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{
  "resourceType": "GraphDefinition",
  "id": "GraphDefinition-Genomics-TestOrdersGroup-Example",
  "url": "https://fhir.nhs.uk/GraphDefinition/genomics-test-orders-group",
  "name": "GenomicsTestOrdersGroup",
  "version": "0.2.0",
  "status": "draft",
  "date": "2026-03-24",
  "publisher": "NHS England",
  "description": "GraphDefinition for retrieving all resources relevant to a Genomic Trio Test Order (proband, father, mother). Starts from ServiceRequest and traverses all key references.",
  "start": "ServiceRequest",
  "link": [
    {
      "path": "ServiceRequest.extension.valueReference",
      "sliceName": "additionalContact",
      "description": "Link to additional contacts for request",
      "min": 0,
      "max": "*",
      "target": [
        {
          "type": "PractitionerRole"
        }
      ]
    },
    {
      "path": "ServiceRequest.subject",
      "description": "Link to the patient the request is for (proband, father, or mother)",
      "min": 1,
      "max": "1",
      "target": [
        {
          "type": "Patient"
        }
      ]
    },
    {
      "path": "ServiceRequest.requester",
      "description": "Link to the requester of the genomic test order",
      "min": 1,
      "max": "1",
      "target": [
        {
          "type": "PractitionerRole"
        }
      ]
    },
    {
      "path": "ServiceRequest.reasonReference",
      "description": "Optional link to the primary condition constituting the reason for testing",
      "min": 0,
      "max": "*",
      "target": [
        {
          "type": "Condition"
        }
      ]
    },
    {
      "path": "ServiceRequest.supportingInfo",
      "description": "Link to additional clinical information to support processing/interpretation of the request",
      "min": 0,
      "max": "*",
      "target": [
        {
          "type": "RelatedPerson",
          "link": [
            {
              "description": "Patient linked to this RelatedPerson",
              "min": 1,
              "max": "1",
              "target": [
                {
                  "type": "Patient",
                  "params": "link={ref}"
                }
              ]
            }
          ]
        },
        {
          "type": "Observation",
          "link": [
            {
              "path": "Observation.extension.valueReference",
              "description": "Optional link to body structure related to the observation",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "BodyStructure"
                }
              ]
            },
            {
              "path": "Observation.focus",
              "description": "Optional link to specimen the observation is about, if relevant",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "Specimen"
                }
              ]
            },
            {
              "path": "Observation.performer",
              "description": "Optional link to actor who performed the observation (could be Patient, PractitionerRole or RelatedPerson)",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "Resource"
                }
              ]
            },
            {
              "path": "Observation.hasMember",
              "description": "Optional link to observation if parent observation is a panel",
              "min": 0,
              "max": "*",
              "target": [
                {
                  "type": "Observation"
                }
              ]
            }
          ]
        },
        {
          "type": "Condition",
          "link": [
            {
              "path": "Condition.recorder",
              "description": "Optional link to actor which recorded condition (could be Patient, PreactitionerRole or RelatedPerson)",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "Resource"
                }
              ]
            },
            {
              "path": "Condition.asserter",
              "description": "Optional link to actor which asserted condition (could be Patient, PreactitionerRole or RelatedPerson)",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "Resource"
                }
              ]
            }
          ]
        },
        {
          "type": "Procedure"
        },
        {
          "type": "FamilyMemberHistory",
          "link": [
            {
              "path": "FamilyMemberHistory.extension.valueReference",
              "sliceName": "family-member-history-genetics-observation",
              "description": "Optional link to observations related to a FamilyMemberHistory",
              "min": 0,
              "max": "*",
              "target": [
                {
                  "type": "Observation"
                }
              ]
            },
            {
              "path": "FamilyMemberHistory.extension.valueReference",
              "sliceName": "familymemberhistory-patient-record",
              "description": "Optional link to Patient resources for related family members",
              "min": 0,
              "max": "*",
              "target": [
                {
                  "type": "Patient"
                }
              ]
            }
          ]
        },
        {
          "type": "Specimen",
          "link": [
            {
              "path": "Specimen.subject",
              "description": "Link to the patient the specimen is from",
              "min": 1,
              "max": "1",
              "target": [
                {
                  "type": "Patient"
                }
              ]
            },
            {
              "path": "Specimen.parent",
              "description": "Link to parent specimen resource",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "Specimen"
                }
              ]
            },
            {
              "path": "Specimen.collection.collector",
              "description": "Link to collector of the specimen",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "PractitionerRole"
                }
              ]
            },
            {
              "path": "Specimen.collection.extension('http://hl7.org/fhir/StructureDefinition/bodySite').valueReference",
              "sliceName": "bodySite",
              "description": "Link to the body structure detailing the morphology and topography of the specimen",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "BodyStructure"
                }
              ]
            }
          ]
        },
        {
          "type": "Consent",
          "link": [
            {
              "path": "Consent.sourceReference",
              "description": "Optional link to structured QuestionnaireResponse or DocumentReference for RoD/consent forms",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "QuestionnaireResponse",
                  "link": [
                    {
                      "path": "QuestionnaireResponse.author",
                      "description": "Author of the RoD, most likely a PractitionerRole resource (if a reference)",
                      "min": 1,
                      "max": "1",
                      "target": [
                        {
                          "type": "PractitionerRole"
                        }
                      ]
                    },
                    {
                      "path": "QuestionnaireResponse.source",
                      "description": "Source of the RoD (could be Patient, PractitionerRole or RelatedPerson)",
                      "min": 1,
                      "max": "1",
                      "target": [
                        {
                          "type": "Resource"
                        }
                      ]
                    }
                  ]
                },
                {
                  "type": "DocumentReference"
                }
              ]
            },
            {
              "path": "Consent.patient",
              "description": "Link to Patient resource (relevant for instances where the consent does not apply to the proband)",
              "min": 1,
              "max": "1",
              "target": [
                {
                  "type": "Patient"
                }
              ]
            }
          ]
        },
        {
          "type": "QuestionnaireResponse"
        },
        {
          "type": "Condition"
        }
      ]
    },
    {
      "path": "ServiceRequest.specimen",
      "description": "Optional link to specimen where this has already been collected/ordered prior to request submission",
      "min": 0,
      "max": "*",
      "target": [
        {
          "type": "Specimen",
          "params": "request={ref}",
          "link": [
            {
              "path": "Specimen.subject",
              "description": "Link to the patient the specimen is from",
              "min": 1,
              "max": "1",
              "target": [
                {
                  "type": "Patient"
                }
              ]
            },
            {
              "path": "Specimen.parent",
              "description": "Link to parent specimen resource",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "Specimen"
                }
              ]
            },
            {
              "path": "Specimen.collection.collector",
              "description": "Link to collector of the specimen",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "PractitionerRole"
                }
              ]
            },
            {
              "path": "Specimen.collection.extension('http://hl7.org/fhir/StructureDefinition/bodySite').valueReference",
              "sliceName": "bodySite",
              "description": "Link to the body structure detailing the morphology and topography of the specimen",
              "min": 0,
              "max": "1",
              "target": [
                {
                  "type": "BodyStructure"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "description": "Other ServiceRequests in the trio with the same requisition identifier",
      "min": 0,
      "max": "*",
      "target": [
        {
          "type": "ServiceRequest",
          "params": "requisition={ServiceRequest.requisition}",
          "link": [
            {
              "path": "ServiceRequest.extension.valueReference",
              "sliceName": "additionalContact",
              "description": "Link to additional contacts for request",
              "min": 0,
              "max": "*",
              "target": [
                {
                  "type": "PractitionerRole"
                }
              ]
            },
            {
              "path": "ServiceRequest.subject",
              "description": "Link to the patient the request is for (proband, father, or mother)",
              "min": 1,
              "max": "1",
              "target": [
                {
                  "type": "Patient"
                }
              ]
            },
            {
              "path": "ServiceRequest.requester",
              "description": "Link to the requester of the genomic test order",
              "min": 1,
              "max": "1",
              "target": [
                {
                  "type": "PractitionerRole"
                }
              ]
            },
            {
              "path": "ServiceRequest.reasonReference",
              "description": "Optional link to the primary condition constituting the reason for testing",
              "min": 0,
              "max": "*",
              "target": [
                {
                  "type": "Condition"
                }
              ]
            },
            {
              "path": "ServiceRequest.supportingInfo",
              "description": "Link to additional clinical information to support processing/interpretation of the request",
              "min": 0,
              "max": "*",
              "target": [
                {
                  "type": "RelatedPerson",
                  "link": [
                    {
                      "description": "Patient linked to this RelatedPerson",
                      "min": 1,
                      "max": "1",
                      "target": [
                        {
                          "type": "Patient",
                          "params": "link={ref}"
                        }
                      ]
                    }
                  ]
                },
                {
                  "type": "Observation",
                  "link": [
                    {
                      "path": "Observation.extension.valueReference",
                      "description": "Optional link to body structure related to the observation",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "BodyStructure"
                        }
                      ]
                    },
                    {
                      "path": "Observation.focus",
                      "description": "Optional link to specimen the observation is about, if relevant",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "Specimen"
                        }
                      ]
                    },
                    {
                      "path": "Observation.performer",
                      "description": "Optional link to actor who performed the observation (could be Patient, PractitionerRole or RelatedPerson)",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "Resource"
                        }
                      ]
                    },
                    {
                      "path": "Observation.hasMember",
                      "description": "Optional link to observation if parent observation is a panel",
                      "min": 0,
                      "max": "*",
                      "target": [
                        {
                          "type": "Observation"
                        }
                      ]
                    }
                  ]
                },
                {
                  "type": "Condition",
                  "link": [
                    {
                      "path": "Condition.recorder",
                      "description": "Optional link to actor which recorded condition (could be Patient, PreactitionerRole or RelatedPerson)",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "Resource"
                        }
                      ]
                    },
                    {
                      "path": "Condition.asserter",
                      "description": "Optional link to actor which asserted condition (could be Patient, PreactitionerRole or RelatedPerson)",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "Resource"
                        }
                      ]
                    }
                  ]
                },
                {
                  "type": "Procedure"
                },
                {
                  "type": "FamilyMemberHistory",
                  "link": [
                    {
                      "path": "FamilyMemberHistory.extension.valueReference",
                      "sliceName": "family-member-history-genetics-observation",
                      "description": "Optional link to observations related to a FamilyMemberHistory",
                      "min": 0,
                      "max": "*",
                      "target": [
                        {
                          "type": "Observation"
                        }
                      ]
                    },
                    {
                      "path": "FamilyMemberHistory.extension.valueReference",
                      "sliceName": "familymemberhistory-patient-record",
                      "description": "Optional link to Patient resources for related family members",
                      "min": 0,
                      "max": "*",
                      "target": [
                        {
                          "type": "Patient"
                        }
                      ]
                    }
                  ]
                },
                {
                  "type": "Specimen",
                  "link": [
                    {
                      "path": "Specimen.subject",
                      "description": "Link to the patient the specimen is from",
                      "min": 1,
                      "max": "1",
                      "target": [
                        {
                          "type": "Patient"
                        }
                      ]
                    },
                    {
                      "path": "Specimen.parent",
                      "description": "Link to parent specimen resource",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "Specimen"
                        }
                      ]
                    },
                    {
                      "path": "Specimen.collection.collector",
                      "description": "Link to collector of the specimen",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "PractitionerRole"
                        }
                      ]
                    },
                    {
                      "path": "Specimen.collection.extension('http://hl7.org/fhir/StructureDefinition/bodySite').valueReference",
                      "sliceName": "bodySite",
                      "description": "Link to the body structure detailing the morphology and topography of the specimen",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "BodyStructure"
                        }
                      ]
                    }
                  ]
                },
                {
                  "type": "Consent",
                  "link": [
                    {
                      "path": "Consent.sourceReference",
                      "description": "Optional link to structured QuestionnaireResponse or DocumentReference for RoD/consent forms",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "QuestionnaireResponse",
                          "link": [
                            {
                              "path": "QuestionnaireResponse.author",
                              "description": "Author of the RoD, most likely a PractitionerRole resource (if a reference)",
                              "min": 1,
                              "max": "1",
                              "target": [
                                {
                                  "type": "PractitionerRole"
                                }
                              ]
                            },
                            {
                              "path": "QuestionnaireResponse.source",
                              "description": "Source of the RoD (could be Patient, PractitionerRole or RelatedPerson)",
                              "min": 1,
                              "max": "1",
                              "target": [
                                {
                                  "type": "Resource"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "type": "DocumentReference"
                        }
                      ]
                    },
                    {
                      "path": "Consent.patient",
                      "description": "Link to Patient resource (relevant for instances where the consent does not apply to the proband)",
                      "min": 1,
                      "max": "1",
                      "target": [
                        {
                          "type": "Patient"
                        }
                      ]
                    }
                  ]
                },
                {
                  "type": "QuestionnaireResponse"
                },
                {
                  "type": "Condition"
                }
              ]
            },
            {
              "path": "ServiceRequest.specimen",
              "description": "Optional link to specimen where this has already been collected/ordered prior to request submission",
              "min": 0,
              "max": "*",
              "target": [
                {
                  "type": "Specimen",
                  "params": "request={ref}",
                  "link": [
                    {
                      "path": "Specimen.subject",
                      "description": "Link to the patient the specimen is from",
                      "min": 1,
                      "max": "1",
                      "target": [
                        {
                          "type": "Patient"
                        }
                      ]
                    },
                    {
                      "path": "Specimen.parent",
                      "description": "Link to parent specimen resource",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "Specimen"
                        }
                      ]
                    },
                    {
                      "path": "Specimen.collection.collector",
                      "description": "Link to collector of the specimen",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "PractitionerRole"
                        }
                      ]
                    },
                    {
                      "path": "Specimen.collection.extension('http://hl7.org/fhir/StructureDefinition/bodySite').valueReference",
                      "sliceName": "bodySite",
                      "description": "Link to the body structure detailing the morphology and topography of the specimen",
                      "min": 0,
                      "max": "1",
                      "target": [
                        {
                          "type": "BodyStructure"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}

name : GenomicsTestOrdersGroup

{

}