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="NonWGSTestOrderForm-Example"/>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"/>
</meta>
<language value="en"/>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="04479233-2021-418d-b1ed-02d89674fadc"/>
</identifier>
<type value="message"/>
<timestamp value="2026-06-15T09:00:00Z"/>
<entry>
<fullUrl value="urn:uuid:a4a71150-7f11-42cb-8c3c-8bd4f896d523"/>
<resource>
<MessageHeader>
<id value="a4a71150-7f11-42cb-8c3c-8bd4f896d523"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_a4a71150-7f11-42cb-8c3c-8bd4f896d523"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader a4a71150-7f11-42cb-8c3c-8bd4f896d523</b></p><a name="a4a71150-7f11-42cb-8c3c-8bd4f896d523"> </a><a name="hca4a71150-7f11-42cb-8c3c-8bd4f896d523"> </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>: Addenbrooke's 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>/RGT01)</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-NonWGSTestOrderForm-Example.html#http-//example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example">ServiceRequest Monogenic hearing loss - Panel sequencing</a></p></div>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="O21"/>
</eventCoding>
<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"/>
</receiver>
</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RGT01"/>
</identifier>
<display value="Addenbrooke's Hospital"/>
</sender>
<source>
<endpoint value="https://example.org/fhir/SendingSystem"/>
</source>
<focus>
<reference
value="http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/PractitionerRole-GeneSmithENT-Example"/>
<resource>
<PractitionerRole>
<id value="PractitionerRole-GeneSmithENT-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_PractitionerRole-GeneSmithENT-Example"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole PractitionerRole-GeneSmithENT-Example</b></p><a name="PractitionerRole-GeneSmithENT-Example"> </a><a name="hcPractitionerRole-GeneSmithENT-Example"> </a><p><b>practitioner</b>: Dr. Gene Smith (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999999)</p><p><b>organization</b>: Addenbrooke's 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>/RGT01)</p><p><b>specialty</b>: <span title="Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 120}">Ear Nose and Throat</span></p><p><b>telecom</b>: ph: 01223586638, <a href="mailto:gene.smith@nhs.net">gene.smith@nhs.net</a>, <a href="mailto:Add-tr.entsecretaries@nhs.net">Add-tr.entsecretaries@nhs.net</a></p></div>
</text>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="9999999999"/>
</identifier>
<display value="Dr. Gene Smith"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RGT01"/>
</identifier>
<display value="Addenbrooke's Hospital"/>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="120"/>
<display value="Ear Nose and Throat"/>
</coding>
</specialty>
<telecom>
<system value="phone"/>
<value value="01223586638"/>
</telecom>
<telecom>
<system value="email"/>
<value value="gene.smith@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="Add-tr.entsecretaries@nhs.net"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Patient/Patient-MeirLieberman-Example"/>
<resource>
<Patient>
<id value="Patient-MeirLieberman-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Patient-MeirLieberman-Example"> </a><p class="res-header-id"><b>Generated Narrative: Patient Patient-MeirLieberman-Example</b></p><a name="Patient-MeirLieberman-Example"> </a><a name="hcPatient-MeirLieberman-Example"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">false</td></tr><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>/RGT012423</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">1 Spinney Close Worcester Park Surrey KT4 7BS </td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>General Practitioner: Dr. Aero Smith (Identifier: <a href="NamingSystem-gmpnumber-namingsystem.html" title="General Practitioner (GMP) number. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_practitioner_ppd_code.html)">GMP Number</a>/G9999999)</li><li>General Practitioner: 123 Test Practice (Identifier: <code>https://fhir.hl7.org.uk/Id/ODS-code</code>/TP123)</li><li>Also see: <a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&canonical=https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873">https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873</a></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 M}">Male</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="M"/>
<display value="Male"/>
</coding>
</valueCodeableConcept>
</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>
</valueCodeableConcept>
</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"/>
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="RGT012423"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RGT01"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Lieberman"/>
<given value="Meir"/>
<given value="Anah"/>
</name>
<birthDate value="2005-12-19"/>
<deceasedBoolean value="false"/>
<address>
<line value="1 Spinney Close"/>
<line value="Worcester Park"/>
<city value="Surrey"/>
<postalCode value="KT4 7BS"/>
</address>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G9999999"/>
</identifier>
<display value="Dr. Aero Smith"/>
</generalPractitioner>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/ODS-code"/>
<value value="TP123"/>
</identifier>
<display value="123 Test Practice"/>
</generalPractitioner>
<link>
<other>
<reference
value="https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873"/>
</other>
<type value="seealso"/>
</link>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example"/>
<resource>
<Observation>
<id value="Observation-GenomicEthnicity-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Observation-GenomicEthnicity-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Observation-GenomicEthnicity-Example</b></p><a name="Observation-GenomicEthnicity-Example"> </a><a name="hcObservation-GenomicEthnicity-Example"> </a><p><b>status</b>: Preliminary</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 723621000000103}">Ethnicity</span></p><p><b>subject</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>value</b>: unknown</p></div>
</text>
<status value="preliminary"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="723621000000103"/>
<display value="Ethnicity"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<valueString value="unknown"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example"/>
<resource>
<ServiceRequest>
<id value="ServiceRequest-NonWGSTestOrderForm-Example"/>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_ServiceRequest-NonWGSTestOrderForm-Example"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest ServiceRequest-NonWGSTestOrderForm-Example</b></p><a name="ServiceRequest-NonWGSTestOrderForm-Example"> </a><a name="hcServiceRequest-NonWGSTestOrderForm-Example"> </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>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 diagnostic}">Diagnostic</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices GT488}">Monogenic hearing loss - Panel sequencing</span></p><p><b>subject</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>authoredOn</b>: 2023-08-05</p><p><b>requester</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#PractitionerRole_PractitionerRole-GeneSmithENT-Example">PractitionerRole: specialty = Ear Nose and Throat; telecom = ph: 01223586638,gene.smith@nhs.net,Add-tr.entsecretaries@nhs.net</a></p><p><b>reasonCode</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices TP439}">Monogenic hearing loss</span></p><p><b>supportingInfo</b>: </p><ul><li><a href="Bundle-NonWGSTestOrderForm-Example.html#http-//example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example">Observation Monogenic hearing loss</a></li><li><a href="Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-GenomicEthnicity-Example">Observation Ethnicity</a></li><li><a href="Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-NoPregnancy-Example">Observation Not pregnant</a></li><li><a href="Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-NoTransplant-Example">Observation No history of procedure</a></li><li><a href="Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-NoTransfusion-Example">Observation No history of procedure</a></li><li><a href="Bundle-NonWGSTestOrderForm-Example.html#http-//example.org/fhir/Observation/Condition-HearingLoss-Example">Observation Bilateral hearing loss</a></li></ul><p><b>note</b>: </p><blockquote><div><p>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</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>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics"/>
<code value="diagnostic"/>
<display value="Diagnostic"/>
</coding>
</category>
<priority value="routine"/>
<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="GT488"/>
<display value="Monogenic hearing loss - Panel sequencing"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<authoredOn value="2023-08-05"/>
<requester>
<reference
value="PractitionerRole/PractitionerRole-GeneSmithENT-Example"/>
</requester>
<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="TP439"/>
<display value="Monogenic hearing loss"/>
</coding>
</reasonCode>
<supportingInfo>
<reference
value="http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference
value="Observation/Observation-GenomicEthnicity-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Observation/Observation-NoPregnancy-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Observation/Observation-NoTransplant-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Observation/Observation-NoTransfusion-Example"/>
</supportingInfo>
<supportingInfo>
<reference
value="http://example.org/fhir/Observation/Condition-HearingLoss-Example"/>
<type value="Observation"/>
</supportingInfo>
<note>
<text
value="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"/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-NoPregnancy-Example"/>
<resource>
<Observation>
<id value="Observation-NoPregnancy-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Observation-NoPregnancy-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Observation-NoPregnancy-Example</b></p><a name="Observation-NoPregnancy-Example"> </a><a name="hcObservation-NoPregnancy-Example"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 60001007}">Not pregnant</span></p><p><b>subject</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="60001007"/>
<display value="Not pregnant"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example"/>
<resource>
<Observation>
<id value="Observation-NonConsanguinousUnion-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Observation-NonConsanguinousUnion-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Observation-NonConsanguinousUnion-Example</b></p><a name="Observation-NonConsanguinousUnion-Example"> </a><a name="hcObservation-NonConsanguinousUnion-Example"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 160475008}">Family history: Consanguinity</span></p><p><b>subject</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</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: Consanguinity"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-NoTransplant-Example"/>
<resource>
<Observation>
<id value="Observation-NoTransplant-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Observation-NoTransplant-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Observation-NoTransplant-Example</b></p><a name="Observation-NoTransplant-Example"> </a><a name="hcObservation-NoTransplant-Example"> </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-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</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="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="263903005"/>
<display value="Transplant"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-NoTransfusion-Example"/>
<resource>
<Observation>
<id value="Observation-NoTransfusion-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Observation-NoTransfusion-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Observation-NoTransfusion-Example</b></p><a name="Observation-NoTransfusion-Example"> </a><a name="hcObservation-NoTransfusion-Example"> </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-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 303955003}">Transfusion - action</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="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="303955003"/>
<display value="Transfusion - action"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example"/>
<resource>
<Specimen>
<id value="Specimen-BloodEDTA-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_Specimen-BloodEDTA-Example"> </a><p class="res-header-id"><b>Generated Narrative: Specimen Specimen-BloodEDTA-Example</b></p><a name="Specimen-BloodEDTA-Example"> </a><a name="hcSpecimen-BloodEDTA-Example"> </a><p><b>identifier</b>: <code>https://fhir.add.nhs.uk/Id/specimenId</code>/RGT03135</p><p><b>status</b>: Unavailable</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 119297000}">Blood specimen</span></p><p><b>subject</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>request</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#ServiceRequest_ServiceRequest-NonWGSTestOrderForm-Example">ServiceRequest Monogenic hearing loss - Panel sequencing</a></p><h3>Containers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Additive[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 69519002}">EDTA</span></td></tr></table></div>
</text>
<identifier>
<system value="https://fhir.add.nhs.uk/Id/specimenId"/>
<value value="RGT03135"/>
</identifier>
<status value="unavailable"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119297000"/>
<display value="Blood specimen"/>
</coding>
</type>
<subject>
<reference value="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<request>
<reference
value="ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example"/>
</request>
<container>
<additiveCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="69519002"/>
<display value="EDTA"/>
</coding>
</additiveCodeableConcept>
</container>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example"/>
<resource>
<Observation>
<id value="Condition-MonogenicHearingLoss-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Condition-MonogenicHearingLoss-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Condition-MonogenicHearingLoss-Example</b></p><a name="Condition-MonogenicHearingLoss-Example"> </a><a name="hcCondition-MonogenicHearingLoss-Example"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices TP439}">Monogenic hearing loss</span></p><p><b>subject</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices"/>
<code value="TP439"/>
<display value="Monogenic hearing loss"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Condition-HearingLoss-Example"/>
<resource>
<Observation>
<id value="Condition-HearingLoss-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Condition-HearingLoss-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Condition-HearingLoss-Example</b></p><a name="Condition-HearingLoss-Example"> </a><a name="hcCondition-HearingLoss-Example"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 95820000}">Bilateral hearing loss</span></p><p><b>subject</b>: <a href="Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>note</b>: </p><blockquote><div><p>hearing loss since childhood (example)</p>
</div></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="95820000"/>
<display value="Bilateral hearing loss"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-MeirLieberman-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307873"/>
</identifier>
</subject>
<note>
<text value="hearing loss since childhood (example)"/>
</note>
</Observation>
</resource>
</entry>
</Bundle>