{
    "resourceType": "ServiceRequest",
    "id": "ServiceRequest-NonWGSTestOrderForm-HaemOncologyUpdated-Example",
    "meta": {
        "versionId": "2",
        "lastUpdated": "2023-09-04T15:43:00Z"
    },
    "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"
                    }
                ]
            }
        }
    ],
    "status": "active",
    "intent": "order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory",
                    "code": "cancer-non-wgs",
                    "display": "Cancer - Non-WGS"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                "code": "M91.4",
                "display": "Acute Lymphoblastic Leukaemia (FISH)",
                "version": "9"
            }
        ]
    },
    "subject": {
        "reference": "Patient/Patient-PatrickSammy-Example",
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9449307873"
        }
    },
    "authoredOn": "2023-09-03T10:00:00Z",
    "requester": {
        "reference": "PractitionerRole/PractitionerRole-HazelSmithPathology-Example"
    },
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics",
                    "code": "diagnostic",
                    "display": "Diagnostic"
                }
            ]
        }
    ],
    "performer":  [
        {
            "identifier": {
                "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                "value": "RR8"
            }
        }
    ],
    "supportingInfo":  [
        {
            "reference": "Observation/Observation-NoTransplant-Example"
        },
        {
            "reference": "Observation/Observation-BlastPercentage-Example"
        },
        {
            "reference": "Observation/Observation-Bruising-Example"
        },
        {
            "reference": "Observation/Observation-Haemoglobin-Example"
        },
        {
            "reference": "Observation/Observation-Neutrophils-Example"
        },
        {
            "reference": "Observation/Observation-NucleatedCellCount-Example"
        },
        {
            "reference": "Observation/Observation-Platelets-Example"
        },
        {
            "reference": "Observation/Observation-RiskOfInfection-Example"
        },
        {
            "reference": "Observation/Observation-WhiteBloodCell-Example"
        },
        {
            "reference": "Condition/Condition-Hepatosplenomegaly-Example"
        }
    ],
    "specimen":  [
        {
            "reference": "Specimen/Specimen-BoneMarrowAspiration-Example"
        }
    ],
    "note":  [
        {
            "text": "M code modified to M91.4. Appropriate testing"
        },
        {
            "text": "No Previous Relevant Test Report"
        }
    ]
}

<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="ServiceRequest-NonWGSTestOrderForm-HaemOncologyUpdated-Example" />
    <meta>
        <versionId value="2" />
        <lastUpdated value="2023-09-04T15:43:00Z" />
    </meta>
    <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>
    <status value="active" />
    <intent value="order" />
    <category>
        <coding>
            <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory" />
            <code value="cancer-non-wgs" />
            <display value="Cancer - Non-WGS" />
        </coding>
    </category>
    <priority value="routine" />
    <code>
        <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" />
            <version value="9" />
            <code value="M91.4" />
            <display value="Acute Lymphoblastic Leukaemia (FISH)" />
        </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="2023-09-03T10:00:00Z" />
    <requester>
        <reference value="PractitionerRole/PractitionerRole-HazelSmithPathology-Example" />
    </requester>
    <performer>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
            <value value="RR8" />
        </identifier>
    </performer>
    <reasonCode>
        <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics" />
            <code value="diagnostic" />
            <display value="Diagnostic" />
        </coding>
    </reasonCode>
    <supportingInfo>
        <reference value="Observation/Observation-NoTransplant-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-BlastPercentage-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-Bruising-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-Haemoglobin-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-Neutrophils-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-NucleatedCellCount-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-Platelets-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-RiskOfInfection-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Observation/Observation-WhiteBloodCell-Example" />
    </supportingInfo>
    <supportingInfo>
        <reference value="Condition/Condition-Hepatosplenomegaly-Example" />
    </supportingInfo>
    <specimen>
        <reference value="Specimen/Specimen-BoneMarrowAspiration-Example" />
    </specimen>
    <note>
        <text value="M code modified to M91.4. Appropriate testing" />
    </note>
    <note>
        <text value="No Previous Relevant Test Report" />
    </note>
</ServiceRequest>

Propose a change to ServiceRequest-NonWGSTestOrderForm-HaemOncologyUpdated-Example