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.
ServiceRequest-WGSTestOrderFormUpdated-DirectToLab-Example
Example of a ServiceRequest which has been modified. After modification, the ServiceRequest SHALL include a meta.lastUpdated element and a relevantHitory element referencing the provenance resource detailing the change.
| ServiceRequest |
| id : ServiceRequest-WGSTestOrderFormUpdated-DirectToLab-Example |
| meta |
| versionId : 2 |
| lastUpdated : 2023-10-10T16:00:00Z |
| extension |
| url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage |
| value |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory |
| code : nhs-england |
| display : NHS England |
| status : active |
| intent : order |
| category |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory |
| code : rare-disease-wgs |
| display : Rare Disease - WGS |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics |
| code : diagnostic |
| display : Diagnostic |
| priority : urgent |
| code |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
| code : R14 |
| display : Acutely unwell children with a likely monogenic disorder |
| version : 7 |
| subject |
| reference : Patient/Patient-JamesMetcalfe-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 7449306524 |
| authoredOn : 2023-10-10T11:00:00Z |
| requester |
| reference : PractitionerRole/PractitionerRole-EugeneSmith-Example |
| performer |
| identifier |
| system : https://fhir.nhs.uk/Id/ods-organization-code |
| value : RH8 |
| supportingInfo |
| reference : Observation/Observation-GenomicEthnicity-Example |
| supportingInfo |
| reference : Observation/Observation-NoPregnancy-Example |
| supportingInfo |
| reference : Condition/Condition-MonogenicHearingLoss-Example |
| supportingInfo |
| reference : Observation/Observation-DiseasePenetrance-Example |
| supportingInfo |
| reference : Observation/Observation-NonConsanguinousUnion-Example |
| supportingInfo |
| reference : Observation/Observation-NoBoneMarrowTransplant-Example |
| supportingInfo |
| reference : Observation/Observation-Immunodefficiency-Example |
| supportingInfo |
| reference : Observation/Observation-NoTransfusion-Example |
| supportingInfo |
| reference : Consent/Consent-RoDYoungPersonAssentFormAvailable-Example |
| specimen |
| reference : Specimen/Specimen-JamesMetcalfeBloodEDTA-Example |
| note |
| text : No family history of genomic testing |
| note |
| text : Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms |
| note |
| text : E.g. non genetic investigations are pathognomonic of a single gene disorder, R26 previously ordered on the child and molecular testing needed to guide management |
{
},
{
{
}
]
}
}
],
{
{
}
]
},
{
{
}
]
}
],
{
}
]
},
}
},
},
],
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
],
],
{
},
{
"text": "Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms"
},
{
"text": "E.g. non genetic investigations are pathognomonic of a single gene disorder, R26 previously ordered on the child and molecular testing needed to guide management"
}
]
}
</meta>
</coding>
</valueCodeableConcept>
</extension>
</coding>
</category>
</coding>
</category>
</coding>
</code>
</identifier>
</subject>
</requester>
</identifier>
</performer>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</specimen>
</note>
<text value="Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms" />
</note>
<text value="E.g. non genetic investigations are pathognomonic of a single gene disorder, R26 previously ordered on the child and molecular testing needed to guide management" />
</note>
</ServiceRequest>