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 xmlns="http://hl7.org/fhir">
<id value="Bundle-NonWGSTestOrderForm-Reanalysis-Example"/>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="9ba09056-0ee6-452d-8fa7-fce9181b13cb"/>
</identifier>
<type value="message"/>
<timestamp value="2024-10-13T10:33:00+00:00"/>
<entry>
<fullUrl value="urn:uuid:b9df1c3a-2335-4ddc-a901-e0a0a44d9c19"/>
<resource>
<MessageHeader>
<id value="MessageHeaderReanalysis"/>
<meta>
<lastUpdated value="2025-01-29T10:39:26+00:00"/>
</meta>
<text>
<status value="generated"/>
<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&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&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>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="O21"/>
</eventCoding>
<destination>
<endpoint value="http://www.acme.org/endpoint/LIMS"/>
<receiver>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RJZ"/>
</identifier>
<display value="KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST"/>
</receiver>
</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</sender>
<source>
<software value="MFT Epic"/>
<endpoint value="http://www.acme.org/endpoint/HIVE"/>
</source>
<focus>
<reference value="urn:uuid:f123d3f3-6df9-440f-b149-03fedaf62c4b"/>
<type value="ServiceRequest"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a"/>
<resource>
<PractitionerRole>
<id value="PractitionerRole-HazelSmithRenal-Example"/>
<text>
<status value="generated"/>
<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>
</text>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="9999999998"/>
</identifier>
<display value="Dr. Hazel Smith"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="361"/>
<display value="Renal Medicine"/>
</coding>
</specialty>
<telecom>
<system value="phone"/>
<value value="02085467711"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Hazel.smith12@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="renalseckingston@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="neuroseckingston@nhs.net"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<resource>
<Patient>
<id value="Patient-DemeizaSeo-Example"/>
<text>
<status value="generated"/>
<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&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&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&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>
</text>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"/>
<code value="F"/>
<display value="Female"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland"/>
<code value="R"/>
<display value="Other Ethnic Groups - Chinese"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<version value="2.2.0"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449306559"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="RWT16378"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Seo"/>
<given value="Demeiza"/>
</name>
<birthDate value="2011-01-26"/>
<deceasedBoolean value="false"/>
<address>
<line value="1 Aragon Avenue,"/>
<line value="Thames Ditton"/>
<city value="Surrey"/>
<postalCode value="KT7 0PY"/>
</address>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G9999999"/>
</identifier>
<display value="Dr. Aero Smith"/>
</generalPractitioner>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/ODS-code"/>
<value value="TP123"/>
</identifier>
<display value="123 Test Practice"/>
</generalPractitioner>
<link>
<other>
<reference
value="https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307559"/>
</other>
<type value="seealso"/>
</link>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2af2d820-2d34-4eb6-aadb-defdf8e306fe"/>
<resource>
<Observation>
<id value="Observation-GenomicEthnicity-Example"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="preliminary"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="723621000000103"/>
<display value="Ethnicity"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307559"/>
</identifier>
</subject>
<valueString value="unknown"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f123d3f3-6df9-440f-b149-03fedaf62c4b"/>
<resource>
<ServiceRequest>
<id value="ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example"/>
<text>
<status value="extensions"/>
<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&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&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>
</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>
</div></blockquote></div>
</text>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory"/>
<code value="nhs-england"/>
<display value="NHS England"/>
</coding>
</valueCodeableConcept>
</extension>
<basedOn>
<reference value="urn:uuid:943f3dbb-6904-46ee-acd7-466c1c4b8a06"/>
</basedOn>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory"/>
<code value="rare-disease-non-wgs"/>
</coding>
</category>
<priority value="routine"/>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<version value="7"/>
<code value="R387"/>
<display value="Re-analysis"/>
</coding>
</code>
<orderDetail>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<version value="7"/>
<code value="R59"/>
<display value="Early onset or syndromic epilepsy"/>
</coding>
</orderDetail>
<subject>
<reference value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449306559"/>
</identifier>
</subject>
<authoredOn value="2023-09-06T09:00:00Z"/>
<requester>
<reference value="urn:uuid:da7edbd3-cc37-4c2d-8bb0-9da528c4695a"/>
</requester>
<reasonCode>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics"/>
<code value="new-treatment-clinical-management"/>
<display value="New Treatment/Clinical Management"/>
</coding>
<text
value="Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy"/>
</reasonCode>
<supportingInfo>
<reference value="urn:uuid:2af2d820-2d34-4eb6-aadb-defdf8e306fe"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:77773f53-c73d-431b-98d7-d4f024c523ee"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:0a301df7-50a6-45a8-9ee3-ed02bc19b52c"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:899144ce-987c-456e-ad03-40b020571972"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:86be9a26-fc8f-4d86-ac50-aa2431da7da2"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:9ba09056-0ee6-452d-8fa7-fce9181b13cb"/>
</supportingInfo>
<specimen>
<display value="No Sample Required"/>
</specimen>
<note>
<text value="No family history of genomic testing"/>
</note>
<note>
<text
value="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. "/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0a301df7-50a6-45a8-9ee3-ed02bc19b52c"/>
<resource>
<Observation>
<id value="Observation-NoPregnancy-Example"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="60001007"/>
<display value="Not pregnant"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307559"/>
</identifier>
</subject>
<effectiveDateTime value="2023-09-06"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:77773f53-c73d-431b-98d7-d4f024c523ee"/>
<resource>
<Condition>
<id value="Condition-MonogenicHearingLoss-Example"/>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="inactive"/>
<display value="inactive"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="provisional"/>
<display value="Provisional"/>
</coding>
</verificationStatus>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<version value="7"/>
<code value="R67.2"/>
<display value="Monogenic hearing loss"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307559"/>
</identifier>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:899144ce-987c-456e-ad03-40b020571972"/>
<resource>
<Observation>
<id value="Observation-NonConsanguinousUnion-Example"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="160475008"/>
<display value="Family history of consanguinity"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307559"/>
</identifier>
</subject>
<effectiveDateTime value="2023-09-06"/>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:86be9a26-fc8f-4d86-ac50-aa2431da7da2"/>
<resource>
<Observation>
<id value="Observation-NoBoneMarrowTransplant-Example"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="416128008"/>
<display value="No history of procedure"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307559"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="445715009"/>
<display value="Blood and marrow transplantation"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9ba09056-0ee6-452d-8fa7-fce9181b13cb"/>
<resource>
<Observation>
<id value="Observation-NoTransfusion-Example"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="416128008"/>
<display value="No history of procedure"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:6f996a14-408c-4322-9c4d-bfedfeb2518f"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307559"/>
</identifier>
</subject>
<effectiveDateTime value="2023-09-06"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="303955003"/>
<display value="Transfusion - action"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
</Bundle>