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

: ServiceRequest Example - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "ServiceRequestGenomicsOrder",
  "meta" : {
    "versionId" : "1.0"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestGenomicsOrder</b></p><a name=\"ServiceRequestGenomicsOrder\"> </a><a name=\"hcServiceRequestGenomicsOrder\"> </a><a name=\"ServiceRequestGenomicsOrder-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><p><b>identifier</b>: Placer Identifier/1601737, Accession ID/1001166717</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 116148004}\">Molecular genetics procedure</span>, <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory cancer-wgs}\">Cancer - WGS</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory R240.1}\">Diagnostic testing for known variant(s)</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>authoredOn</b>: 2025-01-29</p><p><b>requester</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">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></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 363349007}\">Malignant tumour of stomach</span></p><p><b>supportingInfo</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-27ca6057-e481-426a-ba8a-2acfffc0c1c4\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>specimen</b>: <a href=\"Bundle-GenomicsOrderMessage.html#urn-uuid-89e66518-9197-4553-9253-5ab5133b62c0\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
  },
  "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"
    }
  ]
}