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-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-NonWGSTestOrderFormUpdated-FetalScenario-Example |
| resource |
| id : ServiceRequest-NonWGSTestOrderFormUpdated-FetalScenario-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.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory |
| code : rare-disease-non-wgs |
| display : Rare Disease - Non-WGS |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics |
| code : staging-or-prognosis |
| display : Staging or Prognosis |
| priority : urgent |
| code |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
| code : R21 |
| display : Fetal anomalies with a likely genetic cause |
| version : 7 |
| 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 |
| supportingInfo |
| reference : Observation/Observation-HistoryOfFetalLoss-Example |
| supportingInfo |
| reference : Observation/Observation-NonConsanguinousUnion-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 : Specimen/Specimen-BloodEDTA-Example |
| supportingInfo |
| reference : Specimen/Specimen-RyanneBoulderSaliva-Example |
| supportingInfo |
| reference : Specimen/Specimen-RyanneBoulderPartnerSaliva-Example |
| supportingInfo |
| reference : RelatedPerson/RelatedPerson-RyanneBoulder-Example |
| supportingInfo |
| reference : Patient/Patient-RyanneBoulder-Example |
| supportingInfo |
| reference : RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example |
| supportingInfo |
| reference : Patient/Patient-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 |
| container |
| description : Container:ROA-69050-FTH-RWT13521 contains Saliva for Father |
| request |
| reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example |
| request |
| method : POST |
| url : Specimen |
{
{
"fullUrl": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-FetalScenario-Example",
{
{
}
]
}
}
],
{
{
}
]
},
{
{
}
]
}
],
{
}
]
},
}
}
},
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
],
{
},
{
"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"
}
]
},
}
},
{
{
}
],
]
},
},
],
]
},
}
}
]
}
<fullUrl value="http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-FetalScenario-Example" />
<ServiceRequest>
</coding>
</valueCodeableConcept>
</extension>
</coding>
</category>
</coding>
</category>
</coding>
</code>
</identifier>
</assigner>
</identifier>
</subject>
</requester>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</note>
<text value="Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder" />
</note>
</ServiceRequest>
</resource>
</request>
</entry>
<Specimen>
</identifier>
</coding>
</type>
</subject>
</request>
</container>
</Specimen>
</resource>
</request>
</entry>
</Bundle>