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.
CPGC Non-WGS Solid Tumour Scenario
Link to the High Fidelity Wireframe for the CPGC Non WGS Solid Tumour Scenario
The following steps is a walk through of a Non WGS Solid Tumour Test Request. This scenario takes into considersation the set up CPGC's (location) as the initial point of triage and prep prior to forwarding the test request/sample to GLH.
1. Cellular Pathologist(Requester) to confirm Genomic Testing/ specimen block required.
Outside scope for central broker comms
2. Cellular Pathologist(Requester) to search for patient (a dummy patient has been pre-populated as an example)
Params:
given=Zelma
family=Hadgkiss
birthdate=eq2011-03-19
Response:
3. Cellular Pathologist (Requester) to indicate appropriate Test directory code/description
Code M119 selected for ServiceRequest.code
4. Cellular Pathologist (Requester) to complete (as an example)- Non WGS Cancer (Solid Tumour) form and submit request with specimen details. Please note:specimen(s) may come from another lab in the region.
POST transaction Bundle to GMS baseURL:
Bundle-NonWGSTestOrderForm-CancerSolidTumor-Example
Response:
OperationOutcome with appropriate success/failure codes: OperationOutcome-SuccessfulValidation-Example
Specimen details:
BodyStructure-BodySiteLocationLungs-Example
Observation-Cellularity-Example
Observation-NeoplasticCell-Example
Observation-TumourType-Example
Specimen-CancerSolidTumor-Example
ServiceRequest-NonWGSTestOrderFormUpdated-SolidTumor-Example
CPGC: (Set up to manage triage and prep for all solid tumors listed on the Test Directory)
1. Recieve test request electronically (* Note a CPGC may be in the same location as the GLH or at a different location) and specimen details
Obtained through GET /ServiceRequest or /GET Task requests (using params on CapabilityStatements to filter results) for non-routed requests. (Dashboard of available requests)
OR
Obtained through GET /Task request (filtered by GLH owner) for routed requests.
Then
GET /Task by Id and referenced ServiceRequest for view of individual.
2. Review/ Triage test request and specimen (when delivered to location)
GET of resources linked to ServiceRequest
3. Accept Test request and complete prep if specimen/test request meets criteria
POST of Task-NonWGSRareDiseaseTestOrderAccepted-SufficientSample-Example
Or
4. Set status to awaiting further information or Reject in the event criteria is not met
POST of Task-NonWGSRareDiseaseTestOrderRejected-CancerSolidTumor-Example
and Task-NonWGSRareDiseaseTestOrder-InsufficientSample-Example
5. CPGC to forward (test request req details electronically) & sample to GLH once prep is complete to progress the request
Post of Task-NonWGSRareDiseaseTestOrderForwarded-SolidTumor-Example