NHS North West Genomics
2.2.0 - ci-build
NHS North West Genomics
2.2.0 - ci-build
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
{
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"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_66489245-56ed-4548-bef2-2bed4954daaf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 66489245-56ed-4548-bef2-2bed4954daaf</b></p><a name=\"66489245-56ed-4548-bef2-2bed4954daaf\"> </a><a name=\"hc66489245-56ed-4548-bef2-2bed4954daaf\"> </a><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v2-0003.html#v2-0003-O21\">event: O21</a> (OML - Laboratory order)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td>National Genomic Medicine Service</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&canonical=https://api.service.nhs.uk/GMS\">https://api.service.nhs.uk/GMS</a></td><td>NORTH WEST GLH LED BY MANCHESTER UNIVERSITY 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>/699X0)</td></tr></table><p><b>sender</b>: 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>/RYJ02</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&canonical=https://example.org/fhir/SendingSystem\">https://example.org/fhir/SendingSystem</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-a5838f88-99af-4ef9-bcb6-150781680d4d\">ServiceRequest Common aneuploidy testing</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O21"
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"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"
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"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"
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"focus" : [
{
"reference" : "urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d"
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]
}
},
{
"fullUrl" : "urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "cf37712a-99c8-495b-9865-a96fffe5133c",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_cf37712a-99c8-495b-9865-a96fffe5133c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole cf37712a-99c8-495b-9865-a96fffe5133c</b></p><a name=\"cf37712a-99c8-495b-9865-a96fffe5133c\"> </a><a name=\"hccf37712a-99c8-495b-9865-a96fffe5133c\"> </a><p><b>identifier</b>: <code>https://fhir.nhs.uk/Id/GMSCompoundIdentifer</code>/RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066</p><p><b>practitioner</b>: Dr. Lois Lane (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/2441541066)</p><p><b>organization</b>: Charing Cross Hospital (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>/RYJ02)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 311}\">Clinical Genetics</span></p><p><b>telecom</b>: ph: 02085467711, <a href=\"mailto:Hazel.smith12@nhs.net\">Hazel.smith12@nhs.net</a>, <a href=\"mailto:clinicalgeneticskingston@nhs.net\">clinicalgeneticskingston@nhs.net</a>, <a href=\"mailto:fetalmedicinekingston@nhs.net\">fetalmedicinekingston@nhs.net</a>, <a href=\"mailto:gptestpracticekingston@nhs.net\">gptestpracticekingston@nhs.net</a></p></div>"
},
"identifier" : [
{
"system" : "https://fhir.nhs.uk/Id/GMSCompoundIdentifer",
"value" : "RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066"
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"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"
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],
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_c60f7e06-79b1-4a34-9979-e8a461b3f7c8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient c60f7e06-79b1-4a34-9979-e8a461b3f7c8</b></p><a name=\"c60f7e06-79b1-4a34-9979-e8a461b3f7c8\"> </a><a name=\"hcc60f7e06-79b1-4a34-9979-e8a461b3f7c8\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</p><hr/><table class=\"grid\"><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>/71636034</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Also see: Identifier: <a href=\"NamingSystem-nhs-number-namingsystem.html\" title=\"NHS Number allocated to the patient in England and Wales. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/nhs_number.html)\">NHS Number</a>/9449308322</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@0.29.0-pre-release&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 A}\">White - British</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@0.29.0-pre-release&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>"
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"extension" : [
{
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{
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{
"url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
"code" : "A",
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]
}
}
],
"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",
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],
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{
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"identifier" : {
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],
"name" : [
{
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"Ryanne"
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],
"link" : [
{
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"identifier" : {
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"value" : "9449308322"
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"type" : "seealso"
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},
{
"fullUrl" : "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9",
"resource" : {
"resourceType" : "Patient",
"id" : "037d8ff3-da35-4fad-9d28-7a120d4fffe9",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_037d8ff3-da35-4fad-9d28-7a120d4fffe9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 037d8ff3-da35-4fad-9d28-7a120d4fffe9</b></p><a name=\"037d8ff3-da35-4fad-9d28-7a120d4fffe9\"> </a><a name=\"hc037d8ff3-da35-4fad-9d28-7a120d4fffe9\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Fetus A of MUM Female, DoB Unknown ( urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#FoetusA)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">2024-05-16 00:00:00-0500</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An extension to replicate the changes within R5 to record the born status of fetus (Patient)\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&canonical=http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus\">Extension UK Core Patient Fetal Status</a></td><td colspan=\"3\">fetal-demise</td></tr></table></div>"
},
"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"
}
},
{
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"resourceType" : "Observation",
"id" : "a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f</b></p><a name=\"a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f\"> </a><a name=\"hca0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 723621000000103}\">Ethnicity</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>value</b>: unknown</p></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_a5838f88-99af-4ef9-bcb6-150781680d4d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest a5838f88-99af-4ef9-bcb6-150781680d4d</b></p><a name=\"a5838f88-99af-4ef9-bcb6-150781680d4d\"> </a><a name=\"hca5838f88-99af-4ef9-bcb6-150781680d4d\"> </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>identifier</b>: <code>https://fhir.nhs.uk/Id/GMSOrder</code>/5562279a-bb88-45ef-8fbc-b62c09fbbdb2</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics prenatal-diagnosis}\">Prenatal diagnosis</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices GT1133}\">Common aneuploidy testing</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-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)</a></p><p><b>authoredOn</b>: 2025-09-05</p><p><b>requester</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-cf37712a-99c8-495b-9865-a96fffe5133c\">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</a></p><p><b>performer</b>: 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>/699N0</p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices TP289}\">Common aneuploidy testing - prenatal</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-3e58d52e-aff3-4a70-956b-28509c664f59\">Observation Past pregnancy outcome</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-193e30bd-6827-468d-b9b7-0849278305db\">Observation Family history of consanguinity</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f\">Observation Ethnicity</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-554cddd5-7b36-4931-aef2-e96c7fc1f322\">Observation Pregnancy</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-e8f9a82e-4a01-4449-9c80-c4d38090884f\">Observation No history of procedure</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-e1858a31-b153-4525-83d6-805cb682df28\">Observation Disorder of fetal structure</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-5398e192-d44a-4e07-9cdb-63cdeb4ed47a\">Observation Disorder of fetal structure</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-ac29fd1f-6749-4771-9633-25f39976e48a\">RelatedPerson: identifier = urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24#6988036185; relationship = natural child</a></li><li><a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-fe049bb9-7988-4209-a5a7-364f7829950d\">Observation In vitro fertilisation</a></li></ul><p><b>specimen</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-6c83fb14-0eb9-465b-8d2c-062b03b12371\">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.</a></p><p><b>note</b>: </p><blockquote><div><p>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.</p>\n</div></blockquote></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_3e58d52e-aff3-4a70-956b-28509c664f59\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 3e58d52e-aff3-4a70-956b-28509c664f59</b></p><a name=\"3e58d52e-aff3-4a70-956b-28509c664f59\"> </a><a name=\"hc3e58d52e-aff3-4a70-956b-28509c664f59\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 267013003}\">Outcome of pregnancy</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>effective</b>: 2025-08-25</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 237365001}\">a fetal death occurring at or after 28 weeks of pregnancy</span></p></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_554cddd5-7b36-4931-aef2-e96c7fc1f322\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 554cddd5-7b36-4931-aef2-e96c7fc1f322</b></p><a name=\"554cddd5-7b36-4931-aef2-e96c7fc1f322\"> </a><a name=\"hc554cddd5-7b36-4931-aef2-e96c7fc1f322\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 77386006}\">Pregnancy</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>effective</b>: 2025-08-25</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 720451000000102}\">Assisted conception</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 226081000000107}\">Gestational age</span></p><p><b>value</b>: 87 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161714006}\">Estimated date of delivery</span></p><p><b>value</b>: 2025-08-25</p></blockquote></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_193e30bd-6827-468d-b9b7-0849278305db\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 193e30bd-6827-468d-b9b7-0849278305db</b></p><a name=\"193e30bd-6827-468d-b9b7-0849278305db\"> </a><a name=\"hc193e30bd-6827-468d-b9b7-0849278305db\"> </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-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-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)</a></p><p><b>effective</b>: 2025-08-25</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative</span></p></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_e8f9a82e-4a01-4449-9c80-c4d38090884f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation e8f9a82e-4a01-4449-9c80-c4d38090884f</b></p><a name=\"e8f9a82e-4a01-4449-9c80-c4d38090884f\"> </a><a name=\"hce8f9a82e-4a01-4449-9c80-c4d38090884f\"> </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-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>effective</b>: 2025-08-25</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 263903005}\">Transplant</span></p></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_e1858a31-b153-4525-83d6-805cb682df28\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation e1858a31-b153-4525-83d6-805cb682df28</b></p><a name=\"e1858a31-b153-4525-83d6-805cb682df28\"> </a><a name=\"hce1858a31-b153-4525-83d6-805cb682df28\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 609520005}\">First Trimester Anomalies?</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>effective</b>: 2025-08-25</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 255246003}\">First trimester</span></td></tr></table></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_5398e192-d44a-4e07-9cdb-63cdeb4ed47a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 5398e192-d44a-4e07-9cdb-63cdeb4ed47a</b></p><a name=\"5398e192-d44a-4e07-9cdb-63cdeb4ed47a\"> </a><a name=\"hc5398e192-d44a-4e07-9cdb-63cdeb4ed47a\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 609520005}\">Second Trimester Anomalies?</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>effective</b>: 2025-08-25</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 255247007}\">Second trimester</span></td></tr></table></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_6c83fb14-0eb9-465b-8d2c-062b03b12371\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen 6c83fb14-0eb9-465b-8d2c-062b03b12371</b></p><a name=\"6c83fb14-0eb9-465b-8d2c-062b03b12371\"> </a><a name=\"hc6c83fb14-0eb9-465b-8d2c-062b03b12371\"> </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\"/><p style=\"margin-bottom: 0px\">Tag: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&canonical=https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory\">NHS England (Details: UK Core Funding Category code nhs-england = 'NHS England')</a></p></div><p><b>identifier</b>: <code>https://fhir.add.nhs.uk/Id/specimenId</code>/RGT19427897</p><p><b>status</b>: Unavailable</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258565009}\">Chorionic villi specimen</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-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)</a></p><p><b>note</b>: </p><blockquote><div><p>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.</p>\n</div></blockquote></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_ac29fd1f-6749-4771-9633-25f39976e48a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson ac29fd1f-6749-4771-9633-25f39976e48a</b></p><a name=\"ac29fd1f-6749-4771-9633-25f39976e48a\"> </a><a name=\"hcac29fd1f-6749-4771-9633-25f39976e48a\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24</code>/6988036185</p><p><b>patient</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode NCHILD}\">natural child</span></p></div>"
},
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fe049bb9-7988-4209-a5a7-364f7829950d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fe049bb9-7988-4209-a5a7-364f7829950d</b></p><a name=\"fe049bb9-7988-4209-a5a7-364f7829950d\"> </a><a name=\"hcfe049bb9-7988-4209-a5a7-364f7829950d\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 52637005}\">In vitro fertilisation</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSScenario5-ProductsofConception-Example.html#urn-uuid-c60f7e06-79b1-4a34-9979-e8a461b3f7c8\">Ryanne Boulder (no stated gender), DoB Unknown ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449308322)</a></p><p><b>effective</b>: 2025-05-25</p><p><b>note</b>: </p><blockquote><div><p>Woman`s own egg</p>\n</div></blockquote></div>"
},
"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"
}
]
}
}
]
}