Manages the Order. This is the function of Genomic Order Management Service and/or GLH LIMS

From ISO-13606 The set of information committed to one EHR as a result of a clinical encounter or a record documentation session. Examples of COMPOSITION are Progress note, Laboratory test result form, Radiology report, Referral letter, Clinic visit, Clinic letter, Discharge summary, Functional health assessment, Diabetes review.

North West GLH Regional Integration Engine (RIE) This is a Trust Integration Engine (TIE) working at a regional level

Fulfils the Order. The Order Filler Actor is implemented by laboratory information management systems.

Creates the Order. The Order Placer Actor is implemented by the systems used by the clinical practice.

Allows practitioners to view the Genomics Test Report (e.g. Patient Pass or EPR)

Source of the patient demographics change. The Patient Identity Source is implemented by the systems used for patient administration (e.g. PAS or EPR).

Source of the provider information change. The Provider Information Source is implemented by the systems used for patient administration (e.g. PAS or EPR) or Organisation Directories (LDAP/X.500).

Is based on FHIR Messaging to handle transformation of HL7 FHIR and v2 Messages to FHIR Workflow.

The OpenAPISwagger Definition file below, can be viewed using Swagger Editor

This is documentation on the version of HL7 FHIR process-message to be used for regional FHIR Messaging, this HL7 FHIR definition SHALL be followed.

DRAFT conversion of HL7 v2.5.1 OML_O21

DRAFT conversion of HL7 v2.5.1 ORU_R01

Master HL7 genetic variant reporting panel Questionnaire Viewer

NW Genomics Test Order Entry Form Questions (Draft).

NW Genomics Test Order (Minimal Dataset)

TODO

Placeholder for EU Lab Composition (and so IPS Composition)

DRAFT Extension of UKCore-Condition

DRAFT Extension of UK Core DiagnosticReport which includes constraints from:

• NHS England Genomics DiagnosticReport use text descriptions only, not the rendered profile.

Based on UK Definitions from IHE Europe Metadata for exchange medical documents and images

DRAFT Extension of UKCore-Encounter which includes constraints from:

• HL7 PV1 segment definitions from NHS England HL7 v2 ADT Message Specification

DRAFT

DRAFT Extension of UKCore-Observation

DRAFT For use with Order Entry Forms

DRAFT Extension of OperationOutcome

DRAFT Extension of UKCore Organization which includes elements from:

• HL7 v2 XON – Extended Composite Name and Identification Number for Organisations
• XON definition from NHS England HL7 v2 ADT Message Specification
• IHE Mobile Care Services Discovery (mCSD)

DRAFT Extension of UKCore-Patient which includes constraints from:

• NHS England Genomics Patient use text descriptions only, not the rendered profile.
• HL7 PID segment definitions from NHS England HL7 v2 ADT Message Specification

DRAFT Extension of UKCore Practitioner which includes elements from:

• HL7 v2 XCN Extended Composite ID Number and Name for Persons
• XCN definition from NHS England HL7 v2 ADT Message Specification
• IHE Mobile Care Services Discovery (mCSD)

DRAFT Extension of UKCore PractitionerRole

DRAFT Extension of UKCore-Procedure

DRAFT Initial elaboration

DRAFT To provide grouping of individual ServiceRequests in the Test Order

DRAFT Extension of UKCore-ServiceRequest which includes constraints from:

• NHS England Genomics ServiceRequest use text descriptions only, not the rendered profile.

DRAFT Extension of UKCore-Specimen which includes constraints from:

• NHS England Genomics Specimen use text descriptions only, not the rendered profile.

Usually assigned by the order filler.

DRAFT: Additional conformance on FHIR Attachment data type. In HL7 FHIR this is likely to be a Binary resource and in HL7 v2 the OBX segment. When laboratory reports include a url link in DiagnosticReport, the FHIR Bundle should also include a FHIR DocumentReference providing additional document metadata.

Backport of FHIR R5 CodeableReference. (copied from BE eHealth Platform Federal Core Profiles). Extension able to hold a reference and a concept (Temporary solution until https://jira.hl7.org/browse/FHIR-44661 is solved and see Zulip: https://chat.fhir.org/#narrow/stream/179280-fhir.2Finfrastructure-wg/topic/Backporting.20CodeableReference)

See Enterprise Integration Patterns - Correlation Identifier and Rule 3: Reference Other Aggregates by Identity (Implementing Domain Driven Design)

NHS Data Dictionary CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER PPD CODE.

HL7 v2 Filler Order Number (ORC-3)

Only use in References Data Type if the NHS Number is not known or unverified.

Only traced NHS Number SHOULD be used, un-traced NHS Numbers MUST be clearly indicated.

NHS Data Dictionary ORGANISATION_CODE

NHS Data Dictionary ORGANISATION SITE IDENTIFIER

Use ODS Site code relevant for organisation. E.g. Use Mid Yorkshire Hospitals NHS Trust (RXF) version of Pinderfields Hospital (RXF05) when referring to Mid Yorks, not others in the director

HL7 v2 Placer Group Number (ORC-4)

HL7 v2 Placer Order Number (ORC-2)

This is a Correlation Identifier definition compatible with Yorkskhire and Humberside - Interweave-EncounterGrouping

See also 5.6.3 Alternate Visit ID (CX) from NHS England HL7 v2 ADT Message Specification PV1 documentation.

• an admission
• an A&E attendance
• a community contract
• an outpatient number (note this is not an individual attendance number which is the NHS England HL7 v2 PV1 definition)

(copied from BE eHealth Platform Federal Core Profiles) Extension able to hold a reference and a concept (Temporary solution until https://jira.hl7.org/browse/FHIR-44661 is solved and see Zulip: https://chat.fhir.org/#narrow/stream/179280-fhir.2Finfrastructure-wg/topic/Backporting.20CodeableReference )

DRAFT

• ADMISSION METHOD

DRAFT

• ADMISSION SOURCE
• UKCoreSourceOfAdmission

DRAFT

• DESTINATION OF DISCHARGE
• UKCoreDischargeDestination

DRAFT

• DISCHARGE METHOD CODE
• UKCoreDischargeMethod

• Switzerland DocumentEntry.classCode

• Digital Health and Care Scotland - (EH4001) CLINICAL DOCUMENT INDEXING STANDARDS LA Labs

• Switzerland DocumentEntry.mimeType

DRAFT

• ACTIVITY LOCATION TYPE CODE

• Genomic Test Directory

IdentifierType work around to bypass lack of NH in based definition

PractitionerIdentifiers

DRAFT

• TREATMENT FUNCTION CODE
• UKCoreCareSettingType

• MAIN SPECIALTY CODE
• UKCorePracticeSettingCode

TODO Specimen Type

ValueSet for Yes/No answers

ValueSet for Yes/No/Unknown answers

• Genomic Test Directory

UK Professional License

Parameters Expansion Profile

Genomic Record of Discussion Example

Influenced by HL7 v2 OML_O22

Influenced by HL7 v2 OML_O21

Influenced by HL7 v2 OML_O21

FHIR Message Query Example for use with Asynchronous Message Delivery

TODO

TODO

TODO

TODO

TODO

Example NHS England PDS Test Pack

TODO

TODO

TODO

TODO

Genomic Report PDF Example

Influenced by HL7 v2 ORU_R01

First draft is based on Royal College of Radiologists HL7 v2 ORU converted to HL7 FHIR. Will be converted to a Genomics example

TODO

TODO

FHIR Document Genetic Report for Jack Dawkins

Composition - Genomics Report Octavia CHISLETT

TODO

TODO

TODO

TODO

TODO

TODO

TODO

TODO

TODO

TODO

TODO

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TODO