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 - XML Representation

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<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&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>
        </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&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>
        </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&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>
</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>