FHIR IG analytics| Package | uk.nhsengland.genomics.r4 |
| Resource Type | Bundle |
| Id | Bundle-NonWGSTestOrderForm-Reanalysis-Example.json |
| FHIR Version | R4 |
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FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "Bundle-NonWGSTestOrderForm-Reanalysis-Example",
"type": "transaction",
"entry": [
{
"fullUrl": "http://example.org/fhir/PractitionerRole/PractitionerRole-HazelSmithRenal-Example",
"resource": {
"resourceType": "PractitionerRole",
"id": "PractitionerRole-HazelSmithRenal-Example",
"practitioner": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/sds-user-id",
"value": "9999999998"
},
"display": "Dr. Hazel Smith"
},
"organization": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RAX01"
},
"display": "Kingston Hospital NHS Foundation Trust"
},
"specialty": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code": "361",
"display": "Renal Medicine"
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "02085467711"
},
{
"system": "email",
"value": "Hazel.smith12@nhs.net"
},
{
"system": "email",
"value": "renalseckingston@nhs.net",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
"valueString": "reporting"
}
]
},
{
"system": "email",
"value": "neuroseckingston@nhs.net",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/contactpoint-comment",
"valueString": "reporting"
}
]
}
]
},
"request": {
"method": "POST",
"url": "PractitionerRole"
}
},
{
"fullUrl": "http://example.org/fhir/Patient/Patient-DemeizaSeo-Example",
"resource": {
"resourceType": "Patient",
"id": "Patient-DemeizaSeo-Example",
"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": "R",
"display": "Other Ethnic Groups - Chinese"
}
]
}
}
],
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449306559",
"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": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
"value": "RWT16378",
"assigner": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RAX"
}
}
}
],
"name": [
{
"given": [
"Demeiza"
],
"family": "Seo"
}
],
"birthDate": "2011-01-26",
"deceasedBoolean": false,
"address": [
{
"line": [
"1 Aragon Avenue,",
"Thames Ditton"
],
"city": "Surrey",
"postalCode": "KT7 0PY"
}
],
"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/9449307559"
},
"type": "seealso"
}
]
},
"request": {
"method": "POST",
"url": "Patient",
"ifNoneExist": "Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307559"
}
},
{
"fullUrl": "http://example.org/fhir/Observation/Observation-GenomicEthnicity-Example",
"resource": {
"resourceType": "Observation",
"id": "Observation-GenomicEthnicity-Example",
"status": "preliminary",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "723621000000103",
"display": "Ethnicity"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307559"
}
},
"valueString": "unknown"
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example",
"resource": {
"resourceType": "ServiceRequest",
"id": "ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example",
"basedOn": [
{
"reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-SyndromicEpilepsy-Example"
}
],
"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"
}
]
},
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
"code": "new-treatment-clinical-management",
"display": "New Treatment/Clinical Management"
}
],
"text": "Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy"
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R387",
"display": "Re-analysis",
"version": "7"
}
]
},
"orderDetail": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R59",
"display": "Early onset or syndromic epilepsy",
"version": "7"
}
]
}
],
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449306559"
}
},
"authoredOn": "2023-09-06T09:00:00Z",
"requester": {
"reference": "PractitionerRole/PractitionerRole-HazelSmithRenal-Example"
},
"supportingInfo": [
{
"reference": "Observation/Observation-GenomicEthnicity-Example"
},
{
"reference": "Condition/Condition-MonogenicHearingLoss-Example"
},
{
"reference": "Observation/Observation-NoPregnancy-Example"
},
{
"reference": "Observation/Observation-NonConsanguinousUnion-Example"
},
{
"reference": "Observation/Observation-NoBoneMarrowTransplant-Example"
},
{
"reference": "Observation/Observation-NoTransfusion-Example"
}
],
"specimen": [
{
"display": "No Sample Required"
}
],
"note": [
{
"text": "No family history of genomic testing"
},
{
"text": "Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/E.g. Reanlaysis - change in observed phenotype. Epilepsy test previously ordered on patient 5 years ago. "
}
]
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
},
{
"fullUrl": "http://example.org/fhir/Observation/Observation-NoPregnancy-Example",
"resource": {
"resourceType": "Observation",
"id": "Observation-NoPregnancy-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "60001007",
"display": "Not pregnant"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307559"
}
},
"effectiveDateTime": "2023-09-06"
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "http://example.org/fhir/Condition/Condition-MonogenicHearingLoss-Example",
"resource": {
"resourceType": "Condition",
"id": "Condition-MonogenicHearingLoss-Example",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "inactive",
"display": "inactive"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "provisional",
"display": "Provisional"
}
]
},
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R67.2",
"display": "Monogenic hearing loss",
"version": "7"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307559"
}
}
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "http://example.org/fhir/Observation/Observation-NonConsanguinousUnion-Example",
"resource": {
"resourceType": "Observation",
"id": "Observation-NonConsanguinousUnion-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "160475008",
"display": "Family history: Consanguinity"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307559"
}
},
"effectiveDateTime": "2023-09-06",
"valueBoolean": false
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "http://example.org/fhir/Observation/Observation-NoBoneMarrowTransplant-Example",
"resource": {
"resourceType": "Observation",
"id": "Observation-NoBoneMarrowTransplant-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416128008",
"display": "No history of procedure"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "445715009",
"display": "Blood and marrow transplantation"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307559"
}
},
"effectiveDateTime": "2023-08-05"
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "http://example.org/fhir/Observation/Observation-NoTransfusion-Example",
"resource": {
"resourceType": "Observation",
"id": "Observation-NoTransfusion-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416128008",
"display": "No history of procedure"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "303955003",
"display": "Transfusion - action"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307559"
}
},
"effectiveDateTime": "2023-09-06"
},
"request": {
"method": "POST",
"url": "Observation"
}
}
]
}