FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | Bundle |
| Id | Bundle-Shire2StructuredR01.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "Shire2StructuredR01",
"identifier": {
"value": "SHIRE:CPP:RTST-260416-0"
},
"type": "message",
"timestamp": "2026-04-16T10:38:39+00:00",
"entry": [
{
"fullUrl": "urn:uuid:45a1d9f7-aebc-4e5c-bc88-6a39632bc2af",
"resource": {
"resourceType": "MessageHeader",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader </b></p><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-v2-0003.html#v2-0003-R01\">event: R01</a> (ORU/ACK - Unsolicited transmission of an observation message)</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@0.29.0-pre-release&canonical=http://fhir.org/packages/fhir.r4.ukcore.stu3.currentbuild/https//fhir.mft.nhs.uk/Endpoint/HODS\">https//fhir.mft.nhs.uk/Endpoint/HODS</a></td><td>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>/HODS</td></tr></table><p><b>sender</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>/CPP</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>NW GLH</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&canonical=https://fhir.nwgenomics.nhs.uk/Endpoint/SHIRE\">https://fhir.nwgenomics.nhs.uk/Endpoint/SHIRE</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-Shire2StructuredR01.html#urn-uuid-2ebb9c8d-eb68-42cc-ab53-c07f55869788\">Diagnostic Report for 'Karyotype [Identifier] in Bone marrow Nominal' for '->NED LIVERPOOL Unknown, DoB: 1942-06-18 ( National Health Plan Identifier)'</a></p></div>"
},
"eventCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0003",
"code": "R01"
},
"destination": [
{
"endpoint": "https//fhir.mft.nhs.uk/Endpoint/HODS",
"receiver": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "HODS"
}
}
}
],
"sender": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "CPP"
}
},
"source": {
"software": "NW GLH",
"endpoint": "https://fhir.nwgenomics.nhs.uk/Endpoint/SHIRE"
},
"focus": [
{
"reference": "urn:uuid:2ebb9c8d-eb68-42cc-ab53-c07f55869788"
}
]
}
},
{
"fullUrl": "urn:uuid:52f677f9-6ab0-4a95-8b68-8b12762eedfb",
"resource": {
"resourceType": "Patient",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient </b></p><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">NED LIVERPOOL Unknown, DoB: 1942-06-18 ( National Health Plan Identifier)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Patient internal identifier/00123456789</td></tr></table></div>"
},
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
"code": "05",
"display": "Trace needs to be resolved - (NHS number or patient detail conflict)"
}
]
}
}
],
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "NH"
}
]
},
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9737383206"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PI"
}
]
},
"value": "00123456789"
}
],
"name": [
{
"family": "LIVERPOOL",
"given": [
"NED"
]
}
],
"gender": "unknown",
"birthDate": "1942-06-18"
}
},
{
"fullUrl": "urn:uuid:7b14e763-b7a6-49de-9686-2fcd0e1da322",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation </b></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 62356-1}\">Chromosome analysis result in ISCN expression</span></p><p><b>subject</b>: <a href=\"Bundle-Shire2StructuredR01.html#urn-uuid-52f677f9-6ab0-4a95-8b68-8b12762eedfb\">NED LIVERPOOL Unknown, DoB: 1942-06-18 ( National Health Plan Identifier)</a></p><p><b>value</b>: 48~50,XY,+X,-Y,-3,-6,-7,del(7)(q?31q36),+8,+11,add(12)(p11.2),+14,+15,-16,+19,+20,+22-,+1~2mar[cp10]</p><p><b>note</b>: </p><blockquote><div><p>48\\R\\50,XY,+X,-Y,-3,-6,-7,del(7)(q?31q36),+8,+11,add(12)(p11.2),+14,+15,-16,+19,+20,+22- ,+1\\R\\2mar[cp10] -Amendment 14/10/20</p>\n</div></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "62356-1",
"display": "Chromosome analysis result in ISCN expression"
}
]
},
"subject": {
"reference": "urn:uuid:52f677f9-6ab0-4a95-8b68-8b12762eedfb"
},
"valueString": "48~50,XY,+X,-Y,-3,-6,-7,del(7)(q?31q36),+8,+11,add(12)(p11.2),+14,+15,-16,+19,+20,+22-,+1~2mar[cp10]",
"note": [
{
"text": "48\\R\\50,XY,+X,-Y,-3,-6,-7,del(7)(q?31q36),+8,+11,add(12)(p11.2),+14,+15,-16,+19,+20,+22- ,+1\\R\\2mar[cp10] -Amendment 14/10/20"
}
]
}
},
{
"fullUrl": "urn:uuid:b6fedd0a-7cf6-4308-948e-5c9531ccda0d",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation </b></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 62367-8}\">Chromosome analysis panel by FISH</span></p><p><b>subject</b>: <a href=\"Bundle-Shire2StructuredR01.html#urn-uuid-52f677f9-6ab0-4a95-8b68-8b12762eedfb\">NED LIVERPOOL Unknown, DoB: 1942-06-18 ( National Health Plan Identifier)</a></p><p><b>value</b>: 7q deletion detected.</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Interphase cells positive</span></p><p><b>value</b>: 93 cells</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 62361-1}\">Cells counted [#]</span></p><p><b>value</b>: 100 cells</p></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "62367-8",
"display": "Chromosome analysis panel by FISH"
}
]
},
"subject": {
"reference": "urn:uuid:52f677f9-6ab0-4a95-8b68-8b12762eedfb"
},
"valueString": "7q deletion detected.",
"component": [
{
"code": {
"text": "Interphase cells positive"
},
"valueQuantity": {
"value": 93,
"unit": "cells"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "62361-1",
"display": "Cells counted [#]"
}
]
},
"valueQuantity": {
"value": 100,
"unit": "cells"
}
}
]
}
},
{
"fullUrl": "urn:uuid:d54744fb-f490-44a1-90a0-1bfbce716fc5",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation </b></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 62389-2}\">Chromosome analysis master panel</span></p><p><b>subject</b>: <a href=\"Bundle-Shire2StructuredR01.html#urn-uuid-52f677f9-6ab0-4a95-8b68-8b12762eedfb\">NED LIVERPOOL Unknown, DoB: 1942-06-18 ( National Health Plan Identifier)</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-Shire2StructuredR01.html#urn-uuid-7b14e763-b7a6-49de-9686-2fcd0e1da322\">Observation Chromosome analysis result in ISCN expression</a></li><li><a href=\"Bundle-Shire2StructuredR01.html#urn-uuid-b6fedd0a-7cf6-4308-948e-5c9531ccda0d\">Observation Chromosome analysis panel by FISH</a></li></ul></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "62389-2",
"display": "Chromosome analysis master panel"
}
]
},
"subject": {
"reference": "urn:uuid:52f677f9-6ab0-4a95-8b68-8b12762eedfb"
},
"hasMember": [
{
"reference": "urn:uuid:7b14e763-b7a6-49de-9686-2fcd0e1da322"
},
{
"reference": "urn:uuid:b6fedd0a-7cf6-4308-948e-5c9531ccda0d"
}
]
}
},
{
"fullUrl": "urn:uuid:2ebb9c8d-eb68-42cc-ab53-c07f55869788",
"resource": {
"resourceType": "DiagnosticReport",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport </b></p><h2><span title=\"Codes:{http://loinc.org 33893-9}\">Karyotype [Identifier] in Bone marrow Nominal</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>NED LIVERPOOL Unknown, DoB: 1942-06-18 ( National Health Plan Identifier)</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Bundle-Shire2StructuredR01.html#urn-uuid-d54744fb-f490-44a1-90a0-1bfbce716fc5\"><span title=\"Codes:{http://loinc.org 62389-2}\">Chromosome analysis master panel</span></a></td><td/><td>Final</td></tr></table><p>Complex abnormal hyperdiploid karyotype with gains of chromosomes 8 and\n11, and loss of 7q and 12p which are recognised findings in myeloid neoplasms\nincluding AML</p></div>"
},
"status": "corrected",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "33893-9",
"display": "Karyotype [Identifier] in Bone marrow Nominal"
}
]
},
"subject": {
"reference": "urn:uuid:52f677f9-6ab0-4a95-8b68-8b12762eedfb"
},
"result": [
{
"reference": "urn:uuid:d54744fb-f490-44a1-90a0-1bfbce716fc5"
}
],
"conclusion": "Complex abnormal hyperdiploid karyotype with gains of chromosomes 8 and\n11, and loss of 7q and 12p which are recognised findings in myeloid neoplasms\nincluding AML"
}
}
]
}