{
  "resourceType" : "DocumentReference",
  "id" : "DocumentReference-ctDNA",
  "meta" : {
    "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference DocumentReference-ctDNA</b></p><a name=\"DocumentReference-ctDNA\"> </a><a name=\"hcDocumentReference-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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DocumentReference.html\">DocumentReference</a></p></div><p><b>identifier</b>: <code>http://www.example.org/documentreference/identifier</code>/94bf65ba-cd6c-4601-b339-6d547f424646</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 1054161000000101}\">Genetic report</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>date</b>: 2025-10-14 15:59:16+0000</p><p><b>custodian</b>: 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)</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-d6eeedd1-92d3-45b9-bf33-6401e804425f\">Binary: application/pdf (845 bytes base64)</a></td></tr></table></blockquote><blockquote><p><b>context</b></p><p><b>event</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>period</b>: 2025-10-14 15:59:16+0000 --&gt; 2025-10-14 15:59:16+0000</p><p><b>sourcePatientInfo</b>: Identifier: Medical record number/RXR3302855</p><p><b>related</b>: </p><ul><li><a href=\"Bundle-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-0a6ad8ec-b069-4a65-8c65-c7569d8413e3\">Diagnostic Report for 'Genetic report' for '-&gt;Theon SHEFFIELD'</a></li><li><a href=\"Bundle-FHIRDocumentGeneticReportBundle-ctDNA.html#urn-uuid-6e26d6b3-490e-4348-9d6c-37281567d6ec\">ServiceRequest 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</a></li></ul></blockquote></div>"
  },
  "identifier" : [{
    "system" : "http://www.example.org/documentreference/identifier",
    "value" : "94bf65ba-cd6c-4601-b339-6d547f424646",
    "assigner" : {
      "identifier" : {
        "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
        "value" : "699X0"
      }
    }
  }],
  "status" : "current",
  "type" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1054161000000101",
      "display" : "Genetic report"
    }]
  },
  "subject" : {
    "reference" : "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9737873858"
    },
    "display" : "Theon SHEFFIELD"
  },
  "date" : "2025-10-14T15:59:16+00:00",
  "custodian" : {
    "type" : "Organization",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
      "value" : "699X0"
    },
    "display" : "NW GMSA"
  },
  "content" : [{
    "attachment" : {
      "contentType" : "application/pdf",
      "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"
    }
  }],
  "context" : {
    "event" : [{
      "coding" : [{
        "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
        "code" : "M4.14"
      }]
    }],
    "period" : {
      "start" : "2025-10-14T15:59:16+00:00",
      "end" : "2025-10-14T15:59:16+00:00"
    },
    "sourcePatientInfo" : {
      "identifier" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR"
          }]
        },
        "value" : "RXR3302855",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RHQ"
          }
        }
      }
    },
    "related" : [{
      "reference" : "urn:uuid:0a6ad8ec-b069-4a65-8c65-c7569d8413e3",
      "type" : "DiagnosticReport",
      "identifier" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
        "value" : "T26-59XG",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          }
        }
      }
    },
    {
      "reference" : "urn:uuid:6e26d6b3-490e-4348-9d6c-37281567d6ec",
      "type" : "ServiceRequest",
      "identifier" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
        "value" : "T26-59XG",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          }
        }
      }
    }]
  }
}