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.
Extensions
The extensions created specifically for use in Genomics are listed below. Some of the extensions listed may still be in draft and pending further changes once requirements for the GMS have been finalised.
Genomic-AdditionalContact
An extension to support recording of additional contacts, who should be contacted regarding questions arising from the service request. This differs from the requester and responsibleClinician.
HTML View
| Extension | Extension | ||
| url | Fixed Value | ||
| value[x] | 1.. | ||
| valueReference | Reference(Organization | Practitioner | PractitionerRole) |
Table View
| Extension | .. | |
| Extension.url | .. | |
| Extension.value[x] | Reference(Organization | Practitioner | PractitionerRole) | 1.. |
XML View
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="Extension-UKCore-AdditionalContact" /> <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact" /> <version value="1.1.0" /> <name value="ExtensionUKCoreAdditionalContact" /> <title value="Extension UK Core Additional Contact" /> <status value="active" /> <date value="2023-12-12" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="An extension to support recording of additional contacts, who should be contacted regarding questions arising from the service request. This differs from the requester and responsibleClinician." /> <purpose value="This is a Genomics use case to record who should be contacted regarding questions arising from a Genomics Test Order, along with their contact details, which differs from requester and responsibleClinician." /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="ServiceRequest" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <short value="Details of an additional contact" /> <definition value="Details of an additional contact, who should be contacted regarding questions arising from the service request." /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="A link to a the resource to be contacted." /> <definition value="A link to the Organization, Practitioner, or PractitionerRole resource to be contacted." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> </element> </differential> </StructureDefinition>
JSON View
{ "resourceType": "StructureDefinition", "id": "Extension-UKCore-AdditionalContact", "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact", "version": "1.1.0", "name": "ExtensionUKCoreAdditionalContact", "title": "Extension UK Core Additional Contact", "status": "active", "date": "2023-12-12", "publisher": "HL7 UK", "contact": [ { "name": "HL7 UK", "telecom": [ { "system": "email", "value": "ukcore@hl7.org.uk", "use": "work", "rank": 1 } ] } ], "description": "An extension to support recording of additional contacts, who should be contacted regarding questions arising from the service request. This differs from the requester and responsibleClinician.", "purpose": "This is a Genomics use case to record who should be contacted regarding questions arising from a Genomics Test Order, along with their contact details, which differs from requester and responsibleClinician.", "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" } ], "kind": "complex-type", "abstract": false, "context": [ { "type": "element", "expression": "ServiceRequest" } ], "type": "Extension", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension", "derivation": "constraint", "differential": { "element": [ { "id": "Extension", "path": "Extension", "short": "Details of an additional contact", "definition": "Details of an additional contact, who should be contacted regarding questions arising from the service request." }, { "id": "Extension.url", "path": "Extension.url", "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact" }, { "id": "Extension.value[x]", "path": "Extension.value[x]", "short": "A link to a the resource to be contacted.", "definition": "A link to the Organization, Practitioner, or PractitionerRole resource to be contacted.", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ] } ] } }
Genomic-Coverage
This extends the Service Request Resource to support the exchange of information describing the method of funding for the Service Request.
HTML View
| Extension | Extension | ||
| url | Fixed Value | ||
| value[x] | 1.. | Binding | |
| valueCodeableConcept | CodeableConcept |
XML View
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="Extension-UKCore-Coverage" /> <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" /> <version value="1.0.0" /> <name value="ExtensionUKCoreCoverage" /> <title value="Extension UK Core Coverage" /> <status value="active" /> <date value="2023-04-28" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="This extends the Service Request Resource to support the exchange of information describing the method of funding for the Service Request." /> <purpose value="This extension is a Genomics use case to record the funding category for a ServiceRequest. It is expected this will be populated with a code indicating whether the service request is part of NHS coverage or private, and will be used for reimbursement purposes by receiving labs." /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="ServiceRequest" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <short value="The funding category for the Service Request" /> <definition value="The funding category for the Service Request." /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="This describes the funding category for a service request." /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="A set of codes that define the funding category for a service request." /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-FundingCategory" /> </binding> </element> </differential> </StructureDefinition>
JSON View
{ "resourceType": "StructureDefinition", "id": "Extension-UKCore-Coverage", "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage", "version": "1.0.0", "name": "ExtensionUKCoreCoverage", "title": "Extension UK Core Coverage", "status": "active", "date": "2023-04-28", "publisher": "HL7 UK", "contact": [ { "name": "HL7 UK", "telecom": [ { "system": "email", "value": "ukcore@hl7.org.uk", "use": "work", "rank": 1 } ] } ], "description": "This extends the Service Request Resource to support the exchange of information describing the method of funding for the Service Request.", "purpose": "This extension is a Genomics use case to record the funding category for a ServiceRequest. It is expected this will be populated with a code indicating whether the service request is part of NHS coverage or private, and will be used for reimbursement purposes by receiving labs.", "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" } ], "kind": "complex-type", "abstract": false, "context": [ { "type": "element", "expression": "ServiceRequest" } ], "type": "Extension", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension", "derivation": "constraint", "differential": { "element": [ { "id": "Extension", "path": "Extension", "short": "The funding category for the Service Request", "definition": "The funding category for the Service Request." }, { "id": "Extension.url", "path": "Extension.url", "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" }, { "id": "Extension.value[x]", "path": "Extension.value[x]", "short": "This describes the funding category for a service request.", "min": 1, "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "A set of codes that define the funding category for a service request.", "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-FundingCategory" } } ] } }