11{
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3- "id" : " ServiceRequest-WGSTestOrderForm-TrioTestingProband-Example" ,
4- "identifier" : [
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7- "value" : " RR-REQ12764" ,
8- "assigner" : {
9- "identifier" : {
10- "system" : " https://fhir.nhs.uk/Id/ods-organization-code" ,
11- "value" : " RR8"
12- }
13- }
14- }
15- ],
16- "extension" : [
17- {
18- "url" : " https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" ,
19- "valueCodeableConcept" : {
20- "coding" : [
21- {
22- "system" : " https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory" ,
23- "code" : " nhs-england" ,
24- "display" : " NHS England"
25- }
26- ]
27- }
28- }
29- ],
30- "status" : " active" ,
31- "intent" : " order" ,
32- "category" : [
33- {
34- "coding" : [
35- {
36- "system" : " https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory" ,
37- "code" : " rare-disease-wgs" ,
38- "display" : " Rare Disease - WGS"
39- }
40- ]
41- },
42- {
43- "coding" : [
44- {
45- "system" : " https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics" ,
46- "code" : " diagnostic" ,
47- "display" : " Diagnostic"
48- }
49- ]
50- }
51- ],
52- "priority" : " routine" ,
53- "code" : {
2+ "resourceType" : " ServiceRequest" ,
3+ "id" : " ServiceRequest-WGSTestOrderForm-TrioTestingProband-Example" ,
4+ "identifier" : [
5+ {
6+ "system" : " https://fhir.nhs.uk/Id/GMSOrder" ,
7+ "value" : " RR8F1792"
8+ }
9+ ],
10+ "extension" : [
11+ {
12+ "url" : " https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Patient-Role" ,
13+ "valueCodeableConcept" : {
5414 "coding" : [
55- {
56- "system" : " https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" ,
57- "code" : " R98.2" ,
58- "display" : " Likely inborn error of metabolism" ,
59- "version" : " 7"
60- }
61- ],
62- "text" : " This is a Trio Testing, comprising 3 family members with their respective specimen`s & Record Of Discussion`s"
63- },
64- "subject" : {
65- "reference" : " Patient/Patient-PheobeSmitham-Example" ,
66- "identifier" : {
67- "system" : " https://fhir.nhs.uk/Id/nhs-number" ,
68- "value" : " 9449307539"
69- }
15+ {
16+ "system" : " https://fhir.nhs.uk/CodeSystem/genomics-patient-role" ,
17+ "code" : " proband" ,
18+ "display" : " Proband"
19+ }
20+ ]
21+ }
7022 },
71- "authoredOn" : " 2023-09-15T15:00:00Z" ,
72- "requester" : {
73- "reference" : " PractitionerRole/PractitionerRole-EugeneSmithLeedsSTH-Example"
74- },
75- "reasonReference" : [
76- {
77- "reference" : " Condition/Condition-InbornErrorOfMetabolism-Example"
78- }
79- ],
80- "performer" : [
81- {
82- "identifier" : {
83- "system" : " https://fhir.nhs.uk/Id/ods-organization-code" ,
84- "value" : " R0A"
85- }
23+ {
24+ "url" : " https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" ,
25+ "valueCodeableConcept" : {
26+ "coding" : [
27+ {
28+ "system" : " https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory" ,
29+ "code" : " nhs-england" ,
30+ "display" : " NHS England"
31+ }
32+ ]
33+ }
34+ }
35+ ],
36+ "requisition" : {
37+ "system" : " https://fhir.leedssth.nhs.uk//Id/grouptestId" ,
38+ "value" : " RR-REQ12764" ,
39+ "assigner" : {
40+ "identifier" : {
41+ "system" : " https://fhir.nhs.uk/Id/ods-organization-code" ,
42+ "value" : " RR8"
43+ }
44+ }
45+ },
46+ "status" : " active" ,
47+ "intent" : " order" ,
48+ "category" : [
49+ {
50+ "coding" : [
51+ {
52+ "system" : " https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory" ,
53+ "code" : " rare-disease-wgs" ,
54+ "display" : " Rare Disease - WGS"
8655 }
87- ],
88- "supportingInfo" : [
89- {
90- "reference" : " Observation/Observation-AutisticBehaviour-Example"
91- },
92- {
93- "reference" : " Observation/Observation-DelayedSpeechLanguageDevt-Example"
94- },
95- {
96- "reference" : " Observation/Observation-DiseasePenetrancePheobeSmitham-Example"
97- },
98- {
99- "reference" : " Observation/Observation-IntellectualDisabilityProfound-Example"
100- },
101- {
102- "reference" : " Observation/Observation-NonConsanguinousUnionProband-Example"
103- },
104- {
105- "reference" : " Specimen/Specimen-PheobeSmitham-Example"
106- },
107- {
108- "reference" : " Observation/Observation-GenomicEthnicity-Example"
109- },
110- {
111- "reference" : " Observation/Observation-NoPregnancy-Example"
112- },
113- {
114- "reference" : " Condition/Condition-MonogenicHearingLoss-Example"
115- },
116- {
117- "reference" : " Observation/Observation-NoBoneMarrowTransplant-Example"
118- },
119- {
120- "reference" : " Observation/Observation-NoTransfusion-Example"
121- },
122- {
123- "reference" : " Patient/Patient-PheobeSmithamMother-Example"
124- },
125- {
126- "reference" : " RelatedPerson/RelatedPerson-AliceSmithamProbandMother-Example"
127- },
128- {
129- "reference" : " Specimen/Specimen-PheobeSmithamMother-Example"
130- },
131- {
132- "reference" : " Observation/Observation-NonConsanguinousUnionMother-Example"
133- },
134- {
135- "reference" : " Observation/Observation-NoTransfusionProbandMother-Example"
136- },
137- {
138- "reference" : " Observation/Observation-NoBoneMarrowTransplantProbandMother-Example"
139- },
140- {
141- "reference" : " Patient/Patient-PheobeSmithamFather-Example"
142- },
143- {
144- "reference" : " RelatedPerson/RelatedPerson-JamesLawrenceProbandFather-Example"
145- },
146- {
147- "reference" : " Observation/Observation-NonConsanguinousUnionProbandFather-Example"
148- },
149- {
150- "reference" : " Observation/Observation-NoTransfusionProbandFather-Example"
151- },
152- {
153- "reference" : " Observation/Observation-NoBoneMarrowTransplantProbandFather-Example"
154- },
155- {
156- "reference" : " Observation/Observation-IntellectualDisabilityMild-Example"
157- },
158- {
159- "reference" : " Consent/Consent-RoD-PheobeSmitham-Example"
160- },
161- {
162- "reference" : " Consent/Consent-RoD-PheobeSmithamYoungPersonAssentForm-Example"
163- },
164- {
165- "reference" : " Consent/Consent-RoD-PheobeSmithamMother-Example"
166- },
167- {
168- "reference" : " QuestionnaireResponse/QuestionnaireResponse-RoD-PheobeSmithamCDForn-Example"
169- },
170- {
171- "reference" : " QuestionnaireResponse/QuestionnaireResponse-RoD-PheobeSmithamYPAForm-Example"
172- },
56+ ]
57+ },
58+ {
59+ "coding" : [
17360 {
174- "reference" : " QuestionnaireResponse/QuestionnaireResponse-RoD-PheobeSmithamMother-Example"
61+ "system" : " https://fhir.nhs.uk/CodeSystem/reasonfortesting-genomics" ,
62+ "code" : " diagnostic" ,
63+ "display" : " Diagnostic"
17564 }
65+ ]
66+ }
67+ ],
68+ "priority" : " routine" ,
69+ "code" : {
70+ "coding" : [
71+ {
72+ "system" : " https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" ,
73+ "code" : " R98.2" ,
74+ "display" : " Likely inborn error of metabolism" ,
75+ "version" : " 7"
76+ }
17677 ],
177- "note" : [
178- {
179- "text" : " No family history of genomic testing"
180- },
181- {
182- "text" : " Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. Not eligible for R14 or R98. Agreed with testing laboratory at Manchester. Father lives in surrey. Father to have sample taken locally and sent to MFT."
183- }
184- ]
78+ "text" : " This is a Trio Testing, this ServiceRequest generates a Requisition ID that linked the proband and consultands"
79+ },
80+ "subject" : {
81+ "reference" : " Patient/Patient-PheobeSmitham-Example" ,
82+ "identifier" : {
83+ "system" : " https://fhir.nhs.uk/Id/nhs-number" ,
84+ "value" : " 9449307539"
85+ }
86+ },
87+ "authoredOn" : " 2026-01-13T15:00:00Z" ,
88+ "requester" : {
89+ "reference" : " PractitionerRole/PractitionerRole-EugeneSmithLeedsSTH-Example"
90+ },
91+ "reasonReference" : [
92+ {
93+ "reference" : " Condition/Condition-InbornErrorOfMetabolism-Example"
94+ }
95+ ],
96+ "performer" : [
97+ {
98+ "identifier" : {
99+ "system" : " https://fhir.nhs.uk/Id/ods-organization-code" ,
100+ "value" : " R0A"
101+ }
102+ }
103+ ],
104+ "supportingInfo" : [
105+ {
106+ "reference" : " Observation/Observation-AutisticBehaviour-Example"
107+ },
108+ {
109+ "reference" : " Observation/Observation-DelayedSpeechLanguageDevt-Example"
110+ },
111+ {
112+ "reference" : " Observation/Observation-DiseasePenetrancePheobeSmitham-Example"
113+ },
114+ {
115+ "reference" : " Observation/Observation-IntellectualDisabilityProfound-Example"
116+ },
117+ {
118+ "reference" : " Observation/Observation-NonConsanguinousUnionProband-Example"
119+ },
120+ {
121+ "reference" : " Specimen/Specimen-PheobeSmitham-Example"
122+ },
123+ {
124+ "reference" : " Observation/Observation-GenomicEthnicity-Example"
125+ },
126+ {
127+ "reference" : " Observation/Observation-NoPregnancy-Example"
128+ },
129+ {
130+ "reference" : " Condition/Condition-MonogenicHearingLoss-Example"
131+ },
132+ {
133+ "reference" : " Observation/Observation-NoBoneMarrowTransplant-Example"
134+ },
135+ {
136+ "reference" : " Observation/Observation-NoTransfusion-Example"
137+ },
138+ {
139+ "reference" : " Observation/Observation-IntellectualDisabilityMild-Example"
140+ },
141+ {
142+ "reference" : " Consent/Consent-RoD-PheobeSmitham-Example"
143+ },
144+ {
145+ "reference" : " Consent/Consent-RoD-PheobeSmithamYoungPersonAssentForm-Example"
146+ },
147+ {
148+ "reference" : " QuestionnaireResponse/QuestionnaireResponse-RoD-PheobeSmithamCDForn-Example"
149+ },
150+ {
151+ "reference" : " QuestionnaireResponse/QuestionnaireResponse-RoD-PheobeSmithamYPAForm-Example"
152+ }
153+ ],
154+ "note" : [
155+ {
156+ "text" : " No family history of genomic testing"
157+ },
158+ {
159+ "text" : " Free text for diagnosis/reason for referral, relevant information including family history, phenotypic details/ HPO Terms/ E.g. Not eligible for R14 or R98. Agreed with testing laboratory at Manchester. Father lives in surrey. Father to have sample taken locally and sent to MFT."
160+ }
161+ ]
185162}
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