diff --git a/Bundle/Bundle-NonWGSScenario3-FetusAsProband-Example.json b/Bundle/Bundle-NonWGSScenario3-FetusAsProband-Example.json
index 7add5a0..a729212 100644
--- a/Bundle/Bundle-NonWGSScenario3-FetusAsProband-Example.json
+++ b/Bundle/Bundle-NonWGSScenario3-FetusAsProband-Example.json
@@ -222,17 +222,17 @@
     "supportingInfo": [
      {
       "reference": "Observation/2a6e7070-5ea2-4ef3-96b6-607b474fcc0b"
-     },
-     {
-      "reference": "Observation/4512e4e9-9b42-4464-b52f-81e5f7e380b0"
      }
     ],
     "specimen": [
      {
       "reference": "Specimen/9fa291ba-d9a4-46a9-87e5-486bcaae47fa"
      }
-    ]
+    ],
     "note": [
+     {
+      "text": "Samples are to be provided at a later date"
+     },
      {
       "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"
      }
@@ -772,4 +772,4 @@
    }
   }
  ]
-}
+}
\ No newline at end of file
diff --git a/Bundle/Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example.json b/Bundle/Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example.json
index 3187458..6744b1d 100644
--- a/Bundle/Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example.json
+++ b/Bundle/Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example.json
@@ -80,139 +80,177 @@
    }
   },
   {
-   "fullUrl": "urn:uuid:51008c44-551e-4272-a2a8-36f7d5363c9c",
+   "fullUrl": "urn:uuid:849705be-9ed3-499c-ab8a-5579dd02d305",
    "resource": {
     "resourceType": "Patient",
-    "id": "51008c44-551e-4272-a2a8-36f7d5363c9c",
+    "id": "849705be-9ed3-499c-ab8a-5579dd02d305",
+    "extension": [
+     {
+      "url": "http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus",
+      "valueCode": "potential-for-live-birth"
+     }
+    ],
+    "gender": "unknown",
+    "identifier": [
+     {
+      "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
+      "value": "Fetus-A-8955713713",
+      "assigner": {
+       "identifier": {
+        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
+        "value": "RAX"
+       }
+      }
+     }
+    ],
+    "name": [
+     {
+      "given": [
+       "FETUS A"
+      ],
+      "family": "MUM"
+     }
+    ],
+    "multipleBirthBoolean": true
+   },
+   "request": {
+    "method": "POST",
+    "url": "Patient",
+    "ifNoneExist": "Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|Fetus-A-8955713713"
+   }
+  },
+  {
+   "fullUrl": "urn:uuid:d302e6f8-c09f-4153-a669-8fa6b3a95d52",
+   "resource": {
+    "resourceType": "ServiceRequest",
+    "id": "d302e6f8-c09f-4153-a669-8fa6b3a95d52",
     "extension": [
      {
-      "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role",
       "valueCodeableConcept": {
        "coding": [
         {
-         "system": "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
-         "code": "F",
-         "display": "Female"
+         "system": "https://fhir.nhs.uk/CodeSystem/patient-role-genomics",
+         "code": "proband",
+         "display": "Proband"
         }
        ]
       }
      },
      {
-      "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
+      "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
       "valueCodeableConcept": {
        "coding": [
         {
-         "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
-         "code": "A",
-         "display": "White - British"
+         "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory",
+         "code": "nhs-england",
+         "display": "NHS England"
         }
        ]
       }
      }
     ],
-    "identifier": [
+    "requisition": {
+     "system": "https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId",
+     "value": "RR8F20262701-01",
+     "assigner": {
+      "identifier": {
+       "system": "https://fhir.nhs.uk/Id/ods-organization-code",
+       "value": "RAX"
+      }
+     }
+    },
+    "status": "active",
+    "intent": "order",
+    "category": [
      {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322",
-      "extension": [
+      "coding": [
        {
-        "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.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",
+       "code": "R21.1",
+       "display": "Fetal anomalies with a likely genetic cause",
+       "version": "7"
+      }
+     ]
+    },
+    "subject": {
+     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305"
+    },
+    "authoredOn": "2023-09-25",
+    "requester": {
+     "reference": "PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f"
+    },
+    "performer": [
      {
-      "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
-      "value": "02848675",
-      "assigner": {
-       "identifier": {
-        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
-        "value": "RAX01"
-       }
+      "identifier": {
+       "system": "https://fhir.nhs.uk/Id/ods-organization-code",
+       "value": "699N0"
       }
      }
     ],
-    "name": [
+    "reasonCode": [
      {
-      "given": [
-       "Ryanne"
-      ],
-      "family": "Boulder"
+      "coding": [
+       {
+        "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
+        "code": "staging-or-prognosis",
+        "display": "Staging or Prognosis"
+       }
+      ]
      }
     ],
-    "birthDate": "1980-09-02",
-    "deceasedBoolean": false,
-    "address": [
+    "supportingInfo": [
      {
-      "line": [
-       "32 THE AVENUE",
-       "BERWICK COURT"
-      ],
-      "postalCode": "KT4 8HE"
+      "reference": "Observation/2a6e7070-5ea2-4ef3-96b6-607b474fcc0b"
      }
     ],
-    "generalPractitioner": [
-     {
-      "identifier": {
-       "system": "https://fhir.hl7.org.uk/Id/gmp-number",
-       "value": "G9999999"
-      },
-      "display": "Dr. Aero Smith"
-     },
+    "specimen": [
      {
-      "identifier": {
-       "system": "https://fhir.hl7.org.uk/Id/ODS-code",
-       "value": "AP123"
-      },
-      "display": "anywhere place"
+      "reference": "Specimen/9fa291ba-d9a4-46a9-87e5-486bcaae47fa"
      }
     ],
-    "link": [
+    "note": [
      {
-      "other": {
-       "reference": "RelatedPerson/6473db02-3c45-42f0-9b8c-9d063753f86b"
-      },
-      "type": "seealso"
+      "text": "Samples are to be provided at a later date"
+     },
+     {
+      "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": "Patient",
-    "ifNoneExist": "Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|9449308322"
+    "url": "ServiceRequest"
    }
   },
   {
-   "fullUrl": "urn:uuid:2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6",
+   "fullUrl": "urn:uuid:2a6e7070-5ea2-4ef3-96b6-607b474fcc0b",
    "resource": {
     "resourceType": "Observation",
-    "id": "2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6",
+    "id": "2a6e7070-5ea2-4ef3-96b6-607b474fcc0b",
     "status": "final",
     "code": {
      "coding": [
       {
        "system": "http://snomed.info/sct",
-       "code": "161743003",
-       "display": "Past pregnancy history of stillbirth"
+       "code": "160475008",
+       "display": "Family history of consanguinity"
       }
-     ],
-     "text": "Is the testing for a fetal loss from 24+0 or more weeks of gestation?"
+     ]
     },
     "subject": {
-     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
-     "identifier": {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322"
-     }
+     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305"
     },
     "effectiveDateTime": "2023-09-25",
     "valueBoolean": false
@@ -223,270 +261,86 @@
    }
   },
   {
-   "fullUrl": "urn:uuid:9080a716-c023-46c1-b479-b669074f4b3e",
+   "fullUrl": "urn:uuid:9fa291ba-d9a4-46a9-87e5-486bcaae47fa",
    "resource": {
-    "resourceType": "Observation",
-    "id": "9080a716-c023-46c1-b479-b669074f4b3e",
-    "status": "final",
-    "code": {
+    "resourceType": "Specimen",
+    "id": "9fa291ba-d9a4-46a9-87e5-486bcaae47fa",
+    "identifier": [
+     {
+      "system": "https://fhir.add.nhs.uk/Id/specimenId",
+      "value": "RGT70280930"
+     }
+    ],
+    "status": "unavailable",
+    "type": {
      "coding": [
       {
        "system": "http://snomed.info/sct",
-       "code": "77386006",
-       "display": "Pregnancy"
+       "code": "258565009",
+       "display": "Chorionic villi specimen"
       }
      ]
     },
     "subject": {
-     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
-     "identifier": {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322"
-     }
+     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305"
     },
-    "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"
-      }
-     },
+    "request": [
      {
-      "code": {
-       "coding": [
-        {
-         "system": "http://snomed.info/sct",
-         "code": "161714006",
-         "display": "Estimated date of delivery"
-        }
-       ]
-      },
-      "valueDateTime": "2024-05-01"
+      "reference": "ServiceRequest/d302e6f8-c09f-4153-a669-8fa6b3a95d52"
      }
-    ],
-    "effectiveDateTime": "2023-09-25"
+    ]
    },
    "request": {
     "method": "POST",
-    "url": "Observation"
+    "url": "Specimen"
    }
   },
   {
-   "fullUrl": "urn:uuid:b32f8456-be57-4f67-ade3-97a3a6cbda0a",
+   "fullUrl": "urn:uuid:6473db02-3c45-42f0-9b8c-9d063753f86b",
    "resource": {
-    "resourceType": "Observation",
-    "id": "b32f8456-be57-4f67-ade3-97a3a6cbda0a",
-    "status": "preliminary",
-    "code": {
-     "coding": [
-      {
-       "system": "http://snomed.info/sct",
-       "code": "723621000000103",
-       "display": "Ethnicity"
-      }
-     ]
-    },
-    "subject": {
-     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
-     "identifier": {
+    "resourceType": "RelatedPerson",
+    "id": "6473db02-3c45-42f0-9b8c-9d063753f86b",
+    "identifier": [
+     {
       "system": "https://fhir.nhs.uk/Id/nhs-number",
       "value": "9449308322"
      }
+    ],
+    "patient": {
+     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305",
+     "identifier": {
+      "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
+      "value": "Fetus-A-8955713713",
+      "assigner": {
+       "identifier": {
+        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
+        "value": "RAX"
+       }
+      }
+     }
     },
-    "valueString": "unknown"
-   },
-   "request": {
-    "method": "POST",
-    "url": "Observation"
-   }
-  },
-  {
-   "fullUrl": "urn:uuid:7c3a876d-3e62-42e1-8fcf-2c233eba8289",
-   "resource": {
-    "resourceType": "Observation",
-    "id": "7c3a876d-3e62-42e1-8fcf-2c233eba8289",
-    "status": "final",
-    "code": {
-     "coding": [
-      {
-       "system": "http://snomed.info/sct",
-       "code": "416128008",
-       "display": "No history of procedure"
-      }
-     ]
-    },
-    "valueCodeableConcept": {
-     "coding": [
-      {
-       "system": "http://snomed.info/sct",
-       "code": "263903005",
-       "display": "Transplant"
-      }
-     ]
-    },
-    "subject": {
-     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
-     "identifier": {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322"
-     }
-    },
-    "effectiveDateTime": "2023-09-25"
-   },
-   "request": {
-    "method": "POST",
-    "url": "Observation"
-   }
-  },
-  {
-   "fullUrl": "urn:uuid:41654044-afd4-4b5d-add5-16afc73f97a5",
-   "resource": {
-    "resourceType": "Observation",
-    "id": "41654044-afd4-4b5d-add5-16afc73f97a5",
-    "status": "final",
-    "code": {
-     "coding": [
-      {
-       "system": "http://snomed.info/sct",
-       "code": "609520005",
-       "display": "Disorder of fetal structure"
-      }
-     ],
-     "text": "First Trimester Anomalies?"
-    },
-    "subject": {
-     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
-     "identifier": {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322"
-     }
-    },
-    "component": [
-     {
-      "code": {
-       "coding": [
-        {
-         "system": "http://snomed.info/sct",
-         "code": "255246003",
-         "display": "First trimester"
-        }
-       ]
-      }
-     }
-    ],
-    "effectiveDateTime": "2023-09-25",
-    "valueBoolean": false
-   },
-   "request": {
-    "method": "POST",
-    "url": "Observation"
-   }
-  },
-  {
-   "fullUrl": "urn:uuid:4512e4e9-9b42-4464-b52f-81e5f7e380b0",
-   "resource": {
-    "resourceType": "Observation",
-    "id": "4512e4e9-9b42-4464-b52f-81e5f7e380b0",
-    "status": "final",
-    "code": {
-     "coding": [
-      {
-       "system": "http://snomed.info/sct",
-       "code": "609520005",
-       "display": "Disorder of fetal structure"
-      }
-     ],
-     "text": "Second Trimester Anomalies?"
-    },
-    "subject": {
-     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
-     "identifier": {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322"
-     }
-    },
-    "component": [
-     {
-      "code": {
-       "coding": [
-        {
-         "system": "http://snomed.info/sct",
-         "code": "255247007",
-         "display": "Second trimester"
-        }
-       ]
-      }
-     }
-    ],
-    "effectiveDateTime": "2023-09-25",
-    "valueBoolean": false
-   },
-   "request": {
-    "method": "POST",
-    "url": "Observation"
-   }
-  },
-  {
-   "fullUrl": "urn:uuid:1ee371f7-00c5-4787-a910-89dc42cbbf47",
-   "resource": {
-    "resourceType": "Procedure",
-    "id": "1ee371f7-00c5-4787-a910-89dc42cbbf47",
-    "status": "completed",
-    "code": {
-     "coding": [
-      {
-       "system": "http://snomed.info/sct",
-       "code": "52637005",
-       "display": "In vitro fertilisation"
-      }
-     ]
-    },
-    "subject": {
-     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
-     "identifier": {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322"
-     }
-    },
-    "performedDateTime": "2023-09-25",
-    "note": [
+    "relationship": [
      {
-      "text": "Woman`s own egg"
+      "coding": [
+       {
+        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
+        "code": "NMTHF",
+        "display": "natural mother of fetus"
+       }
+      ]
      }
     ]
    },
    "request": {
     "method": "POST",
-    "url": "Procedure"
+    "url": "RelatedPerson"
    }
   },
   {
-   "fullUrl": "urn:uuid:849705be-9ed3-499c-ab8a-5579dd02d305",
+   "fullUrl": "urn:uuid:a3e24d16-9079-4b07-b406-5c28f05bea8c",
    "resource": {
     "resourceType": "Patient",
-    "id": "849705be-9ed3-499c-ab8a-5579dd02d305",
+    "id": "a3e24d16-9079-4b07-b406-5c28f05bea8c",
     "extension": [
      {
       "url": "http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus",
@@ -497,7 +351,7 @@
     "identifier": [
      {
       "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
-      "value": "Fetus-A-8955713713",
+      "value": "Fetus-B-7855713723",
       "assigner": {
        "identifier": {
         "system": "https://fhir.nhs.uk/Id/ods-organization-code",
@@ -509,7 +363,7 @@
     "name": [
      {
       "given": [
-       "FETUS A"
+       "FETUS B"
       ],
       "family": "MUM"
      }
@@ -519,56 +373,27 @@
    "request": {
     "method": "POST",
     "url": "Patient",
-    "ifNoneExist": "Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|Fetus-A-8955713713"
-   }
-  },
-  {
-   "fullUrl": "urn:uuid:6473db02-3c45-42f0-9b8c-9d063753f86b",
-   "resource": {
-    "resourceType": "RelatedPerson",
-    "id": "6473db02-3c45-42f0-9b8c-9d063753f86b",
-    "identifier": [
-     {
-      "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449308322"
-     }
-    ],
-    "patient": {
-     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305",
-     "identifier": {
-      "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
-      "value": "Fetus-A-8955713713",
-      "assigner": {
-       "identifier": {
-        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
-        "value": "RAX"
-       }
-      }
-     }
-    },
-    "relationship": [
-     {
-      "coding": [
-       {
-        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
-        "code": "NMTHF",
-        "display": "natural mother of fetus"
-       }
-      ]
-     }
-    ]
-   },
-   "request": {
-    "method": "POST",
-    "url": "RelatedPerson"
+    "ifNoneExist": "Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|Fetus-B-7855713723"
    }
   },
   {
-   "fullUrl": "urn:uuid:d302e6f8-c09f-4153-a669-8fa6b3a95d52",
+   "fullUrl": "urn:uuid:1b5e2983-3573-4e1a-b5b9-ad646f0f2679",
    "resource": {
     "resourceType": "ServiceRequest",
-    "id": "d302e6f8-c09f-4153-a669-8fa6b3a95d52",
+    "id": "1b5e2983-3573-4e1a-b5b9-ad646f0f2679",
     "extension": [
+     {
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role",
+      "valueCodeableConcept": {
+       "coding": [
+        {
+         "system": "https://fhir.nhs.uk/CodeSystem/patient-role-genomics",
+         "code": "proband",
+         "display": "Proband"
+        }
+       ]
+      }
+     },
      {
       "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
       "valueCodeableConcept": {
@@ -584,7 +409,7 @@
     ],
     "requisition": {
      "system": "https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId",
-     "value": "RR8F1792-TWIN",
+     "value": "RR8F2026-2801-2",
      "assigner": {
       "identifier": {
        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
@@ -617,9 +442,9 @@
      ]
     },
     "subject": {
-     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305"
+     "reference": "Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c"
     },
-    "authoredOn": "2023-09-25",
+    "authoredOn": "2026-01-27",
     "requester": {
      "reference": "PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f"
     },
@@ -644,45 +469,17 @@
     ],
     "supportingInfo": [
      {
-      "reference": "Observation/2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6"
-     },
-     {
-      "reference": "Observation/2a6e7070-5ea2-4ef3-96b6-607b474fcc0b"
-     },
-     {
-      "reference": "Observation/b32f8456-be57-4f67-ade3-97a3a6cbda0a"
-     },
-     {
-      "reference": "Observation/9080a716-c023-46c1-b479-b669074f4b3e"
-     },
-     {
-      "reference": "Observation/7c3a876d-3e62-42e1-8fcf-2c233eba8289"
-     },
-     {
-      "reference": "Observation/41654044-afd4-4b5d-add5-16afc73f97a5"
-     },
+      "reference": "Observation/6a05db05-0156-46dd-8c63-f91c565950ce"
+     }
+    ],
+    "specimen": [
      {
-      "reference": "Observation/4512e4e9-9b42-4464-b52f-81e5f7e380b0"
-     },
+      "reference": "Specimen/8cf0addd-2f93-4c3e-b762-31682d0552c8"
+     }
+    ],
+    "note": [
      {
-      "reference": "Procedure/1ee371f7-00c5-4787-a910-89dc42cbbf47"
-     },
-     {
-      "reference": "RelatedPerson/6473db02-3c45-42f0-9b8c-9d063753f86b"
-     },
-     {
-      "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c"
-     },
-     {
-      "reference": "Specimen/9fa291ba-d9a4-46a9-87e5-486bcaae47fa"
-     }
-    ],
-    "note": [
-     {
-      "text": "Samples are to be provided at a later date"
-     },
-     {
-      "text": "No family history of relevant testing"
+      "text": "Samples are to be provided at a later date"
      },
      {
       "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"
@@ -695,10 +492,10 @@
    }
   },
   {
-   "fullUrl": "urn:uuid:2a6e7070-5ea2-4ef3-96b6-607b474fcc0b",
+   "fullUrl": "urn:uuid:6a05db05-0156-46dd-8c63-f91c565950ce",
    "resource": {
     "resourceType": "Observation",
-    "id": "2a6e7070-5ea2-4ef3-96b6-607b474fcc0b",
+    "id": "6a05db05-0156-46dd-8c63-f91c565950ce",
     "status": "final",
     "code": {
      "coding": [
@@ -710,7 +507,7 @@
      ]
     },
     "subject": {
-     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305"
+     "reference": "Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c"
     },
     "effectiveDateTime": "2023-09-25",
     "valueBoolean": false
@@ -721,14 +518,14 @@
    }
   },
   {
-   "fullUrl": "urn:uuid:9fa291ba-d9a4-46a9-87e5-486bcaae47fa",
+   "fullUrl": "urn:uuid:8cf0addd-2f93-4c3e-b762-31682d0552c8",
    "resource": {
     "resourceType": "Specimen",
-    "id": "9fa291ba-d9a4-46a9-87e5-486bcaae47fa",
+    "id": "8cf0addd-2f93-4c3e-b762-31682d0552c8",
     "identifier": [
      {
       "system": "https://fhir.add.nhs.uk/Id/specimenId",
-      "value": "RGT70280930"
+      "value": "RGT70230498"
      }
     ],
     "status": "unavailable",
@@ -742,11 +539,11 @@
      ]
     },
     "subject": {
-     "reference": "Patient/849705be-9ed3-499c-ab8a-5579dd02d305"
+     "reference": "Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c"
     },
     "request": [
      {
-      "reference": "ServiceRequest/d302e6f8-c09f-4153-a669-8fa6b3a95d52"
+      "reference": "ServiceRequest/1b5e2983-3573-4e1a-b5b9-ad646f0f2679"
      }
     ]
    },
@@ -755,46 +552,6 @@
     "url": "Specimen"
    }
   },
-  {
-   "fullUrl": "urn:uuid:a3e24d16-9079-4b07-b406-5c28f05bea8c",
-   "resource": {
-    "resourceType": "Patient",
-    "id": "a3e24d16-9079-4b07-b406-5c28f05bea8c",
-    "extension": [
-     {
-      "url": "http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus",
-      "valueCode": "potential-for-live-birth"
-     }
-    ],
-    "gender": "unknown",
-    "identifier": [
-     {
-      "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24",
-      "value": "Fetus-B-7855713723",
-      "assigner": {
-       "identifier": {
-        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
-        "value": "RAX"
-       }
-      }
-     }
-    ],
-    "name": [
-     {
-      "given": [
-       "FETUS B"
-      ],
-      "family": "MUM"
-     }
-    ],
-    "multipleBirthBoolean": true
-   },
-   "request": {
-    "method": "POST",
-    "url": "Patient",
-    "ifNoneExist": "Patient?identifier=urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24|Fetus-B-7855713723"
-   }
-  },
   {
    "fullUrl": "urn:uuid:86c36eee-13fe-4e50-b62e-afbdb11c4325",
    "resource": {
@@ -837,11 +594,23 @@
    }
   },
   {
-   "fullUrl": "urn:uuid:1b5e2983-3573-4e1a-b5b9-ad646f0f2679",
+   "fullUrl": "urn:uuid:e302e6f8-c09f-4153-a669-8fa6b3a95d53",
    "resource": {
     "resourceType": "ServiceRequest",
-    "id": "1b5e2983-3573-4e1a-b5b9-ad646f0f2679",
+    "id": "e302e6f8-c09f-4153-a669-8fa6b3a95d53",
     "extension": [
+     {
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role",
+      "valueCodeableConcept": {
+       "coding": [
+        {
+         "system": "https://fhir.nhs.uk/CodeSystem/patient-role-genomics",
+         "code": "consultand",
+         "display": "Consultand"
+        }
+       ]
+      }
+     },
      {
       "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
       "valueCodeableConcept": {
@@ -857,11 +626,11 @@
     ],
     "requisition": {
      "system": "https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId",
-     "value": "RR8F1792-TWIN",
+     "value": "RR8F20262701-01",
      "assigner": {
       "identifier": {
        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
-       "value": "RAX"
+       "value": "RR8"
       }
      }
     },
@@ -890,9 +659,13 @@
      ]
     },
     "subject": {
-     "reference": "Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c"
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
     },
-    "authoredOn": "2023-09-25",
+    "authoredOn": "2026-01-27",
     "requester": {
      "reference": "PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f"
     },
@@ -919,9 +692,6 @@
      {
       "reference": "Observation/2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6"
      },
-     {
-      "reference": "Observation/6a05db05-0156-46dd-8c63-f91c565950ce"
-     },
      {
       "reference": "Observation/b32f8456-be57-4f67-ade3-97a3a6cbda0a"
      },
@@ -941,13 +711,145 @@
       "reference": "Procedure/1ee371f7-00c5-4787-a910-89dc42cbbf47"
      },
      {
-      "reference": "RelatedPerson/86c36eee-13fe-4e50-b62e-afbdb11c4325"
+      "reference": "RelatedPerson/6473db02-3c45-42f0-9b8c-9d063753f86b"
+     }
+    ],
+    "note": [
+     {
+      "text": "Samples are to be provided at a later date"
      },
      {
-      "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c"
+      "text": "No family history of relevant testing"
      },
      {
-      "reference": "Specimen/8cf0addd-2f93-4c3e-b762-31682d0552c8"
+      "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:f1c65fec-e93c-4ebf-bd64-2e832bd1f480",
+   "resource": {
+    "resourceType": "ServiceRequest",
+    "id": "f1c65fec-e93c-4ebf-bd64-2e832bd1f480",
+    "extension": [
+     {
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role",
+      "valueCodeableConcept": {
+       "coding": [
+        {
+         "system": "https://fhir.nhs.uk/CodeSystem/patient-role-genomics",
+         "code": "consultand",
+         "display": "Consultand"
+        }
+       ]
+      }
+     },
+     {
+      "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"
+        }
+       ]
+      }
+     }
+    ],
+    "requisition": {
+     "system": "https://fhir.kingston-hospital-nhs-foundation-trust.nhs.uk/Id/grouptestId",
+     "value": "RR8F2026-2801-2",
+     "assigner": {
+      "identifier": {
+       "system": "https://fhir.nhs.uk/Id/ods-organization-code",
+       "value": "RR8"
+      }
+     }
+    },
+    "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",
+       "code": "R21.1",
+       "display": "Fetal anomalies with a likely genetic cause",
+       "version": "7"
+      }
+     ]
+    },
+    "subject": {
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
+    },
+    "authoredOn": "2026-01-27",
+    "requester": {
+     "reference": "PractitionerRole/01f81774-4153-4c18-a7df-1c4cdbba4f2f"
+    },
+    "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": "Observation/2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6"
+     },
+     {
+      "reference": "Observation/b32f8456-be57-4f67-ade3-97a3a6cbda0a"
+     },
+     {
+      "reference": "Observation/9080a716-c023-46c1-b479-b669074f4b3e"
+     },
+     {
+      "reference": "Observation/7c3a876d-3e62-42e1-8fcf-2c233eba8289"
+     },
+     {
+      "reference": "Observation/41654044-afd4-4b5d-add5-16afc73f97a5"
+     },
+     {
+      "reference": "Observation/4512e4e9-9b42-4464-b52f-81e5f7e380b0"
+     },
+     {
+      "reference": "Procedure/1ee371f7-00c5-4787-a910-89dc42cbbf47"
+     },
+     {
+      "reference": "RelatedPerson/86c36eee-13fe-4e50-b62e-afbdb11c4325"
      }
     ],
     "note": [
@@ -968,23 +870,210 @@
    }
   },
   {
-   "fullUrl": "urn:uuid:6a05db05-0156-46dd-8c63-f91c565950ce",
+   "fullUrl": "urn:uuid:2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6",
    "resource": {
     "resourceType": "Observation",
-    "id": "6a05db05-0156-46dd-8c63-f91c565950ce",
+    "id": "2f4ef82c-3125-4ebf-8d5e-e19b86ea47c6",
     "status": "final",
     "code": {
      "coding": [
       {
        "system": "http://snomed.info/sct",
-       "code": "160475008",
-       "display": "Family history of consanguinity"
+       "code": "161743003",
+       "display": "Past pregnancy history of stillbirth"
+      }
+     ],
+     "text": "Is the testing for a fetal loss from 24+0 or more weeks of gestation?"
+    },
+    "subject": {
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
+    },
+    "effectiveDateTime": "2023-09-25",
+    "valueBoolean": false
+   },
+   "request": {
+    "method": "POST",
+    "url": "Observation"
+   }
+  },
+  {
+   "fullUrl": "urn:uuid:b32f8456-be57-4f67-ade3-97a3a6cbda0a",
+   "resource": {
+    "resourceType": "Observation",
+    "id": "b32f8456-be57-4f67-ade3-97a3a6cbda0a",
+    "status": "preliminary",
+    "code": {
+     "coding": [
+      {
+       "system": "http://snomed.info/sct",
+       "code": "723621000000103",
+       "display": "Ethnicity"
       }
      ]
     },
     "subject": {
-     "reference": "Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c"
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
+    },
+    "valueString": "unknown"
+   },
+   "request": {
+    "method": "POST",
+    "url": "Observation"
+   }
+  },
+  {
+   "fullUrl": "urn:uuid:9080a716-c023-46c1-b479-b669074f4b3e",
+   "resource": {
+    "resourceType": "Observation",
+    "id": "9080a716-c023-46c1-b479-b669074f4b3e",
+    "status": "final",
+    "code": {
+     "coding": [
+      {
+       "system": "http://snomed.info/sct",
+       "code": "77386006",
+       "display": "Pregnancy"
+      }
+     ]
+    },
+    "subject": {
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
+    },
+    "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": "2024-05-01"
+     }
+    ],
+    "effectiveDateTime": "2023-09-25"
+   },
+   "request": {
+    "method": "POST",
+    "url": "Observation"
+   }
+  },
+  {
+   "fullUrl": "urn:uuid:7c3a876d-3e62-42e1-8fcf-2c233eba8289",
+   "resource": {
+    "resourceType": "Observation",
+    "id": "7c3a876d-3e62-42e1-8fcf-2c233eba8289",
+    "status": "final",
+    "code": {
+     "coding": [
+      {
+       "system": "http://snomed.info/sct",
+       "code": "416128008",
+       "display": "No history of procedure"
+      }
+     ]
+    },
+    "valueCodeableConcept": {
+     "coding": [
+      {
+       "system": "http://snomed.info/sct",
+       "code": "263903005",
+       "display": "Transplant"
+      }
+     ]
     },
+    "subject": {
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
+    },
+    "effectiveDateTime": "2023-09-25"
+   },
+   "request": {
+    "method": "POST",
+    "url": "Observation"
+   }
+  },
+  {
+   "fullUrl": "urn:uuid:41654044-afd4-4b5d-add5-16afc73f97a5",
+   "resource": {
+    "resourceType": "Observation",
+    "id": "41654044-afd4-4b5d-add5-16afc73f97a5",
+    "status": "final",
+    "code": {
+     "coding": [
+      {
+       "system": "http://snomed.info/sct",
+       "code": "609520005",
+       "display": "Disorder of fetal structure"
+      }
+     ],
+     "text": "First Trimester Anomalies?"
+    },
+    "subject": {
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
+    },
+    "component": [
+     {
+      "code": {
+       "coding": [
+        {
+         "system": "http://snomed.info/sct",
+         "code": "255246003",
+         "display": "First trimester"
+        }
+       ]
+      }
+     }
+    ],
     "effectiveDateTime": "2023-09-25",
     "valueBoolean": false
    },
@@ -994,39 +1083,82 @@
    }
   },
   {
-   "fullUrl": "urn:uuid:8cf0addd-2f93-4c3e-b762-31682d0552c8",
+   "fullUrl": "urn:uuid:4512e4e9-9b42-4464-b52f-81e5f7e380b0",
    "resource": {
-    "resourceType": "Specimen",
-    "id": "8cf0addd-2f93-4c3e-b762-31682d0552c8",
-    "identifier": [
+    "resourceType": "Observation",
+    "id": "4512e4e9-9b42-4464-b52f-81e5f7e380b0",
+    "status": "final",
+    "code": {
+     "coding": [
+      {
+       "system": "http://snomed.info/sct",
+       "code": "609520005",
+       "display": "Disorder of fetal structure"
+      }
+     ],
+     "text": "Second Trimester Anomalies?"
+    },
+    "subject": {
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
+    },
+    "component": [
      {
-      "system": "https://fhir.add.nhs.uk/Id/specimenId",
-      "value": "RGT70230498"
+      "code": {
+       "coding": [
+        {
+         "system": "http://snomed.info/sct",
+         "code": "255247007",
+         "display": "Second trimester"
+        }
+       ]
+      }
      }
     ],
-    "status": "unavailable",
-    "type": {
+    "effectiveDateTime": "2023-09-25",
+    "valueBoolean": false
+   },
+   "request": {
+    "method": "POST",
+    "url": "Observation"
+   }
+  },
+  {
+   "fullUrl": "urn:uuid:1ee371f7-00c5-4787-a910-89dc42cbbf47",
+   "resource": {
+    "resourceType": "Procedure",
+    "id": "1ee371f7-00c5-4787-a910-89dc42cbbf47",
+    "status": "completed",
+    "code": {
      "coding": [
       {
        "system": "http://snomed.info/sct",
-       "code": "258565009",
-       "display": "Chorionic villi specimen"
+       "code": "52637005",
+       "display": "In vitro fertilisation"
       }
      ]
     },
     "subject": {
-     "reference": "Patient/a3e24d16-9079-4b07-b406-5c28f05bea8c"
+     "reference": "Patient/51008c44-551e-4272-a2a8-36f7d5363c9c",
+     "identifier": {
+      "system": "https://fhir.nhs.uk/Id/nhs-number",
+      "value": "9449308322"
+     }
     },
-    "request": [
+    "performedDateTime": "2023-09-25",
+    "note": [
      {
-      "reference": "ServiceRequest/1b5e2983-3573-4e1a-b5b9-ad646f0f2679"
+      "text": "Woman`s own egg"
      }
     ]
    },
    "request": {
     "method": "POST",
-    "url": "Specimen"
+    "url": "Procedure"
    }
   }
  ]
-}
\ No newline at end of file
+}