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Packagefhir.nwgenomics.nhs.uk
Resource TypeBundle
IdBundle-187a20ef-9b81-4c83-84f7-140c210f8706.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "187a20ef-9b81-4c83-84f7-140c210f8706",
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "https://example.nhs.uk/FHIR/R4/Observation?code=http://loinc.org|69548-6&patient=Patient-Liverpool"
    }
  ],
  "entry": [
    {
      "fullUrl": "http://example.org/fhir/Observation/8385c2fd-313d-4fd5-b98e-d5ea4bae6f99",
      "resource": {
        "resourceType": "Observation",
        "id": "8385c2fd-313d-4fd5-b98e-d5ea4bae6f99",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-Variant"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_8385c2fd-313d-4fd5-b98e-d5ea4bae6f99\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 8385c2fd-313d-4fd5-b98e-d5ea4bae6f99</b></p><a name=\"8385c2fd-313d-4fd5-b98e-d5ea4bae6f99\"> </a><a name=\"hc8385c2fd-313d-4fd5-b98e-d5ea4bae6f99\"> </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-Observation-Variant.html\">Observation Variant</a></p></div><p><b>identifier</b>: 8385c2fd-313d-4fd5-b98e-d5ea4bae6f99</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"Patient-Patient-Liverpool.html\">Paul LIVERPOOL</a></p><p><b>effective</b>: 2025-10-23 10:37:26+0000</p><p><b>performer</b>: <a href=\"PractitionerRole-59577028-8fcc-4554-8b43-988561d41d9c.html\">PractitionerRole</a></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26398}\">Sequencing</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org HGNC:89753}\">NTHL1</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 51958-7}\">Transcript reference sequence [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.ncbi.nlm.nih.gov/refseq NM_000249}\">NM_000249</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NC_000003.11}\">NC_000003.11</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48013-7}\">Genomic reference sequence [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.ncbi.nlm.nih.gov/refseq NG_007109.2:g.40514dupC}\">NG_007109.2:g.40514dupC</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48019-4}\">DNA change type</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6686-5}\">Duplication</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48002-0}\">Genomic source class</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6683-2}\">Germline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53034-5}\">Allelic state</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6706-1}\">Heterozygous</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69547-8}\">Genomic ref allele</span></p><p><b>value</b>: C</p></blockquote></div>"
        },
        "identifier": [
          {
            "value": "8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "GE",
                "display": "Genetics"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "69548-6",
              "display": "Genetic variant assessment"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-Liverpool",
          "display": "Paul LIVERPOOL"
        },
        "effectiveDateTime": "2025-10-23T10:37:26+00:00",
        "performer": [
          {
            "reference": "PractitionerRole/59577028-8fcc-4554-8b43-988561d41d9c"
          }
        ],
        "method": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA26398",
              "display": "Sequencing"
            }
          ]
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48018-6",
                  "display": "Gene studied [ID]"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.genenames.org",
                  "code": "HGNC:89753",
                  "display": "NTHL1"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "51958-7",
                  "display": "Transcript reference sequence [ID]"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.ncbi.nlm.nih.gov/refseq",
                  "code": "NM_000249"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "81290-9",
                  "display": "Genomic DNA change (gHGVS)"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://varnomen.hgvs.org",
                  "code": "NC_000003.11"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48013-7",
                  "display": "Genomic reference sequence [ID]"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.ncbi.nlm.nih.gov/refseq",
                  "code": "NG_007109.2:g.40514dupC"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48019-4",
                  "display": "DNA change type"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "LA6686-5",
                  "display": "Duplication"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48002-0",
                  "display": "Genomic source class"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "LA6683-2",
                  "display": "Germline"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "53034-5",
                  "display": "Allelic state"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "LA6706-1",
                  "display": "Heterozygous"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "69547-8",
                  "display": "Genomic ref allele"
                }
              ]
            },
            "valueString": "C"
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    }
  ]
}