Notice
- Important: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
- This Implementation Guide is currently in Draft and SHOULD NOT be used for development or active implementation without express direction from the NHS England Genomics Unit.
Bundle
Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example
Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario: CPGC Non-WGS Solid Tumour Scenario.
| Bundle |
| id : Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example |
| resource |
| id : PractitionerRole-HazelSmithKingstonPathology-Example |
| 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 : 820 |
| display : General Pathology |
| telecom |
| system : phone |
| value : 02085467711 |
| telecom |
| system : email |
| value : Hazel.smith14@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : pathologyseckingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : respiratorykingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-JamesTaylorKingstonPathology-Example |
| resource |
| id : PractitionerRole-JamesTaylorKingstonPathology-Example |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 9999999998 |
| display : Dr. James Taylor |
| 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 : 820 |
| display : General Pathology |
| telecom |
| system : phone |
| value : 02085467711 |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : pathologyseckingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : respiratorykingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example |
| resource |
| id : PractitionerRole-AnnaLaneKingstonPathology-Example |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 9999999998 |
| display : Dr. Anna Lane |
| 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 : 820 |
| display : General Pathology |
| telecom |
| system : phone |
| value : 02085467711 |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : pathologyseckingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : respiratorykingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/Patient/Patient-ZelmaHadjkiss-Example |
| resource |
| id : Patient-ZelmaHadjkiss-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : F |
| display : Female |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| 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 |
| value |
| 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 : 9449307555 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : RWT17335 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX01 |
| name |
| family : Hadjkiss |
| given : Zelma |
| birthDate : 2011-03-19 |
| address |
| line : 2 Barclay Close |
| line : Fetcham |
| line : Leatherhead |
| line : Surrey |
| postalCode : KT22 9SY |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/gmp-number |
| value : G9999999 |
| display : Dr. Aero Smith |
| generalPractitioner |
| 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/9449307555 |
| type : seealso |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307555 |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-MultipleTumors-Example |
| resource |
| id : Observation-MultipleTumors-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 371510003 |
| display : Proportion of specimen involved by tumour |
| subject |
| reference : Patient/Patient-ZelmaHadjkiss-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307555 |
| effective : 2023-09-08 |
| value |
| value : 25 |
| unit : % |
| system : http://unitsofmeasure.org |
| code : % |
| specimen |
| identifier |
| system : https://fhir.add.nhs.uk/Id/specimenId |
| value : RA257630 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 369755005 |
| display : Multiple tumors |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 10828004 |
| display : Positive |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-Necrosis-Example |
| resource |
| id : Observation-Necrosis-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 405921002 |
| display : Percentage of neoplasm involved by necrosis |
| subject |
| reference : Patient/Patient-ZelmaHadjkiss-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307555 |
| effective : 2023-09-08 |
| value |
| value : 5 |
| unit : % |
| system : http://unitsofmeasure.org |
| code : % |
| interpretation |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| code : H |
| display : High |
| text : Cellularity |
| specimen |
| identifier |
| system : https://fhir.add.nhs.uk/Id/specimenId |
| value : RA257630 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Condition/Condition-LungTumor-Example |
| resource |
| id : Condition-LungTumor-Example |
| clinicalStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-clinical |
| code : recurrence |
| display : Recurrence |
| verificationStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-ver-status |
| code : provisional |
| display : Provisional |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 363358000 |
| display : Malignant tumour of lung |
| subject |
| reference : Patient/Patient-ZelmaHadjkiss-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 944930555 |
| request |
| method : POST |
| url : Condition |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact |
| value |
| reference : PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact |
| value |
| reference : PractitionerRole/PractitionerRole-JamesTaylor-Example |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/cancer-testing-genomics |
| code : relapse-recurrence |
| display : Relapse or recurrence |
| priority : routine |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1046 |
| display : Paediatric Tumour Differential Diagnosis - NGS Panel SNV and CNV |
| subject |
| reference : Patient/Patient-ZelmaHadjkiss-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307555 |
| authoredOn : 2023-09-08 |
| requester |
| reference : PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RJZ |
| display : KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP550 |
| display : Paediatric Tumours |
| supportingInfo |
| reference : Observation/Observation-MultipleTumors-Example |
| supportingInfo |
| reference : Observation/Observation-MultipleTumors-Example |
| supportingInfo |
| reference : Condition/Condition-LungTumor-Example |
| specimen |
| reference : Specimen/Specimen-CancerSolidTumor-Example |
| note |
| text : Free text for diagnosis/reason for referral, transplant, life status at time of request details/ e.g. malignant tumour - molecular assessment will aid management |
| request |
| method : POST |
| url : ServiceRequest |
Bundle-NonWGSTestOrderForm-Example
Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario: Non-WGS Test Request - Rare Disease.
| Bundle |
| id : Bundle-NonWGSTestOrderForm-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-GeneSmithENT-Example |
| resource |
| id : PractitionerRole-GeneSmithENT-Example |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 9999999999 |
| display : Dr. Gene Smith |
| organization |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RGT01 |
| display : Addenbrooke's Hospital |
| specialty |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode |
| code : 120 |
| display : Ear Nose and Throat |
| telecom |
| system : phone |
| value : 01223586638 |
| telecom |
| system : email |
| value : gene.smith@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : Add-tr.entsecretaries@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/Patient/Patient-MeirLieberman-Example |
| resource |
| id : Patient-MeirLieberman-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : M |
| display : Male |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| 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 |
| value |
| 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 : 9449307873 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : RGT012423 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RGT01 |
| name |
| family : Lieberman |
| given : Meir |
| given : Anah |
| birthDate : 2005-12-19 |
| deceased : False |
| address |
| line : 1 Spinney Close |
| line : Worcester Park |
| city : Surrey |
| postalCode : KT4 7BS |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/gmp-number |
| value : G9999999 |
| display : Dr. Aero Smith |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/ODS-code |
| value : TP123 |
| display : 123 Test Practice |
| link |
| other |
| reference : https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873 |
| type : seealso |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307873 |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example |
| resource |
| id : Observation-GenomicEthnicity-Example |
| status : preliminary |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 723621000000103 |
| display : Ethnicity |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| 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 |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT488 |
| display : Monogenic hearing loss - Panel sequencing |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| authoredOn : 2023-08-05 |
| requester |
| reference : PractitionerRole/PractitionerRole-GeneSmithENT-Example |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP439 |
| display : Monogenic hearing loss |
| supportingInfo |
| reference : Condition/Condition-MonogenicHearingLoss-Example |
| supportingInfo |
| reference : Observation/Observation-GenomicEthnicity-Example |
| supportingInfo |
| reference : Observation/Observation-NoPregnancy-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransplant-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransfusion-Example |
| supportingInfo |
| reference : Condition/Condition-HearingLoss-Example |
| note |
| text : No family history of genomic testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoPregnancy-Example |
| resource |
| id : Observation-NoPregnancy-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 60001007 |
| display : Not pregnant |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Condition/Condition-MonogenicHearingLoss-Example |
| resource |
| id : Condition-MonogenicHearingLoss-Example |
| clinicalStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-clinical |
| code : inactive |
| display : Inactive |
| verificationStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-ver-status |
| code : provisional |
| display : Provisional |
| code |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP439 |
| display : Monogenic hearing loss |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| request |
| method : POST |
| url : Condition |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example |
| resource |
| id : Observation-NonConsanguinousUnion-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history: Consanguinity |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoTransplant-Example |
| resource |
| id : Observation-NoTransplant-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 263903005 |
| display : Transplant |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoTransfusion-Example |
| resource |
| id : Observation-NoTransfusion-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 303955003 |
| display : Transfusion - action |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Condition/Condition-HearingLoss-Example |
| resource |
| id : Condition-HearingLoss-Example |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 95820000 |
| display : Bilateral hearing loss |
| subject |
| reference : Patient/Patient-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| note |
| text : hearing loss since childhood (example) |
| request |
| method : POST |
| url : Condition |
| entry |
| fullUrl : http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example |
| resource |
| id : Specimen-BloodEDTA-Example |
| 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-MeirLieberman-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| request |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example |
| container |
| additive |
| coding |
| system : http://snomed.info/sct |
| code : 69519002 |
| display : EDTA |
| request |
| method : POST |
| url : Specimen |
Bundle-NonWGSTestOrderForm-FetalScenario-Example
Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario:Fetus Management
| Bundle |
| id : Bundle-NonWGSTestOrderForm-FetalScenario-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example |
| resource |
| id : PractitionerRole-LoisLaneKingstonClinicalGenetics-Example |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 9999999999 |
| display : Dr. Lois Lane |
| organization |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| display : Kingston Hospital NHS Foundation Trust |
| specialty |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode |
| code : 311 |
| display : Clinical Genetics |
| telecom |
| system : phone |
| value : 02068457781 |
| telecom |
| system : email |
| value : lois.lane1@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : clinicalgeneticskingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : fetalmedicinekingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : gptestpracticekingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/Patient/Patient-RyanneBoulder-Example |
| resource |
| id : Patient-RyanneBoulder-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : F |
| display : Female |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| 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 |
| value |
| 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 : 9449307687 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| name |
| family : Boulder |
| given : Ryanne |
| birthDate : 1980-09-02 |
| deceased : False |
| address |
| line : 53 Eastwick Pack Avenue |
| line : Leatherhead |
| line : Surrey |
| postalCode : KT23 3NP |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/gmp-number |
| value : G9999999 |
| display : Dr. Aero Smith |
| generalPractitioner |
| 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/9449307687 |
| type : seealso |
| link |
| other |
| reference : RelatedPerson/RelatedPerson-RyanneBoulder-Example |
| type : seealso |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307687 |
| entry |
| fullUrl : http://example.org/fhir/Patient/Patient-FoetusOfRyanneBoulder-Example |
| resource |
| id : Patient-FoetusOfRyanneBoulder-Example |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/patient-fetalStatus |
| value : unknown |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FT-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| gender : unknown |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|FT-RWT13521 |
| entry |
| fullUrl : http://example.org/fhir/Patient/Patient-RyanneBoulderPartner-Example |
| resource |
| id : Patient-RyanneBoulderPartner-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : P-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| gender : unknown |
| link |
| other |
| reference : RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example |
| type : seealso |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|P-RWT13521 |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example |
| resource |
| id : Observation-GenomicEthnicity-Example |
| status : preliminary |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 723621000000103 |
| display : Ethnicity |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : proband |
| display : Proband |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount |
| value : 2 |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingstonandrichmond.nhs.uk/Id/grouptestId |
| value : RR-REQ20230925 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| subject |
| reference : Patient/Patient-FoetusOfRyanneBoulder-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FT-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| authoredOn : 2023-09-25 |
| requester |
| reference : PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/Observation-NonConsanguinousUnion-Example |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenarioMother-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-FetalScenarioMother-Example |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : consultand |
| display : Consultand |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingstonandrichmond.nhs.uk/Id/grouptestId |
| value : RR-REQ20230925 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| authoredOn : 2023-09-25 |
| requester |
| reference : PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/Observation-HistoryOfFetalLoss-Example |
| supportingInfo |
| reference : Observation/Observation-GenomicEthnicity-Example |
| supportingInfo |
| reference : Observation/Observation-PregnancyConfirmation-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransplant-Example |
| supportingInfo |
| reference : Observation/Observation-NoFirstTrimesterFetalAnomalies-Example |
| supportingInfo |
| reference : Observation/Observation-NoSecondTrimesterFetalAnomalies-Example |
| supportingInfo |
| reference : Procedure/Procedure-InVitroFertilisation-Example |
| supportingInfo |
| reference : RelatedPerson/RelatedPerson-RyanneBoulder-Example |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenarioFather-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-FetalScenarioFather-Example |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : consultand |
| display : Consultand |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingstonandrichmond.nhs.uk/Id/grouptestId |
| value : RR-REQ20230925 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| subject |
| reference : Patient/Patient-RyanneBoulderPartner-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : P-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| authoredOn : 2023-09-25 |
| requester |
| reference : PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-HistoryOfFetalLoss-Example |
| resource |
| id : Observation-HistoryOfFetalLoss-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161743003 |
| display : Past pregnancy history of stillbirth |
| text : Is the testing for a fetal loss from 24+0 or more weeks of gestation? |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-PregnancyConfirmation-Example |
| resource |
| id : Observation-PregnancyConfirmation-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 77386006 |
| display : Pregnancy |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| effective : 2023-09-25 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 720451000000102 |
| display : Assisted conception |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 226081000000107 |
| display : Gestational age |
| value |
| value : 87 |
| unit : day |
| system : http://unitsofmeasure.org |
| code : d |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161714006 |
| display : Estimated date of delivery |
| value : 2024-05-01 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example |
| resource |
| id : Observation-NonConsanguinousUnion-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history: Consanguinity |
| subject |
| reference : Patient/Patient-FoetusOfRyanneBoulder-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FT-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoTransplant-Example |
| resource |
| id : Observation-NoTransplant-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 263903005 |
| display : Transplant |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoFirstTrimesterFetalAnomalies-Example |
| resource |
| id : Observation-NoFirstTrimesterFetalAnomalies-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : First Trimester Anomalies? |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255246003 |
| display : First trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoSecondTrimesterFetalAnomalies-Example |
| resource |
| id : Observation-NoSecondTrimesterFetalAnomalies-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : Second Trimester Anomalies? |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255247007 |
| display : Second trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Procedure/Procedure-InVitroFertilisation-Example |
| resource |
| id : Procedure-InVitroFertilisation-Example |
| status : completed |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 52637005 |
| display : In vitro fertilisation |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| performed : 2023-09-25 |
| note |
| text : Woman`s own egg |
| request |
| method : POST |
| url : Procedure |
| entry |
| fullUrl : http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example |
| resource |
| id : Specimen-BloodEDTA-Example |
| identifier |
| system : https://fhir.kingstonhospital.nhs.uk/Id/specimenId |
| value : ROA-69050-216738 |
| status : unavailable |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 119297000 |
| display : Blood specimen |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| request |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenarioMother-Example |
| container |
| additive |
| coding |
| system : http://snomed.info/sct |
| code : 69519002 |
| display : EDTA |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : http://example.org/fhir/Specimen/Specimen-RyanneBoulderSaliva-Example |
| resource |
| id : Specimen-RyanneBoulderSaliva-Example |
| identifier |
| system : https://fhir.kingstonhospital.nhs.uk/Id/specimenId |
| value : ROA-69050-216739 |
| status : available |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 119342007 |
| display : Saliva specimen |
| subject |
| reference : Patient/Patient-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| request |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenarioMother-Example |
| container |
| description : Container:ROA-69050-216739 contains Saliva for Mother |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulder-Example |
| resource |
| id : RelatedPerson-RyanneBoulder-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307687 |
| patient |
| reference : Patient/Patient-FoetusOfRyanneBoulder-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FT-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| relationship |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| code : NMTHF |
| display : natural mother of fetus |
| request |
| method : POST |
| url : RelatedPerson |
| entry |
| fullUrl : http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example |
| resource |
| id : RelatedPerson-RyanneBoulderPartner-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : P-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| patient |
| reference : Patient/Patient-FoetusOfRyanneBoulder-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FT-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| relationship |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| code : NFTHF |
| display : natural father of fetus |
| request |
| method : POST |
| url : RelatedPerson |
Bundle-NonWGSTestOrderForm-Reanalysis-Example
Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario:
| Bundle |
| id : Bundle-NonWGSTestOrderForm-Reanalysis-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-HazelSmithRenal-Example |
| resource |
| id : PractitionerRole-HazelSmithRenal-Example |
| 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 |
| telecom |
| system : email |
| value : Hazel.smith12@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : renalseckingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : neuroseckingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/Patient/Patient-DemeizaSeo-Example |
| resource |
| id : Patient-DemeizaSeo-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : F |
| display : Female |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| code : R |
| display : Other Ethnic Groups - Chinese |
| identifier |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus |
| value |
| 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 : 9449306559 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : RWT16378 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| name |
| family : Seo |
| given : Demeiza |
| birthDate : 2011-01-26 |
| deceased : False |
| address |
| line : 1 Aragon Avenue, |
| line : Thames Ditton |
| city : Surrey |
| postalCode : KT7 0PY |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/gmp-number |
| value : G9999999 |
| display : Dr. Aero Smith |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/ODS-code |
| value : TP123 |
| display : 123 Test Practice |
| link |
| other |
| reference : https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307559 |
| type : seealso |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307559 |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example |
| resource |
| id : Observation-GenomicEthnicity-Example |
| status : preliminary |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 723621000000103 |
| display : Ethnicity |
| subject |
| reference : Patient/Patient-DemeizaSeo-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307559 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| basedOn |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-SyndromicEpilepsy-Example |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/reanalysis-testing-genomics |
| code : new-treatment-clinical-management |
| display : New Treatment/Clinical Management |
| text : Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy |
| priority : routine |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT192 |
| display : Reanalysis of existing data |
| subject |
| reference : Patient/Patient-DemeizaSeo-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449306559 |
| authoredOn : 2023-09-06T09:00:00Z |
| requester |
| reference : PractitionerRole/PractitionerRole-HazelSmithRenal-Example |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP459 |
| display : Paediatric disorders |
| supportingInfo |
| reference : Observation/Observation-GenomicEthnicity-Example |
| supportingInfo |
| reference : Condition/Condition-MonogenicHearingLoss-Example |
| supportingInfo |
| reference : Observation/Observation-NoPregnancy-Example |
| supportingInfo |
| reference : Observation/Observation-NonConsanguinousUnion-Example |
| supportingInfo |
| reference : Observation/Observation-NoBoneMarrowTransplant-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransfusion-Example |
| specimen |
| display : No Sample Required |
| note |
| text : No family history of genomic testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/E.g. Reanlaysis - change in observed phenotype. Epilepsy test previously ordered on patient 5 years ago. |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoPregnancy-Example |
| resource |
| id : Observation-NoPregnancy-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 60001007 |
| display : Not pregnant |
| subject |
| reference : Patient/Patient-DemeizaSeo-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307559 |
| effective : 2023-09-06 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Condition/Condition-MonogenicHearingLoss-Example |
| resource |
| id : Condition-MonogenicHearingLoss-Example |
| clinicalStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-clinical |
| code : inactive |
| display : Inactive |
| verificationStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-ver-status |
| code : provisional |
| display : Provisional |
| code |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP439 |
| display : Monogenic hearing loss |
| subject |
| reference : Patient/Patient-DemeizaSeo-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307559 |
| request |
| method : POST |
| url : Condition |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example |
| resource |
| id : Observation-NonConsanguinousUnion-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history: Consanguinity |
| subject |
| reference : Patient/Patient-DemeizaSeo-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307559 |
| effective : 2023-09-06 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoBoneMarrowTransplant-Example |
| resource |
| id : Observation-NoBoneMarrowTransplant-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : Patient/Patient-DemeizaSeo-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307559 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 445715009 |
| display : Blood and marrow transplantation |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoTransfusion-Example |
| resource |
| id : Observation-NoTransfusion-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : Patient/Patient-DemeizaSeo-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307559 |
| effective : 2023-09-06 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 303955003 |
| display : Transfusion - action |
| request |
| method : POST |
| url : Observation |
Bundle-WGSTestOrderForm-Example
Example of a WGS test request sent to the central broker, as described in the Clinical Scenario: WGS Test Request - Rare Disease.
| Bundle |
| id : Bundle-WGSTestOrderForm-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-HazelSmithRenal-Example |
| resource |
| id : PractitionerRole-HazelSmithRenal-Example |
| 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 |
| telecom |
| system : email |
| value : Hazel.smith12@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : renalseckingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/Patient/Patient-LindsaySorrell-Example |
| resource |
| id : Patient-LindsaySorrell-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : M |
| display : Male |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| 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 |
| value |
| 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 |
| identifier |
| 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 |
| deceased : False |
| address |
| line : 31 THE AVENUE |
| line : BERWICK COURT |
| postalCode : KT4 7BS |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/gmp-number |
| value : G9999999 |
| display : Dr. Aero Smith |
| generalPractitioner |
| 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 |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307946 |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example |
| resource |
| id : Observation-GenomicEthnicity-Example |
| 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 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-WGSTestOrderForm-Example |
| resource |
| id : ServiceRequest-WGSTestOrderForm-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| 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 |
| value : 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 |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP171 |
| display : Cystic renal disease |
| supportingInfo |
| reference : Condition/Condition-MonogenicHearingLoss-Example |
| supportingInfo |
| reference : Observation/Observation-GenomicEthnicity-Example |
| supportingInfo |
| reference : Observation/Observation-NoPregnancy-Example |
| supportingInfo |
| reference : Observation/Observation-NoBoneMarrowTransplant-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransfusion-Example |
| supportingInfo |
| reference : Observation/Observation-MultipleRenalCysts-Example |
| supportingInfo |
| reference : Observation/Observation-Nephronophthisis-Example |
| supportingInfo |
| reference : Observation/Observation-HepaticCysts-Example |
| supportingInfo |
| reference : Observation/Observation-EnlargedKidney-Example |
| supportingInfo |
| reference : Observation/Observation-RenalInsufficiency-Example |
| supportingInfo |
| reference : Consent/Consent-RoDToFollow-Example |
| note |
| text : No family history of genomic testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ Patient diagnoses with ADPKD (example) |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoPregnancy-Example |
| resource |
| id : Observation-NoPregnancy-Example |
| 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 |
| effective : 2023-08-05 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Condition/Condition-MonogenicHearingLoss-Example |
| resource |
| id : Condition-MonogenicHearingLoss-Example |
| clinicalStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-clinical |
| code : inactive |
| display : Inactive |
| verificationStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-ver-status |
| code : provisional |
| display : Provisional |
| 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 |
| request |
| method : POST |
| url : Condition |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example |
| resource |
| id : Observation-NonConsanguinousUnion-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoBoneMarrowTransplant-Example |
| resource |
| id : Observation-NoBoneMarrowTransplant-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 445715009 |
| display : Blood and marrow transplantation |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoTransfusion-Example |
| resource |
| id : Observation-NoTransfusion-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 303955003 |
| display : Transfusion - action |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-MultipleRenalCysts-Example |
| resource |
| id : Observation-MultipleRenalCysts-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 2667000 |
| display : Absent |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-Nephronophthisis-Example |
| resource |
| id : Observation-Nephronophthisis-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 2667000 |
| display : Absent |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-HepaticCysts-Example |
| resource |
| id : Observation-HepaticCysts-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 2667000 |
| display : Absent |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-EnlargedKidney-Example |
| resource |
| id : Observation-EnlargedKidney-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 52101004 |
| display : Present |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-RenalInsufficiency-Example |
| resource |
| id : Observation-RenalInsufficiency-Example |
| 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 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 52101004 |
| display : Present |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example |
| resource |
| id : Specimen-BloodEDTA-Example |
| 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 |
| additive |
| coding |
| system : http://snomed.info/sct |
| code : 69519002 |
| display : EDTA |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : http://example.org/fhir/Consent/Consent-RoDToFollow-Example |
| resource |
| id : Consent-RoDToFollow-Example |
| 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 |
| request |
| method : POST |
| url : Consent |
Bundle-WGSRoD-Example
Example of a consent resource with attached Record of Discussion form, as described in the Clinical Scenario: WGS Test Request - Rare Disease.
| Bundle |
| id : Bundle-WGSRoD-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/Consent/Consent-RoDToFollow-Example |
| resource |
| id : Consent-RoDToFollow-Example |
| status : active |
| 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 |
| source |
| reference : QuestionnaireResponse/QuestionnaireResponse-RoD-Example |
| 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 |
| request |
| method : PUT |
| url : Consent/Consent-RoDToFollow-Example |
| entry |
| fullUrl : http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-RoD-Example |
| resource |
| id : QuestionnaireResponse-RoD-Example |
| questionnaire : https://fhir.nhs.uk/Questionnaire/NHSDigital-Questionnaire-Genomics-Example |
| status : completed |
| subject |
| reference : Patient/Patient-LindsaySorrell-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307946 |
| authored : 2023-08-21 |
| author |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-role-profile-id |
| value : 9999999996 |
| display : Test AHP |
| source |
| reference : Patient/Patient-LindsaySorrell-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307946 |
| item |
| linkId : patientDetails |
| text : Patient Details |
| item |
| linkId : givenName |
| text : First Name |
| answer |
| value : Lindsay |
| item |
| linkId : familyName |
| text : Last Name |
| answer |
| value : Sorrell |
| item |
| linkId : nhs_Number |
| text : NHS number (or postcode if not not known) |
| answer |
| value : 944 9307 946 |
| item |
| linkId : birthDate |
| text : Date of Birth |
| answer |
| value : 2011-04-12 |
| item |
| linkId : declaration4 |
| text : Confirmation of Your Genomic Test and Research Choices |
| item |
| linkId : confirmation |
| text : I confirm that I have had the opportunity to discuss information about genomic testing, I agree to the genomic test, and my research choice is indicated below. |
| item |
| linkId : researchConfirmation1 |
| text : I have discussed taking part in the National Genomic Research Library. If your answer to A is NO then please ignore B and sign directly below |
| answer |
| value : True |
| item |
| linkId : researchConfirmation2 |
| text : I agree that my data and remainder sample may contribute to the National Genomic Research Library |
| answer |
| value : True |
| item |
| linkId : isRespondentAttorney |
| text : Are you completing this form on behalf of someone? |
| answer |
| value : False |
| item |
| linkId : patientValidation |
| text : Patient Validation |
| item |
| linkId : patientNamecombined |
| text : Patient Name |
| answer |
| value : Mr. Lindsay Sorrell |
| item |
| linkId : patientSignature |
| text : Signature |
| answer |
| value : NA |
| item |
| linkId : datePatientCompletedForm |
| text : Date |
| answer |
| value : 2023-08-21 |
| item |
| linkId : declaration5 |
| text : Healthcare professional use only |
| item |
| linkId : healthcareProfessional |
| text : To be completed by the healthcare professional recording the patient’s choices. |
| item |
| linkId : patientCategory |
| text : Patient category |
| answer |
| value |
| system : https://fhir.nhs.uk/CodeSystem/patient-choice-category-genomics |
| code : adult-own-choice |
| display : Adult(made their own choice) |
| item |
| linkId : testType |
| text : Test type |
| answer |
| value |
| system : https://fhir.nhs.uk/CodeSystem/test-type-genomics |
| code : RID-WGS |
| display : Rare and Inherited Diseases - WGS |
| item |
| linkId : remoteConsent |
| text : Remote consent, recorded remotely by clinician, no patient signature |
| answer |
| value : True |
| item |
| linkId : responsibleClinician |
| text : Responsible clinician |
| answer |
| value : Dr Hazel Smith |
| item |
| linkId : patientMRN |
| text : Hospital number |
| answer |
| value : RWT14789 |
| item |
| linkId : healthcareProfessionalName |
| text : Healthcare professional name |
| answer |
| value : Test AHP |
| item |
| linkId : healthcareProfessionalSignature |
| text : Signature |
| answer |
| value : Dr. Hazel Smith |
| item |
| linkId : datehealthcareProfessionalCompletedForm |
| text : Date |
| answer |
| value : 2023-08-21 |
| request |
| method : POST |
| url : QuestionnaireResponse |
Bundle-TransactionResponseError-Example
Example of a transaction-response bundle logging an error with a resource.
| Bundle |
| id : Bundle-TransactionResponseError-Example |
| meta |
| lastUpdated : 2024-01-30T12:01:24+00:00 |
| type : transaction-response |
| entry |
| response |
| status : 422 Unprocessable Entity |
| outcome |
| meta |
| lastUpdated : 2024-01-30T12:01:24+00:00 |
| issue |
| severity : error |
| code : processing |
| details |
| coding |
| system : http://terminology.hl7.org/CodeSystem/operation-outcome |
| code : MSG_LOCAL_FAIL |
| display : Unable to resolve local reference to resource Patient/Patient-MeirLieberman-Example |
| diagnostics : Validation errors occurred during processing |
| location : Bundle.entry[1].resource.ofType(ServiceRequest) |
| entry |
| response |
| status : 200 OK |
| lastModified : 2024-01-30T12:01:24+00:00 |
| outcome |
| meta |
| lastUpdated : 2024-01-30T12:01:24+00:00 |
| issue |
| severity : information |
| code : informational |
| diagnostics : No issues detected during validation. Resource not created as request transaction contains an error |
| location : Bundle.entry[1].resource.ofType(Patient) |
Bundle-TransactionResponseSuccess-Example
Example of a transaction-response bundle logging successful creation of multiple resources.
| Bundle |
| id : Bundle-TransactionResponseSuccess-Example |
| meta |
| lastUpdated : 2024-01-30T12:01:24+00:00 |
| type : transaction-response |
| entry |
| fullUrl : https://api.service.nhs.uk/genomic-order-management-service/FHIR/R4/ServiceRequest/4d70678c-81e4-4ff4-8c67-17596fd0aa46 |
| resource |
| id : 4d70678c-81e4-4ff4-8c67-17596fd0aa46 |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| 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 |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT488 |
| display : Monogenic hearing loss - Panel sequencing |
| subject |
| reference : Patient/e87361ea-b6fb-482e-a252-af3199792582 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| authoredOn : 2023-08-05 |
| requester |
| reference : PractitionerRole/bbc46b47-42eb-41e5-bee4-efb2d3154254 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP439 |
| display : Monogenic hearing loss |
| note |
| text : No family history of genomic testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example |
| response |
| status : 201 Created |
| location : ServiceRequest/4d70678c-81e4-4ff4-8c67-17596fd0aa46/ |
| lastModified : 2024-01-30T12:01:24+00:00 |
| outcome |
| meta |
| lastUpdated : 2024-01-30T12:01:24+00:00 |
| issue |
| severity : information |
| code : informational |
| diagnostics : No issues detected during validation. |
| entry |
| fullUrl : https://api.service.nhs.uk/genomic-order-management-service/FHIR/R4/Patient/e87361ea-b6fb-482e-a252-af3199792582 |
| resource |
| id : e87361ea-b6fb-482e-a252-af3199792582 |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : M |
| display : Male |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| 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 |
| value |
| 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 : 9449307873 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : RGT012423 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RGT01 |
| name |
| family : Lieberman |
| given : Meir |
| given : Anah |
| birthDate : 2005-12-19 |
| deceased : False |
| address |
| line : 1 Spinney Close |
| line : Worcester Park |
| city : Surrey |
| postalCode : KT4 7BS |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/gmp-number |
| value : G9999999 |
| display : Dr. Aero Smith |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/ODS-code |
| value : TP123 |
| display : 123 Test Practice |
| link |
| other |
| reference : https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873 |
| type : seealso |
| response |
| status : 201 Created |
| location : Patient/e87361ea-b6fb-482e-a252-af3199792582/ |
| lastModified : 2024-01-30T12:01:24+00:00 |
| outcome |
| meta |
| lastUpdated : 2024-01-30T12:01:24+00:00 |
| issue |
| severity : information |
| code : informational |
| diagnostics : No issues detected during validation. |
Bundle-Searchset-Example
Example of a searchset bundle returned in response to a search query on Specimen. This example has a single match and also returns a Patient resource as specified in the query's _incldue parameter.
| Bundle |
| id : Bundle-Searchset-Example |
| meta |
| lastUpdated : 2024-05-31T15:27:00.009+00:00 |
| type : searchset |
| total : 1 |
| link |
| relation : self |
| url : https://api.service.nhs.uk/genomic-order-management-service/FHIR/R4/?_include=Specimen%3Asubject&identifier=RGT03135 |
| entry |
| fullUrl : https://api.service.nhs.uk/genomic-order-management-service/FHIR/R4/Specimen/44707473 |
| resource |
| id : 44707473 |
| meta |
| versionId : 1 |
| lastUpdated : 2024-05-13T14:28:05.843+00:00 |
| source : #CJ6XJLTGD315XL2Z |
| 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/44707475 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307946 |
| request |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example |
| search |
| mode : match |
| entry |
| fullUrl : https://api.service.nhs.uk/genomic-order-management-service/FHIR/R4/Patient/44707475 |
| resource |
| id : 44707475 |
| meta |
| versionId : 1 |
| lastUpdated : 2024-05-13T14:28:05.843+00:00 |
| source : #CJ6XJLTGD315XL2Z |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : M |
| display : Male |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| 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 |
| value |
| 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 |
| identifier |
| 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 |
| gender : male |
| birthDate : 2011-04-12 |
| deceased : False |
| address |
| line : 31 THE AVENUE |
| line : BERWICK COURT |
| postalCode : KT4 7BS |
| generalPractitioner |
| identifier |
| system : https://fhir.hl7.org.uk/Id/gmp-number |
| value : G9999999 |
| display : Dr. Aero Smith |
| generalPractitioner |
| 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 |
| search |
| mode : include |
Bundle-NonWGSScenario3-FetusAsProband-Example
Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario:Fetus Management
| Bundle |
| id : Bundle-NonWGSScenario3-FetusAsProband-Example |
| type : transaction |
| entry |
| fullUrl : urn:uuid:01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| resource |
| id : 01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 3208835210 |
| display : Dr. Lois Lane |
| organization |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX01 |
| display : Kingston Hospital |
| specialty |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode |
| code : 311 |
| display : Clinical Genetics |
| telecom |
| system : phone |
| value : 02085467711 |
| telecom |
| system : email |
| value : Hazel.smith12@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : clinicalgeneticskingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : fetalmedicinekingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : gptestpracticekingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : urn:uuid:849705be-9ed3-499c-ab8a-5579dd02d305 |
| resource |
| id : 849705be-9ed3-499c-ab8a-5579dd02d305 |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/patient-fetalStatus |
| value : potential-for-live-birth |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| name |
| family : MUM |
| given : FETUS A |
| gender : unknown |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|Fetus-A-8955713713 |
| entry |
| fullUrl : urn:uuid:d302e6f8-c09f-4153-a669-8fa6b3a95d52 |
| resource |
| id : d302e6f8-c09f-4153-a669-8fa6b3a95d52 |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : proband |
| display : Proband |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount |
| value : 2 |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.leedssth.nhs.uk//Id/grouptestId |
| value : RR-REQ20262701 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RR8 |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1133 |
| display : Common aneuploidy testing |
| subject |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| authoredOn : 2023-09-25 |
| requester |
| reference : PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699N0 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/2a6e7070-5ea2-4ef3-96b6-607b474fcc0b |
| specimen |
| reference : Specimen/9fa291ba-d9a4-46a9-87e5-486bcaae47fa |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:2a6e7070-5ea2-4ef3-96b6-607b474fcc0b |
| resource |
| id : 2a6e7070-5ea2-4ef3-96b6-607b474fcc0b |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history of consanguinity |
| subject |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:9fa291ba-d9a4-46a9-87e5-486bcaae47fa |
| resource |
| id : 9fa291ba-d9a4-46a9-87e5-486bcaae47fa |
| identifier |
| system : https://fhir.add.nhs.uk/Id/specimenId |
| value : RGT70280930 |
| status : unavailable |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 258565009 |
| display : Chorionic villi specimen |
| subject |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| request |
| reference : ServiceRequest/d302e6f8-c09f-4153-a669-8fa6b3a95d52 |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : urn:uuid:e302e6f8-c09f-4153-a669-8fa6b3a95d53 |
| resource |
| id : e302e6f8-c09f-4153-a669-8fa6b3a95d53 |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : consultand |
| display : Consultand |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.leedssth.nhs.uk//Id/grouptestId |
| value : RR-REQ20262701 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RR8 |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : diagnostic |
| display : Diagnostic |
| priority : urgent |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1133 |
| display : Common aneuploidy testing |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| authoredOn : 2026-01-27 |
| requester |
| reference : PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699N0 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6 |
| supportingInfo |
| reference : Observation/b32f8456-be57-4f67-ade3-97a3a6cbda0a |
| supportingInfo |
| reference : Observation/9080a716-c023-46c1-b479-b669074f4b3e |
| supportingInfo |
| reference : Observation/7c3a876d-3e62-42e1-8fcf-2c233eba8289 |
| supportingInfo |
| reference : Observation/41654044-afd4-4b5d-add5-16afc73f97a5 |
| supportingInfo |
| reference : Procedure/1ee371f7-00c5-4787-a910-89dc42cbbf47 |
| supportingInfo |
| reference : RelatedPerson/6473db02-3c45-42f0-9b8c-9d063753f86b |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6 |
| resource |
| id : 2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161743003 |
| display : Past pregnancy history of stillbirth |
| text : Is the testing for a fetal loss from 24+0 or more weeks of gestation? |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:b32f8456-be57-4f67-ade3-97a3a6cbda0a |
| resource |
| id : b32f8456-be57-4f67-ade3-97a3a6cbda0a |
| status : preliminary |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 723621000000103 |
| display : Ethnicity |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:9080a716-c023-46c1-b479-b669074f4b3e |
| resource |
| id : 9080a716-c023-46c1-b479-b669074f4b3e |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 77386006 |
| display : Pregnancy |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 720451000000102 |
| display : Assisted conception |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 226081000000107 |
| display : Gestational age |
| value |
| value : 87 |
| unit : day |
| system : http://unitsofmeasure.org |
| code : d |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161714006 |
| display : Estimated date of delivery |
| value : 2024-05-01 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:7c3a876d-3e62-42e1-8fcf-2c233eba8289 |
| resource |
| id : 7c3a876d-3e62-42e1-8fcf-2c233eba8289 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 263903005 |
| display : Transplant |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:41654044-afd4-4b5d-add5-16afc73f97a5 |
| resource |
| id : 41654044-afd4-4b5d-add5-16afc73f97a5 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : First Trimester Anomalies? |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255246003 |
| display : First trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:4512e4e9-9b42-4464-b52f-81e5f7e380b0 |
| resource |
| id : 4512e4e9-9b42-4464-b52f-81e5f7e380b0 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : Second Trimester Anomalies? |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255247007 |
| display : Second trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:1ee371f7-00c5-4787-a910-89dc42cbbf47 |
| resource |
| id : 1ee371f7-00c5-4787-a910-89dc42cbbf47 |
| status : completed |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 52637005 |
| display : In vitro fertilisation |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| performed : 2023-09-25 |
| note |
| text : Woman`s own egg |
| request |
| method : POST |
| url : Procedure |
| entry |
| fullUrl : urn:uuid:6473db02-3c45-42f0-9b8c-9d063753f86b |
| resource |
| id : 6473db02-3c45-42f0-9b8c-9d063753f86b |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| patient |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX01 |
| relationship |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| code : NMTHF |
| display : natural mother of fetus |
| request |
| method : POST |
| url : RelatedPerson |
Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example
Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario:Fetus Management
| Bundle |
| id : Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example |
| type : transaction |
| entry |
| fullUrl : urn:uuid:01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| resource |
| id : 01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 3208835210 |
| display : Dr. Lois Lane |
| organization |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX01 |
| display : Kingston Hospital |
| specialty |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode |
| code : 311 |
| display : Clinical Genetics |
| telecom |
| system : phone |
| value : 02085467711 |
| telecom |
| system : email |
| value : Hazel.smith12@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : clinicalgeneticskingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : fetalmedicinekingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : gptestpracticekingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : urn:uuid:849705be-9ed3-499c-ab8a-5579dd02d305 |
| resource |
| id : 849705be-9ed3-499c-ab8a-5579dd02d305 |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/patient-fetalStatus |
| value : potential-for-live-birth |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| name |
| family : MUM |
| given : FETUS A |
| gender : unknown |
| multipleBirth : True |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|Fetus-A-8955713713 |
| entry |
| fullUrl : urn:uuid:d302e6f8-c09f-4153-a669-8fa6b3a95d52 |
| resource |
| id : d302e6f8-c09f-4153-a669-8fa6b3a95d52 |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : proband |
| display : Proband |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount |
| value : 2 |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId |
| value : RR8F20262701-01 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1133 |
| display : Common aneuploidy testing |
| subject |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| authoredOn : 2023-09-25 |
| requester |
| reference : PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699N0 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/2a6e7070-5ea2-4ef3-96b6-607b474fcc0b |
| specimen |
| reference : Specimen/9fa291ba-d9a4-46a9-87e5-486bcaae47fa |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:2a6e7070-5ea2-4ef3-96b6-607b474fcc0b |
| resource |
| id : 2a6e7070-5ea2-4ef3-96b6-607b474fcc0b |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history of consanguinity |
| subject |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:9fa291ba-d9a4-46a9-87e5-486bcaae47fa |
| resource |
| id : 9fa291ba-d9a4-46a9-87e5-486bcaae47fa |
| identifier |
| system : https://fhir.add.nhs.uk/Id/specimenId |
| value : RGT70280930 |
| status : unavailable |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 258565009 |
| display : Chorionic villi specimen |
| subject |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| request |
| reference : ServiceRequest/d302e6f8-c09f-4153-a669-8fa6b3a95d52 |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : urn:uuid:6473db02-3c45-42f0-9b8c-9d063753f86b |
| resource |
| id : 6473db02-3c45-42f0-9b8c-9d063753f86b |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| patient |
| reference : Patient/849705be-9ed3-499c-ab8a-5579dd02d305 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-A-8955713713 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| relationship |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| code : NMTHF |
| display : natural mother of fetus |
| request |
| method : POST |
| url : RelatedPerson |
| entry |
| fullUrl : urn:uuid:a3e24d16-9079-4b07-b406-5c28f05bea8c |
| resource |
| id : a3e24d16-9079-4b07-b406-5c28f05bea8c |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/patient-fetalStatus |
| value : potential-for-live-birth |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-B-7855713723 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| name |
| family : MUM |
| given : FETUS B |
| gender : unknown |
| multipleBirth : True |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|Fetus-B-7855713723 |
| entry |
| fullUrl : urn:uuid:1b5e2983-3573-4e1a-b5b9-ad646f0f2679 |
| resource |
| id : 1b5e2983-3573-4e1a-b5b9-ad646f0f2679 |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : proband |
| display : Proband |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount |
| value : 2 |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId |
| value : RR8F2026-2801-2 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1133 |
| display : Common aneuploidy testing |
| subject |
| reference : Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-B-7855713723 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| authoredOn : 2026-01-27 |
| requester |
| reference : PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699N0 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/6a05db05-0156-46dd-8c63-f91c565950ce |
| specimen |
| reference : Specimen/8cf0addd-2f93-4c3e-b762-31682d0552c8 |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:6a05db05-0156-46dd-8c63-f91c565950ce |
| resource |
| id : 6a05db05-0156-46dd-8c63-f91c565950ce |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history of consanguinity |
| subject |
| reference : Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-B-7855713723 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:8cf0addd-2f93-4c3e-b762-31682d0552c8 |
| resource |
| id : 8cf0addd-2f93-4c3e-b762-31682d0552c8 |
| identifier |
| system : https://fhir.add.nhs.uk/Id/specimenId |
| value : RGT70230498 |
| status : unavailable |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 258565009 |
| display : Chorionic villi specimen |
| subject |
| reference : Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-B-7855713723 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| request |
| reference : ServiceRequest/1b5e2983-3573-4e1a-b5b9-ad646f0f2679 |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : urn:uuid:86c36eee-13fe-4e50-b62e-afbdb11c4325 |
| resource |
| id : 86c36eee-13fe-4e50-b62e-afbdb11c4325 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| patient |
| reference : Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : Fetus-B-7855713723 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| relationship |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| code : NMTHF |
| display : natural mother of fetus |
| request |
| method : POST |
| url : RelatedPerson |
| entry |
| fullUrl : urn:uuid:e302e6f8-c09f-4153-a669-8fa6b3a95d53 |
| resource |
| id : e302e6f8-c09f-4153-a669-8fa6b3a95d53 |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : consultand |
| display : Consultand |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId |
| value : RR8F20262701-01 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RR8 |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : diagnostic |
| display : Diagnostic |
| priority : urgent |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1133 |
| display : Common aneuploidy testing |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| authoredOn : 2026-01-27 |
| requester |
| reference : PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699N0 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6 |
| supportingInfo |
| reference : Observation/b32f8456-be57-4f67-ade3-97a3a6cbda0a |
| supportingInfo |
| reference : Observation/9080a716-c023-46c1-b479-b669074f4b3e |
| supportingInfo |
| reference : Observation/7c3a876d-3e62-42e1-8fcf-2c233eba8289 |
| supportingInfo |
| reference : Observation/41654044-afd4-4b5d-add5-16afc73f97a5 |
| supportingInfo |
| reference : Observation/4512e4e9-9b42-4464-b52f-81e5f7e380b0 |
| supportingInfo |
| reference : Procedure/1ee371f7-00c5-4787-a910-89dc42cbbf47 |
| supportingInfo |
| reference : RelatedPerson/6473db02-3c45-42f0-9b8c-9d063753f86b |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:f1c65fec-e93c-4ebf-bd64-2e832bd1f480 |
| resource |
| id : f1c65fec-e93c-4ebf-bd64-2e832bd1f480 |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : consultand |
| display : Consultand |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId |
| value : RR8F2026-2801-2 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RR8 |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1133 |
| display : Common aneuploidy testing |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| authoredOn : 2026-01-27 |
| requester |
| reference : PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699N0 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : Observation/2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6 |
| supportingInfo |
| reference : Observation/b32f8456-be57-4f67-ade3-97a3a6cbda0a |
| supportingInfo |
| reference : Observation/9080a716-c023-46c1-b479-b669074f4b3e |
| supportingInfo |
| reference : Observation/7c3a876d-3e62-42e1-8fcf-2c233eba8289 |
| supportingInfo |
| reference : Observation/41654044-afd4-4b5d-add5-16afc73f97a5 |
| supportingInfo |
| reference : Observation/4512e4e9-9b42-4464-b52f-81e5f7e380b0 |
| supportingInfo |
| reference : Procedure/1ee371f7-00c5-4787-a910-89dc42cbbf47 |
| supportingInfo |
| reference : RelatedPerson/86c36eee-13fe-4e50-b62e-afbdb11c4325 |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6 |
| resource |
| id : 2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161743003 |
| display : Past pregnancy history of stillbirth |
| text : Is the testing for a fetal loss from 24+0 or more weeks of gestation? |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:b32f8456-be57-4f67-ade3-97a3a6cbda0a |
| resource |
| id : b32f8456-be57-4f67-ade3-97a3a6cbda0a |
| status : preliminary |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 723621000000103 |
| display : Ethnicity |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:9080a716-c023-46c1-b479-b669074f4b3e |
| resource |
| id : 9080a716-c023-46c1-b479-b669074f4b3e |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 77386006 |
| display : Pregnancy |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 720451000000102 |
| display : Assisted conception |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 226081000000107 |
| display : Gestational age |
| value |
| value : 87 |
| unit : day |
| system : http://unitsofmeasure.org |
| code : d |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161714006 |
| display : Estimated date of delivery |
| value : 2024-05-01 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:7c3a876d-3e62-42e1-8fcf-2c233eba8289 |
| resource |
| id : 7c3a876d-3e62-42e1-8fcf-2c233eba8289 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 263903005 |
| display : Transplant |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:41654044-afd4-4b5d-add5-16afc73f97a5 |
| resource |
| id : 41654044-afd4-4b5d-add5-16afc73f97a5 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : First Trimester Anomalies? |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255246003 |
| display : First trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:4512e4e9-9b42-4464-b52f-81e5f7e380b0 |
| resource |
| id : 4512e4e9-9b42-4464-b52f-81e5f7e380b0 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : Second Trimester Anomalies? |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2023-09-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255247007 |
| display : Second trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:1ee371f7-00c5-4787-a910-89dc42cbbf47 |
| resource |
| id : 1ee371f7-00c5-4787-a910-89dc42cbbf47 |
| status : completed |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 52637005 |
| display : In vitro fertilisation |
| subject |
| reference : Patient/51008c44-551e-4272-a2a8-36f7d5363c9c |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| performed : 2023-09-25 |
| note |
| text : Woman`s own egg |
| request |
| method : POST |
| url : Procedure |
Bundle-NonWGSScenario5-ProductsofConception-Example
Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario:Fetus Management
| Bundle |
| id : Bundle-NonWGSScenario5-ProductsofConception-Example |
| type : transaction |
| entry |
| fullUrl : urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c |
| resource |
| id : cf37712a-99c8-495b-9865-a96fffe5133c |
| identifier |
| system : https://fhir.nhs.uk/Id/GMSCompoundIdentifer |
| value : RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066 |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 2441541066 |
| display : Dr. Lois Lane |
| organization |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RYJ02 |
| display : Charing Cross Hospital |
| specialty |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode |
| code : 311 |
| display : Clinical Genetics |
| telecom |
| system : phone |
| value : 02085467711 |
| telecom |
| system : email |
| value : Hazel.smith12@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : clinicalgeneticskingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : fetalmedicinekingston@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : gptestpracticekingston@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| resource |
| id : c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex |
| value |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : F |
| display : Female |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory |
| value |
| 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 |
| value |
| 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 : 9449308322 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : 71636034 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX01 |
| name |
| family : Boulder |
| given : Ryanne |
| link |
| other |
| reference : https://int.api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449308322 |
| type : seealso |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449308322 |
| entry |
| fullUrl : urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9 |
| resource |
| id : 037d8ff3-da35-4fad-9d28-7a120d4fffe9 |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/patient-fetalStatus |
| value : fetal-demise |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FoetusA |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| name |
| family : Fetus A of MUM |
| gender : female |
| deceased : 2024-05-16T00:00:00-05:00 |
| link |
| other |
| reference : urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a |
| type : RelatedPerson |
| type : seealso |
| request |
| method : POST |
| url : Patient |
| ifNoneExist : Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|FoetusA |
| entry |
| fullUrl : urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f |
| resource |
| id : a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 723621000000103 |
| display : Ethnicity |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d |
| resource |
| id : a5838f88-99af-4ef9-bcb6-150781680d4d |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| identifier |
| system : https://fhir.nhs.uk/Id/GMSOrder |
| value : 5562279a-bb88-45ef-8fbc-b62c09fbbdb2 |
| basedOn |
| reference : ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT1133 |
| display : Common aneuploidy testing |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| authoredOn : 2025-09-05 |
| requester |
| reference : urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c |
| type : PractitionerRole |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RYJ02 |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699N0 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59 |
| type : Observation |
| supportingInfo |
| reference : urn:uuid:193e30bd-6827-468d-b9b7-0849278305db |
| type : Observation |
| supportingInfo |
| reference : urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f |
| type : Observation |
| supportingInfo |
| reference : urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322 |
| type : Observation |
| supportingInfo |
| reference : urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f |
| type : Observation |
| supportingInfo |
| reference : urn:uuid:e1858a31-b153-4525-83d6-805cb682df28 |
| type : Observation |
| supportingInfo |
| reference : urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a |
| type : Observation |
| supportingInfo |
| reference : urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d |
| type : Procedure |
| supportingInfo |
| reference : urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a |
| type : RelatedPerson |
| supportingInfo |
| reference : urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9 |
| type : Patient |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FoetusA |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| specimen |
| reference : urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371 |
| type : Specimen |
| note |
| text : Samples are to be provided at a later date |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59 |
| resource |
| id : 3e58d52e-aff3-4a70-956b-28509c664f59 |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : social-history |
| display : Social History |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 267013003 |
| display : Past pregnancy outcome |
| text : Outcome of pregnancy |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2025-08-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 237365001 |
| display : Fresh stillbirth |
| text : a fetal death occurring at or after 28 weeks of pregnancy |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322 |
| resource |
| id : 554cddd5-7b36-4931-aef2-e96c7fc1f322 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 77386006 |
| display : Pregnancy |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2025-08-25 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 720451000000102 |
| display : Assisted conception |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 226081000000107 |
| display : Gestational age |
| value |
| value : 87 |
| unit : day |
| system : http://unitsofmeasure.org |
| code : d |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161714006 |
| display : Estimated date of delivery |
| value : 2025-08-25 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:193e30bd-6827-468d-b9b7-0849278305db |
| resource |
| id : 193e30bd-6827-468d-b9b7-0849278305db |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history of consanguinity |
| subject |
| reference : urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9 |
| type : Patient |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : FoetusA |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| effective : 2025-08-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f |
| resource |
| id : e8f9a82e-4a01-4449-9c80-c4d38090884f |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2025-08-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 263903005 |
| display : Transplant |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:e1858a31-b153-4525-83d6-805cb682df28 |
| resource |
| id : e1858a31-b153-4525-83d6-805cb682df28 |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : First Trimester Anomalies? |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2025-08-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255246003 |
| display : First trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a |
| resource |
| id : 5398e192-d44a-4e07-9cdb-63cdeb4ed47a |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 609520005 |
| display : Disorder of fetal structure |
| text : Second Trimester Anomalies? |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| effective : 2025-08-25 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 255247007 |
| display : Second trimester |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d |
| resource |
| id : fe049bb9-7988-4209-a5a7-364f7829950d |
| status : completed |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 52637005 |
| display : In vitro fertilisation |
| subject |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| performed : 2025-05-25 |
| note |
| text : Woman`s own egg |
| request |
| method : POST |
| url : Procedure |
| entry |
| fullUrl : urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371 |
| resource |
| id : 6c83fb14-0eb9-465b-8d2c-062b03b12371 |
| meta |
| tag |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| identifier |
| system : https://fhir.add.nhs.uk/Id/specimenId |
| value : RGT19427897 |
| status : unavailable |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 258565009 |
| display : Chorionic villi specimen |
| subject |
| reference : urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9 |
| type : Patient |
| request |
| reference : ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example |
| type : ServiceRequest |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a |
| resource |
| id : ac29fd1f-6749-4771-9633-25f39976e48a |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : 6988036185 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| patient |
| reference : urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8 |
| type : Patient |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449308322 |
| relationship |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| code : NCHILD |
| display : natural child |
| request |
| method : POST |
| url : RelatedPerson |
Bundle-NonWGSTestOrderFormUpdated-FetalScenario-Example
Example of an update to a Non-WGS test request sent to the central broker, as described in the Clinical Scenario:Fetus Management
| Bundle |
| id : Bundle-NonWGSTestOrderFormUpdated-FetalScenario-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenarioFather-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-FetalScenarioFather-Example |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role |
| value |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/patient-role-genomics |
| code : consultand |
| display : Consultand |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| requisition |
| system : https://fhir.kingstonandrichmond.nhs.uk/Id/grouptestId |
| value : RR-REQ20230925 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/rare-diseaseTesting-genomics |
| code : prenatal-diagnosis |
| display : Prenatal diagnosis |
| priority : urgent |
| subject |
| reference : Patient/Patient-RyanneBoulderPartner-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : P-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| authoredOn : 2023-09-25 |
| requester |
| reference : PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP289 |
| display : Common aneuploidy testing - prenatal |
| supportingInfo |
| reference : RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example |
| note |
| text : No family history of relevant testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder |
| request |
| method : PUT |
| url : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example |
| entry |
| fullUrl : http://example.org/fhir/Specimen/Specimen-RyanneBoulderParnerSaliva-Example |
| resource |
| id : Specimen-RyanneBoulderParnerSaliva-Example |
| identifier |
| system : https://fhir.kingstonhospital.nhs.uk//Id/specimenId |
| value : ROA-69050-FTH-RWT13521 |
| status : available |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 119342007 |
| display : Saliva specimen |
| subject |
| reference : Patient/Patient-RyanneBoulderPartner-Example |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : P-RWT13521 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RAX |
| request |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenarioFather-Example |
| container |
| description : Container:ROA-69050-FTH-RWT13521 contains Saliva for Father |
| request |
| method : POST |
| url : Specimen |
CommunityCloud-Bundle-Example
Example of a complete bundle covering the metadata required for the Community Cloud project, see Community Cloud Integration
| Bundle |
| type : transaction |
| entry |
| fullUrl : urn:uuid:1e6aef26-d201-43d1-b54c-087cd4ee5c24 |
| resource |
| id : 1e6aef26-d201-43d1-b54c-087cd4ee5c24 |
| meta |
| profile : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-data-file |
| status : current |
| subject |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : SomePatientIdentifier |
| author |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : 699M0 |
| display : NHS EAST GENOMIC LABORATORY HUB |
| content |
| attachment |
| contentType : application/gzip |
| url : https://002-cen.s3.eu-west-2.amazonaws.com/grch38/haplotyper_normalised_v0.3/140103896-25301R0078-25NGCEN64-9527-F-99347387_markdup_recalibrated_Haplotyper.vcf.gz |
| title : 140103896-25301R0078-25NGCEN64-9527-F-99347387_markdup_recalibrated_Haplotyper.vcf.gz |
| request |
| method : POST |
| url : DocumentReference |
| entry |
| fullUrl : urn:uuid:b6c3ebd7-53e4-450b-b46f-0e9f83d995e6 |
| resource |
| id : b6c3ebd7-53e4-450b-b46f-0e9f83d995e6 |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19 |
| value : 140103896-25301R0078 |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 24851008 |
| display : Deoxyribonucleic acid |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : urn:uuid:04a7b32d-2270-4e4e-a1bb-80f0eaa0c4cc |
| resource |
| id : 04a7b32d-2270-4e4e-a1bb-80f0eaa0c4cc |
| deviceName |
| name : Sentieon Haplotyper |
| type : user-friendly-name |
| version |
| value : 202308.03 |
| request |
| method : POST |
| url : Device |
| entry |
| fullUrl : urn:uuid:1e73bfaf-b851-463f-98df-c2b6582a948e |
| resource |
| id : 1e73bfaf-b851-463f-98df-c2b6582a948e |
| deviceName |
| name : Dias |
| type : user-friendly-name |
| version |
| value : eggd_conductor_dias_CEN_config_v2.5.2 |
| request |
| method : POST |
| url : Device |
| entry |
| fullUrl : urn:uuid:44ae1fac-d147-43fb-87ba-35f6bc056f51 |
| resource |
| id : 44ae1fac-d147-43fb-87ba-35f6bc056f51 |
| manufacturer : Illumina |
| deviceName |
| name : Novaseq 6000 |
| type : user-friendly-name |
| property |
| type |
| text : Sequencing assay name |
| valueCode |
| text : CEN |
| request |
| method : POST |
| url : Device |
| entry |
| fullUrl : urn:uuid:9bc12bd5-8e06-4f10-949e-512bb623552e |
| resource |
| id : 9bc12bd5-8e06-4f10-949e-512bb623552e |
| meta |
| profile : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis |
| extension |
| url : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-specimen |
| value |
| reference : urn:uuid:b6c3ebd7-53e4-450b-b46f-0e9f83d995e6 |
| extension |
| extension |
| url : device |
| value |
| reference : urn:uuid:44ae1fac-d147-43fb-87ba-35f6bc056f51 |
| extension |
| url : function |
| value |
| text : Sequencing platform |
| url : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-device |
| extension |
| extension |
| url : device |
| value |
| reference : urn:uuid:1e73bfaf-b851-463f-98df-c2b6582a948e |
| extension |
| url : function |
| value |
| text : Bioinformatics Pipeline |
| url : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-device |
| extension |
| extension |
| url : device |
| value |
| reference : urn:uuid:04a7b32d-2270-4e4e-a1bb-80f0eaa0c4cc |
| extension |
| url : function |
| value |
| text : Bioinformatics Variant Caller |
| url : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-device |
| extension |
| extension |
| url : type |
| value |
| coding |
| system : http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/genomic-study-data-format-cs |
| code : vcf |
| display : VCF |
| extension |
| url : file |
| value |
| reference : urn:uuid:1e6aef26-d201-43d1-b54c-087cd4ee5c24 |
| url : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-output |
| status : completed |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| subject |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : SomePatientIdentifier |
| performed : 2025-11-25T17:49:00Z |
| request |
| method : POST |
| url : Procedure |
| entry |
| fullUrl : urn:uuid:fc708a88-9a59-4efd-9ff7-c028cf2b9491 |
| resource |
| id : fc708a88-9a59-4efd-9ff7-c028cf2b9491 |
| meta |
| profile : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study |
| extension |
| url : http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext |
| value |
| reference : urn:uuid:9bc12bd5-8e06-4f10-949e-512bb623552e |
| status : completed |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| code |
| text : Small |
| subject |
| identifier |
| system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
| value : SomePatientIdentifier |
| performed : 2025-11-25T17:49:00Z |
| reasonCode |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP442 |
| display : Familial hypercholesterolaemia |
| note |
| text : Rare Disease |
| request |
| method : POST |
| url : Procedure |
Bundle-GenomicReportVisibility-JamesWilson-Example
Example of marking data Items as withheld, where a data item is required for clinical interpretation but must not be disclosed to the patient (e.g. sex assigned at birth used for interpretation of results or genomic analysis).
| Bundle |
| id : Bundle-GenomicReportVisibility-JamesWilson-Example |
| type : collection |
| entry |
| resource |
| id : Patient-JamesWilson |
| meta |
| security |
| system : http://terminology.hl7.org/CodeSystem/v3-ActCode |
| code : PROCESSINLINELABEL |
| display : Process Inline Security Labels |
| name |
| family : Wilson |
| given : James |
| gender : male |
| extension |
| url : http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label |
| value |
| system : http://terminology.hl7.org/CodeSystem/v3-ActCode |
| code : NOPAT |
| display : No disclosure to patient |
| entry |
| resource |
| id : SR-JamesWilson |
| status : active |
| intent : order |
| code |
| text : Whole Genome Sequencing |
| subject |
| reference : Patient/Patient-JamesWilson |
| authoredOn : 2026-06-15T09:00:00Z |
| entry |
| resource |
| id : DR-JamesWilson |
| status : final |
| code |
| text : Genomic Report |
| subject |
| reference : Patient/Patient-JamesWilson |
| conclusion : No clinically significant variants identified. |
Bundle-NonWGSTestOrderFormQRPatientExtensions-Example
Example of a Non-WGS test request sent to the central broker, illustrating use of the QuestionnaireResponse resource for birthSex and Ethnicity as mentioned in Known Issues. This example also illustrates referencing an NHS patient by identifier only (as preferred by the private broker implementation).
| Bundle |
| id : Bundle-NonWGSTestOrderFormQRPatientExtensions-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/PractitionerRole/PractitionerRole-GeneSmithENT-Example |
| resource |
| id : PractitionerRole-GeneSmithENT-Example |
| practitioner |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-user-id |
| value : 9999999999 |
| display : Dr. Gene Smith |
| organization |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RGT01 |
| display : Addenbrooke's Hospital |
| specialty |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode |
| code : 120 |
| display : Ear Nose and Throat |
| telecom |
| system : phone |
| value : 01223586638 |
| telecom |
| system : email |
| value : gene.smith@nhs.net |
| telecom |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/contactpoint-comment |
| value : reporting |
| system : email |
| value : Add-tr.entsecretaries@nhs.net |
| request |
| method : POST |
| url : PractitionerRole |
| entry |
| fullUrl : http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-PatientExtensions-Example |
| resource |
| id : QuestionnaireResponse-PatientExtensions-Example |
| questionnaire : https://fhir.nhs.uk/Questionnaire/Patient-Extensions-Example |
| status : completed |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| authored : 2023-10-01T15:00:00Z |
| item |
| linkId : 364699009 |
| text : Patient - Ethnicity |
| answer |
| value |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| code : A |
| display : White - British |
| item |
| linkId : 1345193002 |
| text : Patient - Sex defined at birth |
| answer |
| value |
| system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender |
| code : M |
| display : Male |
| request |
| method : POST |
| url : QuestionnaireResponse |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example |
| resource |
| id : Observation-GenomicEthnicity-Example |
| status : preliminary |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 723621000000103 |
| display : Ethnicity |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| value : unknown |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderForm-Example |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| 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 |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT488 |
| display : Monogenic hearing loss - Panel sequencing |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| authoredOn : 2023-08-05 |
| requester |
| reference : PractitionerRole/PractitionerRole-GeneSmithENT-Example |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP439 |
| display : Monogenic hearing loss |
| supportingInfo |
| reference : QuestionnaireResponse/QuestionnaireResponse-PatientExtensions-Example |
| supportingInfo |
| reference : Condition/Condition-MonogenicHearingLoss-Example |
| supportingInfo |
| reference : Observation/Observation-GenomicEthnicity-Example |
| supportingInfo |
| reference : Observation/Observation-NoPregnancy-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransplant-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransfusion-Example |
| supportingInfo |
| reference : Condition/Condition-HearingLoss-Example |
| note |
| text : No family history of genomic testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoPregnancy-Example |
| resource |
| id : Observation-NoPregnancy-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 60001007 |
| display : Not pregnant |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Condition/Condition-MonogenicHearingLoss-Example |
| resource |
| id : Condition-MonogenicHearingLoss-Example |
| clinicalStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-clinical |
| code : inactive |
| display : Inactive |
| verificationStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-ver-status |
| code : provisional |
| display : Provisional |
| code |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP439 |
| display : Monogenic hearing loss |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| request |
| method : POST |
| url : Condition |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example |
| resource |
| id : Observation-NonConsanguinousUnion-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 160475008 |
| display : Family history: Consanguinity |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 260385009 |
| display : Negative |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoTransplant-Example |
| resource |
| id : Observation-NoTransplant-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 263903005 |
| display : Transplant |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Observation/Observation-NoTransfusion-Example |
| resource |
| id : Observation-NoTransfusion-Example |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416128008 |
| display : No history of procedure |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| effective : 2023-08-05 |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 303955003 |
| display : Transfusion - action |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : http://example.org/fhir/Condition/Condition-HearingLoss-Example |
| resource |
| id : Condition-HearingLoss-Example |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 95820000 |
| display : Bilateral hearing loss |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| note |
| text : hearing loss since childhood (example) |
| request |
| method : POST |
| url : Condition |
| entry |
| fullUrl : http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example |
| resource |
| id : Specimen-BloodEDTA-Example |
| 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 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307873 |
| request |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example |
| container |
| additive |
| coding |
| system : http://snomed.info/sct |
| code : 69519002 |
| display : EDTA |
| request |
| method : POST |
| url : Specimen |
Bundle-UnsolicitedReport-Example
Example of an unsolicited report, i.e. a report which has not been triggered through a Genomic Order Management Service Request, for the Unified Genomic Record. Illustrates the use of stubbed ServiceRequest, DiagnosticReport and DocumentReference. This bundle is intended to be equivalent to a transaction representation of an ORU_R01 HL7v2 Message.
| Bundle |
| id : Bundle-UnsolicitedReport-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/DocumentReference/DocumentReference-UnsolicitedReport-Example |
| resource |
| id : DocumentReference-UnsolicitedReport-Example |
| meta |
| tag |
| system : https://fhir.nhs.uk/CodeSystem/document-provenance-genomics |
| code : unsolicited-genomic-document |
| display : Unsolicited Genomic Document |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-site-code/RYJ/lims-document-number |
| value : RYJ-DOC12345 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RYJ |
| status : current |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 1054161000000101 |
| display : Genetic report |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v2-0074 |
| code : GE |
| category |
| coding |
| system : http://snomed.info/sct |
| code : 1236877003 |
| display : Genetic pathology |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9999999999 |
| date : 2026-11-04T13:29:00+00:00 |
| author |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RYJ |
| content |
| attachment |
| contentType : application/pdf |
| language : en-GB |
| data : 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 |
| size : 43272 |
| title : Genomic Report for Patient Michael Jones |
| creation : 2026-11-04T12:29:00Z |
| request |
| method : POST |
| url : DocumentReference |
| entry |
| fullUrl : http://example.org/fhir/ServiceRequest/ServiceRequest-UnsolicitedReport-Example |
| resource |
| id : ServiceRequest-UnsolicitedReport-Example |
| meta |
| tag |
| system : https://fhir.nhs.uk/CodeSystem/request-provenance-genomics |
| code : external-origin-request |
| display : External-origin request |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-site-code/RP4/epr-request-number |
| value : RP4-REQ12345 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RP4 |
| status : completed |
| intent : order |
| code |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : GT488 |
| display : Monogenic hearing loss - Panel sequencing |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9999999999 |
| authoredOn : 2026-11-01 |
| requester |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RP4 |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RP4 |
| reasonCode |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| code : TP439 |
| display : Monogenic hearing loss |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : http://example.org/fhir/DiagnosticReport/DiagnosticReport-UnsolicitedReport-Example |
| resource |
| id : DiagnosticReport-UnsolicitedReport-Example |
| meta |
| tag |
| system : https://fhir.nhs.uk/CodeSystem/report-provenance-genomics |
| code : unsolicited-genomic-report |
| display : Unsolicited genomic report |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-site-code/RYJ/lims-report-number |
| value : RYJ-REP12345 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RYJ |
| basedOn |
| reference : ServiceRequest/ServiceRequest-UnsolicitedReport-Example |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v2-0074 |
| code : GE |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 1054161000000101 |
| display : Genetic report |
| subject |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9999999999 |
| issued : 2026-11-04T12:29:00+00:00 |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RYJ |
| specimen |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-site-code/RYJ/lab-specimen-identifier |
| value : RYJ-SAMPLE12345 |
| assigner |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RYJ |
| presentedForm |
| url : DocumentReference/DocumentReference-UnsolicitedReport-Example |
| request |
| method : POST |
| url : DiagnosticReport |