North West Genomic Medicine Service Alliance
0.0.7 - ci-build United Kingdom flag

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

Example Bundle: Bundle-NonWGSTestOrderForm-FetalScenario-Example

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

-EndpointReceiver
*http://www.acme.org/endpoint/LIMSNORTH 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

-SoftwareEndpoint
*MFT Epichttp://www.acme.org/endpoint/HIVE

focus: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000


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/RWT13521
Contact Detail53 Eastwick Pack Avenue Leatherhead Surrey KT23 3NP
Links:
Extension UK Core Ethnic CategoryWhite - British
Extension UK Core Birth SexFemale

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

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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)

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

authoredOn: 2023-09-25

requester: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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?

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

effective: 2023-09-25

value: false


Entry 9 - fullUrl = http://example.org/fhir/Observation/Observation-PregnancyConfirmation-Example

Resource Observation:

status: Final

code: Pregnancy

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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)

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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)

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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?

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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?

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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-69050-216738

status: Unavailable

type: Blood specimen with EDTA

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

request: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000


Entry 16 - fullUrl = http://example.org/fhir/Specimen/Specimen-RyanneBoulderSaliva-Example

Resource Specimen:

identifier: https://fhir.kingstonhospital.nhs.uk/Id/specimenId/ROA-69050-216739

status: Available

type: Saliva specimen

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

request: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

container


Entry 17 - fullUrl = http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulder-Example

Resource RelatedPerson:

identifier: NHS Number/9449307687

patient: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

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-RWT13521

patient: Bundle: identifier = https://tools.ietf.org/html/rfc4122#b9df1c3a-2335-4ddc-a901-e0a0a44d9c19; type = message; timestamp = 2024-10-13 10:33:00+0000

relationship: natural father of fetus