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-NonWGSTestOrderForm-ReAnalysis-Example
Example of a ServiceRequest. submitted to request re-analysis of a previous test/order.. After being sent to the central broker, the ServiceRequest is assigned a unique identifier.
ServiceRequest |
id : ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example |
basedOn |
reference : ServiceReques/ServiceRequest-NonWGSTestOrderForm-SyndromicEpilepsy-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 |
status : active |
intent : order |
category |
coding |
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory |
code : rare-disease-non-wgs |
priority : routine |
code |
coding |
system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
code : R387 |
display : Re-analysis |
version : 7 |
orderDetail |
coding |
system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
code : R59 |
display : Early onset or syndromic epilepsy |
version : 7 |
subject |
reference : Patient/Patient-DemeizaSeo-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449306559 |
authoredOn : 2023-09-06T09:00:00Z |
requester |
reference : PractitionerRole/PractitionerRole-HazelSmithRenal-Example |
reasonCode |
coding |
system : https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics |
code : new-treatment-clinical-management |
display : New Treatment/Clinical Management |
text : Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy |
supportingInfo |
reference : Observation/Observation-GenomicEthnicity-Example |
supportingInfo |
reference : Observation/Observation-DiseaseStatus-Example |
supportingInfo |
reference : Observation/Observation-NoPregnancy-Example |
supportingInfo |
reference : Observation/Observation-NonConsanguinousUnion-Example |
supportingInfo |
reference : Observation/Observation-NoBoneMarrowTransplant-Example |
supportingInfo |
reference : Observation/Observation-NoTransfusion-Example |
note |
text : No Sample Required |
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/E.g. Reanlaysis - change in observed phenotype. Epilepsy test previously ordered on patient 5 years ago. |
{ "resourceType": "ServiceRequest", "id": "ServiceRequest-NonWGSTestOrderForm-ReAnalysis-Example", "basedOn": [ { "reference": "ServiceReques/ServiceRequest-NonWGSTestOrderForm-SyndromicEpilepsy-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" } ] } } ], "status": "active", "intent": "order", "category": [ { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory", "code": "rare-disease-non-wgs" } ] } ], "priority": "routine", "code": { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code": "R387", "display": "Re-analysis", "version": "7" } ] }, "orderDetail": [ { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code": "R59", "display": "Early onset or syndromic epilepsy", "version": "7" } ] } ], "subject": { "reference": "Patient/Patient-DemeizaSeo-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449306559" } }, "authoredOn": "2023-09-06T09:00:00Z", "requester": { "reference": "PractitionerRole/PractitionerRole-HazelSmithRenal-Example" }, "reasonCode": [ { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics", "code": "new-treatment-clinical-management", "display": "New Treatment/Clinical Management" } ], "text": "Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy" } ], "supportingInfo": [ { "reference": "Observation/Observation-GenomicEthnicity-Example" }, { "reference": "Observation/Observation-DiseaseStatus-Example" }, { "reference": "Observation/Observation-NoPregnancy-Example" }, { "reference": "Observation/Observation-NonConsanguinousUnion-Example" }, { "reference": "Observation/Observation-NoBoneMarrowTransplant-Example" }, { "reference": "Observation/Observation-NoTransfusion-Example" } ], "note": [ { "text": "No Sample Required" }, { "text": "No family history of genomic testing" }, { "text": "Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/E.g. Reanlaysis - change in observed phenotype. Epilepsy test previously ordered on patient 5 years ago. " } ] }
<ServiceRequest xmlns="http://hl7.org/fhir"> <id value="ServiceRequest-NonWGSTestOrderForm-ReAnalysis-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> <basedOn> <reference value="ServiceReques/ServiceRequest-NonWGSTestOrderForm-SyndromicEpilepsy-Example" /> </basedOn> <status value="active" /> <intent value="order" /> <category> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory" /> <code value="rare-disease-non-wgs" /> </coding> </category> <priority value="routine" /> <code> <coding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" /> <version value="7" /> <code value="R387" /> <display value="Re-analysis" /> </coding> </code> <orderDetail> <coding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" /> <version value="7" /> <code value="R59" /> <display value="Early onset or syndromic epilepsy" /> </coding> </orderDetail> <subject> <reference value="Patient/Patient-DemeizaSeo-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449306559" /> </identifier> </subject> <authoredOn value="2023-09-06T09:00:00Z" /> <requester> <reference value="PractitionerRole/PractitionerRole-HazelSmithRenal-Example" /> </requester> <reasonCode> <coding> <system value="https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics" /> <code value="new-treatment-clinical-management" /> <display value="New Treatment/Clinical Management" /> </coding> <text value="Significant new treatment and or clinical management implication for the patient.Please provide details/treatment for management of epilepsy" /> </reasonCode> <supportingInfo> <reference value="Observation/Observation-GenomicEthnicity-Example" /> </supportingInfo> <supportingInfo> <reference value="Observation/Observation-DiseaseStatus-Example" /> </supportingInfo> <supportingInfo> <reference value="Observation/Observation-NoPregnancy-Example" /> </supportingInfo> <supportingInfo> <reference value="Observation/Observation-NonConsanguinousUnion-Example" /> </supportingInfo> <supportingInfo> <reference value="Observation/Observation-NoBoneMarrowTransplant-Example" /> </supportingInfo> <supportingInfo> <reference value="Observation/Observation-NoTransfusion-Example" /> </supportingInfo> <note> <text value="No Sample Required" /> </note> <note> <text value="No family history of genomic testing" /> </note> <note> <text value="Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/E.g. Reanlaysis - change in observed phenotype. Epilepsy test previously ordered on patient 5 years ago." /> </note> </ServiceRequest>