NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW)
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DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example ServiceRequest: ServiceRequest Coded Entries Example

Generated Narrative: ServiceRequest ServiceRequestGenomicsOrderCodedEntries

version: 1.0

identifier: Placer Identifier/1601737, Filler Identifier/1001166717

status: Active

intent: Order

category: Molecular genetics procedure, Cancer - WGS

code: Diagnostic testing for known variant(s)

subject: Octavia CHISLETT

encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000

authoredOn: 2025-01-29

requester: 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

reasonCode: Malignant tumour of stomach

supportingInfo: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000

specimen: Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000

note: Referral lab PLEASE do following tests: Test(s) required: WGS Sample type: Blood Transport used: Merlin Courier Tracking Number: ABC123 Sample sent to: LWH Genetics By: PDAY on: 02/04/25 .Speciality Requesting Clinician: PAEDS Test Group: Neurology Ethnic Group: White British Patient is from consanguineous union? : Unknown Specimen Collection Status: Collect & send with order Infection Risk: No Specific Risk Clinical details: TESTING Contact/Bleep No: 123