NHS North West Genomics
2.1.4 - ci-build
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
{
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"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1aa724a8-981e-488e-9e6b-7a73e7c3c07a"
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"type" : "message",
"timestamp" : "2025-10-14T15:59:16+00:00",
"entry" : [
{
"fullUrl" : "urn:uuid:72d8c754-ebd0-4e3c-b6e1-4d99cadb7f50",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "MessageHeaderO21ctDNA",
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🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/MessageHeader"
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"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderO21ctDNA\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderO21ctDNA</b></p><a name=\"MessageHeaderO21ctDNA\"> </a><a name=\"hcMessageHeaderO21ctDNA\"> </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\">Last updated: 2026-07-13 10:39:26+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MessageHeader.html\">Document Message (MessageHeader)</a></p></div><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=https://fhir.nwgenomics.nhs.uk/Endpoint/NEYAWSSQS\">https://fhir.nwgenomics.nhs.uk/Endpoint/NEYAWSSQS</a></td><td>NEY GMSA (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>/699N0)</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>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>NW GMSA</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-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-6e26d6b3-490e-4348-9d6c-37281567d6ec\">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></div>"
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"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O21"
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"destination" : [
{
"endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/NEYAWSSQS",
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699N0"
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"display" : "NEY GMSA"
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"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699X0"
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"source" : {
"software" : "NW GMSA",
"endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/iGene"
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"focus" : [
{
"reference" : "urn:uuid:6e26d6b3-490e-4348-9d6c-37281567d6ec",
"type" : "ServiceRequest"
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{
"fullUrl" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient-Sheffield",
"meta" : {
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🔗 "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-Sheffield\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-Sheffield</b></p><a name=\"Patient-Sheffield\"> </a><a name=\"hcPatient-Sheffield\"> </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;\">Theon SHEFFIELD (official) Male, DoB: 1986-09-12 ( Patient internal identifier)</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/9737873858\u00a0(use:\u00a0official,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">SPITAL STREET SHEFFIELD S3 9LB (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: Sheffield Medical Centre (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>/C88622)</li></ul></td></tr></table></div>"
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"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
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"code" : "NH"
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},
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9737873858"
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{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PI"
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},
"value" : "336292",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699X0"
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"active" : true,
"name" : [
{
"use" : "official",
"family" : "SHEFFIELD",
"given" : [
"Theon"
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],
"gender" : "male",
"birthDate" : "1986-09-12",
"address" : [
{
"use" : "home",
"type" : "both",
"line" : [
"SPITAL STREET"
],
"city" : "SHEFFIELD",
"postalCode" : "S3 9LB"
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"generalPractitioner" : [
{
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "C88622"
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"display" : "Sheffield Medical Centre"
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]
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},
{
"fullUrl" : "urn:uuid:6e26d6b3-490e-4348-9d6c-37281567d6ec",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ServiceRequest-ctDNA",
"meta" : {
"versionId" : "1.0",
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🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest"
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"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequest-ctDNA\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequest-ctDNA</b></p><a name=\"ServiceRequest-ctDNA\"> </a><a name=\"hcServiceRequest-ctDNA\"> </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-ServiceRequest.html\">ServiceRequest</a></p></div><p><b>identifier</b>: Filler Identifier/T26-59XG</p><p><b>requisition</b>: Placer Group Number/R26-15AY</p><p><b>status</b>: Active</p><p><b>intent</b>: 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}\">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-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-2160525b-0168-4f40-8ebf-9b053052a62c\">Theon SHEFFIELD</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>/RHQ</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>reasonCode</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication M4}\">M4</span></p><p><b>specimen</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-b930b4c4-327a-4728-8bb9-f90061914cc5\">Specimen: identifier = Filler Identifier; status = available; type = Blood specimen</a></p></div>"
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"identifier" : [
{
"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
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]
},
"system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
"value" : "T26-59XG",
"assigner" : {
"identifier" : {
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"value" : "699X0"
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"requisition" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PGN"
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]
},
"system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReferralIdentifier",
"value" : "R26-15AY",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699X0"
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"status" : "active",
"intent" : "order",
"category" : [
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"coding" : [
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"system" : "http://snomed.info/sct",
"code" : "116148004",
"display" : "Molecular genetics procedure"
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"code" : {
"coding" : [
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"system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code" : "M4.14"
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"subject" : {
"reference" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9737873858"
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"display" : "Theon SHEFFIELD"
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"requester" : {
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RHQ"
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},
"performer" : [
{
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699X0"
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}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
"code" : "M4"
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}
],
"specimen" : [
{
"reference" : "urn:uuid:b930b4c4-327a-4728-8bb9-f90061914cc5"
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{
"fullUrl" : "urn:uuid:b930b4c4-327a-4728-8bb9-f90061914cc5",
"resource" : {
"resourceType" : "Specimen",
"id" : "Specimen-ctDNA",
"meta" : {
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🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Specimen"
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"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_Specimen-ctDNA\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen Specimen-ctDNA</b></p><a name=\"Specimen-ctDNA\"> </a><a name=\"hcSpecimen-ctDNA\"> </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-Specimen.html\">Specimen</a></p></div><p><b>identifier</b>: Filler Identifier/S26-1K1Q</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-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-2160525b-0168-4f40-8ebf-9b053052a62c\">Theon SHEFFIELD</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>2026-06-29</td></tr></table></div>"
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"system" : "https://fhir.nwgenomics.nhs.uk/iGene/SpecimenIdentifier",
"value" : "S26-1K1Q",
"assigner" : {
"identifier" : {
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"status" : "available",
"type" : {
"coding" : [
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"display" : "Blood specimen"
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"subject" : {
"reference" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9737873858"
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"display" : "Theon SHEFFIELD"
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"collection" : {
"collectedDateTime" : "2026-06-29"
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