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.
Result Bundle contents
Genetic Testing Response
The genetic testing response information is exchanged using FHIR Transaction Bundle. This section shows the example Bundle structure and the relationship between the resources which make up the Bundle.
The Bundle uses the following resource to carry the related business entity information:
Test Request Response - This business entity is used to capture details of the genetic testing response and uses the DiagnosticReport FHIR resource.
The data items and resources used in the Response Bundle are mapped from the Genomics Reporting IG, published by the HL7 Clinical Genomics Working Group. This model is still under review for use in the UK.
The references from the Genomic Report profile have been represented within the GraphDefinition-Genomics-Test-Result GraphDefinition for querying/retrieving complete reports via single API calls.
Alignment of this model to the EU Laboratory Report Guidance, e.g. representation of test reports as DiagnosticReports or Documents within Genomic Order Management, is still pending.
The following diagram identifies key fhir resources included within a National Diagnostics - Genetic Testing Response bundle, and how these resources are related.