NHS North West Genomics
2.2.0 - ci-build
NHS North West Genomics
2.2.0 - ci-build
NHS North West Genomics - Local Development build (v2.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="WGSTestOrderForm-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="e297509e-d935-45e5-a4d1-132dab0d6fbf"/>
</identifier>
<type value="message"/>
<timestamp value="2026-06-15T09:00:00Z"/>
<entry>
<fullUrl value="urn:uuid:da126418-1a89-4b0a-9740-4be5dccc6dfe"/>
<resource>
<MessageHeader>
<id value="da126418-1a89-4b0a-9740-4be5dccc6dfe"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</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="RAX01"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</sender>
<source>
<endpoint value="https://example.org/fhir/SendingSystem"/>
</source>
<focus>
<reference
value="http://example.org/fhir/ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/PractitionerRole-HazelSmithRenal-Example"/>
<resource>
<PractitionerRole>
<id value="PractitionerRole-HazelSmithRenal-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="9999999998"/>
</identifier>
<display value="Dr. Hazel Smith"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
<display value="Kingston Hospital NHS Foundation Trust"/>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="361"/>
<display value="Renal Medicine"/>
</coding>
</specialty>
<telecom>
<system value="phone"/>
<value value="02085467711"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Hazel.smith12@nhs.net"/>
</telecom>
<telecom>
<extension
url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting"/>
</extension>
<system value="email"/>
<value value="renalseckingston@nhs.net"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Patient/Patient-LindsaySorrell-Example"/>
<resource>
<Patient>
<id value="Patient-LindsaySorrell-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"/>
<code value="M"/>
<display value="Male"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland"/>
<code value="A"/>
<display value="White - British"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<version value="1.1.1"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24"/>
<value value="RWT14789"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RAX01"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Sorrell"/>
<given value="Lindsay"/>
</name>
<birthDate value="2011-04-12"/>
<deceasedBoolean value="false"/>
<address>
<line value="31 THE AVENUE"/>
<line value="BERWICK COURT"/>
<postalCode value="KT4 7BS"/>
</address>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G9999999"/>
</identifier>
<display value="Dr. Aero Smith"/>
</generalPractitioner>
<generalPractitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/ODS-code"/>
<value value="AP123"/>
</identifier>
<display value="anywhere place"/>
</generalPractitioner>
<link>
<other>
<reference
value="https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307946"/>
</other>
<type value="seealso"/>
</link>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example"/>
<resource>
<Observation>
<id value="Observation-GenomicEthnicity-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Observation-GenomicEthnicity-Example"> </a><p class="res-header-id"><b>Generated Narrative: Observation Observation-GenomicEthnicity-Example</b></p><a name="Observation-GenomicEthnicity-Example"> </a><a name="hcObservation-GenomicEthnicity-Example"> </a><p><b>status</b>: Preliminary</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 723621000000103}">Ethnicity</span></p><p><b>subject</b>: <a href="Bundle-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>
</text>
<status value="preliminary"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="723621000000103"/>
<display value="Ethnicity"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<valueString value="unknown"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"/>
<resource>
<ServiceRequest>
<id value="ServiceRequest-WGSTestOrderForm-Example"/>
<language value="en"/>
<text>
<status value="extensions"/>
<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
Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ Patient diagnoses with ADPKD (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="GT497"/>
<display value="Cystic renal disease - WGS"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<authoredOn value="2023-08-08"/>
<requester>
<reference
value="PractitionerRole/PractitionerRole-HazelSmithRenal-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="TP171"/>
<display value="Cystic renal disease"/>
</coding>
</reasonCode>
<supportingInfo>
<reference
value="http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example"/>
<type value="Observation"/>
</supportingInfo>
<supportingInfo>
<reference
value="Observation/Observation-GenomicEthnicity-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Observation/Observation-NoPregnancy-Example"/>
</supportingInfo>
<supportingInfo>
<reference
value="Observation/Observation-NoBoneMarrowTransplant-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Observation/Observation-NoTransfusion-Example"/>
</supportingInfo>
<supportingInfo>
<reference
value="Observation/Observation-MultipleRenalCysts-Example"/>
</supportingInfo>
<supportingInfo>
<reference
value="Observation/Observation-Nephronophthisis-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Observation/Observation-HepaticCysts-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Observation/Observation-EnlargedKidney-Example"/>
</supportingInfo>
<supportingInfo>
<reference
value="Observation/Observation-RenalInsufficiency-Example"/>
</supportingInfo>
<supportingInfo>
<reference value="Consent/Consent-RoDToFollow-Example"/>
</supportingInfo>
<note>
<text
value="No family history of genomic testing
Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ Patient diagnoses with ADPKD (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-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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="60001007"/>
<display value="Not pregnant"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</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-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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="160475008"/>
<display value="Family history: Consanguinity"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</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-NoBoneMarrowTransplant-Example"/>
<resource>
<Observation>
<id value="Observation-NoBoneMarrowTransplant-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="416128008"/>
<display value="No history of procedure"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="445715009"/>
<display value="Blood and marrow transplantation"/>
</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-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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="416128008"/>
<display value="No history of procedure"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</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/Observation/Observation-MultipleRenalCysts-Example"/>
<resource>
<Observation>
<id value="Observation-MultipleRenalCysts-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://human-phenotype-ontology.org"/>
<version value="20221005"/>
<code value="HP:0005562"/>
<display value="Multiple renal cysts"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="2667000"/>
<display value="Absent"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-Nephronophthisis-Example"/>
<resource>
<Observation>
<id value="Observation-Nephronophthisis-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://human-phenotype-ontology.org"/>
<version value="20221005"/>
<code value="HP:0000090"/>
<display value="Nephronophthisis"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="2667000"/>
<display value="Absent"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-HepaticCysts-Example"/>
<resource>
<Observation>
<id value="Observation-HepaticCysts-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://human-phenotype-ontology.org"/>
<version value="20221005"/>
<code value="HP:0001407"/>
<display value="Hepatic cysts"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="2667000"/>
<display value="Absent"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-EnlargedKidney-Example"/>
<resource>
<Observation>
<id value="Observation-EnlargedKidney-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://human-phenotype-ontology.org"/>
<version value="20221005"/>
<code value="HP:0000105"/>
<display value="Enlarged kidney"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="52101004"/>
<display value="Present"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/Observation-RenalInsufficiency-Example"/>
<resource>
<Observation>
<id value="Observation-RenalInsufficiency-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://human-phenotype-ontology.org"/>
<version value="20221005"/>
<code value="HP:0000083"/>
<display value="Renal insufficiency"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<effectiveDateTime value="2023-08-05"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="52101004"/>
<display value="Present"/>
</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-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>
</text>
<identifier>
<system value="https://fhir.add.nhs.uk/Id/specimenId"/>
<value value="RGT03135"/>
</identifier>
<status value="unavailable"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119297000"/>
<display value="Blood specimen"/>
</coding>
</type>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
<request>
<reference
value="ServiceRequest/ServiceRequest-WGSTestOrderForm-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/Consent/Consent-RoDToFollow-Example"/>
<resource>
<Consent>
<id value="Consent-RoDToFollow-Example"/>
<language value="en"/>
<text>
<status value="generated"/>
<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,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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_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>
<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>
<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>
</text>
<status value="proposed"/>
<scope>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentscope"/>
<code value="research"/>
<display value="Research"/>
</coding>
</scope>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
<code value="research"/>
<display value="Research Information Access"/>
</coding>
</category>
<policy>
<authority value="https://www.england.nhs.uk"/>
<uri
value="https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form"/>
</policy>
<provision>
<data>
<meaning value="instance"/>
<reference>
<reference
value="ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"/>
</reference>
</data>
</provision>
</Consent>
</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-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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices"/>
<code value="TP439"/>
<display value="Monogenic hearing loss"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-LindsaySorrell-Example"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449307946"/>
</identifier>
</subject>
</Observation>
</resource>
</entry>
</Bundle>