OriginalDocumentMessage
type: Bundle
node role: treeRoot
id:
  v: OriginalDocumentMessage
identifier:
  value:
    v: ORIE-251014-9
type:
  v: message
timestamp:
  v: 2025-10-14T15:59:42+00:00

urn:…
type: MessageHeader
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MessageHeader event: v2 EVENT TYPE CODE: T02 (MDM/ACK - Original document notification and content) Destinations - Endpoint Receiver * https://fhir.nwgenomics.nhs.uk/Endpoint/GMCR Identifier: ODS Organisation Code/QOP sender: Identifier: ODS Organisation Code/699X0 Sources - Software Endpoint * NW GLH https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE focus: DocumentReference: identifier = Filler Identifier; status = current; type = Genetic report; date = 2025-10-15 15:59:16+0000
event: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/v2-0003
    l: v2-0003
  code:
    v: T02
destination:
  endpoint:
    v: https://fhir.nwgenomics.nhs.uk/Endpoint/GMCR
    l: GMCR
  receiver:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: QOP
sender:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
source:
  software:
    v: NW GLH
  endpoint:
    v: https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE
    l: IGENE

urn:…
type: Patient
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient Cersei London Female, DoB: 1973-10-03 ( National Health Plan Identifier) Other Id: Medical record number/1234567 Contact Detail 2 Barclay Close Fetcham SE1 2AA
identifier:
  extension:
    url:
      v: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
      l: Extension-UKCore-NHSNumberVerificationStatus
    value: CodeableConcept
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NH
  system:
    v: https://fhir.nhs.uk/Id/nhs-number
    l: nhs-number
  value:
    v: 9737383230
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: X24
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  system:
    v: urn:oid:1.2.840.114350.1.13.611.3.7.5.737384.14
    l: 1.2.840.114350.1.13.611.3.7.5.737384.14
  value:
    v: 1234567
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RPY
name:
  family:
    v: London
  given:
    v: Cersei
gender:
  v: female
birth date:
  v: 1973-10-03
address:
  line:
    v: 2 Barclay Close
  line:
    v: Fetcham
  postal code:
    v: SE1 2AA

urn:…
type: Encounter
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter identifier: Visit number/1001166717 status: Finished class: v3 Code System ActCode: OBSENC (observation encounter) serviceType: 100 subject: Cersei London Female, DoB: 1973-10-03 ( National Health Plan Identifier) Locations - Location * Identifier: ^^^R0A09^^^^^^^R0A
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: VN
  value:
    v: 1001166717
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: R0A
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: OBSENC
service type:
  coding:
    code:
      v: 100
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383230
location:
  location:
    identifier:
      value:
        v: ^^^R0A09^^^^^^^R0A

urn:…
type: Binary
content type:
  v: application/pdf

urn:…
type: DocumentReference
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DocumentReference identifier: Filler Identifier/T25-6218 status: Current type: Genetic report subject: Cersei London Female, DoB: 1973-10-03 ( National Health Plan Identifier) date: 2025-10-15 15:59:16+0000 custodian: Identifier: ODS Organisation Code/699X0 content Attachments - ContentType Url * application/pdf Binary: application/pdf (585356 bytes base64) context encounter: Encounter: identifier = Visit number; status = finished; class = observation encounter (v3 Code System ActCode#OBSENC); serviceType = 100 period: 2025-10-15 15:59:16+0000 --> 2025-10-15 15:59:16+0000 sourcePatientInfo: Identifier: Medical record number/1234567 related: urn:uuid:74948329-9e5f-42fa-8bd9-aee473f550df urn:uuid:a78555ae-fc6a-49ec-8586-359861240f86
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-6218
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: current
type:
  coding: http://snomed.info/id/1054161000000101
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1054161000000101
    display:
      v: Genetic report
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383230
date:
  v: 2025-10-15T15:59:16+00:00
custodian:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
content:
  attachment:
    content type:
      v: application/pdf
context:
  encounter:
    type:
      v: Encounter
      l: Encounter
    identifier:
      value:
        v: 1001166717
  period:
    start:
      v: 2025-10-15T15:59:16+00:00
    end:
      v: 2025-10-15T15:59:16+00:00
  source patient info:
    identifier:
      system:
        v: urn:oid:1.2.840.114350.1.13.611.3.7.5.737384.14
        l: 1.2.840.114350.1.13.611.3.7.5.737384.14
      value:
        v: 1234567
  related:
    type:
      v: ServiceRequest
      l: ServiceRequest
    identifier:
      system:
        v: urn:oid:1.2.840.114350.1.13.861.1.7.2.798268
        l: 1.2.840.114350.1.13.861.1.7.2.798268
      value:
        v: 160171601
  related:
    type:
      v: DiagnosticReport
      l: DiagnosticReport
    identifier:
      system:
        v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
        l: ReportIdentifier
      value:
        v: T25-6218

v: 05

v: Trace needs to be resolved - (NHS number or patient detail conflict)

v: NH

v: X24

v: NH

v: X24

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: VN

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: R0A

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: MR

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RPY

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: PLAC

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RPY

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: FILL

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: 699X0