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Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "Composition",
  "id": "Composition-GenomicsReport-ctDNA",
  "meta": {
    "profile": [
      "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Composition-GenomicReport"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference",
      "valueReference": {
        "reference": "urn:uuid:0a6ad8ec-b069-4a65-8c65-c7569d8413e3"
      }
    }
  ],
  "identifier": {
    "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
    "value": "T26-59XG",
    "assigner": {
      "identifier": {
        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
        "value": "699X0"
      }
    }
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
        "code": "M4.14"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "1054161000000101",
        "display": "Genetic report"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "GE",
          "display": "Genetics"
        }
      ]
    }
  ],
  "subject": {
    "reference": "urn:uuid:2160525b-0168-4f40-8ebf-9b053052a62c",
    "identifier": {
      "system": "https://fhir.nhs.uk/Id/nhs-number",
      "value": "9737873858"
    },
    "display": "Theon SHEFFIELD"
  },
  "date": "2025-10-14T15:59:16+00:00",
  "author": [
    {
      "identifier": {
        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
        "value": "699X0"
      },
      "display": "North West Genomics"
    }
  ],
  "title": "Composition Genomics Report ctDNA",
  "section": [
    {
      "title": "Presented Format",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "77599-9"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Presented Form</li></ul>This is a PDF document which holds the narrative which ideally would be contained in this Composition resource.</div>"
      },
      "entry": [
        {
          "reference": "urn:uuid:13028359-6a38-4dff-8978-55a57dbdfb56"
        },
        {
          "reference": "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"
        }
      ]
    },
    {
      "title": "Findings",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "59776-5",
            "display": "Findings"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Genomics Findings</li></ul>TODO data from variant and regions studied to be rendered here. For now (phase 1) see PDF, the references to structured data should be ignored.</div>"
      },
      "entry": [
        {
          "reference": "urn:uuid:00c22e97-a226-4845-b17a-e24ec1f4f77a"
        },
        {
          "reference": "urn:uuid:a151b1ed-5aef-4c36-af50-987cfbd5bad4"
        }
      ]
    },
    {
      "title": "Implications",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "59768-2",
            "display": "Procedure indications Imp"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Genomics Implications</li></ul>See PDF</div>"
      }
    }
  ]
}