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" : "WGSTestOrderForm-Example",
"meta" : {
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"
]
},
"language" : "en",
"identifier" : {
"system" : "https://tools.ietf.org/html/rfc4122",
"value" : "e297509e-d935-45e5-a4d1-132dab0d6fbf"
},
"type" : "message",
"timestamp" : "2026-06-15T09:00:00Z",
"entry" : [
{
"fullUrl" : "urn:uuid:da126418-1a89-4b0a-9740-4be5dccc6dfe",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "da126418-1a89-4b0a-9740-4be5dccc6dfe",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_da126418-1a89-4b0a-9740-4be5dccc6dfe\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader da126418-1a89-4b0a-9740-4be5dccc6dfe</b></p><a name=\"da126418-1a89-4b0a-9740-4be5dccc6dfe\"> </a><a name=\"hcda126418-1a89-4b0a-9740-4be5dccc6dfe\"> </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>: Kingston Hospital 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>/RAX01)</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-WGSTestOrderForm-Example.html#http-//example.org/fhir/ServiceRequest/ServiceRequest-WGSTestOrderForm-Example\">ServiceRequest Cystic renal disease - WGS</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" : "RAX01"
},
"display" : "Kingston Hospital NHS Foundation Trust"
},
"source" : {
"endpoint" : "https://example.org/fhir/SendingSystem"
},
"focus" : [
{
"reference" : "http://example.org/fhir/ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/PractitionerRole/PractitionerRole-HazelSmithRenal-Example",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-HazelSmithRenal-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PractitionerRole-HazelSmithRenal-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PractitionerRole-HazelSmithRenal-Example</b></p><a name=\"PractitionerRole-HazelSmithRenal-Example\"> </a><a name=\"hcPractitionerRole-HazelSmithRenal-Example\"> </a><p><b>practitioner</b>: Dr. Hazel Smith (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999998)</p><p><b>organization</b>: Kingston Hospital 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>/RAX01)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 361}\">Renal Medicine</span></p><p><b>telecom</b>: ph: 02085467711, <a href=\"mailto:Hazel.smith12@nhs.net\">Hazel.smith12@nhs.net</a>, <a href=\"mailto:renalseckingston@nhs.net\">renalseckingston@nhs.net</a></p></div>"
},
"practitioner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/sds-user-id",
"value" : "9999999998"
},
"display" : "Dr. Hazel Smith"
},
"organization" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RAX01"
},
"display" : "Kingston Hospital NHS Foundation Trust"
},
"specialty" : [
{
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code" : "361",
"display" : "Renal Medicine"
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "02085467711"
},
{
"system" : "email",
"value" : "Hazel.smith12@nhs.net"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
"valueString" : "reporting"
}
],
"system" : "email",
"value" : "renalseckingston@nhs.net"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/Patient-LindsaySorrell-Example",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient-LindsaySorrell-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-LindsaySorrell-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-LindsaySorrell-Example</b></p><a name=\"Patient-LindsaySorrell-Example\"> </a><a name=\"hcPatient-LindsaySorrell-Example\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</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>/RWT14789</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">31 THE AVENUE BERWICK COURT 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: anywhere place (Identifier: <code>https://fhir.hl7.org.uk/Id/ODS-code</code>/AP123)</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/9449307946\">https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307946</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>"
},
"extension" : [
{
"url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
"code" : "M",
"display" : "Male"
}
]
}
},
{
"url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
"code" : "A",
"display" : "White - British"
}
]
}
}
],
"identifier" : [
{
"extension" : [
{
"url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
"version" : "1.1.1",
"code" : "01",
"display" : "Number present and verified"
}
]
}
}
],
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
},
{
"system" : "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
"value" : "RWT14789",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RAX01"
}
}
}
],
"name" : [
{
"family" : "Sorrell",
"given" : [
"Lindsay"
]
}
],
"birthDate" : "2011-04-12",
"deceasedBoolean" : false,
"address" : [
{
"line" : [
"31 THE AVENUE",
"BERWICK COURT"
],
"postalCode" : "KT4 7BS"
}
],
"generalPractitioner" : [
{
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmp-number",
"value" : "G9999999"
},
"display" : "Dr. Aero Smith"
},
{
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/ODS-code",
"value" : "AP123"
},
"display" : "anywhere place"
}
],
"link" : [
{
"other" : {
"reference" : "https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307946"
},
"type" : "seealso"
}
]
}
},
{
"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-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>value</b>: unknown</p></div>"
},
"status" : "preliminary",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "723621000000103",
"display" : "Ethnicity"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"valueString" : "unknown"
}
},
{
"fullUrl" : "http://example.org/fhir/ServiceRequest/ServiceRequest-WGSTestOrderForm-Example",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ServiceRequest-WGSTestOrderForm-Example",
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequest-WGSTestOrderForm-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequest-WGSTestOrderForm-Example</b></p><a name=\"ServiceRequest-WGSTestOrderForm-Example\"> </a><a name=\"hcServiceRequest-WGSTestOrderForm-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 GT497}\">Cystic renal disease - WGS</span></p><p><b>subject</b>: <a href=\"Bundle-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>authoredOn</b>: 2023-08-08</p><p><b>requester</b>: <a href=\"Bundle-NonWGSTestOrderForm-Reanalysis-Example.html#PractitionerRole_PractitionerRole-HazelSmithRenal-Example\">PractitionerRole: specialty = Renal Medicine; telecom = ph: 02085467711,Hazel.smith12@nhs.net,renalseckingston@nhs.net,neuroseckingston@nhs.net</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices TP171}\">Cystic renal disease</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-Reanalysis-Example.html#Observation_Observation-NoBoneMarrowTransplant-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-WGSTestOrderForm-Example.html#Observation_Observation-MultipleRenalCysts-Example\">Observation Multiple renal cysts</a></li><li><a href=\"Bundle-WGSTestOrderForm-Example.html#Observation_Observation-Nephronophthisis-Example\">Observation Nephronophthisis</a></li><li><a href=\"Bundle-WGSTestOrderForm-Example.html#Observation_Observation-HepaticCysts-Example\">Observation Hepatic cysts</a></li><li><a href=\"Bundle-WGSTestOrderForm-Example.html#Observation_Observation-EnlargedKidney-Example\">Observation Enlarged kidney</a></li><li><a href=\"Bundle-WGSTestOrderForm-Example.html#Observation_Observation-RenalInsufficiency-Example\">Observation Renal insufficiency</a></li><li><a href=\"Bundle-WGSTestOrderForm-Example.html#Consent_Consent-RoDToFollow-Example\">Consent-RoDToFollow-Example</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 diagnoses with ADPKD (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" : "GT497",
"display" : "Cystic renal disease - WGS"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"authoredOn" : "2023-08-08",
"requester" : {
"reference" : "PractitionerRole/PractitionerRole-HazelSmithRenal-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" : "TP171",
"display" : "Cystic renal disease"
}
]
}
],
"supportingInfo" : [
{
"reference" : "http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example",
"type" : "Observation"
},
{
"reference" : "Observation/Observation-GenomicEthnicity-Example"
},
{
"reference" : "Observation/Observation-NoPregnancy-Example"
},
{
"reference" : "Observation/Observation-NoBoneMarrowTransplant-Example"
},
{
"reference" : "Observation/Observation-NoTransfusion-Example"
},
{
"reference" : "Observation/Observation-MultipleRenalCysts-Example"
},
{
"reference" : "Observation/Observation-Nephronophthisis-Example"
},
{
"reference" : "Observation/Observation-HepaticCysts-Example"
},
{
"reference" : "Observation/Observation-EnlargedKidney-Example"
},
{
"reference" : "Observation/Observation-RenalInsufficiency-Example"
},
{
"reference" : "Consent/Consent-RoDToFollow-Example"
}
],
"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 diagnoses with ADPKD (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-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</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" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"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-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</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" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-NoBoneMarrowTransplant-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-NoBoneMarrowTransplant-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoBoneMarrowTransplant-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoBoneMarrowTransplant-Example</b></p><a name=\"Observation-NoBoneMarrowTransplant-Example\"> </a><a name=\"hcObservation-NoBoneMarrowTransplant-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-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 445715009}\">Blood and marrow transplantation</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "416128008",
"display" : "No history of procedure"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "445715009",
"display" : "Blood and marrow transplantation"
}
]
}
}
},
{
"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-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</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" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "303955003",
"display" : "Transfusion - action"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-MultipleRenalCysts-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-MultipleRenalCysts-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-MultipleRenalCysts-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-MultipleRenalCysts-Example</b></p><a name=\"Observation-MultipleRenalCysts-Example\"> </a><a name=\"hcObservation-MultipleRenalCysts-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0005562}\">Multiple renal cysts</span></p><p><b>subject</b>: <a href=\"Bundle-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 2667000}\">Absent</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://human-phenotype-ontology.org",
"version" : "20221005",
"code" : "HP:0005562",
"display" : "Multiple renal cysts"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-Nephronophthisis-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-Nephronophthisis-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-Nephronophthisis-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-Nephronophthisis-Example</b></p><a name=\"Observation-Nephronophthisis-Example\"> </a><a name=\"hcObservation-Nephronophthisis-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0000090}\">Nephronophthisis</span></p><p><b>subject</b>: <a href=\"Bundle-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 2667000}\">Absent</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://human-phenotype-ontology.org",
"version" : "20221005",
"code" : "HP:0000090",
"display" : "Nephronophthisis"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-HepaticCysts-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-HepaticCysts-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-HepaticCysts-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-HepaticCysts-Example</b></p><a name=\"Observation-HepaticCysts-Example\"> </a><a name=\"hcObservation-HepaticCysts-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0001407}\">Hepatic cysts</span></p><p><b>subject</b>: <a href=\"Bundle-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 2667000}\">Absent</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://human-phenotype-ontology.org",
"version" : "20221005",
"code" : "HP:0001407",
"display" : "Hepatic cysts"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-EnlargedKidney-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-EnlargedKidney-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-EnlargedKidney-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-EnlargedKidney-Example</b></p><a name=\"Observation-EnlargedKidney-Example\"> </a><a name=\"hcObservation-EnlargedKidney-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0000105}\">Enlarged kidney</span></p><p><b>subject</b>: <a href=\"Bundle-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 52101004}\">Present</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://human-phenotype-ontology.org",
"version" : "20221005",
"code" : "HP:0000105",
"display" : "Enlarged kidney"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52101004",
"display" : "Present"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/Observation-RenalInsufficiency-Example",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-RenalInsufficiency-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-RenalInsufficiency-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-RenalInsufficiency-Example</b></p><a name=\"Observation-RenalInsufficiency-Example\"> </a><a name=\"hcObservation-RenalInsufficiency-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://human-phenotype-ontology.org HP:0000083}\">Renal insufficiency</span></p><p><b>subject</b>: <a href=\"Bundle-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 52101004}\">Present</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://human-phenotype-ontology.org",
"version" : "20221005",
"code" : "HP:0000083",
"display" : "Renal insufficiency"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"effectiveDateTime" : "2023-08-05",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52101004",
"display" : "Present"
}
]
}
}
},
{
"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-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p><p><b>request</b>: <a href=\"Bundle-WGSTestOrderForm-Example.html#ServiceRequest_ServiceRequest-WGSTestOrderForm-Example\">ServiceRequest Cystic renal disease - WGS</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" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
},
"request" : [
{
"reference" : "ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"
}
],
"container" : [
{
"additiveCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "69519002",
"display" : "EDTA"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Consent/Consent-RoDToFollow-Example",
"resource" : {
"resourceType" : "Consent",
"id" : "Consent-RoDToFollow-Example",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Consent_Consent-RoDToFollow-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Consent Consent-RoDToFollow-Example</b></p><a name=\"Consent-RoDToFollow-Example\"> </a><a name=\"hcConsent-RoDToFollow-Example\"> </a><h2>Participants</h2><table class=\"grid\"><tr><td><b>Role</b></td><td><b>Details</b></td></tr></table><p>This consent is made under the policy <a href=\"https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form\">https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form</a> .</p><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=\"Applicable Rule\">Rule</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=\"Applicable Data\">What</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,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\"/></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_extension.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Consent Provision\" class=\"hierarchy\"/> permit</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></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_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-qi-hidden.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Consent Provision\" class=\"hierarchy\"/> deny</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\"><ul/></td></tr>\r\n<tr><td colspan=\"2\" 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>"
},
"status" : "proposed",
"scope" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentscope",
"code" : "research",
"display" : "Research"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
"code" : "research",
"display" : "Research Information Access"
}
]
}
],
"policy" : [
{
"authority" : "https://www.england.nhs.uk",
"uri" : "https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form"
}
],
"provision" : {
"data" : [
{
"meaning" : "instance",
"reference" : {
"reference" : "ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"
}
}
]
}
}
},
{
"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-WGSTestOrderForm-Example.html#Patient_Patient-LindsaySorrell-Example\">Lindsay Sorrell (no stated gender), DoB: 2011-04-12 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307946)</a></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices",
"code" : "TP439",
"display" : "Monogenic hearing loss"
}
]
},
"subject" : {
"reference" : "Patient/Patient-LindsaySorrell-Example",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449307946"
}
}
}
}
]
}