NHS North West Genomics
0.0.8 - ci-build United Kingdom flag

NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions

: Collect Specimen - Biopsy Procedure for obtaining a specimen, part of a diagnostic pathway. Day case admission. - TTL Representation

Draft as of 2025-10-30

Raw ttl | Download

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ExampleScenario ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "BiopsyProcedure"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ExampleScenario BiopsyProcedure</b></p><a name=\"BiopsyProcedure\"> </a><a name=\"hcBiopsyProcedure\"> </a><p><b>url</b>: <a href=\"ExampleScenario-BiopsyProcedure.html\">Biopsy Procedure</a></p><p><b>version</b>: 0.0.8</p><p><b>name</b>: Biopsy Procedure</p><p><b>status</b>: Draft</p><p><b>date</b>: 2025-10-30 11:13:25+0000</p><p><b>publisher</b>: NHS North West Genomics</p><p><b>contact</b>: <a href=\"https://www.nwgenomics.nhs.uk/contact-us\">https://www.nwgenomics.nhs.uk/contact-us</a></p><p><b>jurisdiction</b>: <span title=\"Codes:{urn:iso:std:iso:3166 GB}\">United Kingdom of Great Britain and Northern Ireland</span></p><blockquote><p><b>actor</b></p><p><b>actorId</b>: nurse</p><p><b>type</b>: System</p><p><b>name</b>: Nurse</p><p><b>description</b>: </p><div><p>TODO</p>\n</div></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: forms</p><p><b>type</b>: System</p><p><b>name</b>: Form Manager</p><p><b>description</b>: </p><div><p>This may be part of the EPR or be paper based</p>\n</div></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: epr</p><p><b>type</b>: System</p><p><b>name</b>: Electronic Patient Record</p><p><b>description</b>: </p><div><p><a href=\"ActorDefinition-ProviderInformationSource.html\">Provider Information Source</a></p>\n</div></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: patient</p><p><b>type</b>: System</p><p><b>name</b>: Patient/relative/carer</p><p><b>description</b>: </p><div><p>TODO</p>\n</div></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: consultant</p><p><b>type</b>: System</p><p><b>name</b>: Consultant</p><p><b>description</b>: </p><div><p>TODO</p>\n</div></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: laboratory</p><p><b>type</b>: System</p><p><b>name</b>: Diagnostic Testing</p><p><b>description</b>: </p><div><p>TODO</p>\n</div></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request1</p><p><b>resourceType</b>: Questionnaire</p><p><b>name</b>: Query Questionnaire</p><p><b>description</b>: </p><div><p>Query for Froms: <code>GET https://example.nhs.uk/FHIR/R4/Questionnaire</code></p>\n</div></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request2</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Query Observation and MedicationRequest</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request3</p><p><b>resourceType</b>: QuestionnaireResponse</p><p><b>name</b>: Create QuestionnaireResponse</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request4</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Create Observation and MedicationStatement from QuestionnaireResponse</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Reply1</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Dummy</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Reply3</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Dummy</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request5</p><p><b>resourceType</b>: Procedure</p><p><b>name</b>: Update Procedure -Biopsy</p><blockquote><p><b>version</b></p><p><b>Extension Definition for ExampleScenario.instance.version.title for Version 5.0</b>: Procedure Liver Biopsy</p><p><b>Extension Definition for ExampleScenario.instance.version.content for Version 5.0</b>: <a href=\"Procedure-13240a3b-d1db-4f1a-ad7d-b19f23967060.html\">Procedure Biopsy of liver</a></p><p><b>versionId</b>: 1</p></blockquote></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request6</p><p><b>resourceType</b>: Specimen</p><p><b>name</b>: Update Specimen</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request7</p><p><b>resourceType</b>: Specimen</p><p><b>name</b>: Update Specimen with tracking number</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Reply5</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Dummy</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Reply6</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Dummy</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Reply7</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Dummy</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request8</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Create Observation - Vital Signs</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Request9</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Create Disharge Letter</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Reply8</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Dummy</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Reply9</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Dummy</p></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: Admission</p><p><b>description</b>: </p><div><p>Admit Patient. The process roughly follows <a href=\"https://build.fhir.org/ig/HL7/sdc\">FHIR Structured Data Capture</a></p>\n</div><p><b>preConditions</b>: </p><div><p>Test Order has been created (<a href=\"ExampleScenario-GenomicTestOrderProcess.html\">Genomic Test Order Process</a>)</p>\n</div><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 1</p><p><b>type</b>: search-type</p><p><b>name</b>: Select Admission Forms</p><p><b>initiator</b>: nurse</p><p><b>receiver</b>: forms</p><p><b>description</b>: </p><div><p>This may be paper based</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request1</td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Reply1</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 2</p><p><b>type</b>: create</p><p><b>name</b>: Pre-populate Admission Form</p><p><b>initiator</b>: forms</p><p><b>receiver</b>: epr</p><p><b>description</b>: </p><div><p>If using electronic forms and their is a connection to an EPR or Health Information Exchange - the forms may be pre-populated</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request2</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 3</p><p><b>type</b>: read</p><p><b>name</b>: Complete Admission Form. </p><p><b>initiator</b>: nurse</p><p><b>receiver</b>: patient</p><p><b>description</b>: </p><div><p>This includes enquiring about the patients medical history, such as conditions and medications. This also includes taking the patient vital signs - device data may be automatically uploaded into the EPR.</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request3</td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Reply3</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 4</p><p><b>type</b>: create</p><p><b>name</b>: Complete Admission Form. </p><p><b>initiator</b>: nurse</p><p><b>receiver</b>: forms</p><p><b>description</b>: </p><div><p>Enter answers to questions in the forms. The end of this process is likely to be signalled via a <strong>IHE Patient Administration</strong> HL7 v2 ADT Admission event.</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request4</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: Perform Biopsy</p><p><b>description</b>: </p><div><p>Perform Biopsy Procedure</p>\n</div><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 5</p><p><b>type</b>: create</p><p><b>name</b>: Document Procedure - Record procedure details</p><p><b>initiator</b>: consultant</p><p><b>receiver</b>: epr</p><p><b>description</b>: </p><div><p>TODO</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request5</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 6</p><p><b>type</b>: update</p><p><b>name</b>: Document Procedure - Update specimen details</p><p><b>initiator</b>: nurse</p><p><b>receiver</b>: epr</p><p><b>description</b>: </p><div><p>Ideally the updated specimen record should result in an update to the original order.</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request6</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 7</p><p><b>type</b>: create</p><p><b>name</b>: Send specimen</p><p><b>initiator</b>: nurse</p><p><b>receiver</b>: laboratory</p><p><b>description</b>: </p><div><p>If the specimen is being sent via a courier, then the specimen record should be updated with a tracking id</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request7</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: Monitor and Discharge Patient</p><p><b>description</b>: </p><div><p>Monitor patient post procedure and Discharge Patient</p>\n</div><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 8</p><p><b>type</b>: update</p><p><b>name</b>: Monitor Patient - Update specimen details</p><p><b>initiator</b>: nurse</p><p><b>receiver</b>: epr</p><p><b>description</b>: </p><div><p>This probably includes taking of vital signs to ensure the patient is stable</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request8</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 9</p><p><b>type</b>: update</p><p><b>name</b>: Discharge Patient</p><p><b>initiator</b>: nurse</p><p><b>receiver</b>: epr</p><p><b>description</b>: </p><div><p>This includes a <strong>IHE Patient Administration</strong> - HL7 v2 ADT Discharge event and may include clinical notes</p>\n</div><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Request9</td></tr></table></blockquote></blockquote></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "https://fhir.nwgenomics.nhs.uk/ExampleScenario/BiopsyProcedure"^^xsd:anyURI ;
fhir:l <https://fhir.nwgenomics.nhs.uk/ExampleScenario/BiopsyProcedure>
  ] ; # 
  fhir:version [ fhir:v "0.0.8"] ; # 
  fhir:name [ fhir:v "Biopsy Procedure"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:date [ fhir:v "2025-10-30T11:13:25+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "NHS North West Genomics"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.nwgenomics.nhs.uk/contact-us" ]     ] )
  ] ) ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "GB" ] ;
fhir:display [ fhir:v "United Kingdom of Great Britain and Northern Ireland" ]     ] )
  ] ) ; # 
  fhir:actor ( [
fhir:actorId [ fhir:v "nurse" ] ;
fhir:type [ fhir:v "entity" ] ;
fhir:name [ fhir:v "Nurse" ] ;
fhir:description [ fhir:v "TODO" ]
  ] [
fhir:actorId [ fhir:v "forms" ] ;
fhir:type [ fhir:v "entity" ] ;
fhir:name [ fhir:v "Form Manager" ] ;
fhir:description [ fhir:v "This may be part of the EPR or be paper based" ]
  ] [
fhir:actorId [ fhir:v "epr" ] ;
fhir:type [ fhir:v "entity" ] ;
fhir:name [ fhir:v "Electronic Patient Record" ] ;
fhir:description [ fhir:v " [Provider Information Source](ActorDefinition-ProviderInformationSource.html) " ]
  ] [
fhir:actorId [ fhir:v "patient" ] ;
fhir:type [ fhir:v "entity" ] ;
fhir:name [ fhir:v "Patient/relative/carer" ] ;
fhir:description [ fhir:v "TODO" ]
  ] [
fhir:actorId [ fhir:v "consultant" ] ;
fhir:type [ fhir:v "entity" ] ;
fhir:name [ fhir:v "Consultant" ] ;
fhir:description [ fhir:v "TODO" ]
  ] [
fhir:actorId [ fhir:v "laboratory" ] ;
fhir:type [ fhir:v "entity" ] ;
fhir:name [ fhir:v "Diagnostic Testing" ] ;
fhir:description [ fhir:v "TODO" ]
  ] ) ; # 
  fhir:instance ( [
fhir:resourceId [ fhir:v "Request1" ] ;
fhir:resourceType [ fhir:v "Questionnaire" ] ;
fhir:name [ fhir:v "Query Questionnaire" ] ;
fhir:description [ fhir:v "Query for Froms: `GET https://example.nhs.uk/FHIR/R4/Questionnaire`" ]
  ] [
fhir:resourceId [ fhir:v "Request2" ] ;
fhir:resourceType [ fhir:v "Observation" ] ;
fhir:name [ fhir:v "Query Observation and MedicationRequest" ]
  ] [
fhir:resourceId [ fhir:v "Request3" ] ;
fhir:resourceType [ fhir:v "QuestionnaireResponse" ] ;
fhir:name [ fhir:v "Create QuestionnaireResponse" ]
  ] [
fhir:resourceId [ fhir:v "Request4" ] ;
fhir:resourceType [ fhir:v "Observation" ] ;
fhir:name [ fhir:v "Create Observation and MedicationStatement from QuestionnaireResponse" ]
  ] [
fhir:resourceId [ fhir:v "Reply1" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Dummy" ]
  ] [
fhir:resourceId [ fhir:v "Reply3" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Dummy" ]
  ] [
fhir:resourceId [ fhir:v "Request5" ] ;
fhir:resourceType [ fhir:v "Procedure" ] ;
fhir:name [ fhir:v "Update Procedure -Biopsy" ] ;
    ( fhir:version [
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title>         ] ;
fhir:value [
a fhir:String ;
fhir:v "Procedure Liver Biopsy"         ]       ] [
fhir:url [
fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content>         ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Procedure/13240a3b-d1db-4f1a-ad7d-b19f23967060 ;
fhir:reference [ fhir:v "Procedure/13240a3b-d1db-4f1a-ad7d-b19f23967060" ]         ]       ] ) ;
fhir:versionId [ fhir:v "1" ]     ] )
  ] [
fhir:resourceId [ fhir:v "Request6" ] ;
fhir:resourceType [ fhir:v "Specimen" ] ;
fhir:name [ fhir:v "Update Specimen" ]
  ] [
fhir:resourceId [ fhir:v "Request7" ] ;
fhir:resourceType [ fhir:v "Specimen" ] ;
fhir:name [ fhir:v "Update Specimen with tracking number" ]
  ] [
fhir:resourceId [ fhir:v "Reply5" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Dummy" ]
  ] [
fhir:resourceId [ fhir:v "Reply6" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Dummy" ]
  ] [
fhir:resourceId [ fhir:v "Reply7" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Dummy" ]
  ] [
fhir:resourceId [ fhir:v "Request8" ] ;
fhir:resourceType [ fhir:v "Observation" ] ;
fhir:name [ fhir:v "Create Observation - Vital Signs" ]
  ] [
fhir:resourceId [ fhir:v "Request9" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Create Disharge Letter" ]
  ] [
fhir:resourceId [ fhir:v "Reply8" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Dummy" ]
  ] [
fhir:resourceId [ fhir:v "Reply9" ] ;
fhir:resourceType [ fhir:v "Binary" ] ;
fhir:name [ fhir:v "Dummy" ]
  ] ) ; # 
  fhir:process ( [
fhir:title [ fhir:v "Admission" ] ;
fhir:description [ fhir:v "Admit Patient. The process roughly follows [FHIR Structured Data Capture](https://build.fhir.org/ig/HL7/sdc)" ] ;
fhir:preConditions [ fhir:v "Test Order has been created ([Genomic Test Order Process](ExampleScenario-GenomicTestOrderProcess.html))" ] ;
    ( fhir:step [
fhir:operation [
fhir:number [ fhir:v "1" ] ;
fhir:type [ fhir:v "search-type" ] ;
fhir:name [ fhir:v "Select Admission Forms" ] ;
fhir:initiator [ fhir:v "nurse" ] ;
fhir:receiver [ fhir:v "forms" ] ;
fhir:description [ fhir:v "This may be paper based" ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request1" ]         ] ;
fhir:response [
fhir:resourceId [ fhir:v "Reply1" ]         ]       ]     ] [
fhir:operation [
fhir:number [ fhir:v "2" ] ;
fhir:type [ fhir:v "create" ] ;
fhir:name [ fhir:v "Pre-populate Admission Form" ] ;
fhir:initiator [ fhir:v "forms" ] ;
fhir:receiver [ fhir:v "epr" ] ;
fhir:description [ fhir:v "If using electronic forms and their is a connection to an EPR or Health Information Exchange - the forms may be pre-populated " ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request2" ]         ]       ]     ] [
fhir:operation [
fhir:number [ fhir:v "3" ] ;
fhir:type [ fhir:v "read" ] ;
fhir:name [ fhir:v "Complete Admission Form. " ] ;
fhir:initiator [ fhir:v "nurse" ] ;
fhir:receiver [ fhir:v "patient" ] ;
fhir:description [ fhir:v "This includes enquiring about the patients medical history, such as conditions and medications. This also includes taking the patient vital signs - device data may be automatically uploaded into the EPR. " ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request3" ]         ] ;
fhir:response [
fhir:resourceId [ fhir:v "Reply3" ]         ]       ]     ] [
fhir:operation [
fhir:number [ fhir:v "4" ] ;
fhir:type [ fhir:v "create" ] ;
fhir:name [ fhir:v "Complete Admission Form. " ] ;
fhir:initiator [ fhir:v "nurse" ] ;
fhir:receiver [ fhir:v "forms" ] ;
fhir:description [ fhir:v "Enter answers to questions in the forms. The end of this process is likely to be signalled via a **IHE Patient Administration** HL7 v2 ADT Admission event. " ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request4" ]         ]       ]     ] )
  ] [
fhir:title [ fhir:v "Perform Biopsy" ] ;
fhir:description [ fhir:v "Perform Biopsy Procedure" ] ;
    ( fhir:step [
fhir:operation [
fhir:number [ fhir:v "5" ] ;
fhir:type [ fhir:v "create" ] ;
fhir:name [ fhir:v "Document Procedure - Record procedure details" ] ;
fhir:initiator [ fhir:v "consultant" ] ;
fhir:receiver [ fhir:v "epr" ] ;
fhir:description [ fhir:v "TODO" ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request5" ]         ]       ]     ] [
fhir:operation [
fhir:number [ fhir:v "6" ] ;
fhir:type [ fhir:v "update" ] ;
fhir:name [ fhir:v "Document Procedure - Update specimen details" ] ;
fhir:initiator [ fhir:v "nurse" ] ;
fhir:receiver [ fhir:v "epr" ] ;
fhir:description [ fhir:v "Ideally the updated specimen record should result in an update to the original order.  " ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request6" ]         ]       ]     ] [
fhir:operation [
fhir:number [ fhir:v "7" ] ;
fhir:type [ fhir:v "create" ] ;
fhir:name [ fhir:v "Send specimen" ] ;
fhir:initiator [ fhir:v "nurse" ] ;
fhir:receiver [ fhir:v "laboratory" ] ;
fhir:description [ fhir:v "If the specimen is being sent via a courier, then the specimen record should be updated with a tracking id " ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request7" ]         ]       ]     ] )
  ] [
fhir:title [ fhir:v "Monitor and Discharge Patient" ] ;
fhir:description [ fhir:v "Monitor patient post procedure and Discharge Patient" ] ;
    ( fhir:step [
fhir:operation [
fhir:number [ fhir:v "8" ] ;
fhir:type [ fhir:v "update" ] ;
fhir:name [ fhir:v "Monitor Patient - Update specimen details" ] ;
fhir:initiator [ fhir:v "nurse" ] ;
fhir:receiver [ fhir:v "epr" ] ;
fhir:description [ fhir:v "This probably includes taking of vital signs to ensure the patient is stable " ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request8" ]         ]       ]     ] [
fhir:operation [
fhir:number [ fhir:v "9" ] ;
fhir:type [ fhir:v "update" ] ;
fhir:name [ fhir:v "Discharge Patient" ] ;
fhir:initiator [ fhir:v "nurse" ] ;
fhir:receiver [ fhir:v "epr" ] ;
fhir:description [ fhir:v "This includes a **IHE Patient Administration** - HL7 v2 ADT Discharge event and may include clinical notes" ] ;
fhir:request [
fhir:resourceId [ fhir:v "Request9" ]         ]       ]     ] )
  ] ) . #