FHIR Genomics Implementation Guide

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.

Provenance

Provenance-NonWGSTestOrderFormCancellation-Example

Example of a Provenance resource to record an update made to a ServiceRequest, with an additional signature.

Provenance

id : Provenance-NonWGSTestOrderFormCancellation-Example

target

reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-MarkInErrorUpdated-Example

recorded : 2023-08-08T15:43:00Z

reason

coding

system : http://terminology.hl7.org/CodeSystem/v3-ActReason

code : NOREQ

display : no longer required for treatment

activity

coding

system : http://terminology.hl7.org/CodeSystem/v3-DataOperation

code : CANCEL

display : cancel

agent

type

coding

system : http://terminology.hl7.org/CodeSystem/provenance-participant-type

code : author

display : Author

who

reference : PractitionerRole/PractitionerRole-GeneSmithENT-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

entity

role : source

what

reference : ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-Cancellation-Example

signature

type

system : urn:iso-astm:E1762-95:2013

code : 1.2.840.10065.1.12.1.15

display : Addendum Signature

when : 2023-08-08T15:43:00Z

who

reference : PractitionerRole/PractitionerRole-GeneSmithENT-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

data : DQo8U2lnbmF0dXJlIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwLzA5L3htbGRzaWcjIj4NCiAgICA8U2lnbmVkSW5mbz48Q2Fub25pY2FsaXphdGlvbk1ldGhvZCBBbGdvcml0aG09Imh0dHA6Ly93d3cudzMub3JnLzIwMDEvMTAveG1sLWV4Yy1jMTRuIyI+PC9DYW5vbmljYWxpemF0aW9uTWV0aG9kPjxTaWduYXR1cmVNZXRob2QgQWxnb3JpdGhtPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwLzA5L3htbGRzaWcjcnNhLXNoYTEiPjwvU2lnbmF0dXJlTWV0aG9kPjxSZWZlcmVuY2U+PFRyYW5zZm9ybXM+PFRyYW5zZm9ybSBBbGdvcml0aG09Imh0dHA6Ly93d3cudzMub3JnLzIwMDEvMTAveG1sLWV4Yy1jMTRuIyI+PC9UcmFuc2Zvcm0+PC9UcmFuc2Zvcm1zPjxEaWdlc3RNZXRob2QgQWxnb3JpdGhtPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwLzA5L3htbGRzaWcjc2hhMSI+PC9EaWdlc3RNZXRob2Q+PERpZ2VzdFZhbHVlPjJ5cUJISDVLK05ibVA1WWY3bVE3WmVFYWN0Yz08L0RpZ2VzdFZhbHVlPjwvUmVmZXJlbmNlPjwvU2lnbmVkSW5mbz4NCiAgICA8U2lnbmF0dXJlVmFsdWU+aE9DaXVJOGIyTEFaRXoxUDdXcGFlRDBQUWQ2bVJKdzVSV2JNV2ZMcU1OUWtRMzIzbnpWTDk3a01XZUJycnJzNU5vTHhGb28vKzFPUjYxcmNXNTJEamlHdjRRcE53QmJOQkYvMi9hUWxqd3pUdm9tQm9tUlpnbUtRQWpyZU1iOTZNM0hjajVvVFNBZG9tUEc2TGw3RVRCS25wRTVJdW5EamducUIxelhEWllVPTwvU2lnbmF0dXJlVmFsdWU+DQogICAgPEtleUluZm8+DQogICAgICAgIDxYNTA5RGF0YT4NCiAgICAgICAgICAgIDxYNTA5Q2VydGlmaWNhdGU+TUlJRHVEQ0NBcUNnQXdJQkFnSUVYY210SHpBTkJna3Foa2lHOXcwQkFRc0ZBREEyTVF3d0NnWURWUVFLRXdOdWFITXhDekFKQmdOVkJBc1RBa05CTVJrd0Z3WURWUVFERXhCT1NGTWdTVTVVSUV4bGRtVnNJREZFTUI0WERUSXdNVEF5TWpFd01qRTFOVm9YRFRJeU1UQXlNakV3TlRFMU5Wb3dRekVNTUFvR0ExVUVDaE1EYm1oek1ROHdEUVlEVlFRTEV3WlFaVzl3YkdVeElqQWdCZ05WQkFNTUdUVTFOVEkxTXpVeU1URXdPRjlTUVU1RVQwMWZWVk5GVWxFd2daOHdEUVlKS29aSWh2Y05BUUVCQlFBRGdZMEFNSUdKQW9HQkFLdDRzek53N09BSDdBUVJyRGUveEJJbXNNbU1pUzlFc3JUM2EzcC9MaDNicmR6STlhYWpUVVoyYi9jdmJPYTdQZVlkN3UrSzRhMlpkMFhrKzBHRm1ZR3pTVlg2aVlqYmx3cjB2YWkzMXpWN0crbEd2SHhINnBTb0xDd0lDYVpBRndhYmVENU96OTQreUEzYVdOV3RHVjBEZmg5cXdIM1pGQ0lNUnN2ZXJOMXBBZ01CQUFHamdnRkRNSUlCUHpBT0JnTlZIUThCQWY4RUJBTUNCa0F3WlFZRFZSMGdBUUgvQkZzd1dUQlhCZ3NxaGpvQWlYdG1BQU1DQURCSU1FWUdDQ3NHQVFVRkJ3SUJGanBvZEhSd2N6b3ZMM0JyYVM1dWFITXVkV3N2WTJWeWRHbG1hV05oZEdWZmNHOXNhV05wWlhNdlkyOXVkR1Z1ZEY5amIyMXRhWFJ0Wlc1ME1ETUdBMVVkSHdRc01Db3dLS0Ftb0NTR0ltaDBkSEE2THk5amNtd3VibWh6TG5WckwybHVkQzh4WkM5amNteGpNeTVqY213d0t3WURWUjBRQkNRd0lvQVBNakF5TURFd01qSXhNREl4TlRWYWdROHlNREl5TURNeE56RXdOVEUxTlZvd0h3WURWUjBqQkJnd0ZvQVVvSllmZ1lUTlBkNkVVS0w2UUxJekh4WTVQRkl3SFFZRFZSME9CQllFRkx0eXZZU3lhcWc2MEFFVVpneGswd3JqUkpjK01Ba0dBMVVkRXdRQ01BQXdHUVlKS29aSWh2WjlCMEVBQkF3d0Noc0VWamd1TXdNQ0JMQXdEUVlKS29aSWh2Y05BUUVMQlFBRGdnRUJBQmN6eThCOGp1UHBJZmFUTkZjeHJDMjJhQ1gveFlabWhyTC9OdklCQWFYMUc1aGppd21rR0tFMmhSVElyNjdQeFp4bVhzSnhpZ1JCTUhQbEkrbFkvK29rekgwR2k3YjVicWx3N3B4R0lnSk8wMDB3OHBGc3ZvOXc0MklZaEhvZHN2bkRWU3hoTVQwSjQ2UWhrOXNvRTBMam9FVUxLUVBQbFlHa2UvR2wzbTE3SXRGWXdPYlFIMGZNRXdtaXFCeWVJZno3Z1NjY096TDVjSXA2UGNaVE9qbzJJcVFwZ0VtaGpPY1JJbkVxQU5pdFNkam9pSkFKenBhYVpqWVRSZEhVWDdpN2FqRWlING05MW5GVys0QXFrTnR0bGI0V2NHS3NTbVdnZktLaGVGNElvWktNRTgweGVyU2dNeTh2dGpMT0JKQ0dYejB3TEdtUXVSbXhNVHE4OHE0PTwvWDUwOUNlcnRpZmljYXRlPg0KICAgICAgICA8L1g1MDlEYXRhPg0KICAgIDwvS2V5SW5mbz4NCjwvU2lnbmF0dXJlPg0K

{

"resourceType": "Provenance",

"id": "Provenance-NonWGSTestOrderFormCancellation-Example",

"target": [

{

"reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-MarkInErrorUpdated-Example"

}

"recorded": "2023-08-08T15:43:00Z",

"reason": [

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "NOREQ",
"display": "no longer required for treatment"

}

]

}

"activity": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code": "CANCEL",
"display": "cancel"

}

]

"agent": [

{

"type": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"

}

]

"who": {

"reference": "PractitionerRole/PractitionerRole-GeneSmithENT-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

"entity": [

{

"role": "source",

"what": {

"reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-Cancellation-Example"

}

"signature": [

{

"type": [

{

"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.15",
"display": "Addendum Signature"

}

"when": "2023-08-08T15:43:00Z",

"who": {

"reference": "PractitionerRole/PractitionerRole-GeneSmithENT-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

"data": "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"

}

]

}

</target>

<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
<code value="NOREQ" />
<display value="no longer required for treatment" />

</coding>

</reason>

<system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation" />
<code value="CANCEL" />
<display value="cancel" />

</coding>

</activity>

<agent>

<type>

<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type" />
<code value="author" />
<display value="Author" />

</coding>

</type>

<who>

</identifier>

</who>

</agent>

<what>

</what>

</entity>

<type>

<system value="urn:iso-astm:E1762-95:2013" />
<code value="1.2.840.10065.1.12.1.15" />
<display value="Addendum Signature" />

</type>

<who>

</identifier>

</who>

</signature>

</Provenance>

Propose a change to

Provenance-NonWGSTestOrderFormUpdated-SolidTumor-Example

Example of a Provenance resource to record an update made to a ServiceRequest, with an additional signature.

Provenance

id : Provenance-NonWGSTestOrderFormUpdated-SolidTumor-Example

target

reference : ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-SolidTumor-Example

recorded : 2023-08-08T15:43:00Z

reason

coding

system : http://terminology.hl7.org/CodeSystem/v3-ActReason

code : TREAT

display : treatment

activity

coding

system : http://terminology.hl7.org/CodeSystem/v3-DataOperation

code : UPDATE

display : revise

agent

type

coding

system : http://terminology.hl7.org/CodeSystem/provenance-participant-type

code : author

display : Author

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

entity

role : source

what

reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example

signature

type

system : urn:iso-astm:E1762-95:2013

code : 1.2.840.10065.1.12.1.15

display : Addendum Signature

when : 2023-08-08T15:43:00Z

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

{

"resourceType": "Provenance",

"id": "Provenance-NonWGSTestOrderFormUpdated-SolidTumor-Example",

"target": [

{

"reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-SolidTumor-Example"

}

"recorded": "2023-08-08T15:43:00Z",

"reason": [

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "TREAT",
"display": "treatment"

}

]

}

"activity": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code": "UPDATE",
"display": "revise"

}

]

"agent": [

{

"type": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"

}

]

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

"entity": [

{

"role": "source",

"what": {

"reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-CancerSolidTumor-Example"

}

"signature": [

{

"type": [

{

"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.15",
"display": "Addendum Signature"

}

"when": "2023-08-08T15:43:00Z",

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

]

}

</target>

<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
<code value="TREAT" />
<display value="treatment" />

</coding>

</reason>

<system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation" />
<code value="UPDATE" />
<display value="revise" />

</coding>

</activity>

<agent>

<type>

<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type" />
<code value="author" />
<display value="Author" />

</coding>

</type>

<who>

</identifier>

</who>

</agent>

<what>

</what>

</entity>

<type>

<system value="urn:iso-astm:E1762-95:2013" />
<code value="1.2.840.10065.1.12.1.15" />
<display value="Addendum Signature" />

</type>

<who>

</identifier>

</who>

</signature>

</Provenance>

Propose a change to

Provenance-NonWGSTestOrderForm-FetalScenario-Example

Example of a Provenance resource to record an update made to a ServiceRequest, with an additional signature.

Provenance

id : Provenance-NonWGSTestOrderForm-FetalScenario-Example

target

reference : ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-FetalScenario-Example

recorded : 2023-08-08T15:43:00Z

reason

coding

system : http://terminology.hl7.org/CodeSystem/v3-ActReason

code : TREAT

display : treatment

activity

coding

system : http://terminology.hl7.org/CodeSystem/v3-DataOperation

code : UPDATE

display : revise

agent

type

coding

system : http://terminology.hl7.org/CodeSystem/provenance-participant-type

code : author

display : Author

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

entity

role : source

what

reference : ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example

signature

type

system : urn:iso-astm:E1762-95:2013

code : 1.2.840.10065.1.12.1.15

display : Addendum Signature

when : 2023-08-08T15:43:00Z

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

{

"resourceType": "Provenance",

"id": "Provenance-NonWGSTestOrderForm-FetalScenario-Example",

"target": [

{

"reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-FetalScenario-Example"

}

"recorded": "2023-08-08T15:43:00Z",

"reason": [

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "TREAT",
"display": "treatment"

}

]

}

"activity": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code": "UPDATE",
"display": "revise"

}

]

"agent": [

{

"type": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"

}

]

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

"entity": [

{

"role": "source",

"what": {

"reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example"

}

"signature": [

{

"type": [

{

"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.15",
"display": "Addendum Signature"

}

"when": "2023-08-08T15:43:00Z",

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

]

}

</target>

<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
<code value="TREAT" />
<display value="treatment" />

</coding>

</reason>

<system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation" />
<code value="UPDATE" />
<display value="revise" />

</coding>

</activity>

<agent>

<type>

<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type" />
<code value="author" />
<display value="Author" />

</coding>

</type>

<who>

</identifier>

</who>

</agent>

<what>

</what>

</entity>

<type>

<system value="urn:iso-astm:E1762-95:2013" />
<code value="1.2.840.10065.1.12.1.15" />
<display value="Addendum Signature" />

</type>

<who>

</identifier>

</who>

</signature>

</Provenance>

Propose a change to

Provenance-ServiceRequestUpdate-Example

Example of a Provenance resource to record an update made to a ServiceRequest, with an additional signature.

Provenance

id : Provenance-ServiceRequestUpdate-Example

target

reference : ServiceRequest/ServiceRequest-SavedTestOrderUpdated-Example

recorded : 2023-08-10T11:10:00Z

reason

coding

system : http://terminology.hl7.org/CodeSystem/v3-ActReason

code : TREAT

display : treatment

activity

coding

system : http://terminology.hl7.org/CodeSystem/v3-DataOperation

code : UPDATE

display : revise

agent

type

coding

system : http://terminology.hl7.org/CodeSystem/provenance-participant-type

code : author

display : Author

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

entity

role : source

what

reference : ServiceRequest/ServiceRequest-SavedTestOrder-Example

signature

type

system : urn:iso-astm:E1762-95:2013

code : 1.2.840.10065.1.12.1.15

display : Addendum Signature

when : 2023-08-10T11:10:00Z

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

{

"resourceType": "Provenance",

"id": "Provenance-ServiceRequestUpdate-Example",

"target": [

{

"reference": "ServiceRequest/ServiceRequest-SavedTestOrderUpdated-Example"

}

"recorded": "2023-08-10T11:10:00Z",

"reason": [

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "TREAT",
"display": "treatment"

}

]

}

"activity": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code": "UPDATE",
"display": "revise"

}

]

"agent": [

{

"type": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"

}

]

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

"entity": [

{

"role": "source",

"what": {

"reference": "ServiceRequest/ServiceRequest-SavedTestOrder-Example"

}

"signature": [

{

"type": [

{

"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.15",
"display": "Addendum Signature"

}

"when": "2023-08-10T11:10:00Z",

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

]

}

</target>

<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
<code value="TREAT" />
<display value="treatment" />

</coding>

</reason>

<system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation" />
<code value="UPDATE" />
<display value="revise" />

</coding>

</activity>

<agent>

<type>

<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type" />
<code value="author" />
<display value="Author" />

</coding>

</type>

<who>

</identifier>

</who>

</agent>

<what>

</what>

</entity>

<type>

<system value="urn:iso-astm:E1762-95:2013" />
<code value="1.2.840.10065.1.12.1.15" />
<display value="Addendum Signature" />

</type>

<who>

</identifier>

</who>

</signature>

</Provenance>

Propose a change to

Provenance-WGSTestOrderForm-DirectToLab-Example

Example of a Provenance resource to record an update made to a ServiceRequest, with an additional signature.

Provenance

id : Provenance-WGSTestOrderForm-DirectToLab-Example

target

reference : ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-DirectToLab-Example

recorded : 2023-10-10T16:00:00Z

reason

coding

system : http://terminology.hl7.org/CodeSystem/v3-ActReason

code : TREAT

display : treatment

activity

coding

system : http://terminology.hl7.org/CodeSystem/v3-DataOperation

code : UPDATE

display : revise

agent

type

coding

system : http://terminology.hl7.org/CodeSystem/provenance-participant-type

code : author

display : Author

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

entity

role : source

what

reference : ServiceRequest/ServiceRequest-WGSTestOrderForm-DirectToLab-Example

signature

type

system : urn:iso-astm:E1762-95:2013

code : 1.2.840.10065.1.12.1.15

display : Addendum Signature

when : 2023-10-10T16:00:00Z

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

{

"resourceType": "Provenance",

"id": "Provenance-WGSTestOrderForm-DirectToLab-Example",

"target": [

{

"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-DirectToLab-Example"

}

"recorded": "2023-10-10T16:00:00Z",

"reason": [

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "TREAT",
"display": "treatment"

}

]

}

"activity": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code": "UPDATE",
"display": "revise"

}

]

"agent": [

{

"type": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"

}

]

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

"entity": [

{

"role": "source",

"what": {

"reference": "ServiceRequest/ServiceRequest-WGSTestOrderForm-DirectToLab-Example"

}

"signature": [

{

"type": [

{

"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.15",
"display": "Addendum Signature"

}

"when": "2023-10-10T16:00:00Z",

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

]

}

</target>

<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
<code value="TREAT" />
<display value="treatment" />

</coding>

</reason>

<system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation" />
<code value="UPDATE" />
<display value="revise" />

</coding>

</activity>

<agent>

<type>

<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type" />
<code value="author" />
<display value="Author" />

</coding>

</type>

<who>

</identifier>

</who>

</agent>

<what>

</what>

</entity>

<type>

<system value="urn:iso-astm:E1762-95:2013" />
<code value="1.2.840.10065.1.12.1.15" />
<display value="Addendum Signature" />

</type>

<who>

</identifier>

</who>

</signature>

</Provenance>

Propose a change to

Provenance-WGSTestOrderForm-TrioTestingProbandFather-Example

Example of a Provenance resource to record an update made to a ServiceRequest, with an additional signature.

Provenance

id : Provenance-WGSTestOrderForm-TrioTestingProbandFather-Example

target

reference : ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example

recorded : 2023-08-08T15:43:00Z

reason

coding

system : http://terminology.hl7.org/CodeSystem/v3-ActReason

code : TREAT

display : treatment

activity

coding

system : http://terminology.hl7.org/CodeSystem/v3-DataOperation

code : UPDATE

display : revise

agent

type

coding

system : http://terminology.hl7.org/CodeSystem/provenance-participant-type

code : author

display : Author

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

entity

role : source

what

reference : ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example

signature

type

system : urn:iso-astm:E1762-95:2013

code : 1.2.840.10065.1.12.1.15

display : Addendum Signature

when : 2023-08-08T15:43:00Z

who

reference : PractitionerRole/PractitionerRole-TestClinicalScientist-Example

identifier

system : https://fhir.nhs.uk/Id/sds-user-id

value : 9999999997

{

"resourceType": "Provenance",

"id": "Provenance-WGSTestOrderForm-TrioTestingProbandFather-Example",

"target": [

{

"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example"

}

"recorded": "2023-08-08T15:43:00Z",

"reason": [

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "TREAT",
"display": "treatment"

}

]

}

"activity": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code": "UPDATE",
"display": "revise"

}

]

"agent": [

{

"type": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"

}

]

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

"entity": [

{

"role": "source",

"what": {

"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example"

}

"signature": [

{

"type": [

{

"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.15",
"display": "Addendum Signature"

}

"when": "2023-08-08T15:43:00Z",

"who": {

"reference": "PractitionerRole/PractitionerRole-TestClinicalScientist-Example",

"identifier": {

"system": "https://fhir.nhs.uk/Id/sds-user-id",

"value": "9999999997"

}

]

}

</target>

<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
<code value="TREAT" />
<display value="treatment" />

</coding>

</reason>

<system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation" />
<code value="UPDATE" />
<display value="revise" />

</coding>

</activity>

<agent>

<type>

<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type" />
<code value="author" />
<display value="Author" />

</coding>

</type>

<who>

</identifier>

</who>

</agent>

<what>

</what>

</entity>

<type>

<system value="urn:iso-astm:E1762-95:2013" />
<code value="1.2.840.10065.1.12.1.15" />
<display value="Addendum Signature" />

</type>

<who>

</identifier>

</who>

</signature>

</Provenance>