North West Genomics Testing Workflow (GTW)
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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

Example Bundle: Bundle 'Message' - Genomics Order with Attachment

Generated Narrative: Bundle GenomicsOrderMessageAttachment

Bundle GenomicsOrderMessageAttachment 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

focus: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000

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 Detail1 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/R0A

specialty: General Surgery

Entry 5 - fullUrl = urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564

Resource ServiceRequest:

Generated Narrative: ServiceRequest ServiceRequestGenomicsOrder2

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

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000

authoredOn: 2025-01-29

requester: 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

performer: North West Genomic Laboratory Hub in Manchester (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/P1S8J)

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)

specimen: 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:a293b4a6-e46b-4402-9b2b-d9517afc7137

Resource DocumentReference:

Generated Narrative: DocumentReference a293b4a6-e46b-4402-9b2b-d9517afc7137

identifier: https://fhir.mft.nhs.uk/Id/a293b4a6-e46b-4402-9b2b-d9517afc7137

status: Current

type: Laboratory order

subject: Octavia CHISLETT

context

Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000

date: 2025-01-29 10:37:26+0000

author: 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

content

Attachments

-ContentTypeUrl
*application/pdfBundle: 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:0a898233-763c-405d-8172-8c4f07e6e636

Resource Binary:

Generated Narrative: Binary 0a898233-763c-405d-8172-8c4f07e6e636

contentType: application/pdf

data: SGVsbG8gV29ybGQ=

Entry 8 - 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-029GN00001

accessionIdentifier: Accession ID/1001166717

status: Available

subject: Octavia CHISLETT