{ "resourceType" : "Bundle", "id" : "dWGS-Trio-r2026000203-p2026000106", "meta" : { "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"] }, "language" : "en", "identifier" : { "value" : "urn:uuid:a2775d19-8d42-4f35-b102-62992041c2d7" }, "type" : "message", "timestamp" : "2026-08-28T11:45:57+00:00", "entry" : [{ "fullUrl" : "urn:uuid:ef86bfd4-5ec0-4796-a407-e8109a307dad", "resource" : { "resourceType" : "MessageHeader", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: MessageHeader

event: event: O21 (OML - Laboratory order)

Destinations

-EndpointReceiver
*https://fhir.nwgenomics.nhs.uk/Endpoint/RIEIdentifier: ODS Organisation Code/699X0

sender: Identifier: ODS Organisation Code/699D0

Sources

-SoftwareEndpoint
*NE&Y Genomicshttps://fhir.nwgenomics.nhs.uk/Endpoint/NEYGenomics

focus: ServiceRequest Paediatric disorders (WGS)

" }, "eventCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v2-0003", "code" : "O21" }, "destination" : [{ "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/RIE", "receiver" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699X0" } } }], "sender" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699D0" } }, "source" : { "software" : "NE&Y Genomics", "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/NEYGenomics" }, "focus" : [{ "reference" : "urn:uuid:81202ddd-f468-4660-a1ce-d9f110b07edd" }] } }, { "fullUrl" : "urn:uuid:80ffc609-c0f9-417d-b575-0c729434addc", "resource" : { "resourceType" : "Patient", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient

Six Editestpatient (no stated gender), DoB: 1988-01-14 ( National Health Plan Identifier)

Other Id:Patient internal identifier/p2026000106
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NH" }] }, "system" : "https://fhir.nhs.uk/Id/nhs-number", "value" : "9999999514" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PI" }] }, "value" : "p2026000106", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "8J834" } } }], "name" : [{ "family" : "Editestpatient", "given" : ["Six"] }], "birthDate" : "1988-01-14" } }, { "fullUrl" : "urn:uuid:619b4dab-65f5-44e6-8e65-e3be3d00b0bf", "resource" : { "resourceType" : "Specimen", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen

identifier: Placer Identifier/RNN-P0003, Filler Identifier/YNE26-P0006, Shipment Tracking Number/NEY-CONSIGN-2026-105

type: Whole blood specimen (specimen)

subject: Six Editestpatient (no stated gender), DoB: 1988-01-14 ( National Health Plan Identifier)

receivedTime: 2026-08-20 00:00:00+0000

Collections

-Collected[x]
*2026-08-18 00:00:00+0000

Containers

-Identifier
*Container Identifier/FX000000006
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC" }] }, "value" : "RNN-P0003", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "RNN" } } }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "FILL" }] }, "value" : "YNE26-P0006", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699D0" } } }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "STN" }] }, "value" : "NEY-CONSIGN-2026-105", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699D0" } } }], "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "258580003", "display" : "Whole blood specimen (specimen)" }] }, "subject" : { "reference" : "urn:uuid:80ffc609-c0f9-417d-b575-0c729434addc" }, "receivedTime" : "2026-08-20T00:00:00+00:00", "collection" : { "collectedDateTime" : "2026-08-18T00:00:00+00:00" }, "container" : [{ "identifier" : [{ "type" : { "coding" : [{ "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "ZCID" }] }, "value" : "FX000000006" }] }] } }, { "fullUrl" : "urn:uuid:d61ee0cc-4cc8-482c-97e9-f6f6b1853086", "resource" : { "resourceType" : "Observation", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

status: Final

category: Exam

code: Family Structure

subject: Six Editestpatient (no stated gender), DoB: 1988-01-14 ( National Health Plan Identifier)

value: Trio

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "exam" }] }], "code" : { "text" : "Family Structure" }, "subject" : { "reference" : "urn:uuid:80ffc609-c0f9-417d-b575-0c729434addc" }, "valueCodeableConcept" : { "text" : "Trio" } } }, { "fullUrl" : "urn:uuid:e94acc04-02ec-47a1-89cb-c2f851eecdce", "resource" : { "resourceType" : "Observation", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

status: Final

category: Exam

code: Participant Type

subject: Six Editestpatient (no stated gender), DoB: 1988-01-14 ( National Health Plan Identifier)

value: Family Member

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "exam" }] }], "code" : { "text" : "Participant Type" }, "subject" : { "reference" : "urn:uuid:80ffc609-c0f9-417d-b575-0c729434addc" }, "valueCodeableConcept" : { "text" : "Family Member" } } }, { "fullUrl" : "urn:uuid:81202ddd-f468-4660-a1ce-d9f110b07edd", "resource" : { "resourceType" : "ServiceRequest", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest

identifier: Filler Identifier/r2026000203-p2026000106

requisition: r2026000203

status: Active

intent: Filler Order

category: Molecular genetics procedure

code: Paediatric disorders (WGS)

subject: Six Editestpatient (no stated gender), DoB: 1988-01-14 ( National Health Plan Identifier)

requester: Sheffield Diagnostic Genetics Service (NE&Y Genomics) (Identifier: ODS Organisation Code/699D0)

supportingInfo:

specimen: Specimen: identifier = Placer Identifier,Filler Identifier,Shipment Tracking Number; type = Whole blood specimen (specimen); receivedTime = 2026-08-20 00:00:00+0000

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "FILL" }] }, "value" : "r2026000203-p2026000106", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "8J834" } } }], "requisition" : { "value" : "r2026000203", "assigner" : { "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699D0" } } }, "status" : "active", "intent" : "filler-order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "116148004" }] }], "code" : { "coding" : [{ "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code" : "R27.3" }] }, "subject" : { "reference" : "urn:uuid:80ffc609-c0f9-417d-b575-0c729434addc" }, "requester" : { "type" : "Organization", "identifier" : { "system" : "https://fhir.nhs.uk/Id/ods-organization-code", "value" : "699D0" }, "display" : "Sheffield Diagnostic Genetics Service (NE&Y Genomics)" }, "supportingInfo" : [{ "reference" : "urn:uuid:d61ee0cc-4cc8-482c-97e9-f6f6b1853086", "type" : "Observation" }, { "reference" : "urn:uuid:e94acc04-02ec-47a1-89cb-c2f851eecdce", "type" : "Observation" }], "specimen" : [{ "reference" : "urn:uuid:619b4dab-65f5-44e6-8e65-e3be3d00b0bf", "type" : "Specimen" }] } }, { "fullUrl" : "urn:uuid:890c0a5b-1f08-4881-935a-0fb17925941b", "resource" : { "resourceType" : "RelatedPerson", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: RelatedPerson

patient: Six Editestpatient (no stated gender), DoB: 1988-01-14 ( National Health Plan Identifier)

relationship: sibling

name: Gilly Brough

birthDate: 1989-07-01

" }, "patient" : { "reference" : "urn:uuid:80ffc609-c0f9-417d-b575-0c729434addc", "type" : "Patient" }, "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "SIB", "display" : "sibling" }] }], "name" : [{ "family" : "Brough", "given" : ["Gilly"] }], "birthDate" : "1989-07-01" } }, { "fullUrl" : "urn:uuid:f05338f0-1711-4db3-9b8d-d4274be2d7e5", "resource" : { "resourceType" : "RelatedPerson", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: RelatedPerson

patient: Six Editestpatient (no stated gender), DoB: 1988-01-14 ( National Health Plan Identifier)

relationship: father

name: Thirteen Editestpatient

birthDate: 1960-01-01

" }, "patient" : { "reference" : "urn:uuid:80ffc609-c0f9-417d-b575-0c729434addc", "type" : "Patient" }, "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "FTH", "display" : "father" }] }], "name" : [{ "family" : "Editestpatient", "given" : ["Thirteen"] }], "birthDate" : "1960-01-01" } }] }