The common core of a Genomic Test Report: the Patient, Hospital Spell, Diagnostic Workflow and Results shared by every report, regardless of test type. Individual test findings are carried as panel-specific results (see Report Panels below).

This is a logical model - it is not exchanged as is. It breaks down into DiagnosticReport, Patient, Encounter, ServiceRequest, PractitionerRole, Organization, Specimen, Observation and DocumentReference/Binary for exchange via HL7 v2 ORU_R01 or FHIR (Message R01 / RESTful API).

Patient identification

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• value @ url

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

NHS Number of the patient

Local hospital number of the patient

Treat as mandatory for reflex or subcontracted orders.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• value @ url

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Assigned by the Order Placer, where it is known as spell or episode id. Used by all diagnostics to link tests to a spell/episode. Also known as stay number.

Hospital service the patient is under

The unique order number assigned by the Order Placer (order comms or EHR) that requested the report. Present for a closed-loop report; absent for an unsolicited report, where no order was ever received.

Order number assigned by the Order Filler (LIMS)

Identifies the report, assigned by the Order Filler (LIMS)

ODS code of the organisation that ordered the test

(Order) Procedure Code. For genomics this is the National Genomic Test Directory code (for radiology it would be the NICIP code). The same code is carried on the order.

Clinical indication (CITT code) the test assessed

Date/time the report was issued

e.g. preliminary, final, amended

Who created the report - principal and assistant results interpreter

Who performed the test

The organisation that produced the report

The sample(s) that were used for testing

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• value @ url

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Specimen identifier (LOINC 80398-1)

Identifier assigned by the laboratory

Results and the entire report as a PDF (LOINC 51969-4 Gene analysis narrative report)

Free-text interpretive summary

NHS England Genomics Test Outcome (coded conclusion)

Individual test findings, carried as panel-specific results - e.g. Reportable Variant, BCR-ABL Monitoring, Chimerism Testing. See Report Panels.

The common core of a Genomic Test Report: the Patient, Hospital Spell, Diagnostic Workflow and Results shared by every report, regardless of test type. Individual test findings are carried as panel-specific results (see Report Panels below).

This is a logical model - it is not exchanged as is. It breaks down into DiagnosticReport, Patient, Encounter, ServiceRequest, PractitionerRole, Organization, Specimen, Observation and DocumentReference/Binary for exchange via HL7 v2 ORU_R01 or FHIR (Message R01 / RESTful API).

Patient identification

NHS Number of the patient

Local hospital number of the patient

Treat as mandatory for reflex or subcontracted orders.

Assigned by the Order Placer, where it is known as spell or episode id. Used by all diagnostics to link tests to a spell/episode. Also known as stay number.

Hospital service the patient is under

The unique order number assigned by the Order Placer (order comms or EHR) that requested the report. Present for a closed-loop report; absent for an unsolicited report, where no order was ever received.

Order number assigned by the Order Filler (LIMS)

Identifies the report, assigned by the Order Filler (LIMS)

ODS code of the organisation that ordered the test

(Order) Procedure Code. For genomics this is the National Genomic Test Directory code (for radiology it would be the NICIP code). The same code is carried on the order.

Clinical indication (CITT code) the test assessed

Date/time the report was issued

e.g. preliminary, final, amended

Who created the report - principal and assistant results interpreter

Who performed the test

The organisation that produced the report

The sample(s) that were used for testing

Specimen identifier (LOINC 80398-1)

Identifier assigned by the laboratory

Results and the entire report as a PDF (LOINC 51969-4 Gene analysis narrative report)

Free-text interpretive summary

NHS England Genomics Test Outcome (coded conclusion)

Individual test findings, carried as panel-specific results - e.g. Reportable Variant, BCR-ABL Monitoring, Chimerism Testing. See Report Panels.

The common core of a Genomic Test Report: the Patient, Hospital Spell, Diagnostic Workflow and Results shared by every report, regardless of test type. Individual test findings are carried as panel-specific results (see Report Panels below).

This is a logical model - it is not exchanged as is. It breaks down into DiagnosticReport, Patient, Encounter, ServiceRequest, PractitionerRole, Organization, Specimen, Observation and DocumentReference/Binary for exchange via HL7 v2 ORU_R01 or FHIR (Message R01 / RESTful API).

Patient identification

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• value @ url

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

NHS Number of the patient

Local hospital number of the patient

Treat as mandatory for reflex or subcontracted orders.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• value @ url

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Assigned by the Order Placer, where it is known as spell or episode id. Used by all diagnostics to link tests to a spell/episode. Also known as stay number.

Hospital service the patient is under

The unique order number assigned by the Order Placer (order comms or EHR) that requested the report. Present for a closed-loop report; absent for an unsolicited report, where no order was ever received.

Order number assigned by the Order Filler (LIMS)

Identifies the report, assigned by the Order Filler (LIMS)

ODS code of the organisation that ordered the test

(Order) Procedure Code. For genomics this is the National Genomic Test Directory code (for radiology it would be the NICIP code). The same code is carried on the order.

Clinical indication (CITT code) the test assessed

Date/time the report was issued

e.g. preliminary, final, amended

Who created the report - principal and assistant results interpreter

Who performed the test

The organisation that produced the report

The sample(s) that were used for testing

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• value @ url

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Specimen identifier (LOINC 80398-1)

Identifier assigned by the laboratory

Results and the entire report as a PDF (LOINC 51969-4 Gene analysis narrative report)

Free-text interpretive summary

NHS England Genomics Test Outcome (coded conclusion)

Individual test findings, carried as panel-specific results - e.g. Reportable Variant, BCR-ABL Monitoring, Chimerism Testing. See Report Panels.