Bundle NonWGSTestOrderForm-Example of type message

Entry 1 - fullUrl = urn:uuid:a4a71150-7f11-42cb-8c3c-8bd4f896d523

Resource MessageHeader:

Language: en

event: event: O21 (OML - Laboratory order)

Destinations

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

sender: Addenbrooke's Hospital (Identifier: ODS Organisation Code/RGT01)

source

focus: ServiceRequest Monogenic hearing loss - Panel sequencing

Entry 2 - fullUrl = http://example.org/fhir/PractitionerRole/PractitionerRole-GeneSmithENT-Example

Resource PractitionerRole:

Language: en

practitioner: Dr. Gene Smith (Identifier: https://fhir.nhs.uk/Id/sds-user-id/9999999999)

organization: Addenbrooke's Hospital (Identifier: ODS Organisation Code/RGT01)

specialty: Ear Nose and Throat

Entry 3 - fullUrl = http://example.org/fhir/Patient/Patient-MeirLieberman-Example

Resource Patient:

Language: en

Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

---

Deceased:	false
Other Id:	urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24/RGT012423
Contact Detail	1 Spinney Close Worcester Park Surrey KT4 7BS
Links:	General Practitioner: Dr. Aero Smith (Identifier: GMP Number/G9999999) General Practitioner: 123 Test Practice (Identifier: https://fhir.hl7.org.uk/Id/ODS-code/TP123) Also see: https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873
Extension UK Core Ethnic Category	White - British
Extension UK Core Birth Sex	Male

Entry 4 - fullUrl = http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example

Resource Observation:

Language: en

status: Preliminary

code: Ethnicity

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

value: unknown

Entry 5 - fullUrl = http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example

Resource ServiceRequest:

Language: en

Extension UK Core Coverage: NHS England

status: Active

intent: Order

category: Diagnostic

priority: Routine

code: No display for ServiceRequest.code (concept: Monogenic hearing loss - Panel sequencing)

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

authoredOn: 2023-08-05

requester: PractitionerRole: specialty = Ear Nose and Throat; telecom = ph: 01223586638,gene.smith@nhs.net,Add-tr.entsecretaries@nhs.net

supportingInfo:

• No display for ServiceRequest.supportingInfo (reference: ->Observation Monogenic hearing loss)
• No display for ServiceRequest.supportingInfo (reference: ->Observation Ethnicity)
• No display for ServiceRequest.supportingInfo (reference: ->Observation Not pregnant)
• No display for ServiceRequest.supportingInfo (reference: ->Observation No history of procedure)
• No display for ServiceRequest.supportingInfo (reference: ->Observation No history of procedure)
• No display for ServiceRequest.supportingInfo (reference: ->Observation Bilateral hearing loss)

note:

No family history of genomic testing Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example

Entry 6 - fullUrl = http://example.org/fhir/Observation/Observation-NoPregnancy-Example

Resource Observation:

Language: en

status: Final

code: Not pregnant

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

effective: 2023-08-05

Entry 7 - fullUrl = http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example

Resource Observation:

Language: en

status: Final

code: Family history: Consanguinity

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

effective: 2023-08-05

value: Negative

Entry 8 - fullUrl = http://example.org/fhir/Observation/Observation-NoTransplant-Example

Resource Observation:

Language: en

status: Final

code: No history of procedure

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

effective: 2023-08-05

value: Transplant

Entry 9 - fullUrl = http://example.org/fhir/Observation/Observation-NoTransfusion-Example

Resource Observation:

Language: en

status: Final

code: No history of procedure

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

effective: 2023-08-05

value: Transfusion - action

Entry 10 - fullUrl = http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example

Resource Specimen:

Language: en

identifier: https://fhir.add.nhs.uk/Id/specimenId/RGT03135

status: Unavailable

type: Blood specimen

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

request: ServiceRequest Monogenic hearing loss - Panel sequencing

container

Entry 11 - fullUrl = http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example

Resource Observation:

Language: en

status: Final

code: Monogenic hearing loss

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

Entry 12 - fullUrl = http://example.org/fhir/Observation/Condition-HearingLoss-Example

Resource Observation:

Language: en

status: Final

code: Bilateral hearing loss

subject: Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)

note:

hearing loss since childhood (example)