North West Genomic Medicine Service Alliance
0.0.7 - ci-build
North West Genomic Medicine Service Alliance - Local Development build (v0.0.7) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Bundle Bundle-NonWGSTestOrderForm-FetalScenario-Example of type message
Entry 1 - fullUrl = urn:uuid:b9df1c3a-2335-4ddc-a901-e0a0a44d9c19
Resource MessageHeader:
Generated Narrative: MessageHeader MessageHeaderGenomicOrder
Last updated: 2025-01-29 10:39:26+0000
event: eventType O21: OML - Laboratory order
Destinations
Endpoint Receiver http://www.acme.org/endpoint/LIMS NORTH WEST GLH (Identifier: https://fhir.nhs.uk/Id/ods-organization-code
/699X0)sender: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier:
https://fhir.nhs.uk/Id/ods-organization-code
/R0A)Sources
Software Endpoint MFT Epic http://www.acme.org/endpoint/HIVE
Entry 2 - fullUrl = http://example.org/fhir/PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example
Resource PractitionerRole:
practitioner: Dr. Lois Lane (Identifier:
https://fhir.nhs.uk/Id/sds-user-id
/9999999999)organization: Kingston Hospital NHS Foundation Trust (Identifier: ODS Organisation Code/RAX)
specialty: Clinical Genetics
Entry 3 - fullUrl = http://example.org/fhir/Patient/Patient-RyanneBoulder-Example
Resource Patient:
Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)
Deceased: false Other Id: http://www.acme.org/patient/identifier
/RWT13521Contact Detail 53 Eastwick Pack Avenue Leatherhead Surrey KT23 3NP Links:
- General Practitioner: Dr. Aero Smith (Identifier: GMP Number/G9999999)
- General Practitioner: anywhere place (Identifier:
https://fhir.hl7.org.uk/Id/ODS-code
/AP123)- Also see: https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307687
- Also see: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000
Extension UK Core Ethnic Category White - British Extension UK Core Birth Sex Female
Entry 4 - fullUrl = http://example.org/fhir/Patient/Patient-FoetusOfRyanneBoulder-Example
Resource Patient:
Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)
Entry 5 - fullUrl = http://example.org/fhir/Patient/Patient-RyanneBoulderPartner-Example
Resource Patient:
Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#P-RWT13521)
Links:
Entry 6 - fullUrl = http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example
Resource Observation:
status: Preliminary
code: Ethnicity
value: unknown
Entry 7 - fullUrl = http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example
Resource ServiceRequest:
Extension UK Core Coverage: NHS England
status: Active
intent: Order
category: Rare Disease - Non-WGS
priority: Urgent
code: No display for ServiceRequest.code (concept: Fetal anomalies with a likely genetic cause)
authoredOn: 2023-09-25
supportingInfo:
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
- No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000)
note: , ,
Samples are to be provided at a later date
No family history of relevant testing
Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder
Entry 8 - fullUrl = http://example.org/fhir/Observation/Observation-HistoryOfFetalLoss-Example
Resource Observation:
status: Final
code: Is the testing for a fetal loss from 24+0 or more weeks of gestation?
effective: 2023-09-25
value: false
Entry 9 - fullUrl = http://example.org/fhir/Observation/Observation-PregnancyConfirmation-Example
Resource Observation:
status: Final
code: Pregnancy
effective: 2023-09-25
component
code: Assisted conception
component
code: Gestational age
value: 87 day (Details: UCUM coded = 'd')
component
code: Estimated date of delivery
value: 2024-05-01
Entry 10 - fullUrl = http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example
Resource Observation:
status: Final
code: Family history: Consanguinity (situation)
effective: 2023-09-25
value: false
Entry 11 - fullUrl = http://example.org/fhir/Observation/Observation-NoTransplant-Example
Resource Observation:
status: Final
code: No history of procedure (situation)
effective: 2023-09-25
value: Transplant (qualifier value)
Entry 12 - fullUrl = http://example.org/fhir/Observation/Observation-NoFirstTrimesterFetalAnomalies-Example
Resource Observation:
status: Final
code: First Trimester Anomalies?
effective: 2023-09-25
value: false
Components
Code First trimester
Entry 13 - fullUrl = http://example.org/fhir/Observation/Observation-NoSecondTrimesterFetalAnomalies-Example
Resource Observation:
status: Final
code: Second Trimester Anomalies?
effective: 2023-09-25
value: false
Components
Code Second trimester
Entry 14 - fullUrl = http://example.org/fhir/Procedure/Procedure-InVitroFertilisation-Example
Resource Procedure:
status: Completed
code: In vitro fertilisation
subject: Identifier: NHS Number/9449307687
note:
Woman`s own egg
Entry 15 - fullUrl = http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example
Resource Specimen:
identifier:
https://fhir.kingstonhospital.nhs.uk/Id/specimenId
/ROA-69050-216738status: Unavailable
type: Blood specimen with EDTA
Entry 16 - fullUrl = http://example.org/fhir/Specimen/Specimen-RyanneBoulderSaliva-Example
Resource Specimen:
identifier:
https://fhir.kingstonhospital.nhs.uk/Id/specimenId
/ROA-69050-216739status: Available
type: Saliva specimen
container
Entry 17 - fullUrl = http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulder-Example
Resource RelatedPerson:
identifier: NHS Number/9449307687
relationship: natural mother of fetus
Entry 18 - fullUrl = http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example
Resource RelatedPerson:
identifier:
http://www.acme.org/patient/identifier
/P-RWT13521relationship: natural father of fetus