{
  "resourceType" : "DiagnosticReport",
  "id" : "DiagnosticReportGenomicsReportLS",
  "meta" : {
    "versionId" : "1.0",
    "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReport"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReportLS</b></p><a name=\"DiagnosticReportGenomicsReportLS\"> </a><a name=\"hcDiagnosticReportGenomicsReportLS\"> </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 R210.2}, {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>Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</td></tr><tr><td>Relevant Time</td><td>2023-09-07 11:45:41+0000</td></tr><tr><td>Performer</td><td> NW 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><tr><td>Identifier</td><td> <code>http://www.acme.org/diagnosticreport/identifiers</code>/98763a9b-98d4-4cfc-b760-1db086ec52a1</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Relevant Time</b></td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-6beb613f-d303-42af-b025-86e8e0872061\"><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}\">Diagnostic Implication</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-0878c5de-c22f-4e31-841a-a82ad31c93aa\"><span title=\"Codes:{http://loinc.org 81306-3}\">Variables that apply to the overall study</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-8385c2fd-313d-4fd5-b98e-d5ea4bae6f99\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr><tr><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-4490c092-c78c-480a-8cb7-653b70113fd5\"><span title=\"Codes:{http://snomed.info/sct 716318002}\">Lynch syndrome</span></a></td><td/><td>Final</td><td>2025-10-23 10:37:26+0000</td></tr></table><p>Normal - no action</p></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
    "valueReference" : {
      "reference" : "urn:uuid:c55a7dc6-9b29-4cd6-ab8f-9aea594aabde"
    }
  }],
  "identifier" : [{
    "system" : "http://www.acme.org/diagnosticreport/identifiers",
    "value" : "98763a9b-98d4-4cfc-b760-1db086ec52a1",
    "assigner" : {
      "identifier" : {
        "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
        "value" : "699X0"
      }
    }
  }],
  "basedOn" : [{
    "type" : "ServiceRequest",
    "identifier" : {
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "PLAC"
        }]
      },
      "system" : "http://www.acme.org/servicerequest",
      "value" : "66717",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "699X0"
        }
      }
    }
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "GE",
      "display" : "Genetics"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
      "code" : "R210.2"
    },
    {
      "system" : "http://snomed.info/sct",
      "code" : "1054161000000101",
      "display" : "Genetic report"
    }]
  },
  "subject" : {
    "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9737383206"
    },
    "display" : "Ned LIVERPOOL"
  },
  "encounter" : {
    "identifier" : {
      "system" : "http://www.acme.org/encounter/identifiers/RBS",
      "value" : "66717",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "RBS"
        }
      }
    }
  },
  "effectiveDateTime" : "2023-09-07T11:45:41+00:00",
  "performer" : [{
    "type" : "Organization",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
      "value" : "699X0"
    },
    "display" : "NW GLH"
  }],
  "resultsInterpreter" : [{
    "reference" : "urn:uuid:59577028-8fcc-4554-8b43-988561d41d9c",
    "type" : "PractitionerRole",
    "identifier" : {
      "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
      "value" : "C1234567"
    },
    "display" : "FICTITIOUS, Ralph"
  }],
  "result" : [{
    "reference" : "urn:uuid:6beb613f-d303-42af-b025-86e8e0872061"
  },
  {
    "reference" : "urn:uuid:0878c5de-c22f-4e31-841a-a82ad31c93aa"
  },
  {
    "reference" : "urn:uuid:8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
  },
  {
    "reference" : "urn:uuid:4490c092-c78c-480a-8cb7-653b70113fd5"
  }],
  "conclusion" : "Normal - no action"
}