NHS North West Genomics
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: Bundle `Document` - Genomics Report Inherited MMR deficiency (Lynch syndrome)

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{
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  "id" : "FHIRDocumentGeneticReportBundle2",
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  "type" : "document",
  "timestamp" : "2024-10-13T10:33:00+00:00",
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      "fullUrl" : "urn:uuid:c55a7dc6-9b29-4cd6-ab8f-9aea594aabde",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "Composition-GenomicsReport-LynchSyndrome",
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          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Composition-GenomicReport"
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        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_Composition-GenomicsReport-LynchSyndrome\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition Composition-GenomicsReport-LynchSyndrome</b></p><a name=\"Composition-GenomicsReport-LynchSyndrome\"> </a><a name=\"hcComposition-GenomicsReport-LynchSyndrome\"> </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>identifier</b>: <code>http://www.acme.org/diagnosticreport/identifiers</code>/98763a9b-98d4-4cfc-b760-1db086ec52a1</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R210.2}, {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/RBS</code>/66717</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 Lynch Syndrome</p></div>"
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          "value" : "98763a9b-98d4-4cfc-b760-1db086ec52a1",
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            "identifier" : {
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        "type" : {
          "coding" : [
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R210.2"
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            {
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              "code" : "1054161000000101",
              "display" : "Genetic report"
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          ]
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          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "GE",
                "display" : "Genetics"
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        ],
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "display" : "Ned LIVERPOOL"
        },
        "encounter" : {
          "identifier" : {
            "system" : "http://www.acme.org/encounter/identifiers/RBS",
            "value" : "66717",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RBS"
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            }
          }
        },
        "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 Lynch Syndrome",
        "section" : [
          {
            "title" : "Findings",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "59776-5",
                  "display" : "Findings"
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              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Genomics Findings</li></ul></div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
              },
              {
                "reference" : "urn:uuid:4490c092-c78c-480a-8cb7-653b70113fd5"
              }
            ]
          },
          {
            "title" : "Implications",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "59768-2",
                  "display" : "Procedure indications Imp"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Genomics Implications</li></ul></div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:6beb613f-d303-42af-b025-86e8e0872061"
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              {
                "reference" : "urn:uuid:0878c5de-c22f-4e31-841a-a82ad31c93aa"
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            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Patient-Liverpool",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient"
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        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-Liverpool\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-Liverpool</b></p><a name=\"Patient-Liverpool\"> </a><a name=\"hcPatient-Liverpool\"> </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;\">Ned LIVERPOOL (official) Male, DoB: 1942-06-18 ( 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 Id (see the one above)\">Other Id:</td><td colspan=\"3\">National Health Plan Identifier/9737383206\u00a0(use:\u00a0official,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">20 Forthlin Road LIVERPOOL L18 9TN (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>Ringo LIVERPOOL (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: MATHER AVENUE SURGERY (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>/N82035)</li></ul></td></tr></table></div>"
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        "identifier" : [
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                  "code" : "NH"
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              ]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
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          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
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              ]
            },
            "value" : "A765432",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RBS"
              }
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "LIVERPOOL",
            "given" : [
              "Ned"
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        ],
        "gender" : "male",
        "birthDate" : "1942-06-18",
        "address" : [
          {
            "use" : "home",
            "type" : "both",
            "line" : [
              "20 Forthlin Road"
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            "city" : "LIVERPOOL",
            "postalCode" : "L18 9TN"
          }
        ],
        "contact" : [
          {
            "name" : {
              "use" : "official",
              "family" : "LIVERPOOL",
              "given" : [
                "Ringo"
              ]
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "077021231231",
                "use" : "mobile"
              }
            ]
          }
        ],
        "generalPractitioner" : [
          {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "N82035"
            },
            "display" : "MATHER AVENUE SURGERY"
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        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "DiagnosticReportGenomicsReportLS",
        "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_DiagnosticReportGenomicsReportLS\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReportLS</b></p><a name=\"DiagnosticReportGenomicsReportLS\"> </a><a name=\"hcDiagnosticReportGenomicsReportLS\"> </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 R210.2}, {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>/98763a9b-98d4-4cfc-b760-1db086ec52a1</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Relevant Time</b></td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-6beb613f-d303-42af-b025-86e8e0872061\"><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}\">Diagnostic Implication</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-0878c5de-c22f-4e31-841a-a82ad31c93aa\"><span title=\"Codes:{http://loinc.org 81306-3}\">Variables that apply to the overall study</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-8385c2fd-313d-4fd5-b98e-d5ea4bae6f99\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-4490c092-c78c-480a-8cb7-653b70113fd5\"><span title=\"Codes:{http://snomed.info/sct 716318002}\">Lynch syndrome</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr></table><p>Normal - no action</p></div>"
        },
        "extension" : [
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            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
            "valueReference" : {
              "reference" : "urn:uuid:c55a7dc6-9b29-4cd6-ab8f-9aea594aabde"
            }
          }
        ],
        "identifier" : [
          {
            "system" : "http://www.acme.org/diagnosticreport/identifiers",
            "value" : "98763a9b-98d4-4cfc-b760-1db086ec52a1",
            "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" : "66717",
              "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" : "R210.2"
            },
            {
              "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" : "9737383206"
          },
          "display" : "Ned LIVERPOOL"
        },
        "encounter" : {
          "identifier" : {
            "system" : "http://www.acme.org/encounter/identifiers/RBS",
            "value" : "66717",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RBS"
              }
            }
          }
        },
        "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" : [
          {
            "reference" : "urn:uuid:59577028-8fcc-4554-8b43-988561d41d9c",
            "type" : "PractitionerRole",
            "identifier" : {
              "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
              "value" : "C1234567"
            },
            "display" : "FICTITIOUS, Ralph"
          }
        ],
        "result" : [
          {
            "reference" : "urn:uuid:6beb613f-d303-42af-b025-86e8e0872061"
          },
          {
            "reference" : "urn:uuid:0878c5de-c22f-4e31-841a-a82ad31c93aa"
          },
          {
            "reference" : "urn:uuid:8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
          },
          {
            "reference" : "urn:uuid:4490c092-c78c-480a-8cb7-653b70113fd5"
          }
        ],
        "conclusion" : "Normal - no action"
      }
    },
    {
      "fullUrl" : "urn:uuid:59577028-8fcc-4554-8b43-988561d41d9c",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "59577028-8fcc-4554-8b43-988561d41d9c",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_59577028-8fcc-4554-8b43-988561d41d9c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 59577028-8fcc-4554-8b43-988561d41d9c</b></p><a name=\"59577028-8fcc-4554-8b43-988561d41d9c\"> </a><a name=\"hc59577028-8fcc-4554-8b43-988561d41d9c\"> </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-PractitionerRole.html\">PractitionerRole</a></p></div><p><b>practitioner</b>: Result INTERPRETER</p><p><b>organization</b>: North West Genomics (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></div>"
        },
        "practitioner" : {
          "display" : "Result INTERPRETER"
        },
        "organization" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          },
          "display" : "North West Genomics"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:6beb613f-d303-42af-b025-86e8e0872061",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "6beb613f-d303-42af-b025-86e8e0872061",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticImplication"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_6beb613f-d303-42af-b025-86e8e0872061\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 6beb613f-d303-42af-b025-86e8e0872061</b></p><a name=\"6beb613f-d303-42af-b025-86e8e0872061\"> </a><a name=\"hc6beb613f-d303-42af-b025-86e8e0872061\"> </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-DiagnosticImplication.html\">Diagnostic Implication (Observation)</a></p></div><p><b>identifier</b>: 6beb613f-d303-42af-b025-86e8e0872061</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}\">Diagnostic Implication</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Ned LIVERPOOL</a></p><p><b>effective</b>: 2025-10-23 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-59577028-8fcc-4554-8b43-988561d41d9c\">PractitionerRole</a></p><p><b>derivedFrom</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-8385c2fd-313d-4fd5-b98e-d5ea4bae6f99\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53037-8}\">Genetic variation clinical significance [Imp]</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6668-3}\">Pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication R210}, {http://snomed.info/sct 716318002}\">Inherited MMR deficiency (Lynch syndrome)</span></p></blockquote></div>"
        },
        "identifier" : [
          {
            "value" : "6beb613f-d303-42af-b025-86e8e0872061"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "GE",
                "display" : "Genetics"
              }
            ]
          }
        ],
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          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
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          {
            "reference" : "urn:uuid:59577028-8fcc-4554-8b43-988561d41d9c"
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          {
            "reference" : "urn:uuid:8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
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                {
                  "system" : "http://loinc.org",
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            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"
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          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_0878c5de-c22f-4e31-841a-a82ad31c93aa\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 0878c5de-c22f-4e31-841a-a82ad31c93aa</b></p><a name=\"0878c5de-c22f-4e31-841a-a82ad31c93aa\"> </a><a name=\"hc0878c5de-c22f-4e31-841a-a82ad31c93aa\"> </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-GenomicStudyPanel.html\">Genomic Study Panel</a></p></div><p><b>identifier</b>: 0878c5de-c22f-4e31-841a-a82ad31c93aa</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81306-3}\">Variables that apply to the overall study</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Ned LIVERPOOL</a></p><p><b>effective</b>: 2025-10-23 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-59577028-8fcc-4554-8b43-988561d41d9c\">PractitionerRole</a></p><p><b>hasMember</b>: <a href=\"Observation-53227665-9af2-4150-9891-40fa60dbfc0c.html\">Observation Genetic disease assessed [ID]</a></p></div>"
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            🔗 "reference" : "Observation/53227665-9af2-4150-9891-40fa60dbfc0c"
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          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
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