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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"timestamp" : "2025-10-14T15:59:16+00:00",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderR01ctDNA\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderR01ctDNA</b></p><a name=\"MessageHeaderR01ctDNA\"> </a><a name=\"hcMessageHeaderR01ctDNA\"> </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-R01\">event: R01</a> (ORU/ACK - Unsolicited transmission of an observation message)</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-0a6ad8ec-b069-4a65-8c65-c7569d8413e3\">Diagnostic Report for 'Genetic report' for '->Theon SHEFFIELD'</a></p></div>"
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"endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/iGene"
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"focus" : [
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"type" : "DiagnosticReport"
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{
"fullUrl" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient-Sheffield",
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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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"system" : "https://fhir.nhs.uk/Id/nhs-number",
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"value" : "336292",
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"active" : true,
"name" : [
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"family" : "SHEFFIELD",
"given" : [
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"gender" : "male",
"birthDate" : "1986-09-12",
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{
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"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "DiagnosticReport-ctDNA",
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"language" : "en",
"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_DiagnosticReport-ctDNA\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReport-ctDNA</b></p><a name=\"DiagnosticReport-ctDNA\"> </a><a name=\"hcDiagnosticReport-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-DiagnosticReport.html\">Diagnostic Report</a></p></div><h2><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory M4.14}, {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>Theon SHEFFIELD (official) Male, DoB: 1986-09-12 ( Patient internal identifier)</td></tr><tr><td>Relevant Time</td><td>2025-10-14 15:59:16+0000</td></tr><tr><td>Performer</td><td> NW 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>/699X0)</td></tr><tr><td>Identifier</td><td> <code>https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier</code>/T26-59XG</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicTestOutcomeCode 431}\">TARGET DETECTED AT A LEVEL REQUIRING CLINICAL ACTION</span></li></ul></div>"
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"identifier" : [
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"type" : "ServiceRequest",
"identifier" : {
"type" : {
"coding" : [
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"code" : "FILL"
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},
"system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
"value" : "T26-59XG",
"assigner" : {
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"value" : "699X0"
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"status" : "final",
"category" : [
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"coding" : [
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"code" : "GE",
"display" : "Genetics"
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]
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"code" : {
"coding" : [
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"code" : "M4.14"
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{
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"code" : "1054161000000101",
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"subject" : {
"reference" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
"identifier" : {
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"value" : "9737873858"
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"display" : "Theon SHEFFIELD"
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"effectiveDateTime" : "2025-10-14T15:59:16+00:00",
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{
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"identifier" : {
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"value" : "699X0"
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"display" : "NW GMSA"
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"resultsInterpreter" : [
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"display" : "Jonathan Edgerley"
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"conclusionCode" : [
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"coding" : [
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"code" : "431",
"display" : "TARGET DETECTED AT A LEVEL REQUIRING CLINICAL ACTION"
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"url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f",
"title" : "ctDNA Genomic Report for Theon Sheffield"
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}
},
{
"fullUrl" : "urn:uuid:6e26d6b3-490e-4348-9d6c-37281567d6ec",
"resource" : {
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"id" : "ServiceRequest-ctDNA",
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"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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"value" : "T26-59XG",
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"requisition" : {
"type" : {
"coding" : [
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"code" : "PGN"
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},
"system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReferralIdentifier",
"value" : "R26-15AY",
"assigner" : {
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"intent" : "order",
"category" : [
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"code" : "116148004",
"display" : "Molecular genetics procedure"
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],
"code" : {
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"subject" : {
"reference" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
"identifier" : {
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"value" : "9737873858"
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"display" : "Theon SHEFFIELD"
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"requester" : {
"type" : "Organization",
"identifier" : {
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"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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}
],
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"coding" : [
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"code" : "M4"
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