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Packageuk.nhsengland.genomics.r4
Resource TypeBundle
IdBundle-NonWGSTestOrderFormUpdated-FetalScenario-Example.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "Bundle-NonWGSTestOrderFormUpdated-FetalScenario-Example",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "http://example.org/fhir/ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-FetalScenario-Example",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ServiceRequest-NonWGSTestOrderFormUpdated-FetalScenario-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",
                "display": "Rare Disease - Non-WGS"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                "code": "staging-or-prognosis",
                "display": "Staging or Prognosis"
              }
            ]
          }
        ],
        "priority": "urgent",
        "code": {
          "coding": [
            {
              "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code": "R21",
              "display": "Fetal anomalies with a likely genetic cause",
              "version": "7"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-FoetusOfRyanneBoulder-Example",
          "identifier": {
            "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
            "value": "FT-RWT13521",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RAX"
              }
            }
          }
        },
        "authoredOn": "2023-09-25",
        "requester": {
          "reference": "PractitionerRole/PractitionerRole-LoisLaneKingstonClinicalGenetics-Example"
        },
        "supportingInfo": [
          {
            "reference": "Observation/Observation-HistoryOfFetalLoss-Example"
          },
          {
            "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": "Specimen/Specimen-BloodEDTA-Example"
          },
          {
            "reference": "Specimen/Specimen-RyanneBoulderSaliva-Example"
          },
          {
            "reference": "Specimen/Specimen-RyanneBoulderPartnerSaliva-Example"
          },
          {
            "reference": "RelatedPerson/RelatedPerson-RyanneBoulder-Example"
          },
          {
            "reference": "Patient/Patient-RyanneBoulder-Example"
          },
          {
            "reference": "RelatedPerson/RelatedPerson-RyanneBoulderPartner-Example"
          },
          {
            "reference": "Patient/Patient-RyanneBoulderPartner-Example"
          }
        ],
        "note": [
          {
            "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"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Specimen/Specimen-RyanneBoulderParnerSaliva-Example",
      "resource": {
        "resourceType": "Specimen",
        "id": "Specimen-RyanneBoulderParnerSaliva-Example",
        "identifier": [
          {
            "system": "https://fhir.kingstonhospital.nhs.uk//Id/specimenId",
            "value": "ROA-69050-FTH-RWT13521"
          }
        ],
        "status": "available",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "119342007",
              "display": "Saliva specimen"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-RyanneBoulderPartner-Example"
        },
        "container": [
          {
            "description": "Container:ROA-69050-FTH-RWT13521 contains Saliva for Father"
          }
        ],
        "request": [
          {
            "reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    }
  ]
}