North West Genomics Testing Workflow (GTW)
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DRAFT Implementation Guide

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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

: Bundle 'SearchSet' - Genomics Order - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "GenomicsOrderSearchSet",
  "type" : "searchset",
  "total" : 1,
  "link" : [
    {
      "relation" : "self",
      "url" : "http://rie.mft.nhs.uk/Bundle?message.reciever:identifier=R0A&_lastUpdated=>2025-03-01T02:00:02+01:00"
    }
  ],
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Bundle/GenomicsOrderMessage",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "GenomicsOrderMessage",
        "identifier" : {
          "system" : "https://tools.ietf.org/html/rfc4122",
          "value" : "9612365d-52a4-4fab-87e7-8a09d753f095"
        },
        "type" : "message",
        "timestamp" : "2024-10-13T10:33:00+00:00",
        "entry" : [
          {
            "fullUrl" : "urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63",
            "resource" : {
              "resourceType" : "MessageHeader",
              "id" : "MessageHeaderGenomicOrder",
              "meta" : {
                "lastUpdated" : "2025-01-29T10:39:26+00:00"
              },
              "eventCoding" : {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
                "code" : "O21"
              },
              "destination" : [
                {
                  "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/LIMS",
                  "receiver" : {
                    "identifier" : {
                      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value" : "699X0"
                    },
                    "display" : "NORTH WEST GLH"
                  }
                }
              ],
              "sender" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "R0A"
                },
                "display" : "MANCHESTER UNIVERSITY NHS FOUNDATION TRUST"
              },
              "source" : {
                "software" : "MFT Epic",
                "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/HIVE"
              },
              "focus" : [
                {
                  "reference" : "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
                  "type" : "ServiceRequest"
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "Patient-OctaviaCHISLETT-9449305552",
              "identifier" : [
                {
                  "use" : "official",
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "NH"
                      }
                    ]
                  },
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552",
                  "assigner" : {
                    "identifier" : {
                      "value" : "X24"
                    }
                  }
                },
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "MR"
                      }
                    ]
                  },
                  "value" : "A12356565",
                  "assigner" : {
                    "identifier" : {
                      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value" : "RBS"
                    }
                  }
                },
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "MR"
                      }
                    ]
                  },
                  "value" : "633",
                  "assigner" : {
                    "identifier" : {
                      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value" : "R0A"
                    }
                  }
                }
              ],
              "active" : true,
              "name" : [
                {
                  "use" : "official",
                  "family" : "CHISLETT",
                  "given" : [
                    "Octavia"
                  ]
                }
              ],
              "gender" : "female",
              "birthDate" : "2008-09-20",
              "address" : [
                {
                  "use" : "home",
                  "type" : "both",
                  "line" : [
                    "1 RAVENSFIELD GARDENS"
                  ],
                  "city" : "EPSOM",
                  "district" : "SURREY",
                  "postalCode" : "KT19 0ST"
                }
              ],
              "contact" : [
                {
                  "name" : {
                    "use" : "official",
                    "family" : "DAWKINS",
                    "given" : [
                      "Bob"
                    ]
                  },
                  "telecom" : [
                    {
                      "system" : "phone",
                      "value" : "077021231231",
                      "use" : "mobile"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
            "resource" : {
              "resourceType" : "Encounter",
              "id" : "984b8a89-4194-4eb4-a7ea-ca8049ebeea3",
              "identifier" : [
                {
                  "value" : "1001166717",
                  "assigner" : {
                    "identifier" : {
                      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value" : "R0A"
                    }
                  }
                }
              ],
              "status" : "finished",
              "class" : {
                "code" : "AMB"
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "participant" : [
                {
                  "type" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                          "code" : "ATND"
                        }
                      ]
                    }
                  ],
                  "individual" : {
                    "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                  }
                }
              ],
              "period" : {
                "start" : "2025-01-29T10:37:26+00:00"
              },
              "location" : [
                {
                  "location" : {
                    "identifier" : {
                      "system" : "https://fhir.nhs.uk/Id/ods-site-code",
                      "value" : "R0A09",
                      "assigner" : {
                        "identifier" : {
                          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value" : "R0A"
                        }
                      }
                    }
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
            "resource" : {
              "resourceType" : "PractitionerRole",
              "id" : "ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8",
              "practitioner" : {
                "identifier" : {
                  "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
                  "value" : "C3456789"
                },
                "display" : "Dr Samuel Darwin"
              },
              "organization" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "R0A"
                }
              },
              "specialty" : [
                {
                  "coding" : [
                    {
                      "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
                      "code" : "100"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:54b526e9-60a7-4602-9cb3-50ab3be7b564",
            "resource" : {
              "resourceType" : "ServiceRequest",
              "id" : "ServiceRequestGenomicsOrder",
              "meta" : {
                "versionId" : "1.0"
              },
              "identifier" : [
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "PLAC"
                      }
                    ]
                  },
                  "system" : "https://fhir.mft.nhs.uk/Id/PlacerOrderNumber/Hive",
                  "value" : "1601737",
                  "assigner" : {
                    "identifier" : {
                      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value" : "R0A"
                    }
                  }
                },
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "ACSN"
                      }
                    ]
                  },
                  "system" : "https://fhir.mft.nhs.uk/Id/AccessionNumber",
                  "value" : "1001166717",
                  "assigner" : {
                    "identifier" : {
                      "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value" : "699X0"
                    }
                  }
                }
              ],
              "status" : "active",
              "intent" : "order",
              "category" : [
                {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "116148004",
                      "display" : "Molecular genetics procedure"
                    }
                  ]
                },
                {
                  "coding" : [
                    {
                      "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                      "code" : "cancer-wgs"
                    }
                  ]
                }
              ],
              "code" : {
                "coding" : [
                  {
                    "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code" : "R240.1"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "authoredOn" : "2025-01-29",
              "requester" : {
                "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
              },
              "reasonCode" : [
                {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "363349007",
                      "display" : "Malignant tumour of stomach"
                    }
                  ]
                }
              ],
              "supportingInfo" : [
                {
                  "reference" : "urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4"
                }
              ],
              "specimen" : [
                {
                  "reference" : "urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:27ca6057-e481-426a-ba8a-2acfffc0c1c4",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBR-1",
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "https://mft.nhs.uk/Id/IGEAP",
                    "code" : "GENEAP",
                    "display" : "GENETICS TEST PERFORMABLE"
                  }
                ],
                "text" : "GENETICS TEST"
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
              "performer" : [
                {
                  "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                }
              ],
              "hasMember" : [
                {
                  "reference" : "urn:uuid:f39cc804-5280-4807-91d4-075be16928e5"
                },
                {
                  "reference" : "urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847"
                },
                {
                  "reference" : "urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105"
                },
                {
                  "reference" : "urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3"
                },
                {
                  "reference" : "urn:uuid:390c7633-fd63-483c-8e32-e8858f232339"
                },
                {
                  "reference" : "urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978"
                },
                {
                  "reference" : "urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17"
                },
                {
                  "reference" : "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7"
                },
                {
                  "reference" : "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e"
                },
                {
                  "reference" : "urn:uuid:4b910bc3-68c6-4252-a218-076110f0d23d"
                },
                {
                  "reference" : "urn:uuid:3a3ba1ed-831d-4f82-b487-e40860a2befd"
                },
                {
                  "reference" : "urn:uuid:298e99de-fd29-4802-bcf2-78f901b33a6e"
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:f39cc804-5280-4807-91d4-075be16928e5",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBX-1",
              "identifier" : [
                {
                  "value" : "1"
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "https://mft.nhs.uk/Id/IGENE",
                    "code" : "230056",
                    "display" : "What Type of Referral Do You Require?"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
              "performer" : [
                {
                  "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                }
              ],
              "valueString" : "Test on Stored DNA"
            }
          },
          {
            "fullUrl" : "urn:uuid:47f34393-cc83-428f-b8dd-54bcd372c847",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBX-2",
              "identifier" : [
                {
                  "value" : "2"
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "363349007",
                    "display" : "Malignant tumour of stomach"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
              "performer" : [
                {
                  "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:edd4debe-dd82-445f-b3e5-e175760da105",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBX-3",
              "identifier" : [
                {
                  "value" : "3"
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "281269004",
                    "display" : "High infection risk sample"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
              "performer" : [
                {
                  "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                }
              ],
              "valueBoolean" : false
            }
          },
          {
            "fullUrl" : "urn:uuid:7b7ec386-bbc6-47fb-a3ed-6a6ea6e4c5d3",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBX-4",
              "identifier" : [
                {
                  "value" : "4"
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "https://mft.nhs.uk/Id/IGENE",
                    "code" : "230016",
                    "display" : "Test Type"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
              "performer" : [
                {
                  "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                }
              ],
              "valueString" : "Diagnostic Screen/Test"
            }
          },
          {
            "fullUrl" : "urn:uuid:390c7633-fd63-483c-8e32-e8858f232339",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBX-5",
              "identifier" : [
                {
                  "value" : "5"
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "77386006",
                    "display" : "Pregnancy"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
              "performer" : [
                {
                  "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                }
              ],
              "valueBoolean" : false
            }
          },
          {
            "fullUrl" : "urn:uuid:66b690c6-eb2c-49bb-9546-97cff782d978",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBX-6",
              "identifier" : [
                {
                  "value" : "6"
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "https://mft.nhs.uk/Id/IGENE",
                    "code" : "231284",
                    "display" : "Please Select R240 Test(s):"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
                "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
              },
              "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
              "performer" : [
                {
                  "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
                }
              ],
              "valueString" : "R240.1: Targeted variant testing"
            }
          },
          {
            "fullUrl" : "urn:uuid:f36a0ed4-e5c3-4ac8-846f-571b4a500e17",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EPIC-OBX-7",
              "identifier" : [
                {
                  "value" : "7"
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "https://mft.nhs.uk/Id/IGENE",
                    "code" : "231285",
                    "display" : "Please Select R242 Test(s):"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/nhs-number",
                  "value" : "9449305552"
                },
                "display" : "Octavia CHISLETT"
              },
              "encounter" : {
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