NHS North West Genomics
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: Document Reference Laboratory Report ctDNA

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<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="DocumentReference-ctDNA"/>
  <meta>
    <profile
             value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="http://www.example.org/documentreference/identifier"/>
    <value value="94bf65ba-cd6c-4601-b339-6d547f424646"/>
    <assigner>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
        <value value="699X0"/>
      </identifier>
    </assigner>
  </identifier>
  <status value="current"/>
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1054161000000101"/>
      <display value="Genetic report"/>
    </coding>
  </type>
  <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>
  <date value="2025-10-14T15:59:16+00:00"/>
  <custodian>
    <type value="Organization"/>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
      <value value="699X0"/>
    </identifier>
    <display value="NW GMSA"/>
  </custodian>
  <content>
    <attachment>
      <contentType value="application/pdf"/>
      <url value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
    </attachment>
  </content>
  <context>
    <event>
      <coding>
        <system
                value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
        <code value="M4.14"/>
      </coding>
    </event>
    <period>
      <start value="2025-10-14T15:59:16+00:00"/>
      <end value="2025-10-14T15:59:16+00:00"/>
    </period>
    <sourcePatientInfo>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MR"/>
          </coding>
        </type>
        <value value="RXR3302855"/>
        <assigner>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="RHQ"/>
          </identifier>
        </assigner>
      </identifier>
    </sourcePatientInfo>
    <related>
      <reference value="urn:uuid:0a6ad8ec-b069-4a65-8c65-c7569d8413e3"/>
      <type value="DiagnosticReport"/>
      <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>
    </related>
    <related>
      <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>
    </related>
  </context>
</DocumentReference>