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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: Diagnostic Report ctDNA Example

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="DiagnosticReport-ctDNA"/>
  <meta>
    <versionId value="1.0"/>
    <profile
             value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReport"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><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>
  </text>
  <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>
    </identifier>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="GE"/>
      <display value="Genetics"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
      <code value="M4.14"/>
    </coding>
    <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"/>
  </presentedForm>
</DiagnosticReport>