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-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. |
{
{
{
}
]
},
],
{
}
}
]
}
}
},
{
},
},
}
},
{
},
},
}
}
]
}
<Patient>
</security>
</meta>
</name>
<extension url="http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label">
</valueCoding>
</extension>
</gender>
</Patient>
</resource>
</entry>
<ServiceRequest>
</code>
</subject>
</ServiceRequest>
</resource>
</entry>
<DiagnosticReport>
</code>
</subject>
</DiagnosticReport>
</resource>
</entry>
</Bundle>