<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="NonWGSTestOrderFormQRPatientExtensions-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="b927df7e-4083-48a8-8c14-6e99307fd505"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2026-06-15T09:00:00Z"/>
  <entry>
    <fullUrl value="urn:uuid:71b2e764-98fa-4182-926e-a7f66ab75dbe"/>
    <resource>
      <MessageHeader>
        <id value="71b2e764-98fa-4182-926e-a7f66ab75dbe"/>
        <language value="en"/>
        <text>
          <status value="generated"/><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&amp;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&amp;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/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example"/>
    <resource>
      <Patient>
        <id value="Patient-NonWGSTestOrderFormQRPatientExtensions-Example"/>
        <language value="en"/>
        <text>
          <status value="generated"/><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>
        </text>
        <identifier>
          <system value="https://fhir.nhs.uk/Id/nhs-number"/>
          <value value="9449307873"/>
        </identifier>
        <name>
          <family value="Lieberman"/>
          <given value="Meir"/>
          <given value="Anah"/>
        </name>
        <birthDate value="2005-12-19"/>
      </Patient>
    </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/QuestionnaireResponse/QuestionnaireResponse-PatientExtensions-Example"/>
    <resource>
      <QuestionnaireResponse>
        <id value="QuestionnaireResponse-PatientExtensions-Example"/>
        <language value="en"/>
        <text>
          <status value="generated"/><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>
<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&amp;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>
<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>
<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,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
        </text>
        <questionnaire value="https://fhir.nhs.uk/Questionnaire/Patient-Extensions-Example"/>
        <status value="completed"/>
        <subject>
          <reference value="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-Example"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9449307873"/>
          </identifier>
        </subject>
        <authored value="2023-10-01T15:00:00Z"/>
        <item>
          <linkId value="364699009"/>
          <text value="Patient - Ethnicity"/>
          <answer>
            <valueCoding>
              <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland"/>
              <code value="A"/>
              <display value="White - British"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="1345193002"/>
          <text value="Patient - Sex defined at birth"/>
          <answer>
            <valueCoding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"/>
              <code value="M"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
      </QuestionnaireResponse>
    </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-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>
        </text>
        <status value="preliminary"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="723621000000103"/>
            <display value="Ethnicity"/>
          </coding>
        </code>
        <subject>
          <reference value="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-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 '-&gt;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
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="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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="QuestionnaireResponse/QuestionnaireResponse-PatientExtensions-Example"/>
        </supportingInfo>
        <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&#xA;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-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>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="60001007"/>
            <display value="Not pregnant"/>
          </coding>
        </code>
        <subject>
          <reference value="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-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>
        </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="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-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>
        </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="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-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>
        </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="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-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>
        </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="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-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>
        </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="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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-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>
</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="http://example.org/fhir/Patient/Patient-NonWGSTestOrderFormQRPatientExtensions-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>