North West Genomics Testing Workflow (GTW)
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DRAFT Implementation Guide

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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

: ServiceRequest Example - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="ServiceRequestGenomicsOrder2"/>
  <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: ServiceRequest ServiceRequestGenomicsOrder2</b></p><a name="ServiceRequestGenomicsOrder2"> </a><a name="hcServiceRequestGenomicsOrder2"> </a><a name="ServiceRequestGenomicsOrder2-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>performer</b>: North West Genomic Laboratory Hub in Manchester  (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/P1S8J)</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-GenomicsOrderMessageAttachment.html#urn-uuid-a293b4a6-e46b-4402-9b2b-d9517afc7137">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>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="PLAC"/>
      </coding>
    </type>
    <system value="https://fhir.mft.nhs.uk/Id/PlacerOrderNumber/Hive"/>
    <value value="1601737"/>
    <assigner>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
        <value value="R0A"/>
      </identifier>
    </assigner>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
      </coding>
    </type>
    <system value="https://fhir.mft.nhs.uk/Id/AccessionNumber"/>
    <value value="1001166717"/>
    <assigner>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
        <value value="699X0"/>
      </identifier>
    </assigner>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="116148004"/>
      <display value="Molecular genetics procedure"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory"/>
      <code value="cancer-wgs"/>
    </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>
    <reference value="urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"/>
  </encounter>
  <authoredOn value="2025-01-29"/>
  <requester>
    <reference value="urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"/>
  </requester>
  <performer>
    <type value="Organization"/>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
      <value value="P1S8J"/>
      <assigner>
        <identifier>
          <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
          <value value="699X0"/>
        </identifier>
      </assigner>
    </identifier>
    <display value="North West Genomic Laboratory Hub in Manchester "/>
  </performer>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="363349007"/>
      <display value="Malignant tumour of stomach"/>
    </coding>
  </reasonCode>
  <supportingInfo>
    <reference value="urn:uuid:a293b4a6-e46b-4402-9b2b-d9517afc7137"/>
  </supportingInfo>
  <specimen>
    <reference value="urn:uuid:89e66518-9197-4553-9253-5ab5133b62c0"/>
  </specimen>
</ServiceRequest>