North West Genomics Testing Workflow (GTW)
0.0.1 - ci-build
DRAFT Implementation Guide
This is for collaboration and discussion purposes and is subject to change.
North West Genomics Testing Workflow (GTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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<type value="document"/>
<timestamp value="2024-10-13T10:33:00+00:00"/>
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<fullUrl value="urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"/>
<resource>
<Composition>
<id value="Composition-GenomicsReport-OctaviaCHISLETT"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_Composition-GenomicsReport-OctaviaCHISLETT"> </a><p class="res-header-id"><b>Generated Narrative: Composition Composition-GenomicsReport-OctaviaCHISLETT</b></p><a name="Composition-GenomicsReport-OctaviaCHISLETT"> </a><a name="hcComposition-GenomicsReport-OctaviaCHISLETT"> </a><a name="Composition-GenomicsReport-OctaviaCHISLETT-en-GB"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 1054161000000101}">Genetic report</span></p><p><b>date</b>: 2024-10-13 10:33:00+0000</p><p><b>author</b>: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A)</p><p><b>title</b>: Composition Genomics Report Octavia CHISLETT</p></div>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1054161000000101"/>
<display value="Genetic report"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
</identifier>
<display value="Octavia CHISLETT"/>
</subject>
<date value="2024-10-13T10:33:00+00:00"/>
<author>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
<display value="MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"/>
</author>
<title value="Composition Genomics Report Octavia CHISLETT"/>
<section>
<title value="Results"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Genetics Report</li></ul></div>
</text>
<entry>
<reference value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
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<entry>
<reference value="urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"/>
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<entry>
<fullUrl value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
<resource>
<Patient>
<id value="Patient-OctaviaCHISLETT-9449305552"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Patient-OctaviaCHISLETT-9449305552"> </a><p class="res-header-id"><b>Generated Narrative: Patient Patient-OctaviaCHISLETT-9449305552</b></p><a name="Patient-OctaviaCHISLETT-9449305552"> </a><a name="hcPatient-OctaviaCHISLETT-9449305552"> </a><a name="Patient-OctaviaCHISLETT-9449305552-en-GB"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>National Health Plan Identifier/9449305552 (use: official, )</li><li>Medical record number/633</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">1 RAVENSFIELD GARDENS EPSOM KT19 0ST (home)</td></tr><tr><td style="background-color: #f3f5da" title="Patient contact">Contact:</td><td colspan="3"><ul><li>Bob DAWKINS (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr></table></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
<assigner>
<identifier>
<value value="X24"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="A12356565"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RBS"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
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<value value="633"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
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</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="CHISLETT"/>
<given value="Octavia"/>
</name>
<gender value="female"/>
<birthDate value="2008-09-20"/>
<address>
<use value="home"/>
<type value="both"/>
<line value="1 RAVENSFIELD GARDENS"/>
<city value="EPSOM"/>
<district value="SURREY"/>
<postalCode value="KT19 0ST"/>
</address>
<contact>
<name>
<use value="official"/>
<family value="DAWKINS"/>
<given value="Bob"/>
</name>
<telecom>
<system value="phone"/>
<value value="077021231231"/>
<use value="mobile"/>
</telecom>
</contact>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
<resource>
<DiagnosticReport>
<id value="DiagnosticReportGenomicsReport"/>
<meta>
<versionId value="1.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_DiagnosticReportGenomicsReport"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReport</b></p><a name="DiagnosticReportGenomicsReport"> </a><a name="hcDiagnosticReportGenomicsReport"> </a><a name="DiagnosticReportGenomicsReport-en-GB"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1.0</p></div><h2><span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}">Diagnostic testing for known variant(s)</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span>) </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-09-07 11:45:41+0000</td></tr><tr><td>Performers</td><td> NW GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0) FICTITIOUS, Ralph (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C1234567)</td></tr><tr><td>Identifier</td><td> <code>https://fhir.nwglh.nhs.uk/Id</code>/25edee2b-add8-4522-9fa2-1ee8f229bd75</td></tr></table><p><b>Report Details</b></p><p>Normal - no action</p></div>
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<reference value="urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"/>
<type value="DocumentReference"/>
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<identifier>
<system value="https://fhir.nwglh.nhs.uk/Id"/>
<value value="25edee2b-add8-4522-9fa2-1ee8f229bd75"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/FillerOrderNumber"/>
<value value="1001166717"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
</basedOn>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
<display value="Genetics"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R240.1"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
</identifier>
<display value="Octavia CHISLETT"/>
</subject>
<encounter>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="VN"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/visit-number/R0A"/>
<value value="1001166717"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2023-09-07T11:45:41+00:00"/>
<performer>
<type value="Organization"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
<display value="NW GLH"/>
</performer>
<performer>
<extension
url="http://hl7.org/fhir/StructureDefinition/event-performerFunction">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="SPRF"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
<value value="C1234567"/>
</identifier>
<display value="FICTITIOUS, Ralph"/>
</performer>
<resultsInterpreter>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
<value value="C1234567"/>
</identifier>
<display value="FICTITIOUS, Ralph"/>
</resultsInterpreter>
<conclusion value="Normal - no action"/>
<presentedForm>
<contentType value="application/pdf"/>
<language value="en-GB"/>
<url value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
<size value="43272"/>
<title value="Genomic Report for Octavia CHISLETT"/>
<creation value="2023-11-24"/>
</presentedForm>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:fe5a1b08-84c9-46e6-8162-d2dcf3e67141"/>
<resource>
<Encounter>
<id value="fe5a1b08-84c9-46e6-8162-d2dcf3e67141"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_fe5a1b08-84c9-46e6-8162-d2dcf3e67141"> </a><p class="res-header-id"><b>Generated Narrative: Encounter fe5a1b08-84c9-46e6-8162-d2dcf3e67141</b></p><a name="fe5a1b08-84c9-46e6-8162-d2dcf3e67141"> </a><a name="hcfe5a1b08-84c9-46e6-8162-d2dcf3e67141"> </a><a name="fe5a1b08-84c9-46e6-8162-d2dcf3e67141-en-GB"> </a><p><b>identifier</b>: 1001</p><p><b>status</b>: Finished</p><p><b>class</b>: [not stated] AMB: AMB</p><p><b>subject</b>: <a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd">Octavia CHISLETT</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType REF}">referrer</span></td><td><a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#1d7155e8-b5b8-4406-adda-01a474d5ff6c; type = document; timestamp = 2024-10-13 10:33:00+0000</a></td></tr></table><p><b>period</b>: 2025-01-29 10:37:26+0000 --> (ongoing)</p><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td></tr><tr><td style="display: none">*</td><td>Identifier: <code>https://fhir.nhs.uk/Id/ods-site-code</code>/P1S8J</td></tr></table></div>
</text>
<identifier>
<value value="1001"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="finished"/>
<class>
<code value="AMB"/>
</class>
<subject>
<reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
</identifier>
<display value="Octavia CHISLETT"/>
</subject>
<participant>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="REF"/>
</coding>
</type>
<individual>
<reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
</individual>
</participant>
<period>
<start value="2025-01-29T10:37:26+00:00"/>
</period>
<location>
<location>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-site-code"/>
<value value="P1S8J"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
</location>
</location>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"/>
<resource>
<DocumentReference>
<id value="94bf65ba-cd6c-4601-b339-6d547f424646"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_94bf65ba-cd6c-4601-b339-6d547f424646"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference 94bf65ba-cd6c-4601-b339-6d547f424646</b></p><a name="94bf65ba-cd6c-4601-b339-6d547f424646"> </a><a name="hc94bf65ba-cd6c-4601-b339-6d547f424646"> </a><a name="94bf65ba-cd6c-4601-b339-6d547f424646-en-GB"> </a><p><b>identifier</b>: <code>https://fhir.mft.nhs.uk/Id</code>/94bf65ba-cd6c-4601-b339-6d547f424646</p><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 1054161000000101}">Genetic report</span></p><p><b>subject</b>: <a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd">Octavia CHISLETT</a></p><p><b>date</b>: 2025-01-29 10:37:26+0000</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td>application/pdf</td><td><a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6eeedd1-92d3-45b9-bf33-6401e804425f">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#1d7155e8-b5b8-4406-adda-01a474d5ff6c; type = document; timestamp = 2024-10-13 10:33:00+0000</a></td></tr></table></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-fe5a1b08-84c9-46e6-8162-d2dcf3e67141">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#1d7155e8-b5b8-4406-adda-01a474d5ff6c; type = document; timestamp = 2024-10-13 10:33:00+0000</a></td><td><span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}">Diagnostic testing for known variant(s)</span></td><td>Identifier: Medical record number/633</td><td>Identifier: Filler Identifier/1001166717</td></tr></table></div>
</text>
<identifier>
<system value="https://fhir.mft.nhs.uk/Id"/>
<value value="94bf65ba-cd6c-4601-b339-6d547f424646"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1054161000000101"/>
<display value="Genetic report"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
</identifier>
<display value="Octavia CHISLETT"/>
</subject>
<date value="2025-01-29T10:37:26+00:00"/>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
</attachment>
</content>
<context>
<encounter>
<reference value="urn:uuid:fe5a1b08-84c9-46e6-8162-d2dcf3e67141"/>
</encounter>
<event>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R240.1"/>
</coding>
</event>
<sourcePatientInfo>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="633"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</identifier>
</sourcePatientInfo>
<related>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/FillerOrderNumber"/>
<value value="1001166717"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
</related>
</context>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
<resource>
<Binary>
<id value="d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
<contentType value="application/pdf"/>
<data value="ig-loader-XT_d6eeedd1-92d3-45b9-bf33-6401e804425f.pdf"/>
</Binary>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
<resource>
<PractitionerRole>
<id value="ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8</b></p><a name="ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"> </a><a name="hcee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"> </a><a name="ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8-en-GB"> </a><p><b>practitioner</b>: Dr Samuel Darwin (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C3456789)</p><p><b>organization</b>: Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/R0A</p><p><b>specialty</b>: <span title="Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode 100}">General Surgery</span></p></div>
</text>
<practitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
<value value="C3456789"/>
</identifier>
<display value="Dr Samuel Darwin"/>
</practitioner>
<organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</organization>
<specialty>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode"/>
<code value="100"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
</Bundle>