{ "resourceType" : "Bundle", "id" : "NonWGSScenario5-ProductsofConception-Example", "meta" : { "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"] }, "language" : "en", "identifier" : { "system" : "https://tools.ietf.org/html/rfc4122", "value" : "026502f5-1276-47c7-89ab-54625fea1628" }, "type" : "message", "timestamp" : "2026-06-15T09:00:00Z", "entry" : [{ "fullUrl" : "urn:uuid:66489245-56ed-4548-bef2-2bed4954daaf", "resource" : { "resourceType" : "MessageHeader", "id" : "66489245-56ed-4548-bef2-2bed4954daaf", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: MessageHeader 66489245-56ed-4548-bef2-2bed4954daaf

event: event: O21 (OML - Laboratory order)

Destinations

-NameEndpointReceiver
*National Genomic Medicine Servicehttps://api.service.nhs.uk/GMSNORTH WEST GLH LED BY MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: ODS Organisation Code/699X0)

sender: Identifier: ODS Organisation Code/RYJ02

Sources

-Endpoint
*https://example.org/fhir/SendingSystem

focus: ServiceRequest Common aneuploidy testing

" }, "eventCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v2-0003", "code" : "O21" }, "destination" : [{ "name" : "National Genomic Medicine Service", "endpoint" : "https://api.service.nhs.uk/GMS", "receiver" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699X0" }, "display" : "NORTH WEST GLH LED BY MANCHESTER UNIVERSITY NHS FOUNDATION TRUST" } }], "sender" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RYJ02" } }, "source" : { "endpoint" : "https://example.org/fhir/SendingSystem" }, "focus" : [{ "reference" : "urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d" }] } }, { "fullUrl" : "urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c", "resource" : { "resourceType" : "PractitionerRole", "id" : "cf37712a-99c8-495b-9865-a96fffe5133c", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole cf37712a-99c8-495b-9865-a96fffe5133c

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

telecom: ph: 02085467711, Hazel.smith12@nhs.net, clinicalgeneticskingston@nhs.net, fetalmedicinekingston@nhs.net, gptestpracticekingston@nhs.net

" }, "identifier" : [{ "system" : "https://fhir.nhs.uk/Id/GMSCompoundIdentifer", "value" : "RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066" }], "practitioner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/sds-user-id", "value" : "2441541066" }, "display" : "Dr. Lois Lane" }, "organization" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RYJ02" }, "display" : "Charing Cross Hospital" }, "specialty" : [{ "coding" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode", "code" : "311", "display" : "Clinical Genetics" }] }], "telecom" : [{ "system" : "phone", "value" : "02085467711" }, { "system" : "email", "value" : "Hazel.smith12@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" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "resource" : { "resourceType" : "Patient", "id" : "c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient c60f7e06-79b1-4a34-9979-e8a461b3f7c8

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
" }, "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" : "1.1.1", "code" : "01", "display" : "Number present and verified" }] } }], "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" }, { "system" : "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24", "value" : "71636034", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX01" } } }], "name" : [{ "family" : "Boulder", "given" : ["Ryanne"] }], "link" : [{ "other" : { "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "type" : "seealso" }] } }, { "fullUrl" : "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9", "resource" : { "resourceType" : "Patient", "id" : "037d8ff3-da35-4fad-9d28-7a120d4fffe9", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient 037d8ff3-da35-4fad-9d28-7a120d4fffe9

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
" }, "extension" : [{ "url" : "http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus", "valueCode" : "fetal-demise" }], "identifier" : [{ "system" : "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24", "value" : "FoetusA", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } }], "name" : [{ "family" : "Fetus A of MUM" }], "gender" : "female", "deceasedDateTime" : "2024-05-16T00:00:00-05:00" } }, { "fullUrl" : "urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f", "resource" : { "resourceType" : "Observation", "id" : "a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f

status: Final

code: Ethnicity

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

value: unknown

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "723621000000103", "display" : "Ethnicity" }] }, "subject" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "valueString" : "unknown" } }, { "fullUrl" : "urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d", "resource" : { "resourceType" : "ServiceRequest", "id" : "a5838f88-99af-4ef9-bcb6-150781680d4d", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: ServiceRequest a5838f88-99af-4ef9-bcb6-150781680d4d

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: 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

reasonCode: Common aneuploidy testing - prenatal

supportingInfo:

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\nNo family history of relevant testing\nFree text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder\nUnknown 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.

\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" }] } }], "identifier" : [{ "system" : "https://fhir.nhs.uk/Id/GMSOrder", "value" : "5562279a-bb88-45ef-8fbc-b62c09fbbdb2" }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics", "code" : "prenatal-diagnosis", "display" : "Prenatal diagnosis" }] }], "priority" : "urgent", "code" : { "coding" : [{ "extension" : [{ "url" : "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version", "valueDecimal" : 1.0 }], "system" : "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices", "code" : "GT1133", "display" : "Common aneuploidy testing" }] }, "subject" : { "reference" : "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9", "type" : "Patient", "identifier" : { "system" : "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24", "value" : "FoetusA", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } } }, "authoredOn" : "2025-09-05", "requester" : { "reference" : "urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c", "type" : "PractitionerRole", "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RYJ02" } }, "performer" : [{ "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699N0" } }], "reasonCode" : [{ "coding" : [{ "extension" : [{ "url" : "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version", "valueDecimal" : 1.0 }], "system" : "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices", "code" : "TP289", "display" : "Common aneuploidy testing - prenatal" }] }], "supportingInfo" : [{ "reference" : "urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59", "type" : "Observation" }, { "reference" : "urn:uuid:193e30bd-6827-468d-b9b7-0849278305db", "type" : "Observation" }, { "reference" : "urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f", "type" : "Observation" }, { "reference" : "urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322", "type" : "Observation" }, { "reference" : "urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f", "type" : "Observation" }, { "reference" : "urn:uuid:e1858a31-b153-4525-83d6-805cb682df28", "type" : "Observation" }, { "reference" : "urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a", "type" : "Observation" }, { "reference" : "urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a", "type" : "RelatedPerson" }, { "reference" : "urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d", "type" : "Observation" }], "specimen" : [{ "reference" : "urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371", "type" : "Specimen" }], "note" : [{ "text" : "Samples are to be provided at a later date\nNo family history of relevant testing\nFree text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder\nUnknown 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." }] } }, { "fullUrl" : "urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59", "resource" : { "resourceType" : "Observation", "id" : "3e58d52e-aff3-4a70-956b-28509c664f59", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 3e58d52e-aff3-4a70-956b-28509c664f59

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

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "267013003", "display" : "Past pregnancy outcome" }], "text" : "Outcome of pregnancy" }, "subject" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "effectiveDateTime" : "2025-08-25", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "237365001", "display" : "Fresh stillbirth" }], "text" : "a fetal death occurring at or after 28 weeks of pregnancy" } } }, { "fullUrl" : "urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322", "resource" : { "resourceType" : "Observation", "id" : "554cddd5-7b36-4931-aef2-e96c7fc1f322", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 554cddd5-7b36-4931-aef2-e96c7fc1f322

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

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "77386006", "display" : "Pregnancy" }] }, "subject" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "effectiveDateTime" : "2025-08-25", "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" : "2025-08-25" }] } }, { "fullUrl" : "urn:uuid:193e30bd-6827-468d-b9b7-0849278305db", "resource" : { "resourceType" : "Observation", "id" : "193e30bd-6827-468d-b9b7-0849278305db", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 193e30bd-6827-468d-b9b7-0849278305db

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

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "160475008", "display" : "Family history of consanguinity" }] }, "subject" : { "reference" : "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9", "type" : "Patient", "identifier" : { "system" : "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24", "value" : "FoetusA", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } } }, "effectiveDateTime" : "2025-08-25", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "260385009", "display" : "Negative" }] } } }, { "fullUrl" : "urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f", "resource" : { "resourceType" : "Observation", "id" : "e8f9a82e-4a01-4449-9c80-c4d38090884f", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation e8f9a82e-4a01-4449-9c80-c4d38090884f

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

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "416128008", "display" : "No history of procedure" }] }, "subject" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "effectiveDateTime" : "2025-08-25", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "263903005", "display" : "Transplant" }] } } }, { "fullUrl" : "urn:uuid:e1858a31-b153-4525-83d6-805cb682df28", "resource" : { "resourceType" : "Observation", "id" : "e1858a31-b153-4525-83d6-805cb682df28", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation e1858a31-b153-4525-83d6-805cb682df28

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
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "609520005", "display" : "Disorder of fetal structure" }], "text" : "First Trimester Anomalies?" }, "subject" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "effectiveDateTime" : "2025-08-25", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "260385009", "display" : "Negative" }] }, "component" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "255246003", "display" : "First trimester" }] } }] } }, { "fullUrl" : "urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a", "resource" : { "resourceType" : "Observation", "id" : "5398e192-d44a-4e07-9cdb-63cdeb4ed47a", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 5398e192-d44a-4e07-9cdb-63cdeb4ed47a

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
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "609520005", "display" : "Disorder of fetal structure" }], "text" : "Second Trimester Anomalies?" }, "subject" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "effectiveDateTime" : "2025-08-25", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "260385009", "display" : "Negative" }] }, "component" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "255247007", "display" : "Second trimester" }] } }] } }, { "fullUrl" : "urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371", "resource" : { "resourceType" : "Specimen", "id" : "6c83fb14-0eb9-465b-8d2c-062b03b12371", "meta" : { "tag" : [{ "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory", "code" : "nhs-england", "display" : "NHS England" }] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen 6c83fb14-0eb9-465b-8d2c-062b03b12371

Tag: NHS England (Details: UK Core Funding Category code nhs-england = 'NHS England')

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.

\n
" }, "identifier" : [{ "system" : "https://fhir.add.nhs.uk/Id/specimenId", "value" : "RGT19427897" }], "status" : "unavailable", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "258565009", "display" : "Chorionic villi specimen" }] }, "subject" : { "reference" : "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9", "type" : "Patient" }, "note" : [{ "text" : "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." }] } }, { "fullUrl" : "urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a", "resource" : { "resourceType" : "RelatedPerson", "id" : "ac29fd1f-6749-4771-9633-25f39976e48a", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: RelatedPerson ac29fd1f-6749-4771-9633-25f39976e48a

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

" }, "identifier" : [{ "system" : "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24", "value" : "6988036185", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RAX" } } }], "patient" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "NCHILD", "display" : "natural child" }] }] } }, { "fullUrl" : "urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d", "resource" : { "resourceType" : "Observation", "id" : "fe049bb9-7988-4209-a5a7-364f7829950d", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation fe049bb9-7988-4209-a5a7-364f7829950d

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

\n
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "52637005", "display" : "In vitro fertilisation" }] }, "subject" : { "reference" : "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8", "type" : "Patient", "identifier" : { "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9449308322" } }, "effectiveDateTime" : "2025-05-25", "note" : [{ "text" : "Woman`s own egg" }] } }] }