description: This profile defines the NHS England-Genomics Programme constraints and extensions on the FHIR UK Core resource [UK Core ServiceRequest](https://simplifier.net/hl7fhirukcorer4/ukcore-servicerequest)
package_name: uk.nhsengland.genomics.r4
derivation: constraint
name: NHSDigital_ServiceRequest_Genomics
type: ServiceRequest
elements:
  category: {index: 10}
  insurance: {index: 33}
  instantiatesCanonical: {index: 6}
  relevantHistory: {index: 38}
  asNeeded:
    choices: []
    index: 25
  supportingInfo: {type: Reference, index: 34}
  encounter: {type: Reference, index: 23}
  patientInstruction: {index: 37}
  specimen: {type: Reference, index: 35}
  reasonCode:
    binding: {strength: preferred, valueSet: 'https://fhir.nhs.uk/ValueSet/genomics-reasonfortesting'}
    index: 31
  authoredOn: {index: 26}
  extension:
    index: 0
    slicing:
      slices:
        coverage:
          match: {}
          schema: {_required: true, index: 1}
          min: 1
        priorityReason:
          match: {}
          schema:
            type: Extension
            constraint:
              gen-1: {human: Extension must be present if priority is not routine, severity: error, expression: (ServiceRequest.extension(priorityReason).exists() and ServiceRequest.priority!=routine) or ServiceRequest.priority=routine}
            isModifier: false
            url: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason
            index: 2
            elements:
              value[x]:
                elements:
                  coding: {index: 3}
  locationReference: {index: 30}
  requester:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization-Genomics', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient-Genomics', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner-Genomics', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole-Genomics']
    index: 27
  priority: {index: 11}
  status: {index: 9}
  code: {index: 13}
  identifier:
    index: 4
    elements:
      assigner:
        type: Reference
        refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization-Genomics']
        index: 5
  doNotPerform: {index: 12}
  bodySite: {index: 36}
  replaces:
    type: Reference
    refers: ['https://fhir.nhs.uk/StructureDefinition/NHSDigital-ServiceRequest-Genomics']
    index: 8
  orderDetail:
    elements:
      coding:
        index: 14
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            genomicTestDirectory:
              match: {system: 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory'}
              schema:
                index: 15
                elements:
                  system:
                    short: Genomics Test Directory codes
                    pattern: {type: Uri, value: 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory'}
                    index: 16
            genomicsTestPanelCode:
              match: {system: 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestPanelCode'}
              schema:
                index: 17
                elements:
                  system:
                    short: Genomics Test Panel Code
                    pattern: {type: Uri, value: 'https://fhir.nhs.uk/CodeSystem/England-GenomicTestPanelCode'}
                    index: 18
            genomicsTypesofReanalysisTest:
              match: {system: null}
              schema:
                binding: {strength: preferred, valueSet: 'https://fhir.nhs.uk/ValueSet/genomics-types-of-reanalysistest'}
                index: 19
  basedOn:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-ServiceRequest-Genomics']
    index: 7
  quantity:
    choices: []
    index: 21
  locationCode: {index: 29}
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient-Genomics']
    index: 22
  performer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', 'http://hl7.org/fhir/StructureDefinition/Device', 'https://fhir.hl7.org.uk/StructureDefinition/UKCore-HealthcareService', 'https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization-Genomics', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient-Genomics', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner-Genomics', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole-Genomics']
    index: 28
  reasonReference:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Condition-Genomics', 'https://fhir.nhs.uk/StructureDefinition/NHSDigital-Observation-Genomics']
    index: 32
package_version: 0.5.0
extensions:
  coverage: {url: null, min: 1, _required: true, index: 1}
  priorityReason:
    url: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason
    type: Extension
    constraint:
      gen-1: {human: Extension must be present if priority is not routine, severity: error, expression: (ServiceRequest.extension(priorityReason).exists() and ServiceRequest.priority!=routine) or ServiceRequest.priority=routine}
    isModifier: false
    index: 2
    elements:
      value[x]:
        elements:
          coding: {index: 3}
class: profile
kind: resource
url: https://fhir.nhs.uk/StructureDefinition/NHSDigital-ServiceRequest-Genomics
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest
version: 0.2.0
required: [authoredOn, priority, requester, extension, identifier, category, code]