meta" : {
        "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/Composition-GenomicReport"]
      },
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_Composition-GenomicsReport-OctaviaCHISLETT\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition Composition-GenomicsReport-OctaviaCHISLETT</b></p><a name=\"Composition-GenomicsReport-OctaviaCHISLETT\"> </a><a name=\"hcComposition-GenomicsReport-OctaviaCHISLETT\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-GenomicReport.html\">Composition Genomic Report</a></p></div><p><b>Document DiagnosticReport Reference</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-c64139e7-f02d-409c-bf34-75e8bf23bc80\">Diagnostic Report for 'Genetic report' for '-&gt;Octavia CHISLETT'</a></p><p><b>identifier</b>: <code>http://www.acme.org/diagnosticreport/identifiers</code>/25edee2b-add8-4522-9fa2-1ee8f229bd75</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}, {http://snomed.info/sct 1054161000000101}\">Genetic report</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>encounter</b>: Identifier: <code>http://www.acme.org/encounter/identifiers/R0A</code>/1001166717</p><p><b>date</b>: 2024-10-13 10:33:00+0000</p><p><b>author</b>: MANCHESTER UNIVERSITY 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>/R0A)</p><p><b>title</b>: Composition Genomics Report Octavia CHISLETT</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference",
        "valueReference" : {
          "reference" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"
        }
      }],
      "identifier" : {
        "system" : "http://www.acme.org/diagnosticreport/identifiers",
        "value" : "25edee2b-add8-4522-9fa2-1ee8f229bd75",
        "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" : "R240.1"
        },
        {
          "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:d6faafcf-db64-4c11-9da8-25f36774c1bd",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9449305552"
        },
        "display" : "Octavia CHISLETT"
      },
      "encounter" : {
        "identifier" : {
          "system" : "http://www.acme.org/encounter/identifiers/R0A",
          "value" : "1001166717",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "R0A"
            }
          }
        }
      },
      "date" : "2024-10-13T10:33:00+00:00",
      "author" : [{
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "R0A"
        },
        "display" : "MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"
      }],
      "title" : "Composition Genomics Report Octavia CHISLETT",
      "section" : [{
        "title" : "Results",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "30954-2"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Genomics Report</li></ul></div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"
        },
        {
          "reference" : "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"
        }]
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "Patient-OctaviaCHISLETT-9449305552",
      "meta" : {
        "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-OctaviaCHISLETT-9449305552\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-OctaviaCHISLETT-9449305552</b></p><a name=\"Patient-OctaviaCHISLETT-9449305552\"> </a><a name=\"hcPatient-OctaviaCHISLETT-9449305552\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>National Health Plan Identifier/9449305552\u00a0(use:\u00a0official,\u00a0)</li><li>Medical record number/633</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 RAVENSFIELD GARDENS EPSOM KT19 0ST (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>Bob DAWKINS (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NH"
          }]
        },
        "system" : "https://fhir.nhs.uk/Id/nhs-number",
        "value" : "9449305552"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
          }]
        },
        "system" : "http://www.acme.org/patient/identifier",
        "value" : "A12356565",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RBS"
          }
        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
          }]
        },
        "system" : "urn:oid:1.2.840.114350.1.13.611.3.7.5.737384.14",
        "value" : "633",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "R0A"
          }
        }
      }],
      "active" : true,
      "name" : [{
        "use" : "official",
        "family" : "CHISLETT",
        "given" : ["Octavia"]
      }],
      "gender" : "female",
      "birthDate" : "2008-09-20",
      "address" : [{
        "use" : "home",
        "type" : "both",
        "line" : ["1 RAVENSFIELD GARDENS"],
        "city" : "EPSOM",
        "district" : "SURREY",
        "postalCode" : "KT19 0ST"
      }],
      "contact" : [{
        "name" : {
          "use" : "official",
          "family" : "DAWKINS",
          "given" : ["Bob"]
        },
        "telecom" : [{
          "system" : "phone",
          "value" : "077021231231",
          "use" : "mobile"
        }]
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80",
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "DiagnosticReportGenomicsReport",
      "meta" : {
        "versionId" : "1.0",
        "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReport"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_DiagnosticReportGenomicsReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReport</b></p><a name=\"DiagnosticReportGenomicsReport\"> </a><a name=\"hcDiagnosticReportGenomicsReport\"> </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\">version: 1.0</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticReport.html\">Diagnostic Report</a></p></div><h2><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}, {http://snomed.info/sct 1054161000000101}\">Genetic report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</td></tr><tr><td>Relevant Time</td><td>2023-09-07 11:45:41+0000</td></tr><tr><td>Performer</td><td> NW GLH (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><tr><td>Identifier</td><td> <code>http://www.acme.org/diagnosticreport/identifiers</code>/25edee2b-add8-4522-9fa2-1ee8f229bd75</td></tr></table><p><b>Report Details</b></p><p>Normal - no action</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
        "valueReference" : {
          "reference" : "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"
        }
      }],
      "identifier" : [{
        "system" : "http://www.acme.org/diagnosticreport/identifiers",
        "value" : "25edee2b-add8-4522-9fa2-1ee8f229bd75",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          }
        }
      }],
      "basedOn" : [{
        "type" : "ServiceRequest",
        "identifier" : {
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "PLAC"
            }]
          },
          "system" : "http://www.acme.org/servicerequest",
          "value" : "1001166717",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          }
        }
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "GE",
          "display" : "Genetics"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
          "code" : "R240.1"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "1054161000000101",
          "display" : "Genetic report"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9449305552"
        },
        "display" : "Octavia CHISLETT"
      },
      "encounter" : {
        "identifier" : {
          "system" : "http://www.acme.org/encounter/identifiers/R0A",
          "value" : "1001166717",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "R0A"
            }
          }
        }
      },
      "effectiveDateTime" : "2023-09-07T11:45:41+00:00",
      "performer" : [{
        "type" : "Organization",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "699X0"
        },
        "display" : "NW GLH"
      }],
      "resultsInterpreter" : [{
        "type" : "Practitioner",
        "identifier" : {
          "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
          "value" : "C1234567"
        },
        "display" : "FICTITIOUS, Ralph"
      }],
      "conclusion" : "Normal - no action",
      "presentedForm" : [{
        "contentType" : "application/pdf",
        "language" : "en-GB",
        "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f",
        "size" : 43272,
        "title" : "Genomic Report for Octavia CHISLETT",
        "creation" : "2023-11-24"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "94bf65ba-cd6c-4601-b339-6d547f424646",
      "meta" : {
        "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 94bf65ba-cd6c-4601-b339-6d547f424646</b></p><a name=\"94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><a name=\"hc94bf65ba-cd6c-4601-b339-6d547f424646\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DocumentReference.html\">DocumentReference</a></p></div><p><b>identifier</b>: <code>http://www.example.org/documentreference/identifier</code>/94bf65ba-cd6c-4601-b339-6d547f424646</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 1054161000000101}\">Genetic report</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>date</b>: 2025-01-29 10:37:26+0000</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-d6eeedd1-92d3-45b9-bf33-6401e804425f\">Binary: application/pdf (845 bytes base64)</a></td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td>Identifier: <code>http://www.acme.org/encounter/identifiers/R0A</code>/1001166717</td><td><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s) (Targeted variant testing)</span></td><td>Identifier: Medical record number/633</td><td>Identifier: Filler Identifier/1001166717</td></tr></table></div>"
      },
      "identifier" : [{
        "system" : "http://www.example.org/documentreference/identifier",
        "value" : "94bf65ba-cd6c-4601-b339-6d547f424646",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          }
        }
      }],
      "status" : "current",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1054161000000101",
          "display" : "Genetic report"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9449305552"
        },
        "display" : "Octavia CHISLETT"
      },
      "date" : "2025-01-29T10:37:26+00:00",
      "content" : [{
        "attachment" : {
          "contentType" : "application/pdf",
          "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"
        }
      }],
      "context" : {
        "encounter" : [{
          "identifier" : {
            "system" : "http://www.acme.org/encounter/identifiers/R0A",
            "value" : "1001166717",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        }],
        "event" : [{
          "coding" : [{
            "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
            "code" : "R240.1"
          }]
        }],
        "sourcePatientInfo" : {
          "identifier" : {
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MR"
              }]
            },
            "system" : "http://www.acme.org/patient/identifier",
            "value" : "633",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        },
        "related" : [{
          "type" : "DiagnosticReport",
          "identifier" : {
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "http://www.example.org/servicerequest/identifier",
            "value" : "1001166717",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }
        }]
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f",
    "resource" : {
      "resourceType" : "Binary",
      "id" : "Binary-Sample",
      "meta" : {
        "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/Binary"]
      },
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