NHSDigital-FHIR-Genomics-ImplementationGuide/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-Example.json at 26249050dbddd330ac119b337312e89fa6e4f0f5 · NHSDigital/NHSDigital-FHIR-Genomics-ImplementationGuide · GitHub

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{
	"resourceType": "ServiceRequest",
	"id": "ServiceRequest-NonWGSTestOrderForm-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.nhs.uk/CodeSystem/rare-diseaseTesting-genomics",
					"code": "diagnostic",
					"display": "Diagnostic"
				}
			]
		}
	],
	"priority": "routine",
	"code": {
		"coding": [
			{
			  "system": "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestService",
			  "code": "GT488",
			  "display": "Monogenic hearing loss - Panel sequencing",
			  "extension": [
				  {
				    "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version",
				    "valueDecimal": 1.0
				  }
			  ]
			}
		]
	},
	"subject": {
		"reference": "Patient/Patient-MeirLieberman-Example",
		"identifier": {
			"system": "https://fhir.nhs.uk/Id/nhs-number",
			"value": "9449307873"
		}
	},
	"authoredOn": "2023-08-05",
	"requester": {
		"reference": "PractitionerRole/PractitionerRole-GeneSmithENT-Example"
	},
	"reasonCode": [
	 {
		"coding": [
		 {
			"system": "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestService",
			"code": "TP439",
			"display": "Monogenic hearing loss",
			"extension": [
			 {
				"url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version",
				"valueDecimal": 1.0
			 }
			]
		 }
		]
	 }
	],
	"supportingInfo": [
		{
			"reference": "Condition/Condition-MonogenicHearingLoss-Example"
		},
		{
			"reference": "Observation/Observation-GenomicEthnicity-Example"
		},
		{
			"reference": "Observation/Observation-NoPregnancy-Example"
		},
		{
			"reference": "Observation/Observation-NoTransplant-Example"
		},
		{
			"reference": "Observation/Observation-NoTransfusion-Example"
		},
		{
			"reference": "Condition/Condition-HearingLoss-Example"
		}
	],
	"note": [
		{
			"text": "No family history of genomic testing"
		},
		{
			"text": "Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/Patient in need of test...example"
		}
	]
}