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

: Document Reference Laboratory Report - JSON Representation

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{
  "resourceType" : "DocumentReference",
  "id" : "94bf65ba-cd6c-4601-b339-6d547f424646",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 94bf65ba-cd6c-4601-b339-6d547f424646</b></p><a name=\"94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><a name=\"hc94bf65ba-cd6c-4601-b339-6d547f424646\"> </a><a name=\"94bf65ba-cd6c-4601-b339-6d547f424646-en-GB\"> </a><p><b>identifier</b>: <code>https://fhir.mft.nhs.uk/Id</code>/94bf65ba-cd6c-4601-b339-6d547f424646</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 1054161000000101}\">Genetic report</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>date</b>: 2025-01-29 10:37:26+0000</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6eeedd1-92d3-45b9-bf33-6401e804425f\">Bundle: 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</a></td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-fe5a1b08-84c9-46e6-8162-d2dcf3e67141\">Bundle: 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</a></td><td><span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span></td><td>Identifier: Medical record number/633</td><td>Identifier: Filler Identifier/1001166717</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://fhir.mft.nhs.uk/Id",
      "value" : "94bf65ba-cd6c-4601-b339-6d547f424646",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "699X0"
        }
      }
    }
  ],
  "status" : "current",
  "type" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "1054161000000101",
        "display" : "Genetic report"
      }
    ]
  },
  "subject" : {
    "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9449305552"
    },
    "display" : "Octavia CHISLETT"
  },
  "date" : "2025-01-29T10:37:26+00:00",
  "content" : [
    {
      "attachment" : {
        "contentType" : "application/pdf",
        "url" : "urn:uuid:d6eeedd1-92d3-45b9-bf33-6401e804425f"
      }
    }
  ],
  "context" : {
    "encounter" : [
      {
        "reference" : "urn:uuid:fe5a1b08-84c9-46e6-8162-d2dcf3e67141"
      }
    ],
    "event" : [
      {
        "coding" : [
          {
            "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
            "code" : "R240.1"
          }
        ]
      }
    ],
    "sourcePatientInfo" : {
      "identifier" : {
        "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"
          }
        }
      }
    },
    "related" : [
      {
        "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"
            }
          }
        }
      }
    ]
  }
}