North West Genomic Medicine Service Alliance
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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-Reanalysis-Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "Bundle-NonWGSTestOrderForm-Reanalysis-Example",
  "identifier" : {
    "system" : "https://tools.ietf.org/html/rfc4122",
    "value" : "9ba09056-0ee6-452d-8fa7-fce9181b13cb"
  },
  "type" : "message",
  "timestamp" : "2024-10-13T10:33:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:b9df1c3a-2335-4ddc-a901-e0a0a44d9c19",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "MessageHeaderReanalysis",
        "meta" : {
          "lastUpdated" : "2025-01-29T10:39:26+00:00"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderReanalysis\"> </a><a name=\"MessageHeader_MessageHeaderGenomicOrder\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderGenomicOrder</b></p><a name=\"MessageHeaderGenomicOrder\"> </a><a name=\"hcMessageHeaderGenomicOrder\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2025-01-29 10:39:26+0000</p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/6.2.0/CodeSystem-v2-0003.html#v2-0003-O21\">eventType O21</a>: OML - Laboratory order</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://simplifier.net/guide/ukcoreversionhistory/http://www.acme.org/endpoint/LIMS\">http://www.acme.org/endpoint/LIMS</a></td><td>NORTH WEST GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0)</td></tr></table><p><b>sender</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MFT Epic</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://simplifier.net/guide/ukcoreversionhistory/http://www.acme.org/endpoint/HIVE\">http://www.acme.org/endpoint/HIVE</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-54b526e9-60a7-4602-9cb3-50ab3be7b564\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code" : "O21"
        },
        "destination" : [
          {
            "endpoint" : "http://www.acme.org/endpoint/LIMS",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RJZ"
              },
              "display" : "KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST"
            }
          }
        ],
        "sender" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "RAX"
          },
          "display" : "Kingston Hospital NHS Foundation Trust"
        },
        "source" : {
          "software" : "MFT Epic",
          "endpoint" : "http://www.acme.org/endpoint/HIVE"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:f123d3f3-6df9-440f-b149-03fedaf62c4b",
            "type" : "ServiceRequest"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PractitionerRole-HazelSmithRenal-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PractitionerRole-HazelSmithRenal-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PractitionerRole-HazelSmithRenal-Example</b></p><a name=\"PractitionerRole-HazelSmithRenal-Example\"> </a><a name=\"hcPractitionerRole-HazelSmithRenal-Example\"> </a><p><b>practitioner</b>: Dr. Hazel Smith (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999998)</p><p><b>organization</b>: Kingston Hospital NHS Foundation Trust (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/RAX01)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 361}\">Renal Medicine</span></p><p><b>telecom</b>: ph: 02085467711, <a href=\"mailto:Hazel.smith12@nhs.net\">Hazel.smith12@nhs.net</a>, <a href=\"mailto:renalseckingston@nhs.net\">renalseckingston@nhs.net</a>, <a href=\"mailto:neuroseckingston@nhs.net\">neuroseckingston@nhs.net</a></p></div>"
        },
        "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" : "361",
                "display" : "Renal Medicine"
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "02085467711"
          },
          {
            "system" : "email",
            "value" : "Hazel.smith12@nhs.net"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "renalseckingston@nhs.net"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString" : "reporting"
              }
            ],
            "system" : "email",
            "value" : "neuroseckingston@nhs.net"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Patient-DemeizaSeo-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-DemeizaSeo-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-DemeizaSeo-Example</b></p><a name=\"Patient-DemeizaSeo-Example\"> </a><a name=\"hcPatient-DemeizaSeo-Example\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Demeiza Seo  (no stated gender), DoB: 2011-01-26 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449306559)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24</code>/RWT16378</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 Aragon Avenue, Thames Ditton Surrey KT7 0PY </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: Dr. Aero Smith (Identifier: <a href=\"NamingSystem-gmpnumber-namingsystem.html\" title=\"General Practitioner (GMP) number. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_practitioner_ppd_code.html)\">GMP Number</a>/G9999999)</li><li>General Practitioner: 123 Test Practice (Identifier: <code>https://fhir.hl7.org.uk/Id/ODS-code</code>/TP123)</li><li>Also see: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307559\">https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307559</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Information that describes the patient's ethnic category.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory\">Extension UK Core Ethnic Category</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland R}\">Other Ethnic Groups - Chinese</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An extension to support the patient's phenotypic sex at birth.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex\">Extension UK Core Birth Sex</a></td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender F}\">Female</span></td></tr></table></div>"
        },
        "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" : "R",
                  "display" : "Other Ethnic Groups - Chinese"
                }
              ]
            }
          }
        ],
        "identifier" : [
          {
            "extension" : [
              {
                "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                      "version" : "2.2.0",
                      "code" : "01",
                      "display" : "Number present and verified"
                    }
                  ]
                }
              }
            ],
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449306559"
          },
          {
            "system" : "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
            "value" : "RWT16378",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RAX"
              }
            }
          }
        ],
        "name" : [
          {
            "family" : "Seo",
            "given" : [
              "Demeiza"
            ]
          }
        ],
        "birthDate" : "2011-01-26",
        "deceasedBoolean" : false,
        "address" : [
          {
            "line" : [
              "1 Aragon Avenue,",
              "Thames Ditton"
            ],
            "city" : "Surrey",
            "postalCode" : "KT7 0PY"
          }
        ],
        "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" : "TP123"
            },
            "display" : "123 Test Practice"
          }
        ],
        "link" : [
          {
            "other" : {
              "reference" : "https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307559"
            },
            "type" : "seealso"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:2af2d820-2d34-4eb6-aadb-defdf8e306fe",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "Observation-GenomicEthnicity-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-GenomicEthnicity-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-GenomicEthnicity-Example</b></p><a name=\"Observation-GenomicEthnicity-Example\"> </a><a name=\"hcObservation-GenomicEthnicity-Example\"> </a><p><b>status</b>: Preliminary</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 723621000000103}\">Ethnicity</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-6f996a14-408c-4322-9c4d-bfedfeb2518f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>value</b>: unknown</p></div>"
        },
        "status" : "preliminary",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "723621000000103",
              "display" : "Ethnicity"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307559"
          }
        },
        "valueString" : "unknown"
      }
    },
    {
      "fullUrl" : "urn:uuid:f123d3f3-6df9-440f-b149-03fedaf62c4b",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example</b></p><a name=\"ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example\"> </a><a name=\"hcServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example\"> </a><p><b>Extension UK Core Coverage</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory nhs-england}\">NHS England</span></p><p><b>basedOn</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=urn:uuid:943f3dbb-6904-46ee-acd7-466c1c4b8a06\">urn:uuid:943f3dbb-6904-46ee-acd7-466c1c4b8a06</a></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory rare-disease-non-wgs}\">Rare Disease - Non-WGS</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R387}\">Re-analysis</span></p><p><b>orderDetail</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R59}\">Early onset or syndromic epilepsy</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-6f996a14-408c-4322-9c4d-bfedfeb2518f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>authoredOn</b>: 2023-09-06 09:00:00+0000</p><p><b>requester</b>: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a\">urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics new-treatment-clinical-management}\">Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-2af2d820-2d34-4eb6-aadb-defdf8e306fe\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-77773f53-c73d-431b-98d7-d4f024c523ee\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-0a301df7-50a6-45a8-9ee3-ed02bc19b52c\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-899144ce-987c-456e-ad03-40b020571972\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-86be9a26-fc8f-4d86-ac50-aa2431da7da2\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-9ba09056-0ee6-452d-8fa7-fce9181b13cb\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></li></ul><p><b>specimen</b>: No Sample Required</p><p><b>note</b>: , </p><blockquote><div><p>No family history of genomic testing</p>\n</div></blockquote><blockquote><div><p>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.</p>\n</div></blockquote></div>"
        },
        "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"
                }
              ]
            }
          }
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:943f3dbb-6904-46ee-acd7-466c1c4b8a06"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                "code" : "rare-disease-non-wgs"
              }
            ]
          }
        ],
        "priority" : "routine",
        "code" : {
          "coding" : [
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "version" : "7",
              "code" : "R387",
              "display" : "Re-analysis"
            }
          ]
        },
        "orderDetail" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                "version" : "7",
                "code" : "R59",
                "display" : "Early onset or syndromic epilepsy"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449306559"
          }
        },
        "authoredOn" : "2023-09-06T09:00:00Z",
        "requester" : {
          "reference" : "urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                "code" : "new-treatment-clinical-management",
                "display" : "New Treatment/Clinical Management"
              }
            ],
            "text" : "Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy"
          }
        ],
        "supportingInfo" : [
          {
            "reference" : "urn:uuid:2af2d820-2d34-4eb6-aadb-defdf8e306fe"
          },
          {
            "reference" : "urn:uuid:77773f53-c73d-431b-98d7-d4f024c523ee"
          },
          {
            "reference" : "urn:uuid:0a301df7-50a6-45a8-9ee3-ed02bc19b52c"
          },
          {
            "reference" : "urn:uuid:899144ce-987c-456e-ad03-40b020571972"
          },
          {
            "reference" : "urn:uuid:86be9a26-fc8f-4d86-ac50-aa2431da7da2"
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          {
            "reference" : "urn:uuid:9ba09056-0ee6-452d-8fa7-fce9181b13cb"
          }
        ],
        "specimen" : [
          {
            "display" : "No Sample Required"
          }
        ],
        "note" : [
          {
            "text" : "No family history of genomic testing"
          },
          {
            "text" : "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. "
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:0a301df7-50a6-45a8-9ee3-ed02bc19b52c",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "Observation-NoPregnancy-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoPregnancy-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoPregnancy-Example</b></p><a name=\"Observation-NoPregnancy-Example\"> </a><a name=\"hcObservation-NoPregnancy-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 60001007}\">Not pregnant</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-6f996a14-408c-4322-9c4d-bfedfeb2518f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2023-09-06</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "60001007",
              "display" : "Not pregnant"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307559"
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        },
        "effectiveDateTime" : "2023-09-06"
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    {
      "fullUrl" : "urn:uuid:77773f53-c73d-431b-98d7-d4f024c523ee",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "Condition-MonogenicHearingLoss-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_Condition-MonogenicHearingLoss-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition Condition-MonogenicHearingLoss-Example</b></p><a name=\"Condition-MonogenicHearingLoss-Example\"> </a><a name=\"hcCondition-MonogenicHearingLoss-Example\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}\">inactive</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}\">Provisional</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R67.2}\">Monogenic hearing loss</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-6f996a14-408c-4322-9c4d-bfedfeb2518f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "inactive",
              "display" : "inactive"
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        "verificationStatus" : {
          "coding" : [
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              "code" : "provisional",
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          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "version" : "7",
              "code" : "R67.2",
              "display" : "Monogenic hearing loss"
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          ]
        },
        "subject" : {
          "reference" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449307559"
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    {
      "fullUrl" : "urn:uuid:899144ce-987c-456e-ad03-40b020571972",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "Observation-NonConsanguinousUnion-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NonConsanguinousUnion-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NonConsanguinousUnion-Example</b></p><a name=\"Observation-NonConsanguinousUnion-Example\"> </a><a name=\"hcObservation-NonConsanguinousUnion-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160475008}\">Family history of consanguinity</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-6f996a14-408c-4322-9c4d-bfedfeb2518f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2023-09-06</p><p><b>value</b>: false</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "160475008",
              "display" : "Family history of consanguinity"
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        "subject" : {
          "reference" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
          "identifier" : {
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        "effectiveDateTime" : "2023-09-06",
        "valueBoolean" : false
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    {
      "fullUrl" : "urn:uuid:86be9a26-fc8f-4d86-ac50-aa2431da7da2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "Observation-NoBoneMarrowTransplant-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoBoneMarrowTransplant-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoBoneMarrowTransplant-Example</b></p><a name=\"Observation-NoBoneMarrowTransplant-Example\"> </a><a name=\"hcObservation-NoBoneMarrowTransplant-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 416128008}\">No history of procedure</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-6f996a14-408c-4322-9c4d-bfedfeb2518f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 445715009}\">Blood and marrow transplantation</span></p></div>"
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              "code" : "416128008",
              "display" : "No history of procedure"
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        "subject" : {
          "reference" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
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        "effectiveDateTime" : "2023-08-05",
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            {
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              "code" : "445715009",
              "display" : "Blood and marrow transplantation"
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    {
      "fullUrl" : "urn:uuid:9ba09056-0ee6-452d-8fa7-fce9181b13cb",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "Observation-NoTransfusion-Example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoTransfusion-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoTransfusion-Example</b></p><a name=\"Observation-NoTransfusion-Example\"> </a><a name=\"hcObservation-NoTransfusion-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 416128008}\">No history of procedure</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#urn-uuid-6f996a14-408c-4322-9c4d-bfedfeb2518f\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9ba09056-0ee6-452d-8fa7-fce9181b13cb; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2023-09-06</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 303955003}\">Transfusion - action</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
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              "system" : "http://snomed.info/sct",
              "code" : "416128008",
              "display" : "No history of procedure"
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        "subject" : {
          "reference" : "urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f",
          "identifier" : {
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        "effectiveDateTime" : "2023-09-06",
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            {
              "system" : "http://snomed.info/sct",
              "code" : "303955003",
              "display" : "Transfusion - action"
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}