<?xml version="1.0" encoding="UTF-8"?>

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="DiagnosticReportGenomicsReportLS"/>
  <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 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>
  </text>
  <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
    <valueReference>
      <reference value="urn:uuid:c55a7dc6-9b29-4cd6-ab8f-9aea594aabde"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="http://www.acme.org/diagnosticreport/identifiers"/>
    <value value="98763a9b-98d4-4cfc-b760-1db086ec52a1"/>
    <assigner>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
        <value value="699X0"/>
      </identifier>
    </assigner>
  </identifier>
  <basedOn>
    <type value="ServiceRequest"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="PLAC"/>
        </coding>
      </type>
      <system value="http://www.acme.org/servicerequest"/>
      <value value="66717"/>
      <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="R210.2"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1054161000000101"/>
      <display value="Genetic report"/>
    </coding>
  </code>
  <subject>
    <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/nhs-number"/>
      <value value="9737383206"/>
    </identifier>
    <display value="Ned LIVERPOOL"/>
  </subject>
  <encounter>
    <identifier>
      <system value="http://www.acme.org/encounter/identifiers/RBS"/>
      <value value="66717"/>
      <assigner>
        <identifier>
          <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
          <value value="RBS"/>
        </identifier>
      </assigner>
    </identifier>
  </encounter>
  <effectiveDateTime value="2023-09-07T11:45:41+00:00"/>
  <performer>
    <type value="Organization"/>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
      <value value="699X0"/>
    </identifier>
    <display value="NW GLH"/>
  </performer>
  <resultsInterpreter>
    <reference value="urn:uuid:59577028-8fcc-4554-8b43-988561d41d9c"/>
    <type value="PractitionerRole"/>
    <identifier>
      <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
      <value value="C1234567"/>
    </identifier>
    <display value="FICTITIOUS, Ralph"/>
  </resultsInterpreter>
  <result>
    <reference value="urn:uuid:6beb613f-d303-42af-b025-86e8e0872061"/>
  </result>
  <result>
    <reference value="urn:uuid:0878c5de-c22f-4e31-841a-a82ad31c93aa"/>
  </result>
  <result>
    <reference value="urn:uuid:8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"/>
  </result>
  <result>
    <reference value="urn:uuid:4490c092-c78c-480a-8cb7-653b70113fd5"/>
  </result>
  <conclusion value="Normal - no action"/>
</DiagnosticReport>