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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="dWGS-Trio-r2026000203-p2026000104"/>
  <meta>
    <profile value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"/>
  </meta>
  <language value="en"/>
  <identifier>
    <value value="urn:uuid:70e60b63-237e-4087-9d11-639c62981814"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2026-08-28T11:44:10+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:509f73d5-bc96-4c3d-a1c5-d88a208f9baf"/>
    <resource>
      <MessageHeader>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_null"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader </b></p><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>Endpoint</b></td><td><b>Receiver</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://fhir.nwgenomics.nhs.uk/Endpoint/RIE">https://fhir.nwgenomics.nhs.uk/Endpoint/RIE</a></td><td>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>: 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>/699D0</p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>NE&amp;Y Genomics</td><td><a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&amp;canonical=https://fhir.nwgenomics.nhs.uk/Endpoint/NEYGenomics">https://fhir.nwgenomics.nhs.uk/Endpoint/NEYGenomics</a></td></tr></table><p><b>focus</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-7d24f712-14ef-4a40-bebb-8c170bd5e307">ServiceRequest Paediatric disorders (WGS)</a></p></div>
        </text>
        <eventCoding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
          <code value="O21"/>
        </eventCoding>
        <destination>
          <endpoint value="https://fhir.nwgenomics.nhs.uk/Endpoint/RIE"/>
          <receiver>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699X0"/>
            </identifier>
          </receiver>
        </destination>
        <sender>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="699D0"/>
          </identifier>
        </sender>
        <source>
          <software value="NE&amp;Y Genomics"/>
          <endpoint value="https://fhir.nwgenomics.nhs.uk/Endpoint/NEYGenomics"/>
        </source>
        <focus>
          <reference value="urn:uuid:7d24f712-14ef-4a40-bebb-8c170bd5e307"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:69e35006-a02b-4e6d-a61d-d914928f37e9"/>
    <resource>
      <Patient>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_null"> </a><p class="res-header-id"><b>Generated Narrative: Patient </b></p><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Gilly Brough  (no stated gender), DoB: 1989-07-01 ( National Health Plan Identifier)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Patient internal identifier/p2026000104</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NH"/>
            </coding>
          </type>
          <system value="https://fhir.nhs.uk/Id/nhs-number"/>
          <value value="9737383362"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PI"/>
            </coding>
          </type>
          <value value="p2026000104"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="8J834"/>
            </identifier>
          </assigner>
        </identifier>
        <name>
          <family value="Brough"/>
          <given value="Gilly"/>
        </name>
        <birthDate value="1989-07-01"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:81e540e7-c2ec-4cc7-be61-6d2693c0ece5"/>
    <resource>
      <Specimen>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_null"> </a><p class="res-header-id"><b>Generated Narrative: Specimen </b></p><p><b>identifier</b>: Placer Identifier/RNN-P0001, Filler Identifier/YNE26-P0004, Shipment Tracking Number/NEY-CONSIGN-2026-103</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 258580003}">Whole blood specimen (specimen)</span></p><p><b>subject</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-69e35006-a02b-4e6d-a61d-d914928f37e9">Gilly Brough  (no stated gender), DoB: 1989-07-01 ( National Health Plan Identifier)</a></p><p><b>receivedTime</b>: 2026-08-20 00:00:00+0000</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2026-08-18 00:00:00+0000</td></tr></table><h3>Containers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Identifier</b></td></tr><tr><td style="display: none">*</td><td>Container Identifier/FX000000004</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <value value="RNN-P0001"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="RNN"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
            </coding>
          </type>
          <value value="YNE26-P0004"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699D0"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="STN"/>
            </coding>
          </type>
          <value value="NEY-CONSIGN-2026-103"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699D0"/>
            </identifier>
          </assigner>
        </identifier>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="258580003"/>
            <display value="Whole blood specimen (specimen)"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:69e35006-a02b-4e6d-a61d-d914928f37e9"/>
        </subject>
        <receivedTime value="2026-08-20T00:00:00+00:00"/>
        <collection>
          <collectedDateTime value="2026-08-18T00:00:00+00:00"/>
        </collection>
        <container>
          <identifier>
            <type>
              <coding>
                <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/>
                <code value="ZCID"/>
              </coding>
            </type>
            <value value="FX000000004"/>
          </identifier>
        </container>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:bc58603c-5c95-4325-ac6d-e9e8e76549b3"/>
    <resource>
      <Observation>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}">Exam</span></p><p><b>code</b>: <span title="Codes:">Family Structure</span></p><p><b>subject</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-69e35006-a02b-4e6d-a61d-d914928f37e9">Gilly Brough  (no stated gender), DoB: 1989-07-01 ( National Health Plan Identifier)</a></p><p><b>value</b>: <span title="Codes:">Trio</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="exam"/>
          </coding>
        </category>
        <code>
          <text value="Family Structure"/>
        </code>
        <subject>
          <reference value="urn:uuid:69e35006-a02b-4e6d-a61d-d914928f37e9"/>
        </subject>
        <valueCodeableConcept>
          <text value="Trio"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:8666ac3d-2b38-4734-b772-886232be66ec"/>
    <resource>
      <Observation>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}">Exam</span></p><p><b>code</b>: <span title="Codes:">Participant Type</span></p><p><b>subject</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-69e35006-a02b-4e6d-a61d-d914928f37e9">Gilly Brough  (no stated gender), DoB: 1989-07-01 ( National Health Plan Identifier)</a></p><p><b>value</b>: <span title="Codes:">Proband</span></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="exam"/>
          </coding>
        </category>
        <code>
          <text value="Participant Type"/>
        </code>
        <subject>
          <reference value="urn:uuid:69e35006-a02b-4e6d-a61d-d914928f37e9"/>
        </subject>
        <valueCodeableConcept>
          <text value="Proband"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7d24f712-14ef-4a40-bebb-8c170bd5e307"/>
    <resource>
      <ServiceRequest>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_null"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest </b></p><p><b>identifier</b>: Filler Identifier/r2026000203-p2026000104</p><p><b>requisition</b>: r2026000203</p><p><b>status</b>: Active</p><p><b>intent</b>: Filler Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 116148004}">Molecular genetics procedure</span></p><p><b>code</b>: <span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R27.3}">Paediatric disorders (WGS)</span></p><p><b>subject</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-69e35006-a02b-4e6d-a61d-d914928f37e9">Gilly Brough  (no stated gender), DoB: 1989-07-01 ( National Health Plan Identifier)</a></p><p><b>requester</b>: Sheffield Diagnostic Genetics Service (NE&amp;Y Genomics) (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>/699D0)</p><p><b>supportingInfo</b>: </p><ul><li><a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-bc58603c-5c95-4325-ac6d-e9e8e76549b3">Observation </a></li><li><a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-8666ac3d-2b38-4734-b772-886232be66ec">Observation </a></li></ul><p><b>specimen</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-81e540e7-c2ec-4cc7-be61-6d2693c0ece5">Specimen: identifier = Placer Identifier,Filler Identifier,Shipment Tracking Number; type = Whole blood specimen (specimen); receivedTime = 2026-08-20 00:00:00+0000</a></p><p><b>note</b>: </p><blockquote><div><p>Patient has intellectual disability</p>
</div></blockquote></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
            </coding>
          </type>
          <value value="r2026000203-p2026000104"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="8J834"/>
            </identifier>
          </assigner>
        </identifier>
        <requisition>
          <value value="r2026000203"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="699D0"/>
            </identifier>
          </assigner>
        </requisition>
        <status value="active"/>
        <intent value="filler-order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="116148004"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
            <code value="R27.3"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:69e35006-a02b-4e6d-a61d-d914928f37e9"/>
        </subject>
        <requester>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="699D0"/>
          </identifier>
          <display value="Sheffield Diagnostic Genetics Service (NE&amp;Y Genomics)"/>
        </requester>
        <supportingInfo>
          <reference value="urn:uuid:bc58603c-5c95-4325-ac6d-e9e8e76549b3"/>
          <type value="Observation"/>
        </supportingInfo>
        <supportingInfo>
          <reference value="urn:uuid:8666ac3d-2b38-4734-b772-886232be66ec"/>
          <type value="Observation"/>
        </supportingInfo>
        <specimen>
          <reference value="urn:uuid:81e540e7-c2ec-4cc7-be61-6d2693c0ece5"/>
          <type value="Specimen"/>
        </specimen>
        <note>
          <text value="Patient has intellectual disability"/>
        </note>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:da04d0e4-ccee-49f9-839c-ca9d9dc852ef"/>
    <resource>
      <RelatedPerson>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_null"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson </b></p><p><b>patient</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-69e35006-a02b-4e6d-a61d-d914928f37e9">Gilly Brough  (no stated gender), DoB: 1989-07-01 ( National Health Plan Identifier)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}">father</span></p><p><b>name</b>: Thirteen Editestpatient </p><p><b>birthDate</b>: 1960-01-01</p></div>
        </text>
        <patient>
          <reference value="urn:uuid:69e35006-a02b-4e6d-a61d-d914928f37e9"/>
          <type value="Patient"/>
        </patient>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="FTH"/>
            <display value="father"/>
          </coding>
        </relationship>
        <name>
          <family value="Editestpatient"/>
          <given value="Thirteen"/>
        </name>
        <birthDate value="1960-01-01"/>
      </RelatedPerson>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b7ec8788-156f-4844-a53e-6b5c99a42eea"/>
    <resource>
      <RelatedPerson>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_null"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson </b></p><p><b>patient</b>: <a href="Bundle-dWGS-Trio-r2026000203-p2026000104.html#urn-uuid-69e35006-a02b-4e6d-a61d-d914928f37e9">Gilly Brough  (no stated gender), DoB: 1989-07-01 ( National Health Plan Identifier)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode SIB}">sibling</span></p><p><b>name</b>: Six Editestpatient </p><p><b>birthDate</b>: 1988-01-14</p></div>
        </text>
        <patient>
          <reference value="urn:uuid:69e35006-a02b-4e6d-a61d-d914928f37e9"/>
          <type value="Patient"/>
        </patient>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="SIB"/>
            <display value="sibling"/>
          </coding>
        </relationship>
        <name>
          <family value="Editestpatient"/>
          <given value="Six"/>
        </name>
        <birthDate value="1988-01-14"/>
      </RelatedPerson>
    </resource>
  </entry>
</Bundle>