{
  "description": "GraphDefinition for defining and retrieving the full set of resources relevant to a Genomic Test Order",
  "_filename": "GraphDefinition-Genomics-Test-Order.json",
  "package_name": "uk.nhsengland.genomics.r4",
  "date": "2024-08-09",
  "publisher": "NHS England",
  "name": "GenomicsTestOrder",
  "start": "ServiceRequest",
  "type": null,
  "experimental": null,
  "resourceType": "GraphDefinition",
  "title": null,
  "package_version": "0.4.1",
  "status": "draft",
  "link": [ {
    "max": "*",
    "min": 0,
    "path": "ServiceRequest.extension.valueReference",
    "target": [ {
      "type": "PractitionerRole"
    } ],
    "sliceName": "additionalContact",
    "description": "Link to additional contacts for request"
  }, {
    "max": "1",
    "min": 0,
    "path": "ServiceRequest.basedOn",
    "target": [ {
      "type": "ServiceRequest"
    } ],
    "description": "Link to parent request (it is expected that a separate call to the $graph=genomics-test-order would be required to retrieve resources referenced from the ServiceRequest"
  }, {
    "max": "1",
    "min": 1,
    "path": "ServiceRequest.subject",
    "target": [ {
      "type": "Patient"
    } ],
    "description": "Link to patient the request is for"
  }, {
    "max": "1",
    "min": 1,
    "path": "ServiceRequest.requester",
    "target": [ {
      "type": "PractitionerRole"
    } ],
    "description": "Link to the requester of the genomic test order"
  }, {
    "max": "1",
    "min": 0,
    "path": "ServiceRequest.reasonReference",
    "target": [ {
      "type": "Condition"
    } ],
    "description": "Optional link to the primary condition constituting the reason for testing"
  }, {
    "max": "*",
    "min": 0,
    "path": "ServiceRequest.supportingInfo",
    "target": [ {
      "link": [ {
        "max": "1",
        "min": 1,
        "target": [ {
          "type": "Patient",
          "params": "link={ref}"
        } ],
        "description": "Patient linked to this RelatedPerson"
      } ],
      "type": "RelatedPerson"
    }, {
      "link": [ {
        "max": "1",
        "min": 0,
        "path": "Observation.extension.valueReference",
        "target": [ {
          "type": "BodyStructure"
        } ],
        "description": "Optional link to body structure related to the observation"
      }, {
        "max": "1",
        "min": 0,
        "path": "Observation.focus",
        "target": [ {
          "type": "Specimen"
        } ],
        "description": "Optional link to specimen the observation is about, if relevant"
      }, {
        "max": "1",
        "min": 0,
        "path": "Observation.performer",
        "target": [ {
          "type": "Resource"
        } ],
        "description": "Optional link to actor who performed the observation (could be Patient, PractitionerRole or RelatedPerson)"
      }, {
        "max": "*",
        "min": 0,
        "path": "Observation.hasMember",
        "target": [ {
          "type": "Observation"
        } ],
        "description": "Optional link to observation if parent observation is a panel"
      } ],
      "type": "Observation"
    }, {
      "link": [ {
        "max": "1",
        "min": 0,
        "path": "Condition.recorder",
        "target": [ {
          "type": "Resource"
        } ],
        "description": "Optional link to actor which recorded condition (could be Patient, PreactitionerRole or RelatedPerson)"
      }, {
        "max": "1",
        "min": 0,
        "path": "Condition.asserter",
        "target": [ {
          "type": "Resource"
        } ],
        "description": "Optional link to actor which asserted condition (could be Patient, PreactitionerRole or RelatedPerson)"
      } ],
      "type": "Condition"
    }, {
      "type": "Procedure"
    }, {
      "link": [ {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.extension.valueReference",
        "target": [ {
          "type": "Observation"
        } ],
        "sliceName": "family-member-history-genetics-observation",
        "description": "Optional link to observations related to a FamilyMemberHistory"
      }, {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.extension.valueReference",
        "target": [ {
          "type": "Patient"
        } ],
        "sliceName": "familymemberhistory-patient-record",
        "description": "Optional link to Patient resources for related family members"
      } ],
      "type": "FamilyMemberHistory"
    }, {
      "type": "DocumentReference"
    }, {
      "type": "DiagnosticReport"
    }, {
      "link": [ {
        "max": "1",
        "min": 0,
        "path": "Consent.sourceReference",
        "target": [ {
          "link": [ {
            "max": "1",
            "min": 1,
            "path": "QuestionnaireResponse.author",
            "target": [ {
              "type": "PractitionerRole"
            } ],
            "description": "Author of the RoD, most likely a PractitionerRole resource (if a reference)"
          }, {
            "max": "1",
            "min": 1,
            "path": "QuestionnaireResponse.source",
            "target": [ {
              "type": "Resource"
            } ],
            "description": "Source of the RoD (could be Patient, PractitionerRole or RelatedPerson)"
          } ],
          "type": "QuestionnaireResponse"
        }, {
          "type": "DocumentReference"
        } ],
        "description": "Optional link to structured QuestionnaireResponse or DocumentReference for RoD/consent forms"
      }, {
        "max": "1",
        "min": 1,
        "path": "Consent.patient",
        "target": [ {
          "type": "Patient"
        } ],
        "description": "Link to Patient resource (relevant for instances where the consent does not apply to the proband)"
      } ],
      "type": "Consent"
    } ],
    "description": "Link to additional clinical information to support processing/interpretation of the request"
  }, {
    "max": "*",
    "min": 0,
    "path": "ServiceRequest.specimen",
    "target": [ {
      "link": [ {
        "max": "1",
        "min": 1,
        "path": "Specimen.subject",
        "target": [ {
          "type": "Patient"
        } ],
        "description": "Link to the patient the specimen is from"
      }, {
        "max": "1",
        "min": 0,
        "path": "Specimen.parent",
        "target": [ {
          "type": "Specimen"
        } ],
        "description": "Link to parent specimen resource"
      }, {
        "max": "1",
        "min": 0,
        "path": "Specimen.collection.collector",
        "target": [ {
          "type": "PractitionerRole"
        } ],
        "description": "Link to collector of the specimen"
      }, {
        "max": "1",
        "min": 0,
        "path": "Specimen.collection.bodySite.extension.valueReference",
        "target": [ {
          "type": "BodyStructure"
        } ],
        "sliceName": "bodySiteReference",
        "description": "Link to the body structure detailing the morphology and topography of the specimen"
      } ],
      "type": "Specimen"
    } ],
    "description": "Optional link to specimen where this has already been collected/ordered prior to request submission"
  }, {
    "max": "*",
    "min": 0,
    "target": [ {
      "link": [ {
        "max": "1",
        "min": 1,
        "path": "Specimen.subject",
        "target": [ {
          "type": "Patient"
        } ],
        "description": "Link to the patient the specimen is from"
      }, {
        "max": "1",
        "min": 0,
        "path": "Specimen.parent",
        "target": [ {
          "type": "Specimen"
        } ],
        "description": "Link to parent specimen resource"
      }, {
        "max": "1",
        "min": 0,
        "path": "Specimen.collection.collector",
        "target": [ {
          "type": "PractitionerRole"
        } ],
        "description": "Link to collector of the specimen"
      }, {
        "max": "1",
        "min": 0,
        "path": "Specimen.collection.bodySite.extension.valueReference",
        "target": [ {
          "type": "BodyStructure"
        } ],
        "sliceName": "bodySiteReference",
        "description": "Link to the body structure detailing the morphology and topography of the specimen"
      } ],
      "type": "Specimen",
      "params": "request={ref}"
    } ],
    "description": "Specimen resources referencing this ServiceRequest"
  } ],
  "id": "761d835a-671e-454a-8a8d-0f80d9eb7912",
  "kind": null,
  "url": "https://fhir.nhs.uk/GraphDefinition/genomics-test-order",
  "version": "0.2.0"
}