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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<id value="GenomicsReportMessage-ctDNA"/>
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<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"/>
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<language value="en"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:306502f1-96b2-420f-b13a-2bfc174bc8f4"/>
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<type value="message"/>
<timestamp value="2025-10-14T15:59:16+00:00"/>
<entry>
<fullUrl value="urn:uuid:d63688c2-cd33-4cf1-8189-5cc2020333a3"/>
<resource>
<MessageHeader>
<id value="MessageHeaderR01ctDNA"/>
<meta>
<lastUpdated value="2026-07-13T10:39:26+00:00"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/MessageHeader"/>
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<language value="en"/>
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<status value="generated"/>
<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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<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="R01"/>
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<endpoint
value="https://fhir.nwgenomics.nhs.uk/Endpoint/NEYAWSSQS"/>
<receiver>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699N0"/>
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<display value="NEY GMSA"/>
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</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</sender>
<source>
<software value="NW GMSA"/>
<endpoint value="https://fhir.nwgenomics.nhs.uk/Endpoint/iGene"/>
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<focus>
<reference value="urn:uuid:0a6ad8ec-b069-4a65-8c65-c7569d8413e3"/>
<type value="DiagnosticReport"/>
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<entry>
<fullUrl value="urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c"/>
<resource>
<Patient>
<id value="Patient-Sheffield"/>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient"/>
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<language value="en"/>
<text>
<status value="generated"/>
<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 (use: official, )</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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<use value="official"/>
<type>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
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<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737873858"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
</coding>
</type>
<value value="336292"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="SHEFFIELD"/>
<given value="Theon"/>
</name>
<gender value="male"/>
<birthDate value="1986-09-12"/>
<address>
<use value="home"/>
<type value="both"/>
<line value="SPITAL STREET"/>
<city value="SHEFFIELD"/>
<postalCode value="S3 9LB"/>
</address>
<generalPractitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="C88622"/>
</identifier>
<display value="Sheffield Medical Centre"/>
</generalPractitioner>
</Patient>
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</entry>
<entry>
<fullUrl value="urn:uuid:0a6ad8ec-b069-4a65-8c65-c7569d8413e3"/>
<resource>
<DiagnosticReport>
<id value="DiagnosticReport-ctDNA"/>
<meta>
<versionId value="1.0"/>
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value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReport"/>
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<language value="en"/>
<text>
<status value="generated"/>
<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>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T26-59XG"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference value="urn:uuid:6e26d6b3-490e-4348-9d6c-37281567d6ec"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T26-59XG"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
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</basedOn>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
<display value="Genetics"/>
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</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="M4.14"/>
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<coding>
<system value="http://snomed.info/sct"/>
<code value="1054161000000101"/>
<display value="Genetic report"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737873858"/>
</identifier>
<display value="Theon SHEFFIELD"/>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<performer>
<type value="Organization"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
<display value="NW GMSA"/>
</performer>
<resultsInterpreter>
<display value="Jonathan Edgerley"/>
</resultsInterpreter>
<conclusionCode>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicTestOutcomeCode"/>
<code value="431"/>
<display
value="TARGET DETECTED AT A LEVEL REQUIRING CLINICAL ACTION"/>
</coding>
</conclusionCode>
<presentedForm>
<contentType value="application/pdf"/>
<language value="en-GB"/>
<url value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
<title value="ctDNA Genomic Report for Theon Sheffield"/>
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</DiagnosticReport>
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</entry>
<entry>
<fullUrl value="urn:uuid:6e26d6b3-490e-4348-9d6c-37281567d6ec"/>
<resource>
<ServiceRequest>
<id value="ServiceRequest-ctDNA"/>
<meta>
<versionId value="1.0"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest"/>
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<language value="en"/>
<text>
<status value="generated"/>
<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>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T26-59XG"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<requisition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PGN"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReferralIdentifier"/>
<value value="R26-15AY"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</requisition>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116148004"/>
<display value="Molecular genetics procedure"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="M4.14"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737873858"/>
</identifier>
<display value="Theon SHEFFIELD"/>
</subject>
<requester>
<type value="Organization"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RHQ"/>
</identifier>
</requester>
<performer>
<type value="Organization"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</performer>
<reasonCode>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="M4"/>
</coding>
</reasonCode>
<specimen>
<reference value="urn:uuid:b930b4c4-327a-4728-8bb9-f90061914cc5"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
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