Bundle-NonWGSScenario5-ProductsofConception-Example

Example of a Non-WGS test request sent to the central broker, as described in the Clinical Scenario:Fetus Management

Bundle
{
"resourceType": "Bundle",
"id": "Bundle-NonWGSScenario5-ProductsofConception-Example",
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c",
"resource": {
"resourceType": "PractitionerRole",
"id": "cf37712a-99c8-495b-9865-a96fffe5133c",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/GMSCompoundIdentifer",
"value": "RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066"
}
],
"practitioner": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/sds-user-id",
"value": "2441541066"
},
"display": "Dr. Lois Lane"
},
"organization": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RYJ02"
},
"display": "Charing Cross Hospital"
},
"specialty": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code": "311",
"display": "Clinical Genetics"
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "02085467711"
},
{
"system": "email",
"value": "Hazel.smith12@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"
}
]
},
"request": {
"method": "POST",
"url": "PractitionerRole"
}
},
{
"fullUrl": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"resource": {
"resourceType": "Patient",
"id": "c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"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-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": "9449308322"
},
{
"system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
"value": "71636034",
"assigner": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RAX01"
}
}
}
],
"name": [
{
"given": [
"Ryanne"
],
"family": "Boulder"
}
],
"link": [
{
"other": {
"reference": "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449308322"
},
"type": "seealso"
}
]
},
"request": {
"method": "POST",
"url": "Patient",
"ifNoneExist": "Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449308322"
}
},
{
"fullUrl": "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9",
"resource": {
"resourceType": "Patient",
"id": "037d8ff3-da35-4fad-9d28-7a120d4fffe9",
"extension": [
{
"url": "http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus",
"valueCode": "fetal-demise"
}
],
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
"value": "FoetusA",
"assigner": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RAX"
}
}
}
],
"name": [
{
"family": "Fetus A of MUM"
}
],
"gender": "female",
"deceasedDateTime": "2024-05-16T00:00:00-05:00",
"link": [
{
"other": {
"reference": "urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a",
"type": "RelatedPerson"
},
"type": "seealso"
}
]
},
"request": {
"method": "POST",
"url": "Patient",
"ifNoneExist": "Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|FoetusA"
}
},
{
"fullUrl": "urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f",
"resource": {
"resourceType": "Observation",
"id": "a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "723621000000103",
"display": "Ethnicity"
}
]
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"valueString": "unknown"
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:a5838f88-99af-4ef9-bcb6-150781680d4d",
"resource": {
"resourceType": "ServiceRequest",
"id": "a5838f88-99af-4ef9-bcb6-150781680d4d",
"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"
}
]
}
}
],
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/GMSOrder",
"value": "5562279a-bb88-45ef-8fbc-b62c09fbbdb2"
}
],
"basedOn": [
{
"reference": "ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example"
}
],
"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": "R21.1",
"display": "Fetal anomalies with a likely genetic cause"
}
]
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"authoredOn": "2025-09-05",
"requester": {
"reference": "urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c",
"type": "PractitionerRole",
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RYJ02"
}
},
"performer": [
{
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "699N0"
}
}
],
"reasonCode": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
"code": "staging-or-prognosis",
"display": "Staging or Prognosis"
}
]
}
],
"supportingInfo": [
{
"reference": "urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59",
"type": "Observation"
},
{
"reference": "urn:uuid:193e30bd-6827-468d-b9b7-0849278305db",
"type": "Observation"
},
{
"reference": "urn:uuid:a0684de7-7cf5-43a3-b3ba-3dd13e4c2f4f",
"type": "Observation"
},
{
"reference": "urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322",
"type": "Observation"
},
{
"reference": "urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f",
"type": "Observation"
},
{
"reference": "urn:uuid:e1858a31-b153-4525-83d6-805cb682df28",
"type": "Observation"
},
{
"reference": "urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a",
"type": "Observation"
},
{
"reference": "urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d",
"type": "Procedure"
},
{
"reference": "urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a",
"type": "RelatedPerson"
},
{
"reference": "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9",
"type": "Patient"
}
],
"specimen": [
{
"reference": "urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371",
"type": "Specimen"
}
],
"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"
}
]
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
},
{
"fullUrl": "urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59",
"resource": {
"resourceType": "Observation",
"id": "3e58d52e-aff3-4a70-956b-28509c664f59",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social History"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "267013003",
"display": "Past pregnancy outcome"
}
],
"text": "Outcome of pregnancy"
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"effectiveDateTime": "2025-08-25",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "237365001",
"display": "Fresh stillbirth"
}
],
"text": "a fetal death occurring at or after 28 weeks of pregnancy"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:554cddd5-7b36-4931-aef2-e96c7fc1f322",
"resource": {
"resourceType": "Observation",
"id": "554cddd5-7b36-4931-aef2-e96c7fc1f322",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "77386006",
"display": "Pregnancy"
}
]
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"effectiveDateTime": "2025-08-25",
"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": "2025-08-25"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:193e30bd-6827-468d-b9b7-0849278305db",
"resource": {
"resourceType": "Observation",
"id": "193e30bd-6827-468d-b9b7-0849278305db",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "160475008",
"display": "Family history of consanguinity"
}
]
},
"subject": {
"reference": "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9",
"type": "Patient"
},
"effectiveDateTime": "2025-08-25",
"valueBoolean": false
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f",
"resource": {
"resourceType": "Observation",
"id": "e8f9a82e-4a01-4449-9c80-c4d38090884f",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416128008",
"display": "No history of procedure"
}
]
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"effectiveDateTime": "2025-08-25",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "263903005",
"display": "Transplant"
}
]
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:e1858a31-b153-4525-83d6-805cb682df28",
"resource": {
"resourceType": "Observation",
"id": "e1858a31-b153-4525-83d6-805cb682df28",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "609520005",
"display": "Disorder of fetal structure"
}
],
"text": "First Trimester Anomalies?"
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"effectiveDateTime": "2025-08-25",
"valueBoolean": false,
"component": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "255246003",
"display": "First trimester"
}
]
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a",
"resource": {
"resourceType": "Observation",
"id": "5398e192-d44a-4e07-9cdb-63cdeb4ed47a",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "609520005",
"display": "Disorder of fetal structure"
}
],
"text": "Second Trimester Anomalies?"
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"effectiveDateTime": "2025-08-25",
"valueBoolean": false,
"component": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "255247007",
"display": "Second trimester"
}
]
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d",
"resource": {
"resourceType": "Procedure",
"id": "fe049bb9-7988-4209-a5a7-364f7829950d",
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52637005",
"display": "In vitro fertilisation"
}
]
},
"subject": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"performedDateTime": "2025-05-25",
"note": [
{
"text": "Woman`s own egg"
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371",
"resource": {
"resourceType": "Specimen",
"id": "6c83fb14-0eb9-465b-8d2c-062b03b12371",
"meta": {
"tag": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory",
"code": "nhs-england",
"display": "NHS England"
}
]
},
"identifier": [
{
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "RGT19427897"
}
],
"status": "unavailable",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258565009",
"display": "Chorionic villi specimen"
}
]
},
"subject": {
"reference": "urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9",
"type": "Patient"
},
"request": [
{
"reference": "ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example",
"type": "ServiceRequest"
}
]
},
"request": {
"method": "POST",
"url": "Specimen"
}
},
{
"fullUrl": "urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a",
"resource": {
"resourceType": "RelatedPerson",
"id": "ac29fd1f-6749-4771-9633-25f39976e48a",
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
"value": "6988036185",
"assigner": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RAX"
}
}
}
],
"patient": {
"reference": "urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8",
"type": "Patient",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449308322"
}
},
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "NCHILD",
"display": "natural child"
}
]
}
]
},
"request": {
"method": "POST",
"url": "RelatedPerson"
}
}
]
}
<Bundle xmlns="http://hl7.org/fhir">
<id value="Bundle-NonWGSScenario5-ProductsofConception-Example" />
<type value="transaction" />
<entry>
<fullUrl value="urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c" />
<resource>
<PractitionerRole>
<id value="cf37712a-99c8-495b-9865-a96fffe5133c" />
<identifier>
<system value="https://fhir.nhs.uk/Id/GMSCompoundIdentifer" />
<value value="RYJ02:https://fhir.nhs.uk/Id/sds-user-id:2441541066" />
</identifier>
<practitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id" />
<value value="2441541066" />
</identifier>
<display value="Dr. Lois Lane" />
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RYJ02" />
</identifier>
<display value="Charing Cross Hospital" />
</organization>
<specialty>
<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode" />
<code value="311" />
<display value="Clinical Genetics" />
</coding>
</specialty>
<telecom>
<system value="phone" />
<value value="02085467711" />
</telecom>
<telecom>
<system value="email" />
<value value="Hazel.smith12@nhs.net" />
</telecom>
<telecom>
<extension url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting" />
</extension>
<system value="email" />
<value value="clinicalgeneticskingston@nhs.net" />
</telecom>
<telecom>
<extension url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
<valueString value="reporting" />
</extension>
<system value="email" />
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<extension url="http://hl7.org/fhir/StructureDefinition/contactpoint-comment">
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<system value="email" />
<value value="gptestpracticekingston@nhs.net" />
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<url value="PractitionerRole" />
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<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory">
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<coding>
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<code value="A" />
<display value="White - British" />
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<identifier>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
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<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland" />
<version value="1.1.1" />
<code value="01" />
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<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RAX01" />
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</assigner>
</identifier>
<name>
<family value="Boulder" />
<given value="Ryanne" />
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<other>
<reference value="https://int.api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9449308322" />
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<type value="seealso" />
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<url value="Patient" />
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<value value="FoetusA" />
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<identifier>
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<value value="RAX" />
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</identifier>
<name>
<family value="Fetus A of MUM" />
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<gender value="female" />
<deceasedDateTime value="2024-05-16T00:00:00-05:00" />
<link>
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<reference value="urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a" />
<type value="RelatedPerson" />
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</link>
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<method value="POST" />
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<coding>
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<code value="723621000000103" />
<display value="Ethnicity" />
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<coding>
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<code value="nhs-england" />
<display value="NHS England" />
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</valueCodeableConcept>
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<value value="5562279a-bb88-45ef-8fbc-b62c09fbbdb2" />
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<reference value="ServieRequest/ServiceRequest-NonWGSTestOrderForm-UsingStoredSample-Example" />
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<status value="active" />
<intent value="order" />
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<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory" />
<code value="rare-disease-non-wgs" />
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</coding>
</category>
<priority value="urgent" />
<code>
<coding>
<system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" />
<version value="7" />
<code value="R21.1" />
<display value="Fetal anomalies with a likely genetic cause" />
</coding>
</code>
<subject>
<reference value="urn:uuid:c60f7e06-79b1-4a34-9979-e8a461b3f7c8" />
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<value value="9449308322" />
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<authoredOn value="2025-09-05" />
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<reference value="urn:uuid:cf37712a-99c8-495b-9865-a96fffe5133c" />
<type value="PractitionerRole" />
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<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RYJ02" />
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</requester>
<performer>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="699N0" />
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</performer>
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<coding>
<system value="https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics" />
<code value="staging-or-prognosis" />
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</reasonCode>
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<reference value="urn:uuid:3e58d52e-aff3-4a70-956b-28509c664f59" />
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<supportingInfo>
<reference value="urn:uuid:e8f9a82e-4a01-4449-9c80-c4d38090884f" />
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<supportingInfo>
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<supportingInfo>
<reference value="urn:uuid:5398e192-d44a-4e07-9cdb-63cdeb4ed47a" />
<type value="Observation" />
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<supportingInfo>
<reference value="urn:uuid:fe049bb9-7988-4209-a5a7-364f7829950d" />
<type value="Procedure" />
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<reference value="urn:uuid:ac29fd1f-6749-4771-9633-25f39976e48a" />
<type value="RelatedPerson" />
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<reference value="urn:uuid:037d8ff3-da35-4fad-9d28-7a120d4fffe9" />
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<reference value="urn:uuid:6c83fb14-0eb9-465b-8d2c-062b03b12371" />
<type value="Specimen" />
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<note>
<text value="Samples are to be provided at a later date" />
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<note>
<text value="No family history of relevant testing" />
</note>
<note>
<text value="Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. large echogenic kidneys with normal bladder" />
</note>
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<method value="POST" />
<url value="ServiceRequest" />
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<coding>
<system value="http://snomed.info/sct" />
<code value="267013003" />
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<text value="Outcome of pregnancy" />
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<coding>
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<code value="237365001" />
<display value="Fresh stillbirth" />
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<text value="a fetal death occurring at or after 28 weeks of pregnancy" />
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<method value="POST" />
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<code value="77386006" />
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<component>
<code>
<coding>
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<code value="720451000000102" />
<display value="Assisted conception" />
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<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="226081000000107" />
<display value="Gestational age" />
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<valueQuantity>
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<component>
<code>
<coding>
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<code value="161714006" />
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<valueBoolean value="false" />
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<coding>
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<code value="263903005" />
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<code>
<coding>
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<component>
<code>
<coding>
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<code value="255247007" />
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<coding>
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<subject>
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<value value="9449308322" />
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<performedDateTime value="2025-05-25" />
<note>
<text value="Woman`s own egg" />
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<request>
<method value="POST" />
<url value="Procedure" />
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<coding>
<system value="http://snomed.info/sct" />
<code value="258565009" />
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<type value="ServiceRequest" />
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