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Packageuk.nhsengland.genomics.r4
Resource TypeBundle
IdBundle-NonWGSTestOrderForm-CancerSolidTumor-Example.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRole-HazelSmithKingstonPathology-Example",
        "practitioner": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/sds-user-id",
            "value": "9999999998"
          },
          "display": "Dr. Hazel Smith"
        },
        "organization": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RAX01"
          },
          "display": "Kingston Hospital NHS Foundation Trust"
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code": "820",
                "display": "General Pathology"
              }
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "02085467711"
          },
          {
            "system": "email",
            "value": "Hazel.smith14@nhs.net"
          },
          {
            "system": "email",
            "value": "pathologyseckingston@nhs.net",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ]
          },
          {
            "system": "email",
            "value": "respiratorykingston@nhs.net",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "PractitionerRole"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-JamesTaylorKingstonPathology-Example",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRole-JamesTaylorKingstonPathology-Example",
        "practitioner": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/sds-user-id",
            "value": "9999999998"
          },
          "display": "Dr. James Taylor"
        },
        "organization": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RAX01"
          },
          "display": "Kingston Hospital NHS Foundation Trust"
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code": "820",
                "display": "General Pathology"
              }
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "02085467711"
          },
          {
            "system": "email",
            "value": "pathologyseckingston@nhs.net",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ]
          },
          {
            "system": "email",
            "value": "respiratorykingston@nhs.net",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "PractitionerRole"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRole-AnnaLaneKingstonPathology-Example",
        "practitioner": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/sds-user-id",
            "value": "9999999998"
          },
          "display": "Dr. Anna Lane"
        },
        "organization": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RAX01"
          },
          "display": "Kingston Hospital NHS Foundation Trust"
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                "code": "820",
                "display": "General Pathology"
              }
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "02085467711"
          },
          {
            "system": "email",
            "value": "pathologyseckingston@nhs.net",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ]
          },
          {
            "system": "email",
            "value": "respiratorykingston@nhs.net",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "PractitionerRole"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Patient/Patient-ZelmaHadjkiss-Example",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-ZelmaHadjkiss-Example",
        "extension": [
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
                  "code": "F",
                  "display": "Female"
                }
              ]
            }
          },
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
                  "code": "A",
                  "display": "White - British"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307555",
            "extension": [
              {
                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                      "version": "1.1.1",
                      "code": "01",
                      "display": "Number present and verified"
                    }
                  ]
                }
              }
            ]
          },
          {
            "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
            "value": "RWT17335",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RAX01"
              }
            }
          }
        ],
        "name": [
          {
            "given": [
              "Zelma"
            ],
            "family": "Hadjkiss"
          }
        ],
        "birthDate": "2011-03-19",
        "address": [
          {
            "line": [
              "2 Barclay Close",
              "Fetcham",
              "Leatherhead",
              "Surrey"
            ],
            "postalCode": "KT22 9SY"
          }
        ],
        "generalPractitioner": [
          {
            "identifier": {
              "system": "https://fhir.hl7.org.uk/Id/gmp-number",
              "value": "G9999999"
            },
            "display": "Dr. Aero Smith"
          },
          {
            "identifier": {
              "system": "https://fhir.hl7.org.uk/Id/ODS-code",
              "value": "AP123"
            },
            "display": "anywhere place"
          }
        ],
        "link": [
          {
            "other": {
              "reference": "https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307555"
            },
            "type": "seealso"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient",
        "ifNoneExist": "Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307555"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-MultipleTumors-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-MultipleTumors-Example",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "371510003",
              "display": "Proportion of specimen involved by tumour"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-ZelmaHadjkiss-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307555"
          }
        },
        "specimen": {
          "identifier": {
            "system": "https://fhir.add.nhs.uk/Id/specimenId",
            "value": "RA257630"
          }
        },
        "valueQuantity": {
          "value": 25,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "369755005",
                  "display": "Multiple tumors"
                }
              ]
            },
            "valueBoolean": true
          }
        ],
        "effectiveDateTime": "2023-09-08"
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-Necrosis-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-Necrosis-Example",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "405921002",
              "display": "Percentage of neoplasm involved by necrosis"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-ZelmaHadjkiss-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307555"
          }
        },
        "specimen": {
          "identifier": {
            "system": "https://fhir.add.nhs.uk/Id/specimenId",
            "value": "RA257630"
          }
        },
        "valueQuantity": {
          "value": 5,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "interpretation": [
          {
            "text": "Cellularity",
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H",
                "display": "High"
              }
            ]
          }
        ],
        "effectiveDateTime": "2023-09-08"
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Condition/Condition-LungTumor-Example",
      "resource": {
        "resourceType": "Condition",
        "id": "Condition-LungTumor-Example",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "recurrence",
              "display": "Recurrence"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "provisional",
              "display": "Provisional"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "363358000",
              "display": "Malignant tumour of lung"
            }
          ]
        },
        "subject": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "944930555"
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "Condition"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example",
        "extension": [
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory",
                  "code": "nhs-england",
                  "display": "NHS England"
                }
              ]
            }
          },
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact",
            "valueReference": {
              "reference": "PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example"
            }
          },
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact",
            "valueReference": {
              "reference": "PractitionerRole/PractitionerRole-JamesTaylor-Example"
            }
          }
        ],
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                "code": "cancer-non-wgs",
                "display": "Cancer - Non-WGS"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                "code": "relapse",
                "display": "Relapse"
              }
            ]
          }
        ],
        "priority": "routine",
        "code": {
          "coding": [
            {
              "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code": "M119.5",
              "display": "Multi Target NGS Panel Small",
              "version": "9"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-ZelmaHadjkiss-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307555"
          }
        },
        "authoredOn": "2023-09-08",
        "requester": {
          "reference": "PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example"
        },
        "performer": [
          {
            "identifier": {
              "system": "https://fhir.nhs.uk/Id/ods-organization-code",
              "value": "RJZ"
            },
            "display": "KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST"
          }
        ],
        "supportingInfo": [
          {
            "reference": "Observation/Observation-MultipleTumors-Example"
          },
          {
            "reference": "Observation/Observation-MultipleTumors-Example"
          },
          {
            "reference": "Condition/Condition-LungTumor-Example"
          }
        ],
        "specimen": [
          {
            "reference": "Specimen/Specimen-CancerSolidTumor-Example"
          }
        ],
        "note": [
          {
            "text": "Free text for diagnosis/reason for referral, transplant, life status at time of request details/ e.g. malignant tumour - molecular assessment will aid management"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "ServiceRequest"
      }
    }
  ]
}