NHS North West Genomics
2.2.0 - ci-build United Kingdom flag

NHS North West Genomics - Local Development build (v2.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Bundle-NonWGSScenario5-ProductsofConception-Example

Language: en

Profile: Bundle - FHIR Messaging

Bundle NonWGSScenario5-ProductsofConception-Example of type message

Entry 1 - fullUrl = urn:uuid:66489245-56ed-4548-bef2-2bed4954daaf

Resource MessageHeader:

Language: en

event: event: O21 (OML - Laboratory order)

Destinations

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

sender: Identifier: ODS Organisation Code/RYJ02

source

focus: ServiceRequest Common aneuploidy testing

Entry 2 - fullUrl = urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c

Resource PractitionerRole:

Language: en

identifier: https://fhir.nhs.uk/Id/GMSCompoundIdentifer/RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066

practitioner: Dr. Lois Lane (Identifier: https://fhir.nhs.uk/Id/sds-user-id/2441541066)

organization: Charing Cross Hospital (Identifier: ODS Organisation Code/RYJ02)

specialty: Clinical Genetics

Entry 3 - fullUrl = urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8

Resource Patient:

Language: en

Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

Other Id:urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24/71636034
Links:
Extension UK Core Ethnic CategoryWhite - British
Extension UK Core Birth SexFemale

Entry 4 - fullUrl = urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9

Resource Patient:

Language: en

Fetus A of MUM Female, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#FoetusA)

Deceased:2024-05-16 00:00:00-0500
Extension UK Core Patient Fetal Statusfetal-demise

Entry 5 - fullUrl = urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f

Resource Observation:

Language: en

status: Final

code: Ethnicity

subject: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

value: unknown

Entry 6 - fullUrl = urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d

Resource ServiceRequest:

Language: en

Extension UK Core Coverage: NHS England

identifier: https://fhir.nhs.uk/Id/GMSOrder/5562279a-bb88-45ef-8fbc-b62c09fbbdb2

status: Active

intent: Order

category: Prenatal diagnosis

priority: Urgent

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

subject: Fetus A of MUM Female, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#FoetusA)

authoredOn: 2025-09-05

requester: PractitionerRole: identifier = https://fhir.nhs.uk/Id/GMSCompoundIdentifer#RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066; 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 Past pregnancy outcome)
  • No display for ServiceRequest.supportingInfo (reference: ->Observation Family history of consanguinity)
  • No display for ServiceRequest.supportingInfo (reference: ->Observation Ethnicity)
  • No display for ServiceRequest.supportingInfo (reference: ->Observation Pregnancy)
  • No display for ServiceRequest.supportingInfo (reference: ->Observation No history of procedure)
  • No display for ServiceRequest.supportingInfo (reference: ->Observation Disorder of fetal structure)
  • No display for ServiceRequest.supportingInfo (reference: ->Observation Disorder of fetal structure)
  • No display for ServiceRequest.supportingInfo (reference: ->RelatedPerson: identifier = urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#6988036185; relationship = natural child)
  • No display for ServiceRequest.supportingInfo (reference: ->Observation In vitro fertilisation)

specimen: Specimen: identifier = https://fhir.add.nhs.uk/Id/specimenId#RGT19427897; status = unavailable; type = Chorionic villi specimen; note = Unknown external ServiceRequest reference removed: the source example's Specimen.request pointed at 'ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example' (a prior order this Bundle doesn't include, and misspelled as 'ServieRequest' besides), which FHIR_SERVER can't resolve outside this Bundle.

note:

Samples are to be provided at a later date No family history of relevant testing Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder Unknown external ServiceRequest reference removed: the source example's ServiceRequest.basedOn pointed at 'ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example' (a prior order this Bundle doesn't include, and misspelled as 'ServieRequest' besides), which FHIR_SERVER can't resolve outside this Bundle.

Entry 7 - fullUrl = urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59

Resource Observation:

Language: en

status: Final

category: Social History

code: Outcome of pregnancy

subject: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

effective: 2025-08-25

value: a fetal death occurring at or after 28 weeks of pregnancy

Entry 8 - fullUrl = urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322

Resource Observation:

Language: en

status: Final

code: Pregnancy

subject: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

effective: 2025-08-25

component

code: Assisted conception

component

code: Gestational age

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

component

code: Estimated date of delivery

value: 2025-08-25

Entry 9 - fullUrl = urn:uuid:193e30bd-6827-468d-b9b7-0849278305db

Resource Observation:

Language: en

status: Final

code: Family history of consanguinity

subject: Fetus A of MUM Female, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#FoetusA)

effective: 2025-08-25

value: Negative

Entry 10 - fullUrl = urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f

Resource Observation:

Language: en

status: Final

code: No history of procedure

subject: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

effective: 2025-08-25

value: Transplant

Entry 11 - fullUrl = urn:uuid:e1858a31-b153-4525-83d6-805cb682df28

Resource Observation:

Language: en

status: Final

code: First Trimester Anomalies?

subject: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

effective: 2025-08-25

value: Negative

Components

-Code
*First trimester

Entry 12 - fullUrl = urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a

Resource Observation:

Language: en

status: Final

code: Second Trimester Anomalies?

subject: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

effective: 2025-08-25

value: Negative

Components

-Code
*Second trimester

Entry 13 - fullUrl = urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371

Resource Specimen:

identifier: https://fhir.add.nhs.uk/Id/specimenId/RGT19427897

status: Unavailable

type: Chorionic villi specimen

subject: Fetus A of MUM Female, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#FoetusA)

note:

Unknown external ServiceRequest reference removed: the source example's Specimen.request pointed at 'ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example' (a prior order this Bundle doesn't include, and misspelled as 'ServieRequest' besides), which FHIR_SERVER can't resolve outside this Bundle.

Entry 14 - fullUrl = urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a

Resource RelatedPerson:

Language: en

identifier: urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24/6988036185

patient: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

relationship: natural child

Entry 15 - fullUrl = urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d

Resource Observation:

Language: en

status: Final

code: In vitro fertilisation

subject: Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)

effective: 2025-05-25

note:

Woman`s own egg