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.

ServiceRequest-WGSTestOrderForm-CancerHaemOnc-Example

Example of a ServiceRequest submitted to request a WGS Cancer-test with a liquid tumour sample type. After being sent to the central broker, the ServiceRequest is assigned a unique identifier.

ServiceRequest

id : ServiceRequest-WGSTestOrderForm-CancerHaemOnc-Example

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

extension

url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact

value

reference : PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example

status : active

intent : order

category

coding

system : https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory

code : cancer-wgs

display : Cancer - WGS

category

coding

system : https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics

code : diagnostic

display : Diagnostic

priority : routine

code

coding

system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory

code : M89.108

display : Acute Leukaemia Other

subject

reference : Patient/Patient-PatrickSammy-Example

identifier

system : https://fhir.nhs.uk/Id/nhs-number

value : 9449307873

authoredOn : 2023-09-08

requester

reference : PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example

performer

identifier

system : https://fhir.nhs.uk/Id/ods-organization-code

value : RJZ

display : KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST

supportingInfo

reference : Condition/Condition-AcuteMyeloidLeukaemia-Example

supportingInfo

reference : Observation/Observation-BlastPercentage-Example

supportingInfo

reference : Observation/Observation-NucleatedCellCountWGSSample-Example

supportingInfo

reference : Observation/Observation-PatrickSammyNoBoneMarrowTransplant-Example

supportingInfo

reference : Consent/Consent-RoDToFollow-Example

specimen

reference : Specimen/Specimen-PatrickSammyBoneMarrowAspiration-Example

note

text : Relevant Family History

note

text : Other Additional Information

{
    "resourceType": "ServiceRequest",
    "id": "ServiceRequest-WGSTestOrderForm-CancerHaemOnc-Example",
    "extension":  [
        {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory",
                        "code": "nhs-england",
                        "display": "NHS England"
                    }
                ]
            }
        },
        {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact",
            "valueReference": {
                "reference": "PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example"
            }
        }
    ],
    "status": "active",
    "intent": "order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                    "code": "cancer-wgs",
                    "display": "Cancer - WGS"
                }
            ]
        },
        {
            "coding":  [
                {
                    "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                    "code": "diagnostic",
                    "display": "Diagnostic"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                "code": "M89.108",
                "display": "Acute Leukaemia Other"
            }
        ]
    },
    "subject": {
        "reference": "Patient/Patient-PatrickSammy-Example",
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307873"
        }
    },
    "authoredOn": "2023-09-08",
    "requester": {
        "reference": "PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example"
    },
    "performer":  [
        {
            "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RJZ"
            },
            "display": "KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST"
        }
    ],
    "supportingInfo":  [
        {
            "reference": "Condition/Condition-AcuteMyeloidLeukaemia-Example"
        },
        {
            "reference": "Observation/Observation-BlastPercentage-Example"
        },
        {
            "reference": "Observation/Observation-NucleatedCellCountWGSSample-Example"
        },
        {
            "reference": "Observation/Observation-PatrickSammyNoBoneMarrowTransplant-Example"
        },
        {
            "reference": "Consent/Consent-RoDToFollow-Example"
        }
    ],
    "specimen":  [
        {
            "reference": "Specimen/Specimen-PatrickSammyBoneMarrowAspiration-Example"
        }
    ],
    "note":  [
        {
            "text": "Relevant Family History"
        },
        {
            "text": "Other Additional Information"
        }
    ]
}

<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="ServiceRequest-WGSTestOrderForm-CancerHaemOnc-Example" />
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage">
        <valueCodeableConcept>
            <coding>
                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory" />
                <code value="nhs-england" />
                <display value="NHS England" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact">
        <valueReference>
            <reference value="PractitionerRole/PractitionerRole-AnnaLaneKingstonPathology-Example" />
        </valueReference>
    </extension>
    <status value="active" />
    <intent value="order" />
    <category>
        <coding>
            <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory" />
            <code value="cancer-wgs" />
            <display value="Cancer - WGS" />
        </coding>
    </category>
    <category>
        <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics" />
            <code value="diagnostic" />
            <display value="Diagnostic" />
        </coding>
    </category>
    <priority value="routine" />
    <code>
        <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" />
            <code value="M89.108" />
            <display value="Acute Leukaemia Other" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/Patient-PatrickSammy-Example" />
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="9449307873" />
        </identifier>
    </subject>
    <authoredOn value="2023-09-08" />
    <requester>
        <reference value="PractitionerRole/PractitionerRole-HazelSmithKingstonPathology-Example" />
    </requester>
    <performer>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
            <value value="RJZ" />
        </identifier>
        <display value="KING&#39;S COLLEGE HOSPITAL NHS FOUNDATION TRUST" />
    </performer>
    <supportingInfo>
        <reference value="Condition/Condition-AcuteMyeloidLeukaemia-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-BlastPercentage-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-NucleatedCellCountWGSSample-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-PatrickSammyNoBoneMarrowTransplant-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Consent/Consent-RoDToFollow-Example" />
    </supportingInfo>
    <specimen>
        <reference value="Specimen/Specimen-PatrickSammyBoneMarrowAspiration-Example" />
    </specimen>
    <note>
        <text value="Relevant Family History" />
    </note>
    <note>
        <text value="Other Additional Information" />
    </note>
</ServiceRequest>

Notice

ServiceRequest-WGSTestOrderForm-CancerHaemOnc-Example

Propose a change to ServiceRequest-WGSTestOrderForm-CancerHaemOnc-Example

Propose a change to ServiceRequest-WGSTestOrderForm-CancerHaemOnc-Example