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Narrative

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Source1

{
  "resourceType": "ServiceRequest",
  "id": "ServiceRequestGenomicsOrderCodedEntries",
  "meta": {
    "versionId": "1.0",
    "profile": [
      "https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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"
        }
      }
    }
  ],
  "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"
    }
  ]
}