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
{
"resourceType" : "Bundle",
"id" : "NonWGSTestOrderFormQRPatientExtensions-Example",
"meta" : {
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"
]
},
"language" : "en",
"identifier" : {
"system" : "https://tools.ietf.org/html/rfc4122",
"value" : "b927df7e-4083-48a8-8c14-6e99307fd505"
},
"type" : "message",
"timestamp" : "2026-06-15T09:00:00Z",
"entry" : [
{
"fullUrl" : "urn:uuid:71b2e764-98fa-4182-926e-a7f66ab75dbe",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "71b2e764-98fa-4182-926e-a7f66ab75dbe",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_71b2e764-98fa-4182-926e-a7f66ab75dbe\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 71b2e764-98fa-4182-926e-a7f66ab75dbe</b></p><a name=\"71b2e764-98fa-4182-926e-a7f66ab75dbe\"> </a><a name=\"hc71b2e764-98fa-4182-926e-a7f66ab75dbe\"> </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>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O21"
},
"destination" : [
{
"name" : "National Genomic Medicine Service",
"endpoint" : "https://api.service.nhs.uk/GMS",
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "699X0"
},
"display" : "NORTH WEST GLH LED BY MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"
}
}
],
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RGT01"
},
"display" : "Addenbrooke's Hospital"
},
"source" : {
"endpoint" : "https://example.org/fhir/SendingSystem"
},
"focus" : [
{
"reference" : "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-NonWGSTestOrderFormQRPatientExtensions-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-NonWGSTestOrderFormQRPatientExtensions-Example</b></p><a name=\"Patient-NonWGSTestOrderFormQRPatientExtensions-Example\"> </a><a name=\"hcPatient-NonWGSTestOrderFormQRPatientExtensions-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/></div>"
},
"identifier" : [
{
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
],
"name" : [
{
"family" : "Lieberman",
"given" : [
"Meir",
"Anah"
]
}
],
"birthDate" : "2005-12-19"
}
},
{
"fullUrl" : "http://example.org/fhir/PractitionerRole/PractitionerRole-GeneSmithENT-Example",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-GeneSmithENT-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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>"
},
"practitioner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/sds-user-id",
"value" : "9999999999"
},
"display" : "Dr. Gene Smith"
},
"organization" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RGT01"
},
"display" : "Addenbrooke's Hospital"
},
"specialty" : [
{
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code" : "120",
"display" : "Ear Nose and Throat"
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "01223586638"
},
{
"system" : "email",
"value" : "gene.smith@nhs.net"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
"valueString" : "reporting"
}
],
"system" : "email",
"value" : "Add-tr.entsecretaries@nhs.net"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-PatientExtensions-Example",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "QuestionnaireResponse-PatientExtensions-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"QuestionnaireResponse_QuestionnaireResponse-PatientExtensions-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse QuestionnaireResponse-PatientExtensions-Example</b></p><a name=\"QuestionnaireResponse-PatientExtensions-Example\"> </a><a name=\"hcQuestionnaireResponse-PatientExtensions-Example\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> QuestionnaireResponse-PatientExtensions-Example</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:https://fhir.nhs.uk/Questionnaire/Patient-Extensions-Example</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> 364699009</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient - Ethnicity</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><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-EthnicCategoryEngland#UKCore-EthnicCategoryEngland-A\">UK Core Ethnic Category England: A</a> (White - British)</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> 1345193002</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient - Sex defined at birth</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-AdministrativeGender.html#v3-AdministrativeGender-M\">AdministrativeGender: M</a> (Male)</span></span></td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"questionnaire" : "https://fhir.nhs.uk/Questionnaire/Patient-Extensions-Example",
"status" : "completed",
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"authored" : "2023-10-01T15:00:00Z",
"item" : [
{
"linkId" : "364699009",
"text" : "Patient - Ethnicity",
"answer" : [
{
"valueCoding" : {
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
"code" : "A",
"display" : "White - British"
}
}
]
},
{
"linkId" : "1345193002",
"text" : "Patient - Sex defined at birth",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
"code" : "M",
"display" : "Male"
}
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-GenomicEthnicity-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>"
},
"status" : "preliminary",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "723621000000103",
"display" : "Ethnicity"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"valueString" : "unknown"
}
},
{
"fullUrl" : "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ServiceRequest-NonWGSTestOrderForm-Example",
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-NonWGSTestOrderFormQRPatientExtensions-Example.html#QuestionnaireResponse_QuestionnaireResponse-PatientExtensions-Example\">Response to Questionnaire 'https://fhir.nhs.uk/Questionnaire/Patient-Extensions-Example' about '->Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)'</a></li><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\nFree text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example</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"
}
]
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics",
"code" : "diagnostic",
"display" : "Diagnostic"
}
]
}
],
"priority" : "routine",
"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" : "GT488",
"display" : "Monogenic hearing loss - Panel sequencing"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"authoredOn" : "2023-08-05",
"requester" : {
"reference" : "PractitionerRole/PractitionerRole-GeneSmithENT-Example"
},
"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" : "TP439",
"display" : "Monogenic hearing loss"
}
]
}
],
"supportingInfo" : [
{
"reference" : "QuestionnaireResponse/QuestionnaireResponse-PatientExtensions-Example"
},
{
"reference" : "http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example",
"type" : "Observation"
},
{
"reference" : "Observation/Observation-GenomicEthnicity-Example"
},
{
"reference" : "Observation/Observation-NoPregnancy-Example"
},
{
"reference" : "Observation/Observation-NoTransplant-Example"
},
{
"reference" : "Observation/Observation-NoTransfusion-Example"
},
{
"reference" : "http://example.org/fhir/Observation/Condition-HearingLoss-Example",
"type" : "Observation"
}
],
"note" : [
{
"text" : "No family history of genomic testing\nFree text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-NoPregnancy-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-NoPregnancy-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "60001007",
"display" : "Not pregnant"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"effectiveDateTime" : "2023-08-05"
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-NonConsanguinousUnion-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "160475008",
"display" : "Family history: Consanguinity"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-NoTransplant-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-NoTransplant-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "416128008",
"display" : "No history of procedure"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "263903005",
"display" : "Transplant"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-NoTransfusion-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-NoTransfusion-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "416128008",
"display" : "No history of procedure"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "303955003",
"display" : "Transfusion - action"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example",
"resource" : {
"resourceType" : "Specimen",
"id" : "Specimen-BloodEDTA-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>"
},
"identifier" : [
{
"system" : "https://fhir.add.nhs.uk/Id/specimenId",
"value" : "RGT03135"
}
],
"status" : "unavailable",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "119297000",
"display" : "Blood specimen"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"request" : [
{
"reference" : "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example"
}
],
"container" : [
{
"additiveCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "69519002",
"display" : "EDTA"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Condition-MonogenicHearingLoss-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example\">Meir Anah Lieberman (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices",
"code" : "TP439",
"display" : "Monogenic hearing loss"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Condition-HearingLoss-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Condition-HearingLoss-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<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-NonWGSTestOrderFormQRPatientExtensions-Example.html#http-//example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>\n</div></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "95820000",
"display" : "Bilateral hearing loss"
}
]
},
"subject" : {
"reference" : "http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307873"
}
},
"note" : [
{
"text" : "hearing loss since childhood (example)"
}
]
}
}
]
}