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Source1

{
  "resourceType": "ExampleScenario",
  "id": "ClinicalAndGenomicWorkflow",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.nwgenomics.nhs.uk/ExampleScenario/ClinicalAndGenomicWorkflow",
  "version": "0.1.0",
  "name": "Clinical And Genomic Workflow",
  "status": "draft",
  "date": "2026-02-10T04:20:28+00:00",
  "publisher": "NHS North West Genomics",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nwgenomics.nhs.uk/contact-us"
        }
      ]
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "GB",
          "display": "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "actor": [
    {
      "actorId": "diagnostics",
      "type": "entity",
      "name": "Genomic Diagnostic Testing",
      "description": "TODO"
    },
    {
      "actorId": "counsellor",
      "type": "entity",
      "name": "Genomic counsellor",
      "description": "TODO"
    },
    {
      "actorId": "cdr",
      "type": "entity",
      "name": "Regional - Genomic Data Repository",
      "description": " Clinical Data Repository "
    },
    {
      "actorId": "consultant",
      "type": "entity",
      "name": "Consultant",
      "description": "Primary Care doctor or Secondary Care Consultant"
    },
    {
      "actorId": "epr",
      "type": "entity",
      "name": "Electronic Patient Record",
      "description": " [Provider Information Source](ActorDefinition-ProviderInformationSource.html) "
    }
  ],
  "instance": [
    {
      "resourceId": "Request1",
      "resourceType": "Observation",
      "name": "Variant",
      "description": " TODO ",
      "version": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
              "valueString": "Variant NTHL1"
            },
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
              "valueReference": {
                "reference": "Observation/8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
              }
            }
          ],
          "versionId": "1"
        }
      ]
    },
    {
      "resourceId": "Request2",
      "resourceType": "Observation",
      "name": "Diagnostic Implication",
      "description": " TODO ",
      "version": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
              "valueString": "Diagnostic Implication Lynch syndrome"
            },
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
              "valueReference": {
                "reference": "Observation/6beb613f-d303-42af-b025-86e8e0872061"
              }
            }
          ],
          "versionId": "2"
        }
      ]
    },
    {
      "resourceId": "Request3",
      "resourceType": "Condition",
      "name": "Condition",
      "description": " TODO ",
      "version": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
              "valueString": "Condition Lynch syndrome"
            },
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
              "valueReference": {
                "reference": "Condition/c8f82825-e4cb-4e1f-b728-3fd2808e93db"
              }
            }
          ],
          "versionId": "3"
        }
      ]
    },
    {
      "resourceId": "Request4",
      "resourceType": "FamilyMemberHistory",
      "name": "FamilyMemberHistory Son",
      "description": " TODO ",
      "version": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
              "valueString": "FamilyMemberHistory Ricky LEEDS"
            },
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
              "valueReference": {
                "reference": "FamilyMemberHistory/074ea905-8d91-452c-af3c-15b5b860fdb2"
              }
            }
          ],
          "versionId": "4"
        }
      ]
    },
    {
      "resourceId": "Request5",
      "resourceType": "FamilyMemberHistory",
      "name": "FamilyMemberHistory Mother",
      "description": " TODO ",
      "version": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
              "valueString": "FamilyMemberHistory Sarah-Jane NOTTINGHAM"
            },
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
              "valueReference": {
                "reference": "FamilyMemberHistory/c76b8bc2-ec36-4ce1-a2ea-8c57215115e2"
              }
            }
          ],
          "versionId": "5"
        }
      ]
    }
  ],
  "process": [
    {
      "title": "Create Diagnostic Testing Report",
      "description": "This step creates the [Genomics Test Report](Questionnaire-GenomicTestReport.html)",
      "preConditions": "Genomic Testing has Completed",
      "step": [
        {
          "operation": {
            "number": "1",
            "type": "create",
            "name": "Variant NTHL1 is added to Genomic CDR",
            "initiator": "diagnostics",
            "receiver": "cdr",
            "description": "This step is performed by middleware - RIE",
            "request": {
              "resourceId": "Request1"
            }
          }
        },
        {
          "operation": {
            "number": "2",
            "type": "create",
            "name": "Diagnostic Implication Lynch Syndrome is added to Genomic CDR",
            "initiator": "diagnostics",
            "receiver": "cdr",
            "description": "This step is performed by middleware - RIE",
            "request": {
              "resourceId": "Request2"
            }
          }
        }
      ]
    },
    {
      "title": "Review Diagnostic Testing Report",
      "description": "This step reviews the [Genomics Test Report](Questionnaire-GenomicTestReport.html)",
      "preConditions": "Genomic Testing Received has been received",
      "step": [
        {
          "operation": {
            "number": "3",
            "type": "create",
            "name": "Condition Lynch Syndrome is added to Acute or Primary Care EPR",
            "initiator": "consultant",
            "receiver": "epr",
            "description": "This step is assumed to be a manual entry",
            "request": {
              "resourceId": "Request3"
            }
          }
        }
      ]
    },
    {
      "title": "Perform Genomic Counselling",
      "description": "This step acts on the [Genomics Test Report](Questionnaire-GenomicTestReport.html)",
      "preConditions": "A Task has been received to perform Genomic Counselling",
      "step": [
        {
          "operation": {
            "number": "4",
            "type": "create",
            "name": "Family History for Son Leeds is added to Genomic CDR ",
            "initiator": "counsellor",
            "receiver": "cdr",
            "description": "Probably Gen-O",
            "request": {
              "resourceId": "Request4"
            }
          }
        },
        {
          "operation": {
            "number": "5",
            "type": "create",
            "name": "Family History for Mother Nottingham is added to Genomic CDR",
            "initiator": "counsellor",
            "receiver": "cdr",
            "description": "Probably Gen-O",
            "request": {
              "resourceId": "Request5"
            }
          }
        }
      ]
    }
  ]
}