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
{
"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" : {
"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" : "R242.1: Targeted variant testing"
}
},
{
"fullUrl" : "urn:uuid:ddf248a2-6323-4b7a-b4a3-e968c36311b7",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-8",
"identifier" : [
{
"value" : "8"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://mft.nhs.uk/Id/IGENE",
"code" : "230027",
"display" : "Email Addresses of Non-MFT Clinicians for Result Reports"
}
]
},
"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" : "charu"
}
},
{
"fullUrl" : "urn:uuid:0d472ee5-8c21-467a-aafe-29c89a42ed4e",
"resource" : {
"resourceType" : "Observation",
"id" : "EPIC-OBX-9",
"identifier" : [
{
"value" : "9"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "762911000000102",
"display" : "Informed consent given for treatment"
}
],
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