NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW)
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DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW) - 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 Report

Generated Narrative: Bundle GenomicsReportMessage

Bundle GenomicsReportMessage of type message

Entry 1 - fullUrl = urn:uuid:9a7e9fd9-d774-42ef-bd23-4397a1ba1b63

Resource MessageHeader:

Generated Narrative: MessageHeader MessageHeaderGenomicReport

Last updated: 2025-02-01 13:39:26+0000

event: eventType R01: ORU/ACK - Unsolicited transmission of an observation message

Destinations

-EndpointReceiver
*https//tie.mft.nhs.ukALDER HEY CHILDREN'S NHS FOUNDATION TRUST (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/RBS)

sender: NORTH WEST GLH (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/699X0)

Sources

-SoftwareEndpoint
*MFT TIEhttps//tie.alderhey.nhs.uk/

focus:

Entry 2 - fullUrl = urn:uuid:233ff41a-5067-46c4-b6aa-5d6f87719f5f

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReport

version: 1.0

Diagnostic testing for known variant(s) (Genetics)

SubjectNot done yet
When For2023-09-07 11:45:41+0000
Performers NW GLH (Identifier: https://fhir.nhs.uk/Id/ods-organization-code/699X0) FICTITIOUS, Ralph (Identifier: https://fhir.hl7.org.uk/Id/gmc-number/C1234567)
Identifier https://fhir.nwglh.nhs.uk/Id/ReportId/25edee2b-add8-4522-9fa2-1ee8f229bd75

Report Details

Normal - no action

Entry 3 - 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 4 - fullUrl = urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646

Resource DocumentReference:

Generated Narrative: DocumentReference 94bf65ba-cd6c-4601-b339-6d547f424646

identifier: urn:oid:1.2.840.114350.1.13.5325.1.7.2.798268/94bf65ba-cd6c-4601-b339-6d547f424646

status: Current

type: Genetic report

subject: Octavia CHISLETT

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

content

Attachments

-ContentTypeUrl
*application/pdfBundle: 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

Contexts

-EncounterEventSourcePatientInfoRelated
*Identifier: Visit number/1001166717Diagnostic testing for known variant(s)Identifier: Medical record number/633Identifier: Filler Identifier/1001166717

Entry 5 - fullUrl = urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f

Resource Binary:

Generated Narrative: Binary d6eeedd1-92d3-45b9-bf33-6401e804425f

contentType: application/pdf

data: ig-loader-XT_d6eeedd1-92d3-45b9-bf33-6401e804425f.pdf

Entry 6 - 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