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Packagefhir.nwgenomics.nhs.uk
Resource TypeBundle
IdBundle-GenomicsOrderMessageCodedEntries.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "GenomicsOrderMessageCodedEntries",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:9612365d-52a4-4fab-87e7-8a09d753f095"
  },
  "type": "message",
  "timestamp": "2024-10-13T10:33:00+00:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "MessageHeaderGenomicOrder",
        "meta": {
          "lastUpdated": "2025-01-29T10:39:26+00:00",
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/MessageHeader"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderGenomicOrder\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderGenomicOrder</b></p><a name=\"MessageHeaderGenomicOrder\"> </a><a name=\"hcMessageHeaderGenomicOrder\"> </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\">Last updated: 2025-01-29 10:39:26+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MessageHeader.html\">MessageHeader</a></p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-v2-0003.html#v2-0003-O21\">event: O21</a> (OML - Laboratory order)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=http://www.acme.org/endpoint/LIMS\">http://www.acme.org/endpoint/LIMS</a></td><td>NORTH WEST 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></table><p><b>sender</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (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>/R0A)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MFT Epic</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=http://www.acme.org/endpoint/HIVE\">http://www.acme.org/endpoint/HIVE</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-54b526e9-60a7-4602-9cb3-50ab3be7b564\">ServiceRequest Diagnostic testing for known variant(s)</a></p></div>"
        },
        "eventCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code": "O21"
        },
        "destination": [
          {
            "endpoint": "http://www.acme.org/endpoint/LIMS",
            "receiver": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "699X0"
              },
              "display": "NORTH WEST GLH"
            }
          }
        ],
        "sender": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "R0A"
          },
          "display": "MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"
        },
        "source": {
          "software": "MFT Epic",
          "endpoint": "http://www.acme.org/endpoint/HIVE"
        },
        "focus": [
          {
            "reference": "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
            "type": "ServiceRequest"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-OctaviaCHISLETT-9449305552",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-OctaviaCHISLETT-9449305552\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-OctaviaCHISLETT-9449305552</b></p><a name=\"Patient-OctaviaCHISLETT-9449305552\"> </a><a name=\"hcPatient-OctaviaCHISLETT-9449305552\"> </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-Patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>National Health Plan Identifier/9449305552 (use: official, )</li><li>Medical record number/633</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 RAVENSFIELD GARDENS EPSOM KT19 0ST (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>Bob DAWKINS (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "NH"
                }
              ]
            },
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            },
            "system": "http://www.acme.org/patient/identifier",
            "value": "A12356565",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RBS"
              }
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            },
            "system": "urn:oid:1.2.840.114350.1.13.611.3.7.5.737384.14",
            "value": "633",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "R0A"
              }
            }
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "CHISLETT",
            "given": [
              "Octavia"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "2008-09-20",
        "address": [
          {
            "use": "home",
            "type": "both",
            "line": [
              "1 RAVENSFIELD GARDENS"
            ],
            "city": "EPSOM",
            "district": "SURREY",
            "postalCode": "KT19 0ST"
          }
        ],
        "contact": [
          {
            "name": {
              "use": "official",
              "family": "DAWKINS",
              "given": [
                "Bob"
              ]
            },
            "telecom": [
              {
                "system": "phone",
                "value": "077021231231",
                "use": "mobile"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
      "resource": {
        "resourceType": "Encounter",
        "id": "984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalSpell"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 984b8a89-4194-4eb4-a7ea-ca8049ebeea3</b></p><a name=\"984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </a><a name=\"hc984b8a89-4194-4eb4-a7ea-ca8049ebeea3\"> </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-HospitalSpell.html\">Hospital Spell</a></p></div><p><b>identifier</b>: Account number/1001166717</p><p><b>status</b>: Finished</p><p><b>class</b>: [not stated]: AMB (AMB)</p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType ADM}\">admitter</span></td><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></td></tr></table><p><b>period</b>: 2025-01-29 10:37:26+0000 --&gt; (ongoing)</p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td>Identifier: <a href=\"NamingSystem-ods-site-code-namingsystem.html\" title=\"The identifier system for an Organisation site registered with the Organisation Data Service (ODS).\">ODS Organisation Site Code</a>/R0A09</td></tr></table></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "AN"
                }
              ]
            },
            "system": "http://www.acme.org/encounter/identifiers/R0A",
            "value": "1001166717",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "R0A"
              }
            }
          }
        ],
        "status": "finished",
        "class": {
          "code": "AMB"
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "ADM"
                  }
                ]
              }
            ],
            "individual": {
              "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
            }
          }
        ],
        "period": {
          "start": "2025-01-29T10:37:26+00:00"
        },
        "location": [
          {
            "location": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-site-code",
                "value": "R0A09",
                "assigner": {
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "R0A"
                  }
                }
              }
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8</b></p><a name=\"ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </a><a name=\"hcee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\"> </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-PractitionerRole.html\">PractitionerRole</a></p></div><p><b>practitioner</b>: Dr Samuel Darwin (Identifier: <a href=\"NamingSystem-gmcnumber-namingsystem.html\" title=\"General Medical Council Consultant Code. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_council_reference_number.html)\">GMC Number</a>/C3456789)</p><p><b>organization</b>: 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>/R0A</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 100}\">General Surgery</span></p></div>"
        },
        "practitioner": {
          "identifier": {
            "system": "https://fhir.hl7.org.uk/Id/gmc-number",
            "value": "C3456789"
          },
          "display": "Dr Samuel Darwin"
        },
        "organization": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "R0A"
          }
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code": "100"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ServiceRequestGenomicsOrderCodedEntries",
        "meta": {
          "versionId": "1.0",
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestGenomicsOrderCodedEntries\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestGenomicsOrderCodedEntries</b></p><a name=\"ServiceRequestGenomicsOrderCodedEntries\"> </a><a name=\"hcServiceRequestGenomicsOrderCodedEntries\"> </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-ServiceRequest.html\">ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier/1601737, Filler Identifier/1001166717</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 116148004}\">Molecular genetics procedure</span>, <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory cancer-wgs}\">Cancer - WGS</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>authoredOn</b>: 2025-01-29</p><p><b>requester</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication R240}\">Diagnostic testing for known mutation(s)</span></p><p><b>reasonReference</b>: <a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-47f34393-cc83-428f-b8dd-54bcd372c847\">Condition Malignant tumour of stomach</a></p><p><b>supportingInfo</b>: <a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-27ca6057-e481-426a-ba8a-2acfffc0c1c4\">Observation GENETICS TEST PERFORMABLE</a></p><p><b>specimen</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-89e66518-9197-4553-9253-5ab5133b62c0\">Specimen: identifier = Placer Identifier; accessionIdentifier = Accession ID; status = available; type = Whole blood specimen</a></p><p><b>note</b>: </p><blockquote><div><p>Referral lab PLEASE do following tests:</p>\n<p>Test(s) required: WGS\nSample type: Blood\nTransport used: Merlin Courier\nTracking Number: ABC123\nSample sent to: LWH Genetics\nBy: PDAY       on: 02/04/25</p>\n<p>Speciality Requesting Clinician: PAEDS\nTest Group: Neurology\nEthnic Group: White British\nPatient is from consanguineous union? : Unknown\nSpecimen Collection Status: Collect &amp; send with order\nInfection Risk: No Specific Risk\nClinical details:</p>\n<p>TESTING\nContact/Bleep No: 123</p>\n</div></blockquote></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PLAC"
                }
              ]
            },
            "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268",
            "value": "1601737",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "R0A"
              }
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "FILL"
                }
              ]
            },
            "system": "http://www.acme.org/servicerequest",
            "value": "1001166717",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "699X0"
              }
            }
          }
        ],
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "116148004",
                "display": "Molecular genetics procedure"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                "code": "cancer-wgs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code": "R240.1"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "authoredOn": "2025-01-29",
        "requester": {
          "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                "code": "R240",
                "display": "Diagnostic testing for known mutation(s)"
              }
            ]
          }
        ],
        "reasonReference": [
          {
            "reference": "urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"
          }
        ],
        "supportingInfo": [
          {
            "reference": "urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4"
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"
          }
        ],
        "note": [
          {
            "text": "Referral lab PLEASE do following tests:\n\nTest(s) required: WGS\nSample type: Blood\nTransport used: Merlin Courier\nTracking Number: ABC123\nSample sent to: LWH Genetics\nBy: PDAY       on: 02/04/25\n\nSpeciality Requesting Clinician: PAEDS\nTest Group: Neurology\nEthnic Group: White British\nPatient is from consanguineous union? : Unknown\nSpecimen Collection Status: Collect & send with order\nInfection Risk: No Specific Risk\nClinical details:\n\nTESTING\nContact/Bleep No: 123"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4",
      "resource": {
        "resourceType": "Observation",
        "id": "EPIC-OBR-1",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-Panel"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBR-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBR-1</b></p><a name=\"EPIC-OBR-1\"> </a><a name=\"hcEPIC-OBR-1\"> </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-Panel.html\">Observation Panel</a></p></div><p><b>identifier</b>: 27ca6057-e481-426a-ba8a-2acfffc0c1c4</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds GENEAP}\">GENETICS TEST</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-f39cc804-5280-4807-91d4-075be16928e5\">Observation What Type of Referral Do You Require?</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-edd4debe-dd82-445f-b3e5-e175760da105\">Observation High infection risk sample</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3\">Observation Test Type</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-390c7633-fd63-483c-8e32-e8858f232339\">Observation Pregnancy</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-66b690c6-eb2c-49bb-9546-97cff782d978\">Observation Please Select R240 Test(s):</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-f36a0ed4-e5c3-4ac8-846f-571b4a500e17\">Observation Please Select R242 Test(s):</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-ddf248a2-6323-4b7a-b4a3-e968c36311b7\">Observation Email Addresses of Non-MFT Clinicians for Result Reports</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-0d472ee5-8c21-467a-aafe-29c89a42ed4e\">Observation Informed consent given for treatment</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-4b910bc3-68c6-4252-a218-076110f0d23d\">Observation Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-3a3ba1ed-831d-4f82-b487-e40860a2befd\">Observation Is the Person Ordering the Test the Referring Clinician</a></li><li><a href=\"Bundle-GenomicsOrderMessageCodedEntries.html#urn-uuid-298e99de-fd29-4802-bcf2-78f901b33a6e\">Observation Name of Supervising Clinician</a></li></ul></div>"
        },
        "identifier": [
          {
            "value": "27ca6057-e481-426a-ba8a-2acfffc0c1c4"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "GENEAP",
              "display": "GENETICS TEST PERFORMABLE"
            }
          ],
          "text": "GENETICS TEST"
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:f39cc804-5280-4807-91d4-075be16928e5"
          },
          {
            "reference": "urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"
          },
          {
            "reference": "urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"
          },
          {
            "reference": "urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"
          },
          {
            "reference": "urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"
          },
          {
            "reference": "urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17"
          },
          {
            "reference": "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7"
          },
          {
            "reference": "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e"
          },
          {
            "reference": "urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d"
          },
          {
            "reference": "urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd"
          },
          {
            "reference": "urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:f39cc804-5280-4807-91d4-075be16928e5",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-GenomicReferralCategory",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-GenomicReferralCategory\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-GenomicReferralCategory</b></p><a name=\"OBX-GenomicReferralCategory\"> </a><a name=\"hcOBX-GenomicReferralCategory\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: f39cc804-5280-4807-91d4-075be16928e5</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230056}\">What Type of Referral Do You Require?</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1186936003}\">Specimen storage</span></p></div>"
        },
        "identifier": [
          {
            "value": "f39cc804-5280-4807-91d4-075be16928e5"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "230056",
              "display": "What Type of Referral Do You Require?"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "1186936003",
              "display": "Specimen storage"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847",
      "resource": {
        "resourceType": "Condition",
        "id": "EPIC-OBX-2",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Condition"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_EPIC-OBX-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition EPIC-OBX-2</b></p><a name=\"EPIC-OBX-2\"> </a><a name=\"hcEPIC-OBX-2\"> </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-Condition.html\">Condition</a></p></div><p><b>identifier</b>: 47f34393-cc83-428f-b8dd-54bcd372c847</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 363349007}\">Malignant tumour of stomach</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>recordedDate</b>: 2025-01-29 10:37:26+0000</p></div>"
        },
        "identifier": [
          {
            "value": "47f34393-cc83-428f-b8dd-54bcd372c847"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "363349007",
              "display": "Malignant tumour of stomach"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "recordedDate": "2025-01-29T10:37:26+00:00"
      }
    },
    {
      "fullUrl": "urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-HighInfectionRiskSample",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-HighInfectionRiskSample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-HighInfectionRiskSample</b></p><a name=\"OBX-HighInfectionRiskSample\"> </a><a name=\"hcOBX-HighInfectionRiskSample\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: edd4debe-dd82-445f-b3e5-e175760da105</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 281269004}\">High infection risk sample</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA32-8}\">No</span></p></div>"
        },
        "identifier": [
          {
            "value": "edd4debe-dd82-445f-b3e5-e175760da105"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "281269004",
              "display": "High infection risk sample"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA32-8",
              "display": "No"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3",
      "resource": {
        "resourceType": "Observation",
        "id": "EPIC-OBX-4",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-4</b></p><a name=\"EPIC-OBX-4\"> </a><a name=\"hcEPIC-OBX-4\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230016}\">Test Type</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: Diagnostic Screen/Test</p></div>"
        },
        "identifier": [
          {
            "value": "7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "230016",
              "display": "Test Type"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "Diagnostic Screen/Test"
      }
    },
    {
      "fullUrl": "urn:uuid:390c7633-fd63-483c-8e32-e8858f232339",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-Pregnancy",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-Pregnancy\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-Pregnancy</b></p><a name=\"OBX-Pregnancy\"> </a><a name=\"hcOBX-Pregnancy\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 390c7633-fd63-483c-8e32-e8858f232339</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 77386006}\">Pregnancy</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA33-6}\">Yes</span></p></div>"
        },
        "identifier": [
          {
            "value": "390c7633-fd63-483c-8e32-e8858f232339"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "77386006",
              "display": "Pregnancy"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA33-6",
              "display": "Yes"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978",
      "resource": {
        "resourceType": "Observation",
        "id": "EPIC-OBX-6",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-6</b></p><a name=\"EPIC-OBX-6\"> </a><a name=\"hcEPIC-OBX-6\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 66b690c6-eb2c-49bb-9546-97cff782d978</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 231284}\">Please Select R240 Test(s):</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: R240.1: Targeted variant testing</p></div>"
        },
        "identifier": [
          {
            "value": "66b690c6-eb2c-49bb-9546-97cff782d978"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "231284",
              "display": "Please Select R240 Test(s):"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "R240.1: Targeted variant testing"
      }
    },
    {
      "fullUrl": "urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17",
      "resource": {
        "resourceType": "Observation",
        "id": "EPIC-OBX-7",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-7</b></p><a name=\"EPIC-OBX-7\"> </a><a name=\"hcEPIC-OBX-7\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: f36a0ed4-e5c3-4ac8-846f-571b4a500e17</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 231285}\">Please Select R242 Test(s):</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: R242.1: Targeted variant testing</p></div>"
        },
        "identifier": [
          {
            "value": "f36a0ed4-e5c3-4ac8-846f-571b4a500e17"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "231285",
              "display": "Please Select R242 Test(s):"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "R242.1: Targeted variant testing"
      }
    },
    {
      "fullUrl": "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7",
      "resource": {
        "resourceType": "Observation",
        "id": "EPIC-OBX-8",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-8</b></p><a name=\"EPIC-OBX-8\"> </a><a name=\"hcEPIC-OBX-8\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: ddf248a2-6323-4b7a-b4a3-e968c36311b7</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230027}\">Email Addresses of Non-MFT Clinicians for Result Reports</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: charu</p></div>"
        },
        "identifier": [
          {
            "value": "ddf248a2-6323-4b7a-b4a3-e968c36311b7"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "230027",
              "display": "Email Addresses of Non-MFT Clinicians for Result Reports"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "charu"
      }
    },
    {
      "fullUrl": "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-InformedConsent",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-InformedConsent\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-InformedConsent</b></p><a name=\"OBX-InformedConsent\"> </a><a name=\"hcOBX-InformedConsent\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 0d472ee5-8c21-467a-aafe-29c89a42ed4e</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 762911000000102}\">Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA33-6}\">Yes</span></p></div>"
        },
        "identifier": [
          {
            "value": "0d472ee5-8c21-467a-aafe-29c89a42ed4e"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "762911000000102",
              "display": "Informed consent given for treatment"
            }
          ],
          "text": "Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent"
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA33-6",
              "display": "Yes"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d",
      "resource": {
        "resourceType": "Observation",
        "id": "EPIC-OBX-10",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-10\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-10</b></p><a name=\"EPIC-OBX-10\"> </a><a name=\"hcEPIC-OBX-10\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 4b910bc3-68c6-4252-a218-076110f0d23d</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230037}\">Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: Acknowledged</p></div>"
        },
        "identifier": [
          {
            "value": "4b910bc3-68c6-4252-a218-076110f0d23d"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "230037",
              "display": "Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "Acknowledged"
      }
    },
    {
      "fullUrl": "urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd",
      "resource": {
        "resourceType": "Observation",
        "id": "EPIC-OBX-11",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_EPIC-OBX-11\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation EPIC-OBX-11</b></p><a name=\"EPIC-OBX-11\"> </a><a name=\"hcEPIC-OBX-11\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 3a3ba1ed-831d-4f82-b487-e40860a2befd</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds 230039}\">Is the Person Ordering the Test the Referring Clinician</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: No</p></div>"
        },
        "identifier": [
          {
            "value": "3a3ba1ed-831d-4f82-b487-e40860a2befd"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "230039",
              "display": "Is the Person Ordering the Test the Referring Clinician"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "No"
      }
    },
    {
      "fullUrl": "urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-SupervisingClinician",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-SupervisingClinician\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-SupervisingClinician</b></p><a name=\"OBX-SupervisingClinician\"> </a><a name=\"hcOBX-SupervisingClinician\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 298e99de-fd29-4802-bcf2-78f901b33a6e</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds unknown}\">Name of Supervising Clinician</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: DESHPANDE, CHARULATA</p></div>"
        },
        "identifier": [
          {
            "value": "298e99de-fd29-4802-bcf2-78f901b33a6e"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/MFTQuestionIds",
              "code": "unknown",
              "display": "Name of Supervising Clinician"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "DESHPANDE, CHARULATA"
      }
    },
    {
      "fullUrl": "urn:uuid:9a012a65-062e-4e0a-9fce-f0aa09a4783b",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-OrderTrackingNumber",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-OrderTrackingNumber\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-OrderTrackingNumber</b></p><a name=\"OBX-OrderTrackingNumber\"> </a><a name=\"hcOBX-OrderTrackingNumber\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 9a012a65-062e-4e0a-9fce-f0aa09a4783b</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 97209-1}\">Shipment tracking number [Identifier]</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: UK3096580215</p></div>"
        },
        "identifier": [
          {
            "value": "9a012a65-062e-4e0a-9fce-f0aa09a4783b"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "97209-1",
              "display": "Shipment tracking number [Identifier]"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueString": "UK3096580215"
      }
    },
    {
      "fullUrl": "urn:uuid:af0eb9c5-f694-4d3e-9720-b49c1101c019",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-Consanguinity",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-Consanguinity\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-Consanguinity</b></p><a name=\"OBX-Consanguinity\"> </a><a name=\"hcOBX-Consanguinity\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: af0eb9c5-f694-4d3e-9720-b49c1101c019</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 842009}\">Consanguinity</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA32-8}\">No</span></p></div>"
        },
        "identifier": [
          {
            "value": "af0eb9c5-f694-4d3e-9720-b49c1101c019"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "842009",
              "display": "Consanguinity"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA32-8",
              "display": "No"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:57ea3361-7b8d-4415-ae21-5e10bfc30992",
      "resource": {
        "resourceType": "Observation",
        "id": "OBX-PregnancyExpectedDeliveryDate",
        "meta": {
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_OBX-PregnancyExpectedDeliveryDate\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-PregnancyExpectedDeliveryDate</b></p><a name=\"OBX-PregnancyExpectedDeliveryDate\"> </a><a name=\"hcOBX-PregnancyExpectedDeliveryDate\"> </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.html\">Observation</a></p></div><p><b>identifier</b>: 57ea3361-7b8d-4415-ae21-5e10bfc30992</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161714006}\">Estimated date of delivery</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Encounter: identifier = Account number; status = finished; class = AMB (AMB); period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</a></p><p><b>value</b>: 2025-05-12 10:37:26+0000</p></div>"
        },
        "identifier": [
          {
            "value": "57ea3361-7b8d-4415-ae21-5e10bfc30992"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "161714006",
              "display": "Estimated date of delivery"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "encounter": {
          "reference": "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
        },
        "effectiveDateTime": "2025-01-29T10:37:26+00:00",
        "performer": [
          {
            "reference": "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
          }
        ],
        "valueDateTime": "2025-05-12T10:37:26+00:00"
      }
    },
    {
      "fullUrl": "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0",
      "resource": {
        "resourceType": "Specimen",
        "id": "SpecimenExample",
        "meta": {
          "versionId": "1.0",
          "profile": [
            "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Specimen"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_SpecimenExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen SpecimenExample</b></p><a name=\"SpecimenExample\"> </a><a name=\"hcSpecimenExample\"> </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-Specimen.html\">Specimen</a></p></div><p><b>identifier</b>: Placer Identifier/25GEN-029GN00001</p><p><b>accessionIdentifier</b>: Accession ID/1001166717</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258580003}\">Whole blood specimen</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2025-01-29 10:37:26+0000</td></tr></table></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PLAC"
                }
              ]
            },
            "system": "http://www.acme.org/specimen/Beaker",
            "value": "25GEN-029GN00001",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "R0A"
              }
            }
          }
        ],
        "accessionIdentifier": {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "ACSN"
              }
            ]
          },
          "system": "http://www.example.org/specimen/accession",
          "value": "1001166717",
          "assigner": {
            "identifier": {
              "system": "https://fhir.nhs.uk/Id/ods-organization-code",
              "value": "699X0"
            }
          }
        },
        "status": "available",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "258580003",
              "display": "Whole blood specimen"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449305552"
          },
          "display": "Octavia CHISLETT"
        },
        "collection": {
          "collectedDateTime": "2025-01-29T10:37:26+00:00"
        }
      }
    }
  ]
}