North West Genomic Medicine Service Alliance
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DRAFT Implementation Guide

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

North West Genomic Medicine Service Alliance, published by NHS North West GMSA. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/LTW/ and changes regularly. See the Directory of published versions

Genomic Test Order

References

Domain Archetype

North West Genomics Test Order

Communication Information Model

Laboratory Order O21Supporting InformationPatient AdministrationCare Directory ServicesPatientNHSNumberMedicalRecordNumber«aggregate»ServiceRequest (Test Request)orderPlacerNumberorderFillerNumberorderPlacerGroupNumberaccessionNumbersubject : PatientSpecimen (Primary Sample)identifieraccessionNumbersubject : PatientConditionCodePractitionerRoleorganisation : ODSCodepractitioner: GMP/GMC Numberspecialty: ClinicalSpecialtyServieRequest.identifierOriginal OrderVisit NumberObservationvalue[x]codesubject : PatientObservation Panelhasmembercodesubject : Patient«aggregate»DocumentReferencePreviousReportsGenomicFamilyStructuretypesubject : Patientcontext.encounter :Visit NumberAttachmentcontentTypeurlBinaryEncounteridentifier :Visit Numberencounterepisodesubject : PatientPatientNHSNumberMedicalRecordNumbernameaddressbirthDategendertelecomPractitionerprofessionalCodenametelecomOrganizationodsCodenametelecomurlhasmember0specimen /accessionNumber0subject1encounter0reason(Reference/Code)0basedOn0supportingInfo0supportingInfo0supportingInfo0requester1collection.collector0participant.individual0subject1subject1subject1subject1context.encounter1encounter1

Genomics Test Request Model


Ask at Order Entry questions and prior results

TODO Explain how questions and answers are converted into v2 OBX/FHIR Observations based on https://build.fhir.org/ig/HL7/sdc/extraction.html

Communication Model

Placer Order Management [LAB-1]