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. - JSON Representation

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{
  "resourceType" : "DiagnosticReport",
  "id" : "DiagnosticReportGenomicsReportSupportingInfo",
  "meta" : {
    "versionId" : "1.0"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReportGenomicsReportSupportingInfo</b></p><a name=\"DiagnosticReportGenomicsReportSupportingInfo\"> </a><a name=\"hcDiagnosticReportGenomicsReportSupportingInfo\"> </a><a name=\"DiagnosticReportGenomicsReportSupportingInfo-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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference" : {
        "reference" : "urn:uuid:94bf65ba-cd6c-4601-b339-6d547f424646",
        "type" : "DocumentReference"
      }
    }
  ],
  "identifier" : [
    {
      "system" : "https://fhir.nwglh.nhs.uk/Id",
      "value" : "25edee2b-add8-4522-9fa2-1ee8f229bd75",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "699X0"
        }
      }
    }
  ],
  "basedOn" : [
    {
      "type" : "ServiceRequest",
      "identifier" : {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "FILL"
            }
          ]
        },
        "system" : "https://fhir.mft.nhs.uk/Id/FillerOrderNumber",
        "value" : "1001166717",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "699X0"
          }
        }
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "GE",
          "display" : "Genetics"
        }
      ]
    }
  ],
  "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" : {
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "VN"
          }
        ]
      },
      "system" : "https://fhir.nhs.uk/Id/visit-number/R0A",
      "value" : "1001166717",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "R0A"
        }
      }
    }
  },
  "effectiveDateTime" : "2023-09-07T11:45:41+00:00",
  "performer" : [
    {
      "type" : "Organization",
      "identifier" : {
        "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
        "value" : "699X0"
      },
      "display" : "NW GLH"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/event-performerFunction",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code" : "SPRF"
              }
            ]
          }
        }
      ],
      "type" : "Practitioner",
      "identifier" : {
        "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
        "value" : "C1234567"
      },
      "display" : "FICTITIOUS, Ralph"
    }
  ],
  "resultsInterpreter" : [
    {
      "type" : "Practitioner",
      "identifier" : {
        "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
        "value" : "C1234567"
      },
      "display" : "FICTITIOUS, Ralph"
    }
  ],
  "conclusion" : "Normal - no action",
  "presentedForm" : [
    {
      "contentType" : "application/pdf",
      "language" : "en-GB",
      "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f",
      "size" : 43272,
      "title" : "Genomic Report for Octavia CHISLETT",
      "creation" : "2023-11-24"
    }
  ]
}