NHSDigital-FHIR-Genomics-ImplementationGuide/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-NewFollowupTest-Example.json at 9a805c15fe2ca02155f5e9c68cb16a32aa031684 · NHSDigital/NHSDigital-FHIR-Genomics-ImplementationGuide · GitHub

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{
 "resourceType": "ServiceRequest",
 "id": "ServiceRequest-NonWGSTestOrderForm-NewFollowupTest-Example",
 "basedOn": [
  {
   "reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FollowupTest-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",
     "display": "Rare Disease - Non-WGS"
    }
   ]
  },
  {
   "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": "GT645",
    "display": "MT-RNR1 - Targeted variant testing",
    "extension": [
     {
      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version",
      "valueDecimal": 1.0
     }
    ]
   }
  ],
  "text": "Follow Up Test requested to aid interpretation. M code modified to: R65.1"
 },
 "subject": {
  "reference": "Patient/Patient-AnitaLamberts-Example",
  "identifier": {
   "system": "https://fhir.nhs.uk/Id/nhs-number",
   "value": "8449303649"
  }
 },
 "authoredOn": "2023-11-10T10:00:00Z",
 "requester": {
  "reference": "PractitionerRole/PractitionerRole-AndrewSmith-Example"
 },
 "reasonCode": [
  {
   "coding": [
    {
     "system": "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestService",
     "code": "TP154",
     "display": "Aminoglycoside exposure posing risk to hearing",
     "extension": [
      {
       "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTestCode-Version",
       "valueDecimal": 1.0
      }
     ]
    }
   ]
  }
 ],
 "performer": [
  {
   "identifier": {
    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
    "value": "RJ1"
   }
  }
 ],
 "supportingInfo": [
  {
   "reference": "Observation/Observation-GenomicEthnicity-Example"
  },
  {
   "reference": "Observation/Observation-NoPregnancy-Example"
  },
  {
   "reference": "Condition/Condition-MonogenicHearingLoss-Example"
  },
  {
   "reference": "Observation/Observation-NonConsanguinousUnion-Example"
  },
  {
   "reference": "Observation/Observation-NoBoneMarrowTransplant-Example"
  },
  {
   "reference": "Observation/Observation-NoTransfusion-Example"
  }
 ],
 "specimen": [
  {
   "reference": "Specimen/Specimen-BloodEDTA-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 /  For example: Adult with CT-proven bronchiectasis, chronic suppurative chest infection with colonisation by Pseudomonas and Staph aureus. Intital test ordered for Cystic Fibrosis."
  }
 ]
}