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
<Bundle xmlns="http://hl7.org/fhir">
<id value="NonWGSScenario5-ProductsofConception-Example"/>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"/>
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<language value="en"/>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="026502f5-1276-47c7-89ab-54625fea1628"/>
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<type value="message"/>
<timestamp value="2026-06-15T09:00:00Z"/>
<entry>
<fullUrl value="urn:uuid:66489245-56ed-4548-bef2-2bed4954daaf"/>
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<MessageHeader>
<id value="66489245-56ed-4548-bef2-2bed4954daaf"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
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<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="O21"/>
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<destination>
<name value="National Genomic Medicine Service"/>
<endpoint value="https://api.service.nhs.uk/GMS"/>
<receiver>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
<display
value="NORTH WEST GLH LED BY MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"/>
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<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RYJ02"/>
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<source>
<endpoint value="https://example.org/fhir/SendingSystem"/>
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<focus>
<reference value="urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d"/>
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<entry>
<fullUrl value="urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c"/>
<resource>
<PractitionerRole>
<id value="cf37712a-99c8-495b-9865-a96fffe5133c"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://fhir.nhs.uk/Id/GMSCompoundIdentifer"/>
<value value="RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066"/>
</identifier>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="2441541066"/>
</identifier>
<display value="Dr. Lois Lane"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RYJ02"/>
</identifier>
<display value="Charing Cross Hospital"/>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="311"/>
<display value="Clinical Genetics"/>
</coding>
</specialty>
<telecom>
<system value="phone"/>
<value value="02085467711"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Hazel.smith12@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="clinicalgeneticskingston@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="fetalmedicinekingston@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="gptestpracticekingston@nhs.net"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<resource>
<Patient>
<id value="c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"/>
<code value="F"/>
<display value="Female"/>
</coding>
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</extension>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland"/>
<code value="A"/>
<display value="White - British"/>
</coding>
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</extension>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<version value="1.1.1"/>
<code value="01"/>
<display value="Number present and verified"/>
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<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
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<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="71636034"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Boulder"/>
<given value="Ryanne"/>
</name>
<link>
<other>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</other>
<type value="seealso"/>
</link>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9"/>
<resource>
<Patient>
<id value="037d8ff3-da35-4fad-9d28-7a120d4fffe9"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus">
<valueCode value="fetal-demise"/>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="FoetusA"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Fetus A of MUM"/>
</name>
<gender value="female"/>
<deceasedDateTime value="2024-05-16T00:00:00-05:00"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f"/>
<resource>
<Observation>
<id value="a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="723621000000103"/>
<display value="Ethnicity"/>
</coding>
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<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</subject>
<valueString value="unknown"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d"/>
<resource>
<ServiceRequest>
<id value="a5838f88-99af-4ef9-bcb6-150781680d4d"/>
<language value="en"/>
<text>
<status value="extensions"/>
<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
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.</p>
</div></blockquote></div>
</text>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory"/>
<code value="nhs-england"/>
<display value="NHS England"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://fhir.nhs.uk/Id/GMSOrder"/>
<value value="5562279a-bb88-45ef-8fbc-b62c09fbbdb2"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics"/>
<code value="prenatal-diagnosis"/>
<display value="Prenatal diagnosis"/>
</coding>
</category>
<priority value="urgent"/>
<code>
<coding>
<extension
url="https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version">
<valueDecimal value="1.0"/>
</extension>
<system
value="https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices"/>
<code value="GT1133"/>
<display value="Common aneuploidy testing"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9"/>
<type value="Patient"/>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="FoetusA"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX"/>
</identifier>
</assigner>
</identifier>
</subject>
<authoredOn value="2025-09-05"/>
<requester>
<reference value="urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c"/>
<type value="PractitionerRole"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RYJ02"/>
</identifier>
</requester>
<performer>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699N0"/>
</identifier>
</performer>
<reasonCode>
<coding>
<extension
url="https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version">
<valueDecimal value="1.0"/>
</extension>
<system
value="https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices"/>
<code value="TP289"/>
<display value="Common aneuploidy testing - prenatal"/>
</coding>
</reasonCode>
<supportingInfo>
<reference value="urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:193e30bd-6827-468d-b9b7-0849278305db"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:e1858a31-b153-4525-83d6-805cb682df28"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a"/>
<type value="RelatedPerson"/>
</supportingInfo>
<supportingInfo>
<reference value="urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d"/>
<type value="Observation"/>
</supportingInfo>
<specimen>
<reference value="urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371"/>
<type value="Specimen"/>
</specimen>
<note>
<text
value="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."/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59"/>
<resource>
<Observation>
<id value="3e58d52e-aff3-4a70-956b-28509c664f59"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
<display value="Social History"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="267013003"/>
<display value="Past pregnancy outcome"/>
</coding>
<text value="Outcome of pregnancy"/>
</code>
<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</subject>
<effectiveDateTime value="2025-08-25"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="237365001"/>
<display value="Fresh stillbirth"/>
</coding>
<text
value="a fetal death occurring at or after 28 weeks of pregnancy"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322"/>
<resource>
<Observation>
<id value="554cddd5-7b36-4931-aef2-e96c7fc1f322"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77386006"/>
<display value="Pregnancy"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</subject>
<effectiveDateTime value="2025-08-25"/>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="720451000000102"/>
<display value="Assisted conception"/>
</coding>
</code>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="226081000000107"/>
<display value="Gestational age"/>
</coding>
</code>
<valueQuantity>
<value value="87"/>
<unit value="day"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="161714006"/>
<display value="Estimated date of delivery"/>
</coding>
</code>
<valueDateTime value="2025-08-25"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:193e30bd-6827-468d-b9b7-0849278305db"/>
<resource>
<Observation>
<id value="193e30bd-6827-468d-b9b7-0849278305db"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="160475008"/>
<display value="Family history of consanguinity"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9"/>
<type value="Patient"/>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="FoetusA"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX"/>
</identifier>
</assigner>
</identifier>
</subject>
<effectiveDateTime value="2025-08-25"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f"/>
<resource>
<Observation>
<id value="e8f9a82e-4a01-4449-9c80-c4d38090884f"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="416128008"/>
<display value="No history of procedure"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</subject>
<effectiveDateTime value="2025-08-25"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="263903005"/>
<display value="Transplant"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e1858a31-b153-4525-83d6-805cb682df28"/>
<resource>
<Observation>
<id value="e1858a31-b153-4525-83d6-805cb682df28"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="609520005"/>
<display value="Disorder of fetal structure"/>
</coding>
<text value="First Trimester Anomalies?"/>
</code>
<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</subject>
<effectiveDateTime value="2025-08-25"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="255246003"/>
<display value="First trimester"/>
</coding>
</code>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a"/>
<resource>
<Observation>
<id value="5398e192-d44a-4e07-9cdb-63cdeb4ed47a"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="609520005"/>
<display value="Disorder of fetal structure"/>
</coding>
<text value="Second Trimester Anomalies?"/>
</code>
<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</subject>
<effectiveDateTime value="2025-08-25"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="255247007"/>
<display value="Second trimester"/>
</coding>
</code>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371"/>
<resource>
<Specimen>
<id value="6c83fb14-0eb9-465b-8d2c-062b03b12371"/>
<meta>
<tag>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory"/>
<code value="nhs-england"/>
<display value="NHS England"/>
</tag>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></div>
</text>
<identifier>
<system value="https://fhir.add.nhs.uk/Id/specimenId"/>
<value value="RGT19427897"/>
</identifier>
<status value="unavailable"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="258565009"/>
<display value="Chorionic villi specimen"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9"/>
<type value="Patient"/>
</subject>
<note>
<text
value="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>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a"/>
<resource>
<RelatedPerson>
<id value="ac29fd1f-6749-4771-9633-25f39976e48a"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="6988036185"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX"/>
</identifier>
</assigner>
</identifier>
<patient>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="NCHILD"/>
<display value="natural child"/>
</coding>
</relationship>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d"/>
<resource>
<Observation>
<id value="fe049bb9-7988-4209-a5a7-364f7829950d"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="52637005"/>
<display value="In vitro fertilisation"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8"/>
<type value="Patient"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449308322"/>
</identifier>
</subject>
<effectiveDateTime value="2025-05-25"/>
<note>
<text value="Woman`s own egg"/>
</note>
</Observation>
</resource>
</entry>
</Bundle>