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-NonWGSTestOrderFormUpdated-SolidTumor-Example
Example of a ServiceRequest which has been modified. After modification, the ServiceRequest SHALL include a meta.lastUpdated element and a relevantHitory element referencing the provenance resource detailing the change.
| ServiceRequest |
| id : ServiceRequest-NonWGSTestOrderFormUpdated-SolidTumor-Example |
| meta |
| versionId : 3 |
| lastUpdated : 2023-08-08T15:43:00+00:00 |
| 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-non-wgs |
| display : Cancer - Non-WGS |
| category |
| coding |
| system : https://fhir.nhs.uk/CodeSystem/cancer-testing-genomics |
| code : relapse-recurrence |
| display : Relapse or recurrence |
| priority : routine |
| code |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestService |
| code : GT1046 |
| display : Paediatric Tumour Differential Diagnosis - NGS Panel SNV and CNV |
| subject |
| reference : Patient/Patient-ZelmaHadjkiss-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307555 |
| 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 |
| reasonCode |
| coding |
| extension |
| url : https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version |
| value : 1.0 |
| system : https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestService |
| code : TP550 |
| display : Paediatric Tumours |
| supportingInfo |
| reference : Observation/Observation-Cellularity-Example |
| supportingInfo |
| reference : Observation/Observation-TumorType-Example |
| supportingInfo |
| reference : Observation/Observation-Necrosis-Example |
| supportingInfo |
| reference : Observation/Observation-NeoplasticCell-Example |
| supportingInfo |
| reference : Condition/Condition-LungTumor-Example |
| specimen |
| reference : Specimen/Specimen-SolidTumor-Example |
| note |
| text : Additional portion of Sample X was provided. |
{
},
{
{
}
]
}
},
{
}
}
],
{
{
}
]
},
{
{
}
]
}
],
{
{
}
],
}
]
},
}
},
},
{
},
}
],
{
{
{
}
],
}
]
}
],
{
},
{
},
{
},
{
},
{
}
],
],
]
}
</meta>
</coding>
</valueCodeableConcept>
</extension>
</valueReference>
</extension>
</coding>
</category>
</coding>
</category>
</extension>
</coding>
</code>
</identifier>
</subject>
</requester>
</identifier>
</performer>
</extension>
</coding>
</reasonCode>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</supportingInfo>
</specimen>
</note>
</ServiceRequest>