NHS North West Genomics
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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

: Bundle 'Message' - Genomics Order with Attachment

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{
  "resourceType" : "Bundle",
  "id" : "GenomicsOrderMessageAttachment",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"
    ]
  },
  "language" : "en",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:9612365d-52a4-4fab-87e7-8a09d753f095"
  },
  "type" : "message",
  "timestamp" : "2024-10-13T10:33:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "MessageHeaderGenomicOrder",
        "meta" : {
          "lastUpdated" : "2025-01-29T10:39:26+00:00",
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/MessageHeader"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderGenomicOrder\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderGenomicOrder</b></p><a name=\"MessageHeaderGenomicOrder\"> </a><a name=\"hcMessageHeaderGenomicOrder\"> </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: 2025-01-29 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&amp;canonical=https://fhir.nwgenomics.nhs.uk/Endpoint/RIE\">https://fhir.nwgenomics.nhs.uk/Endpoint/RIE</a></td><td>NORTH WEST 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></table><p><b>sender</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><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>MFT Epic</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&amp;canonical=https://fhir.nwgenomics.nhs.uk/Endpoint/EPIC\">https://fhir.nwgenomics.nhs.uk/Endpoint/EPIC</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-54b526e9-60a7-4602-9cb3-50ab3be7b564\">ServiceRequest Diagnostic testing for known variant(s) (Targeted variant testing)</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code" : "O21"
        },
        "destination" : [
          {
            "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/RIE",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              },
              "display" : "NORTH WEST GLH"
            }
          }
        ],
        "sender" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "R0A"
          },
          "display" : "MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"
        },
        "source" : {
          "software" : "MFT Epic",
          "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/EPIC"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
            "type" : "ServiceRequest"
          }
        ]
      }
    },
    {
      "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:984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalSpell"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 984b8a89-4194-4eb4-a7ea-ca8049ebeea3</b></p><a name=\"984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </a><a name=\"hc984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </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-HospitalSpell.html\">Hospital Spell</a></p></div><p><b>identifier</b>: Account number/1001166717</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 892761000000102}\">Clinical haematology service</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType ADM}\">admitter</span></td><td><a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></td></tr></table><p><b>period</b>: 2025-01-29 10:37:26+0000 --&gt; (ongoing)</p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td>Identifier: <a href=\"NamingSystem-ods-site-code-namingsystem.html\" title=\"The identifier system for an Organisation site registered with the Organisation Data Service (ODS).\">ODS Organisation Site Code</a>/R0A09</td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "AN"
                }
              ]
            },
            "system" : "http://www.acme.org/encounter/identifiers/R0A",
            "value" : "1001166717",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB"
        },
        "serviceType" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "892761000000102",
              "display" : "Clinical haematology service"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
          },
          "display" : "Octavia CHISLETT"
        },
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code" : "ADM"
                  }
                ]
              }
            ],
            "individual" : {
              "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
            }
          }
        ],
        "period" : {
          "start" : "2025-01-29T10:37:26+00:00"
        },
        "location" : [
          {
            "location" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-site-code",
                "value" : "R0A09",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "R0A"
                  }
                }
              }
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
        "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_ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8</b></p><a name=\"ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </a><a name=\"hcee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </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>: Dr Samuel Darwin (Identifier: <a href=\"NamingSystem-gmcnumber-namingsystem.html\" title=\"General Medical Council Consultant Code. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_council_reference_number.html)\">GMC Number</a>/C3456789)</p><p><b>organization</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>/R0A</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 100}\">General Surgery</span></p></div>"
        },
        "practitioner" : {
          "identifier" : {
            "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
            "value" : "C3456789"
          },
          "display" : "Dr Samuel Darwin"
        },
        "organization" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "R0A"
          }
        },
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code" : "100"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequestGenomicsOrderAttachment",
        "meta" : {
          "versionId" : "1.0",
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestGenomicsOrderAttachment\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestGenomicsOrderAttachment</b></p><a name=\"ServiceRequestGenomicsOrderAttachment\"> </a><a name=\"hcServiceRequestGenomicsOrderAttachment\"> </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>: Placer Identifier/1601737</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>, <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory cancer-wgs}\">Cancer - WGS</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s) (Targeted variant testing)</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = ambulatory (ActCode#AMB); serviceType = Clinical haematology service; period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>authoredOn</b>: 2025-01-29</p><p><b>requester</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>performer</b>: North West Genomic Laboratory Hub in Manchester (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>/P1S8J)</p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication R240}\">Diagnostic testing for known mutation(s)</span></p><p><b>supportingInfo</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-a293b4a6-e46b-4402-9b2b-d9517afc7137\">DocumentReference: identifier = http://www.acme.org/documentreference/identifier#a293b4a6-e46b-4402-9b2b-d9517afc7137; status = current; type = Laboratory order; date = 2025-01-29 10:37:26+0000</a></p><p><b>specimen</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-89e66518-9197-4553-9253-5ab5133b62c0\">Specimen: identifier = Placer Identifier; accessionIdentifier = Accession ID; status = available; type = Whole blood specimen</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
              ]
            },
            "system" : "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268",
            "value" : "1601737",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "116148004",
                "display" : "Molecular genetics procedure"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                "code" : "cancer-wgs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R240.1"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
          },
          "display" : "Octavia CHISLETT"
        },
        "encounter" : {
          "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "authoredOn" : "2025-01-29",
        "requester" : {
          "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
        },
        "performer" : [
          {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "P1S8J",
              "assigner" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "699X0"
                }
              }
            },
            "display" : "North West Genomic Laboratory Hub in Manchester"
          }
        ],
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                "code" : "R240",
                "display" : "Diagnostic testing for known mutation(s)"
              }
            ]
          }
        ],
        "supportingInfo" : [
          {
            "reference" : "urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137"
          }
        ],
        "specimen" : [
          {
            "reference" : "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "a293b4a6-e46b-4402-9b2b-d9517afc7137",
        "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_a293b4a6-e46b-4402-9b2b-d9517afc7137\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference a293b4a6-e46b-4402-9b2b-d9517afc7137</b></p><a name=\"a293b4a6-e46b-4402-9b2b-d9517afc7137\"> </a><a name=\"hca293b4a6-e46b-4402-9b2b-d9517afc7137\"> </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.acme.org/documentreference/identifier</code>/a293b4a6-e46b-4402-9b2b-d9517afc7137</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 721965002}\">Laboratory order</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><p><b>author</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></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-GenomicsOrderMessageAttachment.html#urn-uuid-0a898233-763c-405d-8172-8c4f07e6e636\">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>SourcePatientInfo</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = ambulatory (ActCode#AMB); serviceType = Clinical haematology service; period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></td><td>Identifier: Medical record number/633</td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://www.acme.org/documentreference/identifier",
            "value" : "a293b4a6-e46b-4402-9b2b-d9517afc7137",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        ],
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "721965002",
              "display" : "Laboratory order"
            }
          ]
        },
        "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",
        "author" : [
          {
            "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "content" : [
          {
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636"
            }
          }
        ],
        "context" : {
          "encounter" : [
            {
              "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
            }
          ],
          "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"
                }
              }
            }
          }
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:0a898233-763c-405d-8172-8c4f07e6e636",
      "resource" : {
        "resourceType" : "Binary",
        "id" : "Binary-Sample",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Binary"
          ]
        },
        "language" : "en",
        "contentType" : "application/pdf",
        "data" : "JVBERi0xLjQKMSAwIG9iago8PC9UeXBlIC9DYXRhbG9nCi9QYWdlcyAyIDAgUgo+PgplbmRvYmoK MiAwIG9iago8PC9UeXBlIC9QYWdlcwovS2lkcyBbMyAwIFJdCi9Db3VudCAxCj4+CmVuZG9iagozIDAgb2JqCjw8L1R5cGUgL1BhZ2UKL1BhcmVudCAyIDAgUgovTWVkaWFCb3ggWzAgMCA1OTUgODQy XQovQ29udGVudHMgNSAwIFIKL1Jlc291cmNlcyA8PC9Qcm9jU2V0IFsvUERGIC9UZXh0XQovRm9udCA8PC9GMSA0IDAgUj4+Cj4+Cj4+CmVuZG9iago0IDAgb2JqCjw8L1R5cGUgL0ZvbnQKL1N1YnR5 cGUgL1R5cGUxCi9OYW1lIC9GMQovQmFzZUZvbnQgL0hlbHZldGljYQovRW5jb2RpbmcgL01hY1JvbWFuRW5jb2RpbmcKPj4KZW5kb2JqCjUgMCBvYmoKPDwvTGVuZ3RoIDUzCj4+CnN0cmVhbQpCVAov RjEgMjAgVGYKMjIwIDQwMCBUZAooRHVtbXkgUERGKSBUagpFVAplbmRzdHJlYW0KZW5kb2JqCnhyZWYKMCA2CjAwMDAwMDAwMDAgNjU1MzUgZgowMDAwMDAwMDA5IDAwMDAwIG4KMDAwMDAwMDA2MyAw MDAwMCBuCjAwMDAwMDAxMjQgMDAwMDAgbgowMDAwMDAwMjc3IDAwMDAwIG4KMDAwMDAwMDM5MiAwMDAwMCBuCnRyYWlsZXIKPDwvU2l6ZSA2Ci9Sb290IDEgMCBSCj4+CnN0YXJ0eHJlZgo0OTUKJSVFT0YK"
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    },
    {
      "fullUrl" : "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "SpecimenExample",
        "meta" : {
          "versionId" : "1.0",
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Specimen"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_SpecimenExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen SpecimenExample</b></p><a name=\"SpecimenExample\"> </a><a name=\"hcSpecimenExample\"> </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>: Placer Identifier/25GEN-029GN00001</p><p><b>accessionIdentifier</b>: Accession ID/1001166717</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258580003}\">Whole blood specimen</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</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>2025-01-29 10:37:26+0000</td></tr></table></div>"
        },
        "identifier" : [
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                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
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            },
            "system" : "http://www.acme.org/specimen/Beaker",
            "value" : "25GEN-029GN00001",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        ],
        "accessionIdentifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "ACSN"
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          "system" : "http://www.example.org/specimen/accession",
          "value" : "1001166717",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          }
        },
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "258580003",
              "display" : "Whole blood specimen"
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        },
        "subject" : {
          "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
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          "display" : "Octavia CHISLETT"
        },
        "collection" : {
          "collectedDateTime" : "2025-01-29T10:37:26+00:00"
        }
      }
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}