Bundle Bundle-NonWGSTestOrderForm-Reanalysis-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

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/urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a

Resource PractitionerRole:

practitioner: Dr. Hazel Smith (Identifier: https://fhir.nhs.uk/Id/sds-user-id/9999999998)

organization: Kingston Hospital NHS Foundation Trust (Identifier: ODS Organisation Code/RAX01)

specialty: Renal Medicine

Entry 3 - fullUrl = urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f

Resource Patient:

Demeiza Seo (no stated gender), DoB: 2011-01-26 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449306559)

---

Deceased:	false
Other Id:	urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24/RWT16378
Contact Detail	1 Aragon Avenue, Thames Ditton Surrey KT7 0PY
Links:	General Practitioner: Dr. Aero Smith (Identifier: GMP Number/G9999999) General Practitioner: 123 Test Practice (Identifier: https://fhir.hl7.org.uk/Id/ODS-code/TP123) Also see: https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307559
Extension UK Core Ethnic Category	Other Ethnic Groups - Chinese
Extension UK Core Birth Sex	Female

Entry 4 - fullUrl = urn:uuid:2af2d820-2d34-4eb6-aadb-defdf8e306fe

Resource Observation:

status: Preliminary

code: Ethnicity

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000

value: unknown

Entry 5 - fullUrl = urn:uuid:f123d3f3-6df9-440f-b149-03fedaf62c4b

Resource ServiceRequest:

Extension UK Core Coverage: NHS England

basedOn: urn:uuid:943f3dbb-6904-46ee-acd7-466c1c4b8a06

status: Active

intent: Order

category: Rare Disease - Non-WGS

priority: Routine

code: No display for ServiceRequest.code (concept: Re-analysis)

orderDetail: No display for ServiceRequest.orderDetail ()

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000

authoredOn: 2023-09-06 09:00:00+0000

requester: urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a

supportingInfo:

• No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000)
• No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000)
• No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000)
• No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000)
• No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000)
• No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000)

specimen: No Sample Required

note: ,

No family history of genomic testing

Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/E.g. Reanlaysis - change in observed phenotype. Epilepsy test previously ordered on patient 5 years ago.

Entry 6 - fullUrl = urn:uuid:0a301df7-50a6-45a8-9ee3-ed02bc19b52c

Resource Observation:

status: Final

code: Not pregnant

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000

effective: 2023-09-06

Entry 7 - fullUrl = urn:uuid:77773f53-c73d-431b-98d7-d4f024c523ee

Resource Condition:

clinicalStatus: inactive

verificationStatus: Provisional

code: Monogenic hearing loss

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000

Entry 8 - fullUrl = urn:uuid:899144ce-987c-456e-ad03-40b020571972

Resource Observation:

status: Final

code: Family history of consanguinity

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000

effective: 2023-09-06

value: false

Entry 9 - fullUrl = urn:uuid:86be9a26-fc8f-4d86-ac50-aa2431da7da2

Resource Observation:

status: Final

code: No history of procedure

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000

effective: 2023-08-05

value: Blood and marrow transplantation

Entry 10 - fullUrl = urn:uuid:9ba09056-0ee6-452d-8fa7-fce9181b13cb

Resource Observation:

status: Final

code: No history of procedure

subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000

effective: 2023-09-06

value: Transfusion - action