Feature-IOPS-4135-Extension-No_of_Participants-in-Family-Testing (#215)

KazeemHamzat · web-flow · commit 80c405f5e276 · 2026-03-31T10:04:16.000+01:00
* Create Extension-GenomicTest-No-of-Participant

Create Extension-GenomicTest-No-of-Participant

* Revert to Xver 0.0.1-snapshot-2

Revert to Xver 0.0.1-snapshot-2

* Replace Xver with Extension: Alternate Reference

Replace Xver with Extension: Alternate Reference

* Removing Extra comma`s

Removing Extra comma`s

* Replace Xver with Extension: Alternate Reference

Replace Xver with Extension: Alternate Reference

* Rename Extension

Rename Extension

* Update Extension-GenomicTest-ParticipantCount.

Update Extension-GenomicTest-ParticipantCount.

* Updating SR

Updating SR
diff --git a/Bundle/Bundle-NonWGSScenario3-FetusAsProband-Example.json b/Bundle/Bundle-NonWGSScenario3-FetusAsProband-Example.json
@@ -136,6 +136,10 @@
        ]
       }
      },
+     {
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+      "valueInteger": 2
+     },
      {
       "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
       "valueCodeableConcept": {
diff --git a/Bundle/Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example.json b/Bundle/Bundle-NonWGSScenario4-ProbandWithMultipleFetus-Example.json
@@ -137,6 +137,10 @@
        ]
       }
      },
+     {
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+      "valueInteger": 2
+     },
      {
       "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
       "valueCodeableConcept": {
@@ -444,6 +448,10 @@
        ]
       }
      },
+     {
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+      "valueInteger": 2
+     },
      {
       "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
       "valueCodeableConcept": {
diff --git a/Bundle/Bundle-NonWGSTestOrderForm-FetalScenario-Example.json b/Bundle/Bundle-NonWGSTestOrderForm-FetalScenario-Example.json
@@ -309,6 +309,10 @@
        ]
       }
      },
+     {
+      "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+      "valueInteger": 2
+     },
      {
       "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
       "valueCodeableConcept": {
diff --git a/DiagnosticReport/DiagnosticReport-AnitaLamberts-Example.json b/DiagnosticReport/DiagnosticReport-AnitaLamberts-Example.json
@@ -43,7 +43,7 @@
     "reference": "Patient/Patient-AnitaLamberts-Example",
     "identifier": {
       "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "8449303649",
+      "value": "8449303649"
     }
   },
   "issued": "2023-11-24T09:45:00Z",
diff --git a/DiagnosticReport/DiagnosticReport-ExtensionMediaLink-Example.json b/DiagnosticReport/DiagnosticReport-ExtensionMediaLink-Example.json
@@ -20,7 +20,7 @@
     "link": {
      "extension": [
       {
-       "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link",
+       "url": "http://hl7.org/fhir/StructureDefinition/alternate-reference",
        "valueReference": {
         "reference": "DocumentReference/UKCore-DocumentReference-ECG-Example"
        }
diff --git a/DiagnosticReport/DiagnosticReport-FayMutlowGeneticReport-Example.json b/DiagnosticReport/DiagnosticReport-FayMutlowGeneticReport-Example.json
@@ -43,7 +43,7 @@
     "reference": "Patient/Patient-FayMutlow-Example",
     "identifier": {
       "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449307806",
+      "value": "9449307806"
     }
   },
   "issued": "2023-10-09T09:45:00Z",
diff --git a/DiagnosticReport/DiagnosticReport-GenomicVariantAssessment-Example.json b/DiagnosticReport/DiagnosticReport-GenomicVariantAssessment-Example.json
@@ -99,7 +99,7 @@
   "reference": "Patient/Patient-PheobeSmitham-Example",
   "identifier": {
    "system": "https://fhir.nhs.uk/Id/nhs-number",
-   "value": "9449307539",
+   "value": "9449307539"
   }
  },
  "effectiveDateTime": "2023-10-16T00:00:00-05:00",
@@ -122,7 +122,7 @@
    "link": {
     "extension": [
      {
-      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link",
+      "url": "http://hl7.org/fhir/StructureDefinition/alternate-reference",
       "valueReference": {
        "reference": "DocumentReference/DocumentReference-StructureReporting-Example"
       }
diff --git a/DiagnosticReport/DiagnosticReport-JamesMetcalfeGeneticReport-Example.json b/DiagnosticReport/DiagnosticReport-JamesMetcalfeGeneticReport-Example.json
@@ -43,7 +43,7 @@
     "reference": "Patient/Patient-JamesMetcalfe-Example",
     "identifier": {
       "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "7449306524",
+      "value": "7449306524"
     }
   },
   "issued": "2023-10-18T11:10:00Z",
diff --git a/DiagnosticReport/DiagnosticReport-PhoebeSmithGeneticReport-Example.json b/DiagnosticReport/DiagnosticReport-PhoebeSmithGeneticReport-Example.json
@@ -43,7 +43,7 @@
     "reference": "Patient/Patient-PheobeSmitham-Example",
     "identifier": {
       "system": "https://fhir.nhs.uk/Id/nhs-number",
-      "value": "9449307539",
+      "value": "9449307539"
     }
   },
   "issued": "2023-10-16T15:50:00Z",
diff --git a/Group/Group-FamilyPedigreeRepresentation-Example.json b/Group/Group-FamilyPedigreeRepresentation-Example.json
@@ -38,7 +38,7 @@
   },
   {
    "entity": {
-    "reference": "Patient/Patient-PheobeSmithamMother-Example"
+    "reference": "Patient/Patient-PheobeSmithamMother-Example",
     "identifier": {
      "system": "https://fhir.nhs.uk/Id/nhs-number",
      "value": "9449307246"
diff --git a/RequestGroup/RequestGroup-WGSTrioTesting-Example.json b/RequestGroup/RequestGroup-WGSTrioTesting-Example.json
@@ -1,6 +1,12 @@
 {
  "resourceType": "RequestGroup",
  "id": "RequestGroup-WGSTrioTesting-Example",
+ "extension": [
+  {
+   "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+   "valueInteger": 3
+  }
+ ],
  "identifier": [
   {
    "system": "https://fhir.leedssth.nhs.uk//Id/grouptestId",
diff --git a/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example.json b/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-FetalScenario-Example.json
@@ -14,6 +14,10 @@
     ]
    }
   },
+  {
+   "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+   "valueInteger": 2
+  },
   {
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
    "valueCodeableConcept": {
diff --git a/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-NewFollowupTest-Example.json b/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-NewFollowupTest-Example.json
@@ -56,7 +56,7 @@
      }
     ]
    }
-  ]
+  ],
   "text": "Follow Up Test requested to aid interpretation. M code modified to: R65.1"
  },
  "subject": {
diff --git a/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-OutOfCountry-Example.json b/ServiceRequest/ServiceRequest-NonWGSTestOrderForm-OutOfCountry-Example.json
@@ -85,7 +85,6 @@
      ]
     }
    ]
-   ]
   }
  ],
  "performer": [
diff --git a/ServiceRequest/ServiceRequest-WGSTestOrderForm-TrioTestingProband-Example.json b/ServiceRequest/ServiceRequest-WGSTestOrderForm-TrioTestingProband-Example.json
@@ -20,6 +20,10 @@
     ]
    }
   },
+  {
+   "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+   "valueInteger": 3
+  },
   {
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
    "valueCodeableConcept": {
diff --git a/ServiceRequest/ServiceRequest-WGSTestOrderForm-TrioTestingProbandDGTS-Example.json b/ServiceRequest/ServiceRequest-WGSTestOrderForm-TrioTestingProbandDGTS-Example.json
@@ -20,6 +20,10 @@
     ]
    }
   },
+  {
+   "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+   "valueInteger": 3
+  },
   {
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
    "valueCodeableConcept": {
diff --git a/ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example.json b/ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example.json
@@ -28,6 +28,10 @@
     ]
    }
   },
+  {
+   "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+   "valueInteger": 3
+  },
   {
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
    "valueCodeableConcept": {
@@ -76,7 +80,7 @@
  "priority": "routine",
  "code": {
   "coding": [
-  {
+   {
     "system": "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestService",
     "code": "GT317",
     "display": "Likely inborn error of metabolism - WGS",
diff --git a/StructureDefinition/Extension-GenomicTest-ParticipantCount.json b/StructureDefinition/Extension-GenomicTest-ParticipantCount.json
@@ -0,0 +1,66 @@
+{
+  "resourceType": "StructureDefinition",
+  "id": "Extension-GenomicTest-ParticipantCount",
+  "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",
+  "version": "0.1.0",
+  "name": "ExtensionGenomicTestParticipantCount",
+  "title": "Extension Genomic Test ParticipantCount",
+  "status": "draft",
+  "date": "2026-03-26",
+  "publisher": "NHS England",
+  "contact": [
+    {
+      "name": "NHS England",
+      "telecom": [
+        {
+          "system": "email",
+          "value": "interoperabilityteam@nhs.net",
+          "use": "work",
+          "rank": 1
+        }
+      ]
+    }
+  ],
+  "description": "An Extension used to record the total number of participants in a group test request.(e.g. family, duo / trio).",
+  "purpose": "This is a use case from Genomics, used to record the total number of participants in a family or group test request.",
+  "copyright": "Copyright © 2026+ NHS England Licensed under the Apache License, Version 2.0 (the \\\\\\\"License\\\\\\\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \\\\\\\"AS IS\\\\\\\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
+  "fhirVersion": "4.0.1",
+  "kind": "complex-type",
+  "abstract": false,
+  "context": [
+    {
+      "type": "element",
+      "expression": "RequestGroup"
+    },
+    {
+      "type": "element",
+      "expression": "ServiceRequest"
+    }
+  ],
+  "type": "Extension",
+  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
+  "derivation": "constraint",
+  "differential": {
+    "element": [
+      {
+        "id": "Extension.extension",
+        "path": "Extension.extension",
+        "max": "0"
+      },
+      {
+        "id": "Extension.url",
+        "path": "Extension.url",
+        "fixedUri": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount"
+      },
+      {
+        "id": "Extension.value[x]",
+        "path": "Extension.value[x]",
+        "type": [
+          {
+            "code": "integer"
+          }
+        ]
+      }
+    ]
+  }
+}
diff --git a/fhirpkg.lock.json b/fhirpkg.lock.json
@@ -1,5 +1,5 @@
 {
-  "updated": "2026-03-17T13:27:37.444214+00:00",
+  "updated": "2026-03-26T11:41:42.0351721+00:00",
   "dependencies": {
     "hl7.fhir.r4.core": "4.0.1",
     "hl7.fhir.uv.genomics-reporting": "3.0.0-ballot",
@@ -12,8 +12,7 @@
     "us.nlm.vsac": "0.9.0",
     "ihe.iti.balp": "1.1.1",
     "hl7.fhir.uv.extensions.r4": "5.3.0-ballot-tc1",
-    "hl7.terminology.r4": "6.5.0",
-    "hl7.fhir.uv.xver-r5.r4": "0.0.1-snapshot-2"
+    "hl7.terminology.r4": "7.1.0"
   },
   "missing": {}
 }
diff --git a/package.json b/package.json
@@ -9,8 +9,7 @@
     "hl7.fhir.eu.laboratory": "0.1.0-ballot",
     "fhir.r4.ukcore.stu3.currentbuild": "0.28.0-pre-release",
     "ihe.iti.pcf": "1.0.0-comment",
-    "hl7.fhir.uv.extensions.r4": "5.3.0-ballot-tc1",
-    "hl7.fhir.uv.xver-r5.r4": "0.0.1-snapshot-2"
+    "hl7.fhir.uv.extensions.r4": "5.3.0-ballot-tc1"
   },
   "fhirVersions": [
     "4.0.1"

Original file line number	Diff line number	Diff line change
`@@ -136,6 +136,10 @@`
`136`	`136`	`]`
`137`	`137`	`}`
`138`	`138`	`},`
	`139`	`+ {`
	`140`	`+ "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",`
	`141`	`+ "valueInteger": 2`
	`142`	`+ },`
`139`	`143`	`{`
`140`	`144`	`"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",`
`141`	`145`	`"valueCodeableConcept": {`
Original file line number	Diff line number	Diff line change
`@@ -137,6 +137,10 @@`
`137`	`137`	`]`
`138`	`138`	`}`
`139`	`139`	`},`
	`140`	`+ {`
	`141`	`+ "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",`
	`142`	`+ "valueInteger": 2`
	`143`	`+ },`
`140`	`144`	`{`
`141`	`145`	`"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",`
`142`	`146`	`"valueCodeableConcept": {`
`@@ -444,6 +448,10 @@`
`444`	`448`	`]`
`445`	`449`	`}`
`446`	`450`	`},`
	`451`	`+ {`
	`452`	`+ "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",`
	`453`	`+ "valueInteger": 2`
	`454`	`+ },`
`447`	`455`	`{`
`448`	`456`	`"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",`
`449`	`457`	`"valueCodeableConcept": {`
Original file line number	Diff line number	Diff line change
`@@ -309,6 +309,10 @@`
`309`	`309`	`]`
`310`	`310`	`}`
`311`	`311`	`},`
	`312`	`+ {`
	`313`	`+ "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-GenomicTest-ParticipantCount",`
	`314`	`+ "valueInteger": 2`
	`315`	`+ },`
`312`	`316`	`{`
`313`	`317`	`"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",`
`314`	`318`	`"valueCodeableConcept": {`
Original file line number	Diff line number	Diff line change
`@@ -43,7 +43,7 @@`
`43`	`43`	`"reference": "Patient/Patient-AnitaLamberts-Example",`
`44`	`44`	`"identifier": {`
`45`	`45`	`"system": "https://fhir.nhs.uk/Id/nhs-number",`
`46`		`- "value": "8449303649",`
	`46`	`+ "value": "8449303649"`
`47`	`47`	`}`
`48`	`48`	`},`
`49`	`49`	`"issued": "2023-11-24T09:45:00Z",`
Original file line number	Diff line number	Diff line change
`@@ -20,7 +20,7 @@`
`20`	`20`	`"link": {`
`21`	`21`	`"extension": [`
`22`	`22`	`{`
`23`		`- "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link",`
	`23`	`+ "url": "http://hl7.org/fhir/StructureDefinition/alternate-reference",`
`24`	`24`	`"valueReference": {`
`25`	`25`	`"reference": "DocumentReference/UKCore-DocumentReference-ECG-Example"`
`26`	`26`	`}`
Original file line number	Diff line number	Diff line change
`@@ -99,7 +99,7 @@`
`99`	`99`	`"reference": "Patient/Patient-PheobeSmitham-Example",`
`100`	`100`	`"identifier": {`
`101`	`101`	`"system": "https://fhir.nhs.uk/Id/nhs-number",`
`102`		`- "value": "9449307539",`
	`102`	`+ "value": "9449307539"`
`103`	`103`	`}`
`104`	`104`	`},`
`105`	`105`	`"effectiveDateTime": "2023-10-16T00:00:00-05:00",`
`@@ -122,7 +122,7 @@`
`122`	`122`	`"link": {`
`123`	`123`	`"extension": [`
`124`	`124`	`{`
`125`		`- "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link",`
	`125`	`+ "url": "http://hl7.org/fhir/StructureDefinition/alternate-reference",`
`126`	`126`	`"valueReference": {`
`127`	`127`	`"reference": "DocumentReference/DocumentReference-StructureReporting-Example"`
`128`	`128`	`}`
Original file line number	Diff line number	Diff line change
`@@ -38,7 +38,7 @@`
`38`	`38`	`},`
`39`	`39`	`{`
`40`	`40`	`"entity": {`
`41`		`- "reference": "Patient/Patient-PheobeSmithamMother-Example"`
	`41`	`+ "reference": "Patient/Patient-PheobeSmithamMother-Example",`
`42`	`42`	`"identifier": {`
`43`	`43`	`"system": "https://fhir.nhs.uk/Id/nhs-number",`
`44`	`44`	`"value": "9449307246"`