NHS North West Genomics
2.0.3 - 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 2.0.3 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

Overview - Data Contracts

This implementation guide primarily focuses on the Diagnostic Workflow and how it integrates within the broader health data model, as illustrated in the diagram above.

  • Patient Care and Patient Administration are typically found in NHS providers Electronic Patient Record systems
  • Care Directory Service on the other hand, are centrally defined by NHS England, with supporting APIs also provided by NHS England (for example, the ODS API).

In software design, these areas are often referred to as domains. The Genomic Diagnostic Workflow operates across several of these domains — in software architecture terms, this is known as a bounded context.

Diagnostic WorkflowLaboratory Test Order (OML_O21)Genomic Test OrderService Request (ORC)Laboratory Test Report (ORU_R01)Genomic Test ReportDiagnostic Report (OBR)Sample ManagementSpecimen Event TrackingSpecimen (SPM)Task (Future)Patient AdministrationPatient (PID)Encounter/Hospital Spell (PV1)Care DirectoryOrganisationPractitionerHealth DocumentsDocument Reference (OBX and XDS Document Entry)

Diagnostic Workflow - MindMap