North West Genomics Testing Workflow (GTW)
0.0.1 - ci-build
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
Generated Narrative: Bundle GenomicsOrderMessage
Bundle GenomicsOrderMessage of type message
Entry 1 - fullUrl = urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63
Resource MessageHeader:
Generated Narrative: MessageHeader MessageHeaderGenomicOrder
Last updated: 2025-01-29 10:39:26+0000
event: eventType O21: OML - Laboratory order
Destinations
Receiver NORTH WEST GLH (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/699X0)sender: MANCHESTER UNIVERSITY NHS FOUNDATION TRUST (Identifier:
https://fhir.nhs.uk/Id/ods-organization-code/R0A)Sources
Software MFT Epic
Entry 2 - fullUrl = urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd
Resource Patient:
Generated Narrative: Patient Patient-OctaviaCHISLETT-9449305552
Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)
Active: true Other Ids:
- National Health Plan Identifier/9449305552 (use: official, )
- Medical record number/633
Contact Detail 1 RAVENSFIELD GARDENS EPSOM KT19 0ST (home) Contact:
- Bob DAWKINS (Official)
- ph: 077021231231(Mobile)
Entry 3 - fullUrl = urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3
Resource Encounter:
Generated Narrative: Encounter 984b8a89-4194-4eb4-a7ea-ca8049ebeea3
identifier: 1001166717
status: completed
class: AMB
subject: Octavia CHISLETT
Participants
Type attender Locations
Location Identifier: https://fhir.nhs.uk/Id/ods-site-code/R0A09
Entry 4 - fullUrl = urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8
Resource PractitionerRole:
Generated Narrative: PractitionerRole ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8
practitioner: Dr Samuel Darwin (Identifier:
https://fhir.hl7.org.uk/Id/gmc-number/C3456789)organization: Identifier:
https://fhir.nhs.uk/Id/ods-organization-code/R0Aspecialty: General Surgery
Entry 5 - fullUrl = urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564
Resource ServiceRequest:
Generated Narrative: ServiceRequest ServiceRequestGenomicsOrder
version: 1.0
identifier: Placer Identifier/1601737, Accession ID/1001166717
status: Active
intent: Order
category: Molecular genetics procedure, Cancer - WGS
code: No display for ServiceRequest.code (concept: Diagnostic testing for known variant(s))
subject: Octavia CHISLETT
authoredOn: 2025-01-29
supportingInfo: No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000)
Entry 6 - fullUrl = urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4
Resource Observation:
Generated Narrative: Observation EPIC-OBR-1
status: Final
code: GENETICS TEST
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
hasMember:
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
- Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000
Entry 7 - fullUrl = urn:uuid:f39cc804-5280-4807-91d4-075be16928e5
Resource Observation:
Generated Narrative: Observation EPIC-OBX-1
identifier: 1
status: Final
code: What Type of Referral Do You Require?
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: Test on Stored DNA
Entry 8 - fullUrl = urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847
Resource Observation:
Generated Narrative: Observation EPIC-OBX-2
identifier: 2
status: Final
code: Malignant tumour of stomach
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
Entry 9 - fullUrl = urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105
Resource Observation:
Generated Narrative: Observation EPIC-OBX-3
identifier: 3
status: Final
code: High infection risk sample
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: false
Entry 10 - fullUrl = urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3
Resource Observation:
Generated Narrative: Observation EPIC-OBX-4
identifier: 4
status: Final
code: Test Type
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: Diagnostic Screen/Test
Entry 11 - fullUrl = urn:uuid:390c7633-fd63-483c-8e32-e8858f232339
Resource Observation:
Generated Narrative: Observation EPIC-OBX-5
identifier: 5
status: Final
code: Pregnancy
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: false
Entry 12 - fullUrl = urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978
Resource Observation:
Generated Narrative: Observation EPIC-OBX-6
identifier: 6
status: Final
code: Please Select R240 Test(s):
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: R240.1: Targeted variant testing
Entry 13 - fullUrl = urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17
Resource Observation:
Generated Narrative: Observation EPIC-OBX-7
identifier: 7
status: Final
code: Please Select R242 Test(s):
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: R242.1: Targeted variant testing
Entry 14 - fullUrl = urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7
Resource Observation:
Generated Narrative: Observation EPIC-OBX-8
identifier: 8
status: Final
code: Email Addresses of Non-MFT Clinicians for Result Reports
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: charu
Entry 15 - fullUrl = urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e
Resource Observation:
Generated Narrative: Observation EPIC-OBX-9
identifier: 9
status: Final
code: Confirmation of Consent for Testing - MANDATORY Testing will not be performed without completed confirmation of consent
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: true
Entry 16 - fullUrl = urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d
Resource Observation:
Generated Narrative: Observation EPIC-OBX-10
identifier: 10
status: Final
code: Please Acknowledge That a DNA Sample Will be Stored in the Laboratory on Completion of Testing
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: Acknowledged
Entry 17 - fullUrl = urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd
Resource Observation:
Generated Narrative: Observation EPIC-OBX-11
identifier: 11
status: Final
code: Is the Person Ordering the Test the Referring Clinician
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: No
Entry 18 - fullUrl = urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e
Resource Observation:
Generated Narrative: Observation EPIC-OBX-12
identifier: 12
status: Final
code: Name of Supervising Clinician
subject: Octavia CHISLETT
effective: 2025-01-29 10:37:26+0000
value: DESHPANDE, CHARULATA
Entry 19 - fullUrl = urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0
Resource Specimen:
Generated Narrative: Specimen SpecimenExample
version: 1.0
identifier:
https://fhir.mft.nhs.uk/Id/Specimen/Beaker/25GEN-029GN00001accessionIdentifier: Accession ID/1001166717
status: Available
subject: Octavia CHISLETT
IG © 2024+ Manchester University NHS Foundation Trust. Package nhs.mft.fhir#0.0.1 based on FHIR 4.0.1. Generated 2025-02-22
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