Bundle NonWGSScenario4-ProbandWithMultipleFetus-Example-FetusB of type message

Entry 1 - fullUrl = urn:uuid:ff025426-6f31-4662-be81-14a40175e02e

Resource MessageHeader:

Language: en

event: event: O21 (OML - Laboratory order)

Destinations

-	Name	Receiver
*	National Genomic Medicine Service	NORTH WEST GLH LED BY MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: ODS Organisation Code/699X0)

sender: Kingston Hospital (Identifier: ODS Organisation Code/RAX01)

source

focus: ServiceRequest Common aneuploidy testing

Entry 2 - fullUrl = urn:uuid:a3e24d16-9079-4b07-b406-5c28f05bea8c

Resource Patient:

Language: en

FETUS B MUM Unknown, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#Fetus-B-7855713723)

---

Multiple Birth:	true
Extension UK Core Patient Fetal Status	potential-for-live-birth

Entry 3 - fullUrl = urn:uuid:1b5e2983-3573-4e1a-b5b9-ad646f0f2679

Resource ServiceRequest:

Language: en

uk/England/StructureDefinition/Extension-Genomic-Patient-Role: Proband

uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount: 2

Extension UK Core Coverage: NHS England

requisition: https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId/RR8F2026-2801-2

status: Active

intent: Order

category: Prenatal diagnosis

priority: Urgent

code: No display for ServiceRequest.code (concept: Common aneuploidy testing)

subject: FETUS B MUM Unknown, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#Fetus-B-7855713723)

authoredOn: 2026-01-27

requester: PractitionerRole: specialty = Clinical Genetics; telecom = ph: 02085467711,Hazel.smith12@nhs.net,clinicalgeneticskingston@nhs.net,fetalmedicinekingston@nhs.net,gptestpracticekingston@nhs.net

performer: Identifier: ODS Organisation Code/699N0

supportingInfo: No display for ServiceRequest.supportingInfo (reference: ->Observation Family history of consanguinity)

specimen: Specimen: identifier = https://fhir.add.nhs.uk/Id/specimenId#RGT70230498; status = unavailable; type = Chorionic villi specimen

note:

Samples are to be provided at a later date Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder TO BE RESOLVED VIA PDS TO BE RESOLVED VIA PDS (Mother):

• No family history of relevant testing
• Is the testing for a fetal loss from 24+0 or more weeks of gestation?: Negative
• Ethnicity: unknown
• Pregnancy: Assisted conception; Gestational age 87 day; Estimated date of delivery 2024-05-01
• No history of procedure: Transplant
• First Trimester Anomalies?: Negative; First trimester
• Second Trimester Anomalies?: Negative; Second trimester
• In vitro fertilisation (Woman`s own egg)

Entry 4 - fullUrl = urn:uuid:01f81774-4153-4c18-a7df-1c4cdbba4f2f

Resource PractitionerRole:

Language: en

practitioner: Dr. Lois Lane (Identifier: https://fhir.nhs.uk/Id/sds-user-id/3208835210)

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

specialty: Clinical Genetics

Entry 5 - fullUrl = urn:uuid:8cf0addd-2f93-4c3e-b762-31682d0552c8

Resource Specimen:

Language: en

identifier: https://fhir.add.nhs.uk/Id/specimenId/RGT70230498

status: Unavailable

type: Chorionic villi specimen

subject: FETUS B MUM Unknown, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#Fetus-B-7855713723)

request: ServiceRequest Common aneuploidy testing

Entry 6 - fullUrl = urn:uuid:6a05db05-0156-46dd-8c63-f91c565950ce

Resource Observation:

Language: en

status: Final

code: Family history of consanguinity

subject: FETUS B MUM Unknown, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#Fetus-B-7855713723)

effective: 2023-09-25

value: Negative

Entry 7 - fullUrl = urn:uuid:86c36eee-13fe-4e50-b62e-afbdb11c4325

Resource RelatedPerson:

Language: en

identifier: NHS Number/9449308322

patient: FETUS B MUM Unknown, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#Fetus-B-7855713723)

relationship: natural mother of fetus

name: TO BE RESOLVED VIA PDS TO BE RESOLVED VIA PDS

gender: Unknown