Notice
- Important: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
- This Implementation Guide is currently in Draft and SHOULD NOT be used for development or active implementation without express direction from the NHS England Genomics Unit.
Composition
Composition-EULabGenomicReport-Example
Example of a structure report containing documents generated by the central broker for capturing snapshots of Test orders and results. This report aligns to HL7 EU Laboratory IG guidance.
| Composition |
| id : Composition-EULabGenomicReport-Example |
| meta |
| profile : http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab |
| extension |
| url : http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition |
| value |
| reference : ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example |
| extension |
| url : http://hl7.eu/fhir/StructureDefinition/information-recipient |
| value |
| reference : PractitionerRole/PractitionerRole-EugeneSmith-Example |
| extension |
| url : http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference |
| value |
| reference : DiagnosticReport/DiagnosticReport-GenomicVariantAssessment-Example |
| status : final |
| type |
| coding |
| system : http://loinc.org |
| code : 51969-4 |
| display : Genetic analysis report |
| category |
| coding |
| system : http://loinc.org |
| code : 26436-6 |
| display : Laboratory studies (set) |
| category |
| coding |
| system : http://snomed.info/sct |
| code : 1236877003 |
| display : Genetic pathology |
| subject |
| reference : Patient/Patient-PheobeSmitham-Example |
| date : 2023-10-16T00:00:00-05:00 |
| author |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : R0A |
| title : Example Genomic Laboratory (Single) Report |
| section |
| title : Results |
| code |
| coding |
| system : http://loinc.org |
| code : 26436-6 |
| display : Laboratory studies (set) |
| entry |
| reference : Observation/Observation-GenomicTherapeuticImplication-Example |
| entry |
| reference : Observation/Observation-GenomicsVariantSLC52A2-Example |
{
"resourceType": "Composition",
"id": "Composition-EULabGenomicReport-Example",
"meta": {
"profile": [
"http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab"
]
},
"extension": [
{
"url": "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition",
"valueReference": {
"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example"
}
},
{
"url": "http://hl7.eu/fhir/StructureDefinition/information-recipient",
"valueReference": {
"reference": "PractitionerRole/PractitionerRole-EugeneSmith-Example"
}
},
{
"url": "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference",
"valueReference": {
"reference": "DiagnosticReport/DiagnosticReport-GenomicVariantAssessment-Example"
}
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "51969-4",
"display": "Genetic analysis report"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "26436-6",
"display": "Laboratory studies (set)"
}
]
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1236877003",
"display": "Genetic pathology"
}
]
}
],
"subject": {
"reference": "Patient/Patient-PheobeSmitham-Example"
},
"date": "2023-10-16T00:00:00-05:00",
"author": [
{
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "R0A"
}
}
],
"title": "Example Genomic Laboratory (Single) Report",
"section": [
{
"title": "Results",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "26436-6",
"display": "Laboratory studies (set)"
}
]
},
"entry": [
{
"reference": "Observation/Observation-GenomicTherapeuticImplication-Example"
},
{
"reference": "Observation/Observation-GenomicsVariantSLC52A2-Example"
}
]
}
]
}
<Composition xmlns="http://hl7.org/fhir">
<id value="Composition-EULabGenomicReport-Example" />
<meta>
<profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab" />
</meta>
<extension url="http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition">
<valueReference>
<reference value="ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example" />
</valueReference>
</extension>
<extension url="http://hl7.eu/fhir/StructureDefinition/information-recipient">
<valueReference>
<reference value="PractitionerRole/PractitionerRole-EugeneSmith-Example" />
</valueReference>
</extension>
<extension url="http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference">
<valueReference>
<reference value="DiagnosticReport/DiagnosticReport-GenomicVariantAssessment-Example" />
</valueReference>
</extension>
<status value="final" />
<type>
<coding>
<system value="http://loinc.org" />
<code value="51969-4" />
<display value="Genetic analysis report" />
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org" />
<code value="26436-6" />
<display value="Laboratory studies (set)" />
</coding>
</category>
<category>
<coding>
<system value="http://snomed.info/sct" />
<code value="1236877003" />
<display value="Genetic pathology" />
</coding>
</category>
<subject>
<reference value="Patient/Patient-PheobeSmitham-Example" />
</subject>
<date value="2023-10-16T00:00:00-05:00" />
<author>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="R0A" />
</identifier>
</author>
<title value="Example Genomic Laboratory (Single) Report" />
<section>
<title value="Results" />
<code>
<coding>
<system value="http://loinc.org" />
<code value="26436-6" />
<display value="Laboratory studies (set)" />
</coding>
</code>
<entry>
<reference value="Observation/Observation-GenomicTherapeuticImplication-Example" />
</entry>
<entry>
<reference value="Observation/Observation-GenomicsVariantSLC52A2-Example" />
</entry>
</section>
</Composition>