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

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "NonWGSTestOrderForm-Example",
  "meta": {
    "profile": [
      "https://fhir.nwgenomics.nhs.uk/StructureDefinition/BundleMessage"
    ]
  },
  "identifier": {
    "system": "https://tools.ietf.org/html/rfc4122",
    "value": "04479233-2021-418d-b1ed-02d89674fadc"
  },
  "type": "message",
  "timestamp": "2026-06-15T09:00:00Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:a4a71150-7f11-42cb-8c3c-8bd4f896d523",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "a4a71150-7f11-42cb-8c3c-8bd4f896d523",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_a4a71150-7f11-42cb-8c3c-8bd4f896d523\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader a4a71150-7f11-42cb-8c3c-8bd4f896d523</b></p><a name=\"a4a71150-7f11-42cb-8c3c-8bd4f896d523\"> </a><a name=\"hca4a71150-7f11-42cb-8c3c-8bd4f896d523\"> </a><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-v2-0003.html#v2-0003-O21\">event: O21</a> (OML - Laboratory order)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td>National Genomic Medicine Service</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&amp;canonical=https://api.service.nhs.uk/GMS\">https://api.service.nhs.uk/GMS</a></td><td>NORTH WEST GLH LED BY MANCHESTER UNIVERSITY 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>/699X0)</td></tr></table><p><b>sender</b>: Addenbrooke's Hospital (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>/RGT01)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&amp;canonical=https://example.org/fhir/SendingSystem\">https://example.org/fhir/SendingSystem</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#http-//example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example\">ServiceRequest Monogenic hearing loss - Panel sequencing</a></p></div>"
        },
        "eventCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code": "O21"
        },
        "destination": [
          {
            "name": "National Genomic Medicine Service",
            "endpoint": "https://api.service.nhs.uk/GMS",
            "receiver": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "699X0"
              },
              "display": "NORTH WEST GLH LED BY MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"
            }
          }
        ],
        "sender": {
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RGT01"
          },
          "display": "Addenbrooke's Hospital"
        },
        "source": {
          "endpoint": "https://example.org/fhir/SendingSystem"
        },
        "focus": [
          {
            "reference": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-GeneSmithENT-Example",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRole-GeneSmithENT-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PractitionerRole-GeneSmithENT-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PractitionerRole-GeneSmithENT-Example</b></p><a name=\"PractitionerRole-GeneSmithENT-Example\"> </a><a name=\"hcPractitionerRole-GeneSmithENT-Example\"> </a><p><b>practitioner</b>: Dr. Gene Smith (Identifier: <code>https://fhir.nhs.uk/Id/sds-user-id</code>/9999999999)</p><p><b>organization</b>: Addenbrooke's Hospital (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>/RGT01)</p><p><b>specialty</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 120}\">Ear Nose and Throat</span></p><p><b>telecom</b>: ph: 01223586638, <a href=\"mailto:gene.smith@nhs.net\">gene.smith@nhs.net</a>, <a href=\"mailto:Add-tr.entsecretaries@nhs.net\">Add-tr.entsecretaries@nhs.net</a></p></div>"
        },
        "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"
          },
          {
            "system": "email",
            "value": "gene.smith@nhs.net"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
                "valueString": "reporting"
              }
            ],
            "system": "email",
            "value": "Add-tr.entsecretaries@nhs.net"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Patient/Patient-MeirLieberman-Example",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-MeirLieberman-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-MeirLieberman-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-MeirLieberman-Example</b></p><a name=\"Patient-MeirLieberman-Example\"> </a><a name=\"hcPatient-MeirLieberman-Example\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</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>urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24</code>/RGT012423</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 Spinney Close Worcester Park Surrey KT4 7BS </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: 123 Test Practice (Identifier: <code>https://fhir.hl7.org.uk/Id/ODS-code</code>/TP123)</li><li>Also see: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&amp;canonical=https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873\">https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873</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@0.29.0-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@0.29.0-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 M}\">Male</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": "M",
                  "display": "Male"
                }
              ]
            }
          },
          {
            "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-NHSNumberVerificationStatus",
                "valueCodeableConcept": {
                  "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"
          },
          {
            "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",
              "Anah"
            ]
          }
        ],
        "birthDate": "2005-12-19",
        "deceasedBoolean": false,
        "address": [
          {
            "line": [
              "1 Spinney Close",
              "Worcester Park"
            ],
            "city": "Surrey",
            "postalCode": "KT4 7BS"
          }
        ],
        "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": "TP123"
            },
            "display": "123 Test Practice"
          }
        ],
        "link": [
          {
            "other": {
              "reference": "https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307873"
            },
            "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-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</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-MeirLieberman-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307873"
          }
        },
        "valueString": "unknown"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ServiceRequest-NonWGSTestOrderForm-Example",
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequest-NonWGSTestOrderForm-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequest-NonWGSTestOrderForm-Example</b></p><a name=\"ServiceRequest-NonWGSTestOrderForm-Example\"> </a><a name=\"hcServiceRequest-NonWGSTestOrderForm-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.nhs.uk/CodeSystem/rare-diseaseTesting-genomics diagnostic}\">Diagnostic</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices GT488}\">Monogenic hearing loss - Panel sequencing</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>authoredOn</b>: 2023-08-05</p><p><b>requester</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#PractitionerRole_PractitionerRole-GeneSmithENT-Example\">PractitionerRole: specialty = Ear Nose and Throat; telecom = ph: 01223586638,gene.smith@nhs.net,Add-tr.entsecretaries@nhs.net</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices TP439}\">Monogenic hearing loss</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Bundle-NonWGSTestOrderForm-Example.html#http-//example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example\">Observation Monogenic hearing loss</a></li><li><a href=\"Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-GenomicEthnicity-Example\">Observation Ethnicity</a></li><li><a href=\"Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-NoPregnancy-Example\">Observation Not pregnant</a></li><li><a href=\"Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-NoTransplant-Example\">Observation No history of procedure</a></li><li><a href=\"Bundle-NonWGSTestOrderForm-Example.html#Observation_Observation-NoTransfusion-Example\">Observation No history of procedure</a></li><li><a href=\"Bundle-NonWGSTestOrderForm-Example.html#http-//example.org/fhir/Observation/Condition-HearingLoss-Example\">Observation Bilateral hearing loss</a></li></ul><p><b>note</b>: </p><blockquote><div><p>No family history of genomic testing\nFree text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example</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.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",
                  "valueDecimal": 1
                }
              ],
              "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",
                    "valueDecimal": 1
                  }
                ],
                "system": "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices",
                "code": "TP439",
                "display": "Monogenic hearing loss"
              }
            ]
          }
        ],
        "supportingInfo": [
          {
            "reference": "http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example",
            "type": "Observation"
          },
          {
            "reference": "Observation/Observation-GenomicEthnicity-Example"
          },
          {
            "reference": "Observation/Observation-NoPregnancy-Example"
          },
          {
            "reference": "Observation/Observation-NoTransplant-Example"
          },
          {
            "reference": "Observation/Observation-NoTransfusion-Example"
          },
          {
            "reference": "http://example.org/fhir/Observation/Condition-HearingLoss-Example",
            "type": "Observation"
          }
        ],
        "note": [
          {
            "text": "No family history of genomic testing\nFree text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-NoPregnancy-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-NoPregnancy-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoPregnancy-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoPregnancy-Example</b></p><a name=\"Observation-NoPregnancy-Example\"> </a><a name=\"hcObservation-NoPregnancy-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 60001007}\">Not pregnant</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</p></div>"
        },
        "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"
          }
        },
        "effectiveDateTime": "2023-08-05"
      }
    },
    {
      "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</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative</span></p></div>"
        },
        "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"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ]
        }
      }
    },
    {
      "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</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 263903005}\">Transplant</span></p></div>"
        },
        "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"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "263903005",
              "display": "Transplant"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-NoTransfusion-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-NoTransfusion-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Observation-NoTransfusion-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Observation-NoTransfusion-Example</b></p><a name=\"Observation-NoTransfusion-Example\"> </a><a name=\"hcObservation-NoTransfusion-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 416128008}\">No history of procedure</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>effective</b>: 2023-08-05</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 303955003}\">Transfusion - action</span></p></div>"
        },
        "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"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "303955003",
              "display": "Transfusion - action"
            }
          ]
        }
      }
    },
    {
      "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.add.nhs.uk/Id/specimenId</code>/RGT03135</p><p><b>status</b>: Unavailable</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119297000}\">Blood specimen</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>request</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#ServiceRequest_ServiceRequest-NonWGSTestOrderForm-Example\">ServiceRequest Monogenic hearing loss - Panel sequencing</a></p><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Additive[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 69519002}\">EDTA</span></td></tr></table></div>"
        },
        "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": [
          {
            "additiveCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "69519002",
                  "display": "EDTA"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Condition-MonogenicHearingLoss-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Condition-MonogenicHearingLoss-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Condition-MonogenicHearingLoss-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Condition-MonogenicHearingLoss-Example</b></p><a name=\"Condition-MonogenicHearingLoss-Example\"> </a><a name=\"hcCondition-MonogenicHearingLoss-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices TP439}\">Monogenic hearing loss</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p></div>"
        },
        "status": "final",
        "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"
          }
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Condition-HearingLoss-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Condition-HearingLoss-Example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Condition-HearingLoss-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Condition-HearingLoss-Example</b></p><a name=\"Condition-HearingLoss-Example\"> </a><a name=\"hcCondition-HearingLoss-Example\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 95820000}\">Bilateral hearing loss</span></p><p><b>subject</b>: <a href=\"Bundle-NonWGSTestOrderForm-Example.html#Patient_Patient-MeirLieberman-Example\">Meir Anah Lieberman  (no stated gender), DoB: 2005-12-19 ( https://fhir.nhs.uk/Id/nhs-number#NHS Number#9449307873)</a></p><p><b>note</b>: </p><blockquote><div><p>hearing loss since childhood (example)</p>\n</div></blockquote></div>"
        },
        "status": "final",
        "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)"
          }
        ]
      }
    }
  ]
}