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

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Source1

{
  "resourceType": "Bundle",
  "id": "Bundle-WGSTestOrderForm-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"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "PractitionerRole"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Patient/Patient-LindsaySorrell-Example",
      "resource": {
        "resourceType": "Patient",
        "id": "Patient-LindsaySorrell-Example",
        "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": [
          {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946",
            "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": "RWT14789",
            "assigner": {
              "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RAX01"
              }
            }
          }
        ],
        "name": [
          {
            "given": [
              "Lindsay"
            ],
            "family": "Sorrell"
          }
        ],
        "birthDate": "2011-04-12",
        "deceasedBoolean": false,
        "address": [
          {
            "line": [
              "31 THE AVENUE",
              "BERWICK COURT"
            ],
            "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": "AP123"
            },
            "display": "anywhere place"
          }
        ],
        "link": [
          {
            "other": {
              "reference": "https://api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449307946"
            },
            "type": "seealso"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient",
        "ifNoneExist": "Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449307946"
      }
    },
    {
      "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-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "valueString": "unknown"
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/ServiceRequest/ServiceRequest-WGSTestOrderForm-Example",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ServiceRequest-WGSTestOrderForm-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-wgs",
                "display": "Rare Disease - WGS"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                "code": "diagnostic",
                "display": "Diagnostic"
              }
            ]
          }
        ],
        "priority": "routine",
        "code": {
          "coding": [
            {
              "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code": "R193.4",
              "display": "Cystic renal disease",
              "version": "7"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "authoredOn": "2023-08-08",
        "requester": {
          "reference": "PractitionerRole/PractitionerRole-HazelSmithRenal-Example"
        },
        "supportingInfo": [
          {
            "reference": "Condition/Condition-MonogenicHearingLoss-Example"
          },
          {
            "reference": "Observation/Observation-GenomicEthnicity-Example"
          },
          {
            "reference": "Observation/Observation-NoPregnancy-Example"
          },
          {
            "reference": "Observation/Observation-NoBoneMarrowTransplant-Example"
          },
          {
            "reference": "Observation/Observation-NoTransfusion-Example"
          },
          {
            "reference": "Observation/Observation-MultipleRenalCysts-Example"
          },
          {
            "reference": "Observation/Observation-Nephronophthisis-Example"
          },
          {
            "reference": "Observation/Observation-HepaticCysts-Example"
          },
          {
            "reference": "Observation/Observation-EnlargedKidney-Example"
          },
          {
            "reference": "Observation/Observation-RenalInsufficiency-Example"
          },
          {
            "reference": "Consent/Consent-RoDToFollow-Example"
          }
        ],
        "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/ Patient diagnoses with ADPKD (example)"
          }
        ]
      },
      "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-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05"
      },
      "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-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        }
      },
      "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-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "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-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "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-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05"
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-MultipleRenalCysts-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-MultipleRenalCysts-Example",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://human-phenotype-ontology.org",
              "version": "20221005",
              "code": "HP:0005562",
              "display": "Multiple renal cysts"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueBoolean": false
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-Nephronophthisis-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-Nephronophthisis-Example",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://human-phenotype-ontology.org",
              "version": "20221005",
              "code": "HP:0000090",
              "display": "Nephronophthisis"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueBoolean": false
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-HepaticCysts-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-HepaticCysts-Example",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://human-phenotype-ontology.org",
              "version": "20221005",
              "code": "HP:0001407",
              "display": "Hepatic cysts"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueBoolean": false
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-EnlargedKidney-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-EnlargedKidney-Example",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://human-phenotype-ontology.org",
              "version": "20221005",
              "code": "HP:0000105",
              "display": "Enlarged kidney"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueBoolean": true
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Observation/Observation-RenalInsufficiency-Example",
      "resource": {
        "resourceType": "Observation",
        "id": "Observation-RenalInsufficiency-Example",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://human-phenotype-ontology.org",
              "version": "20221005",
              "code": "HP:0000083",
              "display": "Renal insufficiency"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Patient-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "effectiveDateTime": "2023-08-05",
        "valueBoolean": true
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Specimen/Specimen-BloodEDTA-Example",
      "resource": {
        "resourceType": "Specimen",
        "id": "Specimen-BloodEDTA-Example",
        "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-LindsaySorrell-Example",
          "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307946"
          }
        },
        "request": [
          {
            "reference": "ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"
          }
        ],
        "container": [
          {
            "additiveCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "69519002",
                  "display": "EDTA"
                }
              ]
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/Consent/Consent-RoDToFollow-Example",
      "resource": {
        "resourceType": "Consent",
        "id": "Consent-RoDToFollow-Example",
        "status": "proposed",
        "scope": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/consentscope",
              "code": "research",
              "display": "Research"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
                "code": "research",
                "display": "Research Information Access"
              }
            ]
          }
        ],
        "policy": [
          {
            "authority": "https://www.england.nhs.uk",
            "uri": "https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form"
          }
        ],
        "provision": {
          "data": [
            {
              "meaning": "instance",
              "reference": {
                "reference": "ServiceRequest/ServiceRequest-WGSTestOrderForm-Example"
              }
            }
          ]
        }
      },
      "request": {
        "method": "POST",
        "url": "Consent"
      }
    }
  ]
}