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

• Narrative Content
• XML
• JSON

: Diagnostic Repoort Example. - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="DiagnosticReportGenomicsReport"/>
  <meta>
    <versionId value="1.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReport</b></p><a name="DiagnosticReportGenomicsReport"> </a><a name="hcDiagnosticReportGenomicsReport"> </a><a name="DiagnosticReportGenomicsReport-en-GB"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1.0</p></div><h2><span title="Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}">Diagnostic testing for known variant(s)</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span>) </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-09-07 11:45:41+0000</td></tr><tr><td>Performers</td><td> NW GLH (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/699X0) FICTITIOUS, Ralph (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C1234567)</td></tr><tr><td>Identifier</td><td> <code>https://fhir.nwglh.nhs.uk/Id</code>/25edee2b-add8-4522-9fa2-1ee8f229bd75</td></tr></table><p><b>Report Details</b></p><p>Normal - no action</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
    <valueReference>
      <reference value="urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646"/>
      <type value="DocumentReference"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="https://fhir.nwglh.nhs.uk/Id"/>
    <value value="25edee2b-add8-4522-9fa2-1ee8f229bd75"/>
    <assigner>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
        <value value="699X0"/>
      </identifier>
    </assigner>
  </identifier>
  <basedOn>
    <type value="ServiceRequest"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="FILL"/>
        </coding>
      </type>
      <system value="https://fhir.mft.nhs.uk/Id/FillerOrderNumber"/>
      <value value="1001166717"/>
      <assigner>
        <identifier>
          <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
          <value value="699X0"/>
        </identifier>
      </assigner>
    </identifier>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="GE"/>
      <display value="Genetics"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
      <code value="R240.1"/>
    </coding>
  </code>
  <subject>
    <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/nhs-number"/>
      <value value="9449305552"/>
    </identifier>
    <display value="Octavia CHISLETT"/>
  </subject>
  <encounter>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="VN"/>
        </coding>
      </type>
      <system value="https://fhir.nhs.uk/Id/visit-number/R0A"/>
      <value value="1001166717"/>
      <assigner>
        <identifier>
          <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
          <value value="R0A"/>
        </identifier>
      </assigner>
    </identifier>
  </encounter>
  <effectiveDateTime value="2023-09-07T11:45:41+00:00"/>
  <performer>
    <type value="Organization"/>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
      <value value="699X0"/>
    </identifier>
    <display value="NW GLH"/>
  </performer>
  <performer>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/event-performerFunction">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
          <code value="SPRF"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <type value="Practitioner"/>
    <identifier>
      <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
      <value value="C1234567"/>
    </identifier>
    <display value="FICTITIOUS, Ralph"/>
  </performer>
  <resultsInterpreter>
    <type value="Practitioner"/>
    <identifier>
      <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
      <value value="C1234567"/>
    </identifier>
    <display value="FICTITIOUS, Ralph"/>
  </resultsInterpreter>
  <conclusion value="Normal - no action"/>
  <presentedForm>
    <contentType value="application/pdf"/>
    <language value="en-GB"/>
    <url value="urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
    <size value="43272"/>
    <title value="Genomic Report for Octavia CHISLETT"/>
    <creation value="2023-11-24"/>
  </presentedForm>
</DiagnosticReport>