{ "resourceType" : "Bundle", "id" : "Shire1StructuredR01", "language" : "en", "identifier" : { "value" : "SHIRE:CPP:RTST-260416-2" }, "type" : "message", "timestamp" : "2026-04-16T11:09:00+00:00", "entry" : [{ "fullUrl" : "urn:uuid:09eefbd5-5414-4d7e-80db-82b8d0cdeaba", "resource" : { "resourceType" : "MessageHeader", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: MessageHeader

event: event: R01 (ORU/ACK - Unsolicited transmission of an observation message)

Destinations

-EndpointReceiver
*https//fhir.mft.nhs.uk/Endpoint/HODSIdentifier: ODS Organisation Code/HODS

sender: Identifier: ODS Organisation Code/CPP

Sources

-SoftwareEndpoint
*NW GLHhttps://fhir.nwgenomics.nhs.uk/Endpoint/SHIRE

focus: Diagnostic Report for 'Karyotype [Identifier] in Bone marrow Nominal' for '->SANSA MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier)'

" }, "eventCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v2-0003", "code" : "R01" }, "destination" : [{ "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/HODS", "receiver" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "HODS" } } }], "sender" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "CPP" } }, "source" : { "software" : "NW GLH", "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/SHIRE" }, "focus" : [{ "reference" : "urn:uuid:d918c758-03a0-42e8-9da7-1586e6369980" }] } }, { "fullUrl" : "urn:uuid:dad58958-991b-4431-bd91-35c113dfafb8", "resource" : { "resourceType" : "Patient", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient

SANSA MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier)

" }, "identifier" : [{ "extension" : [{ "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus", "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland", "code" : "05", "display" : "Trace needs to be resolved - (NHS number or patient detail conflict)" }] } }], "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NH" }] }, "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9737383192" }], "name" : [{ "family" : "MANCHESTER", "given" : ["SANSA"] }], "gender" : "female", "birthDate" : "1972-09-21" } }, { "fullUrl" : "urn:uuid:1d085155-0068-4cfe-b3ba-0fac6fcd630b", "resource" : { "resourceType" : "Observation", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

status: Final

category: Laboratory

code: Chromosome analysis result in ISCN expression

subject: SANSA MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier)

value: 46,XY,del(20)(q*q*)[]

note:

Chromosome analysis has shown an abnormal karyotype with a deletion in the long arm of chromosome 20.

\n
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "62356-1", "display" : "Chromosome analysis result in ISCN expression" }] }, "subject" : { "reference" : "urn:uuid:dad58958-991b-4431-bd91-35c113dfafb8" }, "valueString" : "46,XY,del(20)(q*q*)[]", "note" : [{ "text" : "Chromosome analysis has shown an abnormal karyotype with a deletion in the long arm of chromosome 20." }] } }, { "fullUrl" : "urn:uuid:72387d7b-3b87-4845-875e-7910cd245b7f", "resource" : { "resourceType" : "Observation", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

status: Final

category: Laboratory

code: Chromosome analysis master panel

subject: SANSA MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier)

hasMember: Observation Chromosome analysis result in ISCN expression

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "62389-2", "display" : "Chromosome analysis master panel" }] }, "subject" : { "reference" : "urn:uuid:dad58958-991b-4431-bd91-35c113dfafb8" }, "hasMember" : [{ "reference" : "urn:uuid:1d085155-0068-4cfe-b3ba-0fac6fcd630b" }] } }, { "fullUrl" : "urn:uuid:d918c758-03a0-42e8-9da7-1586e6369980", "resource" : { "resourceType" : "DiagnosticReport", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: DiagnosticReport

Karyotype [Identifier] in Bone marrow Nominal (Genetics)

SubjectSANSA MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier)

Report Details

CodeValueFlags
Chromosome analysis master panelFinal
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0074", "code" : "GE" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "33893-9", "display" : "Karyotype [Identifier] in Bone marrow Nominal" }] }, "subject" : { "reference" : "urn:uuid:dad58958-991b-4431-bd91-35c113dfafb8" }, "result" : [{ "reference" : "urn:uuid:72387d7b-3b87-4845-875e-7910cd245b7f" }] } }] }