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Packagefhir.nwgenomics.nhs.uk
Resource TypeBundle
IdBundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "Bundle-NonWGSTestOrderForm-FetalScenario-Example",
  "identifier": {
    "system": "https://tools.ietf.org/html/rfc4122",
    "value": "b9df1c3a-2335-4ddc-a901-e0a0a44d9c19"
  },
  "type": "message",
  "timestamp": "2024-10-13T10:33:00+00:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:b9df1c3a-2335-4ddc-a901-e0a0a44d9c19",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "MessageHeaderGenomicOrderFetal",
        "meta": {
          "lastUpdated": "2025-01-29T10:39:26+00:00"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderGenomicOrderFetal\"> </a><a name=\"MessageHeader_MessageHeaderGenomicOrder\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderGenomicOrder</b></p><a name=\"MessageHeaderGenomicOrder\"> </a><a name=\"hcMessageHeaderGenomicOrder\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2025-01-29 10:39:26+0000</p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/6.2.0/CodeSystem-v2-0003.html#v2-0003-O21\">eventType O21</a>: OML - Laboratory order</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://simplifier.net/guide/ukcoreversionhistory/http://www.acme.org/endpoint/LIMS\">http://www.acme.org/endpoint/LIMS</a></td><td>NORTH WEST GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0)</td></tr></table><p><b>sender</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MFT Epic</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://simplifier.net/guide/ukcoreversionhistory/http://www.acme.org/endpoint/HIVE\">http://www.acme.org/endpoint/HIVE</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-54b526e9-60a7-4602-9cb3-50ab3be7b564\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
        },
        "eventCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code": "O21"
        },
        "destination": [
          {
            "endpoint": "http://www.acme.org/endpoint/LIMS",
            "receiver": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RJZ"
              },
              "display": "KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST"
            }
          }
        ],
        "sender": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RAX"
          },
          "display": "Kingston Hospital NHS Foundation Trust"
        },
        "source": {
          "software": "MFT Epic",
          "endpoint": "http://www.acme.org/endpoint/HIVE"
        },
        "focus": [
          {
            "reference": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example",
            "type": "ServiceRequest"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRole-LoisLaneKingstonClinicalGenetics-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PractitionerRole-LoisLaneKingstonClinicalGenetics-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PractitionerRole-LoisLaneKingstonClinicalGenetics-Example</b></p><a name=\"PractitionerRole-LoisLaneKingstonClinicalGenetics-Example\"> </a><a name=\"hcPractitionerRole-LoisLaneKingstonClinicalGenetics-Example\"> </a><p><b>practitioner</b>: Dr. Lois Lane (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999999)</p><p><b>organization</b>: Kingston Hospital NHS Foundation Trust (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/RAX)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 311}\">Clinical Genetics</span></p><p><b>telecom</b>: ph: 02068457781, <a href=\"mailto:lois.lane1@nhs.net\">lois.lane1@nhs.net</a>, <a href=\"mailto:clinicalgeneticskingston@nhs.net\">clinicalgeneticskingston@nhs.net</a>, <a href=\"mailto:fetalmedicinekingston@nhs.net\">fetalmedicinekingston@nhs.net</a>, <a href=\"mailto:gptestpracticekingston@nhs.net\">gptestpracticekingston@nhs.net</a></p></div>"
        },
        "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"
          },
          {
            "system": "email",
            "value": "lois.lane1@nhs.net"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ],
            "system": "email",
            "value": "clinicalgeneticskingston@nhs.net"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ],
            "system": "email",
            "value": "fetalmedicinekingston@nhs.net"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ],
            "system": "email",
            "value": "gptestpracticekingston@nhs.net"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Patient/Patient-RyanneBoulder-Example",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-RyanneBoulder-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-RyanneBoulder-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-RyanneBoulder-Example</b></p><a name=\"Patient-RyanneBoulder-Example\"> </a><a name=\"hcPatient-RyanneBoulder-Example\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>http://www.acme.org/patient/identifier</code>/RWT13521</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">53 Eastwick Pack Avenue Leatherhead Surrey KT23 3NP </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: Dr. Aero Smith (Identifier: <a href=\"NamingSystem-gmpnumber-namingsystem.html\" title=\"General Practitioner (GMP) number. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_practitioner_ppd_code.html)\">GMP Number</a>/G9999999)</li><li>General Practitioner: anywhere place (Identifier: <code>https://fhir.hl7.org.uk/Id/ODS-code</code>/AP123)</li><li>Also see: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307687\">https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307687</a></li><li>Also see: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#RelatedPerson_RelatedPerson-RyanneBoulder-Example\">RelatedPerson: identifier = https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687; relationship = natural mother of fetus</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Information that describes the patient's ethnic category.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory\">Extension UK Core Ethnic Category</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland A}\">White - British</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An extension to support the patient's phenotypic sex at birth.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex\">Extension UK Core Birth Sex</a></td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender F}\">Female</span></td></tr></table></div>"
        },
        "extension": [
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
                  "code": "F",
                  "display": "Female"
                }
              ]
            }
          },
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
            "valueCodeableConcept": {
              "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-NHSIdentifierVerificationStatus",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSIdentifierVerificationStatusEngland",
                      "version": "2.2.0",
                      "code": "01",
                      "display": "Number present and verified"
                    }
                  ]
                }
              }
            ],
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307687"
          },
          {
            "system": "http://www.acme.org/patient/identifier",
            "value": "RWT13521",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RAX"
              }
            }
          }
        ],
        "name": [
          {
            "family": "Boulder",
            "given": [
              "Ryanne"
            ]
          }
        ],
        "birthDate": "1980-09-02",
        "deceasedBoolean": false,
        "address": [
          {
            "line": [
              "53 Eastwick Pack Avenue",
              "Leatherhead",
              "Surrey"
            ],
            "postalCode": "KT23 3NP"
          }
        ],
        "generalPractitioner": [
          {
            "identifier": {
              "system": "https://fhir.hl7.org.uk/Id/gmp-number",
              "value": "G9999999"
            },
            "display": "Dr. Aero Smith"
          },
          {
            "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"
          },
          {
            "other": {
              "reference": "RelatedPerson/RelatedPerson-RyanneBoulder-Example"
            },
            "type": "seealso"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Patient/Patient-FoetusOfRyanneBoulder-Example",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-FoetusOfRyanneBoulder-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-FoetusOfRyanneBoulder-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-FoetusOfRyanneBoulder-Example</b></p><a name=\"Patient-FoetusOfRyanneBoulder-Example\"> </a><a name=\"hcPatient-FoetusOfRyanneBoulder-Example\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)</p><hr/></div>"
        },
        "identifier": [
          {
            "system": "http://www.acme.org/patient/identifier",
            "value": "FT-RWT13521",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RAX"
              }
            }
          }
        ],
        "gender": "unknown"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Patient/Patient-RyanneBoulderPartner-Example",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-RyanneBoulderPartner-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-RyanneBoulderPartner-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-RyanneBoulderPartner-Example</b></p><a name=\"Patient-RyanneBoulderPartner-Example\"> </a><a name=\"hcPatient-RyanneBoulderPartner-Example\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#P-RWT13521)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Also see: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#RelatedPerson_RelatedPerson-RyanneBoulderPartner-Example\">RelatedPerson: identifier = http://www.acme.org/patient/identifier#P-RWT13521; relationship = natural father of fetus</a></li></ul></td></tr></table></div>"
        },
        "identifier": [
          {
            "system": "http://www.acme.org/patient/identifier",
            "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"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-GenomicEthnicity-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-GenomicEthnicity-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-GenomicEthnicity-Example</b></p><a name=\"Observation-GenomicEthnicity-Example\"> </a><a name=\"hcObservation-GenomicEthnicity-Example\"> </a><p><b>status</b>: Preliminary</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 723621000000103}\">Ethnicity</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>value</b>: unknown</p></div>"
        },
        "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"
          }
        },
        "valueString": "unknown"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example",
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example</b></p><a name=\"ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example\"> </a><a name=\"hcServiceRequest-NonWGSTestOrderForm-FetalScenario-Example\"> </a><p><b>Extension UK Core Coverage</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory nhs-england}\">NHS England</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory rare-disease-non-wgs}\">Rare Disease - Non-WGS</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R21}\">Fetal anomalies with a likely genetic cause</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-FoetusOfRyanneBoulder-Example\">Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)</a></p><p><b>authoredOn</b>: 2023-09-25</p><p><b>requester</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#PractitionerRole_PractitionerRole-LoisLaneKingstonClinicalGenetics-Example\">PractitionerRole: specialty = Clinical Genetics; telecom = ph: 02068457781,lois.lane1@nhs.net,clinicalgeneticskingston@nhs.net,fetalmedicinekingston@nhs.net,gptestpracticekingston@nhs.net</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics staging-or-prognosis}\">Staging or Prognosis</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Observation_Observation-HistoryOfFetalLoss-Example\">Observation Past pregnancy history of stillbirth (situation)</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Observation_Observation-NonConsanguinousUnion-Example\">Observation Family history: Consanguinity (situation)</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Observation_Observation-GenomicEthnicity-Example\">Observation Ethnicity</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Observation_Observation-PregnancyConfirmation-Example\">Observation Pregnancy</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Observation_Observation-NoTransplant-Example\">Observation No history of procedure (situation)</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Observation_Observation-NoFirstTrimesterFetalAnomalies-Example\">Observation Disorder of fetal structure</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Observation_Observation-NoSecondTrimesterFetalAnomalies-Example\">Observation Disorder of fetal structure</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Procedure_Procedure-InVitroFertilisation-Example\">Procedure In vitro fertilisation</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#RelatedPerson_RelatedPerson-RyanneBoulder-Example\">RelatedPerson: identifier = https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687; relationship = natural mother of fetus</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#RelatedPerson_RelatedPerson-RyanneBoulderPartner-Example\">RelatedPerson: identifier = http://www.acme.org/patient/identifier#P-RWT13521; relationship = natural father of fetus</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulderPartner-Example\">Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#P-RWT13521)</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Specimen_Specimen-BloodEDTA-Example\">Specimen: identifier = https://fhir.kingstonhospital.nhs.uk/Id/specimenId#ROA-69050-216738; status = unavailable; type = Blood specimen with EDTA</a></li><li><a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Specimen_Specimen-RyanneBoulderSaliva-Example\">Specimen: identifier = https://fhir.kingstonhospital.nhs.uk/Id/specimenId#ROA-69050-216739; status = available; type = Saliva specimen</a></li></ul><p><b>note</b>: , , </p><blockquote><div><p>Samples are to be provided at a later date</p>\n</div></blockquote><blockquote><div><p>No family history of relevant testing</p>\n</div></blockquote><blockquote><div><p>Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder</p>\n</div></blockquote></div>"
        },
        "extension": [
          {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
            "valueCodeableConcept": {
              "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"
              }
            ]
          }
        ],
        "priority": "urgent",
        "code": {
          "coding": [
            {
              "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "version": "7",
              "code": "R21",
              "display": "Fetal anomalies with a likely genetic cause"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-FoetusOfRyanneBoulder-Example",
          "identifier": {
            "system": "http://www.acme.org/patient/identifier",
            "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": [
              {
                "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                "code": "staging-or-prognosis",
                "display": "Staging or Prognosis"
              }
            ]
          }
        ],
        "supportingInfo": [
          {
            "reference": "Observation/Observation-HistoryOfFetalLoss-Example"
          },
          {
            "reference": "Observation/Observation-NonConsanguinousUnion-Example"
          },
          {
            "reference": "Observation/Observation-GenomicEthnicity-Example"
          },
          {
            "reference": "Observation/Observation-PregnancyConfirmation-Example"
          },
          {
            "reference": "Observation/Observation-NoTransplant-Example"
          },
          {
            "reference": "Observation/Observation-NoFirstTrimesterFetalAnomalies-Example"
          },
          {
            "reference": "Observation/Observation-NoSecondTrimesterFetalAnomalies-Example"
          },
          {
            "reference": "Procedure/Procedure-InVitroFertilisation-Example"
          },
          {
            "reference": "RelatedPerson/RelatedPerson-RyanneBoulder-Example"
          },
          {
            "reference": "Patient/Patient-RyanneBoulder-Example"
          },
          {
            "reference": "RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example"
          },
          {
            "reference": "Patient/Patient-RyanneBoulderPartner-Example"
          },
          {
            "reference": "Specimen/Specimen-BloodEDTA-Example"
          },
          {
            "reference": "Specimen/Specimen-RyanneBoulderSaliva-Example"
          }
        ],
        "note": [
          {
            "text": "Samples are to be provided at a later date"
          },
          {
            "text": "No family history of relevant testing"
          },
          {
            "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": "http://example.org/fhir/Observation/Observation-HistoryOfFetalLoss-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-HistoryOfFetalLoss-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-HistoryOfFetalLoss-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-HistoryOfFetalLoss-Example</b></p><a name=\"Observation-HistoryOfFetalLoss-Example\"> </a><a name=\"hcObservation-HistoryOfFetalLoss-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161743003}\">Is the testing for a fetal loss from 24+0 or more weeks of gestation?</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>effective</b>: 2023-09-25</p><p><b>value</b>: false</p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "161743003",
              "display": "Past pregnancy history of stillbirth (situation)"
            }
          ],
          "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"
          }
        },
        "effectiveDateTime": "2023-09-25",
        "valueBoolean": false
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-PregnancyConfirmation-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-PregnancyConfirmation-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-PregnancyConfirmation-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-PregnancyConfirmation-Example</b></p><a name=\"Observation-PregnancyConfirmation-Example\"> </a><a name=\"hcObservation-PregnancyConfirmation-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 77386006}\">Pregnancy</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>effective</b>: 2023-09-25</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 720451000000102}\">Assisted conception</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 226081000000107}\">Gestational age</span></p><p><b>value</b>: 87 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = 'd')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161714006}\">Estimated date of delivery</span></p><p><b>value</b>: 2024-05-01</p></blockquote></div>"
        },
        "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"
          }
        },
        "effectiveDateTime": "2023-09-25",
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "720451000000102",
                  "display": "Assisted conception"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "226081000000107",
                  "display": "Gestational age"
                }
              ]
            },
            "valueQuantity": {
              "value": 87,
              "unit": "day",
              "system": "http://unitsofmeasure.org",
              "code": "d"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "161714006",
                  "display": "Estimated date of delivery"
                }
              ]
            },
            "valueDateTime": "2024-05-01"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-NonConsanguinousUnion-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NonConsanguinousUnion-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NonConsanguinousUnion-Example</b></p><a name=\"Observation-NonConsanguinousUnion-Example\"> </a><a name=\"hcObservation-NonConsanguinousUnion-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160475008}\">Family history: Consanguinity (situation)</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-FoetusOfRyanneBoulder-Example\">Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)</a></p><p><b>effective</b>: 2023-09-25</p><p><b>value</b>: false</p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "160475008",
              "display": "Family history: Consanguinity (situation)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-FoetusOfRyanneBoulder-Example"
        },
        "effectiveDateTime": "2023-09-25",
        "valueBoolean": false
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-NoTransplant-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-NoTransplant-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoTransplant-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoTransplant-Example</b></p><a name=\"Observation-NoTransplant-Example\"> </a><a name=\"hcObservation-NoTransplant-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 416128008}\">No history of procedure (situation)</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>effective</b>: 2023-09-25</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 263903005}\">Transplant (qualifier value)</span></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "416128008",
              "display": "No history of procedure (situation)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-RyanneBoulder-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307687"
          }
        },
        "effectiveDateTime": "2023-09-25",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "263903005",
              "display": "Transplant (qualifier value)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-NoFirstTrimesterFetalAnomalies-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-NoFirstTrimesterFetalAnomalies-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoFirstTrimesterFetalAnomalies-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoFirstTrimesterFetalAnomalies-Example</b></p><a name=\"Observation-NoFirstTrimesterFetalAnomalies-Example\"> </a><a name=\"hcObservation-NoFirstTrimesterFetalAnomalies-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 609520005}\">First Trimester Anomalies?</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>effective</b>: 2023-09-25</p><p><b>value</b>: false</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 255246003}\">First trimester</span></td></tr></table></div>"
        },
        "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"
          }
        },
        "effectiveDateTime": "2023-09-25",
        "valueBoolean": false,
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "255246003",
                  "display": "First trimester"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-NoSecondTrimesterFetalAnomalies-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-NoSecondTrimesterFetalAnomalies-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoSecondTrimesterFetalAnomalies-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoSecondTrimesterFetalAnomalies-Example</b></p><a name=\"Observation-NoSecondTrimesterFetalAnomalies-Example\"> </a><a name=\"hcObservation-NoSecondTrimesterFetalAnomalies-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 609520005}\">Second Trimester Anomalies?</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>effective</b>: 2023-09-25</p><p><b>value</b>: false</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 255247007}\">Second trimester</span></td></tr></table></div>"
        },
        "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"
          }
        },
        "effectiveDateTime": "2023-09-25",
        "valueBoolean": false,
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "255247007",
                  "display": "Second trimester"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Procedure/Procedure-InVitroFertilisation-Example",
      "resource": {
        "resourceType": "Procedure",
        "id": "Procedure-InVitroFertilisation-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_Procedure-InVitroFertilisation-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure Procedure-InVitroFertilisation-Example</b></p><a name=\"Procedure-InVitroFertilisation-Example\"> </a><a name=\"hcProcedure-InVitroFertilisation-Example\"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 52637005}\">In vitro fertilisation</span></p><p><b>subject</b>: Identifier: <a href=\"NamingSystem-nhs-number-namingsystem.html\" title=\"NHS Number allocated to the patient in England and Wales. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/nhs_number.html)\">NHS Number</a>/9449307687</p><p><b>performed</b>: 2023-09-25</p><p><b>note</b>: </p><blockquote><div><p>Woman`s own egg</p>\n</div></blockquote></div>"
        },
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "52637005",
              "display": "In vitro fertilisation"
            }
          ]
        },
        "subject": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307687"
          }
        },
        "performedDateTime": "2023-09-25",
        "note": [
          {
            "text": "Woman`s own egg"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example",
      "resource": {
        "resourceType": "Specimen",
        "id": "Specimen-BloodEDTA-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_Specimen-BloodEDTA-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen Specimen-BloodEDTA-Example</b></p><a name=\"Specimen-BloodEDTA-Example\"> </a><a name=\"hcSpecimen-BloodEDTA-Example\"> </a><p><b>identifier</b>: <code>https://fhir.kingstonhospital.nhs.uk/Id/specimenId</code>/ROA-69050-216738</p><p><b>status</b>: Unavailable</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 445295009}\">Blood specimen with EDTA</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>request</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#ServiceRequest_ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example\">ServiceRequest Fetal anomalies with a likely genetic cause</a></p></div>"
        },
        "identifier": [
          {
            "system": "https://fhir.kingstonhospital.nhs.uk/Id/specimenId",
            "value": "ROA-69050-216738"
          }
        ],
        "status": "unavailable",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "445295009",
              "display": "Blood specimen with EDTA"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-RyanneBoulder-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307687"
          }
        },
        "request": [
          {
            "reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Specimen/Specimen-RyanneBoulderSaliva-Example",
      "resource": {
        "resourceType": "Specimen",
        "id": "Specimen-RyanneBoulderSaliva-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_Specimen-RyanneBoulderSaliva-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen Specimen-RyanneBoulderSaliva-Example</b></p><a name=\"Specimen-RyanneBoulderSaliva-Example\"> </a><a name=\"hcSpecimen-RyanneBoulderSaliva-Example\"> </a><p><b>identifier</b>: <code>https://fhir.kingstonhospital.nhs.uk/Id/specimenId</code>/ROA-69050-216739</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119342007}\">Saliva specimen</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-RyanneBoulder-Example\">Ryanne Boulder  (no stated gender), DoB: 1980-09-02 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307687)</a></p><p><b>request</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#ServiceRequest_ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example\">ServiceRequest Fetal anomalies with a likely genetic cause</a></p><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>Container:ROA-69050-216739 contains Saliva for Mother</td></tr></table></div>"
        },
        "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-FetalScenario-Example"
          }
        ],
        "container": [
          {
            "description": "Container:ROA-69050-216739 contains Saliva for Mother"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulder-Example",
      "resource": {
        "resourceType": "RelatedPerson",
        "id": "RelatedPerson-RyanneBoulder-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_RelatedPerson-RyanneBoulder-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson RelatedPerson-RyanneBoulder-Example</b></p><a name=\"RelatedPerson-RyanneBoulder-Example\"> </a><a name=\"hcRelatedPerson-RyanneBoulder-Example\"> </a><p><b>identifier</b>: <a href=\"NamingSystem-nhs-number-namingsystem.html\" title=\"NHS Number allocated to the patient in England and Wales. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/nhs_number.html)\">NHS Number</a>/9449307687</p><p><b>patient</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-FoetusOfRyanneBoulder-Example\">Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode NMTHF}\">natural mother of fetus</span></p></div>"
        },
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307687"
          }
        ],
        "patient": {
          "reference": "Patient/Patient-FoetusOfRyanneBoulder-Example",
          "identifier": {
            "system": "http://www.acme.org/patient/identifier",
            "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"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example",
      "resource": {
        "resourceType": "RelatedPerson",
        "id": "RelatedPerson-RyanneBoulderPartner-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_RelatedPerson-RyanneBoulderPartner-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson RelatedPerson-RyanneBoulderPartner-Example</b></p><a name=\"RelatedPerson-RyanneBoulderPartner-Example\"> </a><a name=\"hcRelatedPerson-RyanneBoulderPartner-Example\"> </a><p><b>identifier</b>: <code>http://www.acme.org/patient/identifier</code>/P-RWT13521</p><p><b>patient</b>: <a href=\"Bundle-Bundle-NonWGSTestOrderForm-FetalScenario-Example.html#Patient_Patient-FoetusOfRyanneBoulder-Example\">Anonymous Patient Unknown, DoB Unknown ( http://www.acme.org/patient/identifier#FT-RWT13521)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode NFTHF}\">natural father of fetus</span></p></div>"
        },
        "identifier": [
          {
            "system": "http://www.acme.org/patient/identifier",
            "value": "P-RWT13521",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RAX"
              }
            }
          }
        ],
        "patient": {
          "reference": "Patient/Patient-FoetusOfRyanneBoulder-Example",
          "identifier": {
            "system": "http://www.acme.org/patient/identifier",
            "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"
              }
            ]
          }
        ]
      }
    }
  ]
}