{ "resourceType" : "Bundle", "id" : "Bundle-NonWGSTestOrderForm-FetalScenario-Example", "meta" : { "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"] }, "language" : "en", "identifier" : { "system" : "https://tools.ietf.org/html/rfc4122", "value" : "b9df1c3a-2335-4ddc-a901-e0a0a44d9c19" }, "type" : "message", "timestamp" : "2024-10-13T10:33:00+00:00", "entry" : [{ "fullUrl" : "urn:uuid:b9df1c3a-2335-4ddc-a901-e0a0a44d9c19", "resource" : { "resourceType" : "MessageHeader", "id" : "MessageHeaderGenomicOrderFetal", "meta" : { "lastUpdated" : "2025-01-29T10:39:26+00:00" }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: MessageHeader MessageHeaderGenomicOrder

Last updated: 2025-01-29 10:39:26+0000

event: eventType O21: OML - Laboratory order

Destinations

-EndpointReceiver
*http://www.acme.org/endpoint/LIMSNORTH WEST GLH (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/699X0)

sender: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/R0A)

Sources

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

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

" }, "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" : "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example", "type" : "ServiceRequest" }] } }, { "fullUrl" : "http://example.org/fhir/PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example", "resource" : { "resourceType" : "PractitionerRole", "id" : "PractitionerRole-LoisLaneKingstonClinicalGenetics-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole PractitionerRole-LoisLaneKingstonClinicalGenetics-Example

practitioner: Dr. Lois Lane (Identifier: https://fhir.nhs.uk/Id/sds-user-id/9999999999)

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

specialty: Clinical Genetics

telecom: ph: 02068457781, lois.lane1@nhs.net, clinicalgeneticskingston@nhs.net, fetalmedicinekingston@nhs.net, gptestpracticekingston@nhs.net

" }, "practitioner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/sds-user-id", "value" : "9999999999" }, "display" : "Dr. Lois Lane" }, "organization" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" }, "display" : "Kingston Hospital NHS Foundation Trust" }, "specialty" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode", "code" : "311", "display" : "Clinical Genetics" }] }], "telecom" : [{ "system" : "phone", "value" : "02068457781" }, { "system" : "email", "value" : "lois.lane1@nhs.net" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "clinicalgeneticskingston@nhs.net" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "fetalmedicinekingston@nhs.net" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment", "valueString" : "reporting" }], "system" : "email", "value" : "gptestpracticekingston@nhs.net" }] } }, { "fullUrl" : "http://example.org/fhir/Patient/Patient-RyanneBoulder-Example", "resource" : { "resourceType" : "Patient", "id" : "Patient-RyanneBoulder-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient Patient-RyanneBoulder-Example

Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

Deceased:false
Other Id:http://www.acme.org/patient/identifier/RWT13521
Contact Detail53 Eastwick Pack Avenue Leatherhead Surrey KT23 3NP
Links:
Extension UK Core Ethnic CategoryWhite - British
Extension UK Core Birth SexFemale
" }, "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" : "A", "display" : "White - British" }] } }], "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" : "9449307687" }, { "system" : "http://www.acme.org/patient/identifier", "value" : "RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } }], "name" : [{ "family" : "Boulder", "given" : ["Ryanne"] }], "birthDate" : "1980-09-02", "deceasedBoolean" : false, "address" : [{ "line" : ["53 Eastwick Pack Avenue", "Leatherhead", "Surrey"], "postalCode" : "KT23 3NP" }], "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" : "AP123" }, "display" : "anywhere place" }], "link" : [{ "other" : { "reference" : "RelatedPerson/RelatedPerson-RyanneBoulder-Example" }, "type" : "seealso" }] } }, { "fullUrl" : "http://example.org/fhir/Patient/Patient-FoetusOfRyanneBoulder-Example", "resource" : { "resourceType" : "Patient", "id" : "Patient-FoetusOfRyanneBoulder-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient Patient-FoetusOfRyanneBoulder-Example

Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)

" }, "identifier" : [{ "system" : "http://www.acme.org/patient/identifier", "value" : "FT-RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } }], "gender" : "unknown" } }, { "fullUrl" : "http://example.org/fhir/Patient/Patient-RyanneBoulderPartner-Example", "resource" : { "resourceType" : "Patient", "id" : "Patient-RyanneBoulderPartner-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient Patient-RyanneBoulderPartner-Example

Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#P-RWT13521)

Links:
" }, "identifier" : [{ "system" : "http://www.acme.org/patient/identifier", "value" : "P-RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } }], "gender" : "unknown", "link" : [{ "other" : { "reference" : "RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example" }, "type" : "seealso" }] } }, { "fullUrl" : "http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example", "resource" : { "resourceType" : "Observation", "id" : "Observation-GenomicEthnicity-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-GenomicEthnicity-Example

status: Preliminary

code: Ethnicity

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

value: unknown

" }, "status" : "preliminary", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "723621000000103", "display" : "Ethnicity" }] }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "valueString" : "unknown" } }, { "fullUrl" : "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example", "resource" : { "resourceType" : "ServiceRequest", "id" : "ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: ServiceRequest ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example

Extension UK Core Coverage: NHS England

status: Active

intent: Order

category: Rare Disease - Non-WGS

priority: Urgent

code: Fetal anomalies with a likely genetic cause

subject: Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)

authoredOn: 2023-09-25

requester: PractitionerRole: specialty = Clinical Genetics; telecom = ph: 02068457781,lois.lane1@nhs.net,clinicalgeneticskingston@nhs.net,fetalmedicinekingston@nhs.net,gptestpracticekingston@nhs.net

reasonCode: Staging or Prognosis

supportingInfo:

note: , ,

Samples are to be provided at a later date

\n

No family history of relevant testing

\n

Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder

\n
" }, "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" }] } }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory", "code" : "rare-disease-non-wgs", "display" : "Rare Disease - Non-WGS" }] }], "priority" : "urgent", "code" : { "coding" : [{ "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code" : "R21", "display" : "Fetal anomalies with a likely genetic cause" }] }, "subject" : { "reference" : "Patient/Patient-FoetusOfRyanneBoulder-Example", "identifier" : { "system" : "http://www.acme.org/patient/identifier", "value" : "FT-RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } } }, "authoredOn" : "2023-09-25", "requester" : { "reference" : "PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example" }, "reasonCode" : [{ "coding" : [{ "system" : "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics", "code" : "staging-or-prognosis", "display" : "Staging or Prognosis" }] }], "supportingInfo" : [{ "reference" : "Observation/Observation-HistoryOfFetalLoss-Example" }, { "reference" : "Observation/Observation-NonConsanguinousUnion-Example" }, { "reference" : "Observation/Observation-GenomicEthnicity-Example" }, { "reference" : "Observation/Observation-PregnancyConfirmation-Example" }, { "reference" : "Observation/Observation-NoTransplant-Example" }, { "reference" : "Observation/Observation-NoFirstTrimesterFetalAnomalies-Example" }, { "reference" : "Observation/Observation-NoSecondTrimesterFetalAnomalies-Example" }, { "reference" : "Procedure/Procedure-InVitroFertilisation-Example" }, { "reference" : "RelatedPerson/RelatedPerson-RyanneBoulder-Example" }, { "reference" : "Patient/Patient-RyanneBoulder-Example" }, { "reference" : "RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example" }, { "reference" : "Patient/Patient-RyanneBoulderPartner-Example" }, { "reference" : "Specimen/Specimen-BloodEDTA-Example" }, { "reference" : "Specimen/Specimen-RyanneBoulderSaliva-Example" }], "note" : [{ "text" : "Samples are to be provided at a later date" }, { "text" : "No family history of relevant testing" }, { "text" : "Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder" }] } }, { "fullUrl" : "http://example.org/fhir/Observation/Observation-HistoryOfFetalLoss-Example", "resource" : { "resourceType" : "Observation", "id" : "Observation-HistoryOfFetalLoss-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-HistoryOfFetalLoss-Example

status: Final

code: Is the testing for a fetal loss from 24+0 or more weeks of gestation?

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

effective: 2023-09-25

value: false

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "161743003", "display" : "History of stillbirth" }], "text" : "Is the testing for a fetal loss from 24+0 or more weeks of gestation?" }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "effectiveDateTime" : "2023-09-25", "valueBoolean" : false } }, { "fullUrl" : "http://example.org/fhir/Observation/Observation-PregnancyConfirmation-Example", "resource" : { "resourceType" : "Observation", "id" : "Observation-PregnancyConfirmation-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-PregnancyConfirmation-Example

status: Final

code: Pregnancy

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

effective: 2023-09-25

component

code: Assisted conception

component

code: Gestational age

value: 87 day (Details: UCUM coded = 'd')

component

code: Estimated date of delivery

value: 2024-05-01

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "77386006", "display" : "Pregnancy" }] }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "effectiveDateTime" : "2023-09-25", "component" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "720451000000102", "display" : "Assisted conception" }] } }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "226081000000107", "display" : "Gestational age" }] }, "valueQuantity" : { "value" : 87, "unit" : "day", "system" : "http://unitsofmeasure.org", "code" : "d" } }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "161714006", "display" : "Estimated date of delivery" }] }, "valueDateTime" : "2024-05-01" }] } }, { "fullUrl" : "http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example", "resource" : { "resourceType" : "Observation", "id" : "Observation-NonConsanguinousUnion-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-NonConsanguinousUnion-Example

status: Final

code: Family history: Consanguinity (situation)

subject: Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)

effective: 2023-09-25

value: false

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "160475008", "display" : "Family history: Consanguinity (situation)" }] }, "subject" : { "reference" : "Patient/Patient-FoetusOfRyanneBoulder-Example", "identifier" : { "system" : "http://www.acme.org/patient/identifier", "value" : "FT-RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } } }, "effectiveDateTime" : "2023-09-25", "valueBoolean" : false } }, { "fullUrl" : "http://example.org/fhir/Observation/Observation-NoTransplant-Example", "resource" : { "resourceType" : "Observation", "id" : "Observation-NoTransplant-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-NoTransplant-Example

status: Final

code: No history of procedure (situation)

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

effective: 2023-09-25

value: Transplant (qualifier value)

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "416128008", "display" : "No history of procedure (situation)" }] }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "effectiveDateTime" : "2023-09-25", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "263903005", "display" : "Transplant (qualifier value)" }] } } }, { "fullUrl" : "http://example.org/fhir/Observation/Observation-NoFirstTrimesterFetalAnomalies-Example", "resource" : { "resourceType" : "Observation", "id" : "Observation-NoFirstTrimesterFetalAnomalies-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-NoFirstTrimesterFetalAnomalies-Example

status: Final

code: First Trimester Anomalies?

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

effective: 2023-09-25

value: false

Components

-Code
*First trimester
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "609520005", "display" : "Disorder of fetal structure" }], "text" : "First Trimester Anomalies?" }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "effectiveDateTime" : "2023-09-25", "valueBoolean" : false, "component" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "255246003", "display" : "First trimester" }] } }] } }, { "fullUrl" : "http://example.org/fhir/Observation/Observation-NoSecondTrimesterFetalAnomalies-Example", "resource" : { "resourceType" : "Observation", "id" : "Observation-NoSecondTrimesterFetalAnomalies-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation Observation-NoSecondTrimesterFetalAnomalies-Example

status: Final

code: Second Trimester Anomalies?

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

effective: 2023-09-25

value: false

Components

-Code
*Second trimester
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "609520005", "display" : "Disorder of fetal structure" }], "text" : "Second Trimester Anomalies?" }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "effectiveDateTime" : "2023-09-25", "valueBoolean" : false, "component" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "255247007", "display" : "Second trimester" }] } }] } }, { "fullUrl" : "http://example.org/fhir/Procedure/Procedure-InVitroFertilisation-Example", "resource" : { "resourceType" : "Procedure", "id" : "Procedure-InVitroFertilisation-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure Procedure-InVitroFertilisation-Example

status: Completed

code: In vitro fertilisation

subject: Identifier: NHS Number/9449307687

performed: 2023-09-25

note:

Woman`s own egg

\n
" }, "status" : "completed", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "52637005", "display" : "In vitro fertilisation" }] }, "subject" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "performedDateTime" : "2023-09-25", "note" : [{ "text" : "Woman`s own egg" }] } }, { "fullUrl" : "http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example", "resource" : { "resourceType" : "Specimen", "id" : "Specimen-BloodEDTA-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen Specimen-BloodEDTA-Example

identifier: https://fhir.kingstonhospital.nhs.uk/Id/specimenId/ROA-69050-216738

status: Unavailable

type: Blood specimen with EDTA

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

request: ServiceRequest Fetal anomalies with a likely genetic cause

" }, "identifier" : [{ "system" : "https://fhir.kingstonhospital.nhs.uk/Id/specimenId", "value" : "ROA-69050-216738" }], "status" : "unavailable", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "445295009", "display" : "Blood specimen with EDTA" }] }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "request" : [{ "reference" : "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example" }] } }, { "fullUrl" : "http://example.org/fhir/Specimen/Specimen-RyanneBoulderSaliva-Example", "resource" : { "resourceType" : "Specimen", "id" : "Specimen-RyanneBoulderSaliva-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen Specimen-RyanneBoulderSaliva-Example

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

status: Available

type: Saliva specimen

subject: Ryanne Boulder (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)

request: ServiceRequest Fetal anomalies with a likely genetic cause

Containers

-Description
*Container:ROA-69050-216739 contains Saliva for Mother
" }, "identifier" : [{ "system" : "https://fhir.kingstonhospital.nhs.uk/Id/specimenId", "value" : "ROA-69050-216739" }], "status" : "available", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "119342007", "display" : "Saliva specimen" }] }, "subject" : { "reference" : "Patient/Patient-RyanneBoulder-Example", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" } }, "request" : [{ "reference" : "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example" }], "container" : [{ "description" : "Container:ROA-69050-216739 contains Saliva for Mother" }] } }, { "fullUrl" : "http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulder-Example", "resource" : { "resourceType" : "RelatedPerson", "id" : "RelatedPerson-RyanneBoulder-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: RelatedPerson RelatedPerson-RyanneBoulder-Example

identifier: NHS Number/9449307687

patient: Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)

relationship: natural mother of fetus

" }, "identifier" : [{ "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449307687" }], "patient" : { "reference" : "Patient/Patient-FoetusOfRyanneBoulder-Example", "identifier" : { "system" : "http://www.acme.org/patient/identifier", "value" : "FT-RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } } }, "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "NMTHF", "display" : "natural mother of fetus" }] }] } }, { "fullUrl" : "http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example", "resource" : { "resourceType" : "RelatedPerson", "id" : "RelatedPerson-RyanneBoulderPartner-Example", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: RelatedPerson RelatedPerson-RyanneBoulderPartner-Example

identifier: http://www.acme.org/patient/identifier/P-RWT13521

patient: Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)

relationship: natural father of fetus

" }, "identifier" : [{ "system" : "http://www.acme.org/patient/identifier", "value" : "P-RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } }], "patient" : { "reference" : "Patient/Patient-FoetusOfRyanneBoulder-Example", "identifier" : { "system" : "http://www.acme.org/patient/identifier", "value" : "FT-RWT13521", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } } }, "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "NFTHF", "display" : "natural father of fetus" }] }] } }] }