From 04214179dc8ae7dc48f321dcdf6ecc760c3ffbc4 Mon Sep 17 00:00:00 2001 From: Omar Khan Date: Tue, 25 Aug 2026 10:50:14 +0100 Subject: [PATCH 01/10] Fixes to StructureDefinitions Largely adding discriminators --- .../NHSEngland-Condition-GenomicsmCODE.json | 10 ++--- ...ngland-DiagnosticReport-GenomicReport.json | 6 +-- .../NHSEngland-Patient-Genomics.json | 42 +++++++++++++------ .../NHSEngland-ServiceRequest-Genomics.json | 13 +++++- .../NHSEngland-Task-Genomics.json | 6 +-- 5 files changed, 52 insertions(+), 25 deletions(-) diff --git a/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json b/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json index 8bc9d998..b8ee74e4 100644 --- a/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json +++ b/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Condition-GenomicsmCODE", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Condition-GenomicsmCODE", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Condition_GenomicsmCODE", "title": "NHSEngland Condition GenomicsmCODE", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -79,7 +79,7 @@ "path": "Condition.category", "sliceName": "ukcoreCategory", "binding": { - "strength": "extensible", + "strength": "required", "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory" } }, @@ -94,8 +94,8 @@ "slicing": { "discriminator": [ { - "type": "pattern", - "path": "$this" + "type": "value", + "path": "system" } ], "rules": "open" diff --git a/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json b/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json index 02ae05c7..873c1c30 100644 --- a/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json +++ b/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-DiagnosticReport-GenomicReport", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_DiagnosticReport_GenomicReport", "title": "NHSEngland DiagnosticReport GenomicReport", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -294,7 +294,7 @@ { "id": "DiagnosticReport.performer.identifier.system", "path": "DiagnosticReport.performer.identifier.system", - "fixedUri": "https://fhir.nhs.uk/Id/ods-organisation-code" + "fixedUri": "https://fhir.nhs.uk/Id/ods-organization-code" }, { "id": "DiagnosticReport.resultsInterpreter", diff --git a/StructureDefinition/NHSEngland-Patient-Genomics.json b/StructureDefinition/NHSEngland-Patient-Genomics.json index 53a7a563..6b51ba51 100644 --- a/StructureDefinition/NHSEngland-Patient-Genomics.json +++ b/StructureDefinition/NHSEngland-Patient-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Patient-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Patient_Genomics", "title": "NHSEngland Patient Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -77,7 +77,15 @@ "id": "Patient.extension:fetalStatus", "path": "Patient.extension", "sliceName": "fetalStatus", - "definition": "Extension used for determining the life status of the fetus. SHOULD always be present for a fetal patient record to help with identification." + "definition": "Extension used for determining the life status of the fetus. SHOULD always be present for a fetal patient record to help with identification.", + "constraint": [ + { + "key": "gen-3", + "severity": "warning", + "human": "fetalStatus SHOULD be provided if a birthDate is not present, indicating the patient resource is likely for a fetus.", + "expression": "(Patient.extension(fetalStatus).exists() and Patient.birthDate.notExists()) or Patient.birthDate.exists()" + } + ] }, { "id": "Patient.extension:residentialStatus", @@ -107,6 +115,15 @@ { "id": "Patient.identifier", "path": "Patient.identifier", + "slicing": { + "discriminator": [ + { + "type": "pattern", + "path": "$this" + } + ], + "rules": "open" + }, "definition": "SHALL be present for Patients within the Genomic Order Management ecosystem. It is preferred that all patients with an NHS number have this included within the Patient resource upon submission of a test order. Patient who do not have an NHS number SHOULD have a temporary one registered/assigned with PDS.\r\nFor patient records where the NHS number has been traced from PDS, the trace status SHOULD be provided within the NHS Number identifier slice.\r\n\r\nAdditional identifiers SHOULD include an appropriate naming system scheme which clearly identifies the assigner (to disambiguate the identifier from other resources where these are not nationally unique). Alternatively, the OID for local identifier MAY be used, with the 'assigner' organization explicitly referenced.", "min": 1 }, @@ -118,19 +135,20 @@ { "id": "Patient.identifier:nhsNumber.assigner", "path": "Patient.identifier.assigner", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Organization-Genomics" - ] - } - ] + "max": "0" }, { "id": "Patient.identifier:localIdentifier", "path": "Patient.identifier", - "sliceName": "localIdentifier" + "sliceName": "localIdentifier", + "constraint": [ + { + "key": "gen-4", + "severity": "error", + "human": "localIdentifier MUST be provided when no NHS number is present", + "expression": "(Patient.identifier(localIdentifier).exists() and Patient.identifier(nhsNumber).notExists()) or Patient.identifier(nhsNumber).exists() or Patient.identifier(localIdentifier).exists()" + } + ] }, { "id": "Patient.identifier:localIdentifier.assigner", diff --git a/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json b/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json index fa2ec57d..feac5d25 100644 --- a/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json +++ b/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-ServiceRequest-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-ServiceRequest-Genomics", - "version": "0.3.1", + "version": "0.3.2", "name": "NHSEngland_ServiceRequest_Genomics", "title": "NHSEngland ServiceRequest Genomics", "status": "active", - "date": "2026-08-11", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -222,6 +222,15 @@ { "id": "ServiceRequest.category", "path": "ServiceRequest.category", + "slicing": { + "discriminator": [ + { + "type": "pattern", + "path": "$this" + } + ], + "rules": "open" + }, "definition": "Category SHALL be populated with the reason for the request being ordered e.g. Diagnostic, Carrier, Predictive, Stored DNA etc. The final list of applicable codes which can be selected is still under review, the Genomic-ReasonforTesting ValueSet SHOULD be used for this categorisation.", "min": 1 }, diff --git a/StructureDefinition/NHSEngland-Task-Genomics.json b/StructureDefinition/NHSEngland-Task-Genomics.json index bda78d9c..2382b32b 100644 --- a/StructureDefinition/NHSEngland-Task-Genomics.json +++ b/StructureDefinition/NHSEngland-Task-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Task-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Task-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Task_Genomics", "title": "NHSEngland Task Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -231,7 +231,7 @@ { "id": "Task.owner.identifier.system", "path": "Task.owner.identifier.system", - "fixedUri": "https://fhir.nhs.uk/Id/ods-organisation-code" + "fixedUri": "https://fhir.nhs.uk/Id/ods-organization-code" }, { "id": "Task.location", From 3c0b002e4728b04559804a15e5d647c754fb4256 Mon Sep 17 00:00:00 2001 From: Kazeem Hamzat Date: Tue, 25 Aug 2026 11:47:22 +0100 Subject: [PATCH 02/10] Using JPA Validator Using JPA Validator --- .github/workflows/terminology.yml | 2 +- package.json | 7 ----- private.package.yaml | 49 +++++++++++++++++++++++++++++++ 3 files changed, 50 insertions(+), 8 deletions(-) create mode 100644 private.package.yaml diff --git a/.github/workflows/terminology.yml b/.github/workflows/terminology.yml index 5174c153..a6f2ed8d 100644 --- a/.github/workflows/terminology.yml +++ b/.github/workflows/terminology.yml @@ -5,7 +5,7 @@ on: # Triggers the workflow on push or pull request events but only for the master branch # Allows you to run this workflow manually from the Actions tab - #push: + push: # Allows you to run this workflow manually from the Actions tab diff --git a/package.json b/package.json index 2caf9907..73236c07 100644 --- a/package.json +++ b/package.json @@ -4,18 +4,11 @@ "author": "nhsdigital", "dependencies": { "hl7.fhir.r4.core": "4.0.1", - "hl7.fhir.uv.extensions.r4": "5.3.0-ballot-tc1", - "hl7.fhir.uv.xver-r5.r4": "0.1.0", "hl7.fhir.uv.genomics-reporting": "3.0.0", "hl7.fhir.uv.ips": "2.0.0", "hl7.fhir.eu.laboratory": "2.0.0", "ihe.iti.pcf": "1.1.0", - "hl7.fhir.us.mcode": "4.0.0", - "fhir.r4.nhsengland.pars": "0.1.2-alpha", - "fhir.r4.nhsengland.pathology": "0.2.4-alpha", "hl7.fhir.uv.tools.r4": "1.1.2", - "hl7.fhir.uv.security-label-ds4p": "1.0.0", - "fhir.r4.nhsengland.nhse-identifiers": "0.1.1-alpha", "fhir.r4.ukcore.stu3.currentbuild": "0.29.0-pre-release" }, "fhirVersions": [ diff --git a/private.package.yaml b/private.package.yaml new file mode 100644 index 00000000..107f20f4 --- /dev/null +++ b/private.package.yaml @@ -0,0 +1,49 @@ +implementationguides: + hl7-fhir-uv-extensions-r4: + name: hl7.fhir.uv.extensions.r4 + version: 5.3.0-ballot-tc1 + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7-fhir-uv-xver-r5-r4: + name: hl7.fhir.uv.xver-r5.r4 + version: 0.1.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7-fhir-uv-ips: + name: hl7.fhir.uv.ips + version: 2.0.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false + fhir-r4-nhsengland-pathology: + name: fhir.r4.nhsengland.pathology + version: 0.2.4-alpha + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7-fhir-uv-tools-r4: + name: hl7.fhir.uv.tools.r4 + version: 1.1.2 + installMode: STORE_AND_INSTALL + fhir-r4-nhsengland-nhse-identifiers: + name: fhir.r4.nhsengland.nhse-identifiers + version: 0.1.1-alpha + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7.fhir.us.core: + name: hl7.fhir.us.core + version: 6.1.0 + installMode: STORE_AND_INSTALL + hl7.fhir.us.mcode: + name: hl7.fhir.us.mcode + version: 4.0.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false + fhir.r4.nhsengland.pars: + name: fhir.r4.nhsengland.pars + version: 0.1.2-alpha + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7.fhir.uv.security-label-ds4p: + name: hl7.fhir.uv.security-label-ds4p + version: 1.0.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false \ No newline at end of file From 72aadc9359d519e18651c87d6970b4bfbb2fd907 Mon Sep 17 00:00:00 2001 From: Kazeem Hamzat Date: Tue, 25 Aug 2026 12:04:31 +0100 Subject: [PATCH 03/10] Update fhirpkg.lock.json Update --- fhirpkg.lock.json | 8 +------- 1 file changed, 1 insertion(+), 7 deletions(-) diff --git a/fhirpkg.lock.json b/fhirpkg.lock.json index cb1c724b..4a412664 100644 --- a/fhirpkg.lock.json +++ b/fhirpkg.lock.json @@ -1,18 +1,12 @@ { "updated": "2026-05-06T10:21:55.9845039+01:00", "dependencies": { - "hl7.fhir.r4.core": "4.0.1", - "hl7.fhir.uv.extensions.r4": "5.3.0-ballot-tc1", - "hl7.fhir.uv.xver-r5.r4": "0.1.0", + "hl7.fhir.r4.core": "4.0.1", "hl7.fhir.uv.genomics-reporting": "3.0.0", "hl7.fhir.uv.ips": "2.0.0", "hl7.fhir.eu.laboratory": "2.0.0", "ihe.iti.pcf": "1.1.0", - "hl7.fhir.us.mcode": "4.0.0", - "fhir.r4.nhsengland.pars": "0.1.2-alpha", - "fhir.r4.nhsengland.pathology": "0.2.4-alpha", "hl7.fhir.uv.tools.r4": "1.1.2", - "fhir.r4.nhsengland.nhse-identifiers": "0.1.1-alpha", "fhir.r4.ukcore.stu3.currentbuild": "0.29.0-pre-release" }, "missing": {} From d7763e08041d112838adb53c70848aa23cb8461a Mon Sep 17 00:00:00 2001 From: Kazeem Hamzat Date: Tue, 25 Aug 2026 12:11:30 +0100 Subject: [PATCH 04/10] Added DSPT Package Added DSPT Package --- package.json | 1 + 1 file changed, 1 insertion(+) diff --git a/package.json b/package.json index 73236c07..bd18c90c 100644 --- a/package.json +++ b/package.json @@ -9,6 +9,7 @@ "hl7.fhir.eu.laboratory": "2.0.0", "ihe.iti.pcf": "1.1.0", "hl7.fhir.uv.tools.r4": "1.1.2", + "hl7.fhir.uv.security-label-ds4p": "1.0.0", "fhir.r4.ukcore.stu3.currentbuild": "0.29.0-pre-release" }, "fhirVersions": [ From 09dc48fd55dba2cc76cd66240c746cdb4694f92a Mon Sep 17 00:00:00 2001 From: Kazeem Hamzat Date: Tue, 25 Aug 2026 12:20:28 +0100 Subject: [PATCH 05/10] origin/patch-AWS-Package-fixes From 97ba9bdfa24737737a1b956c4750eea251446576 Mon Sep 17 00:00:00 2001 From: Kazeem Hamzat Date: Tue, 25 Aug 2026 13:01:14 +0100 Subject: [PATCH 06/10] Testing AWS Feedback with JPA UpdateTesting AWS Feedback with JPA --- package.json | 8 +------- private.package.yaml | 49 ++++++++++++++++++++++++++++++++++++++++++++ 2 files changed, 50 insertions(+), 7 deletions(-) create mode 100644 private.package.yaml diff --git a/package.json b/package.json index 2caf9907..28b9b0d0 100644 --- a/package.json +++ b/package.json @@ -4,22 +4,16 @@ "author": "nhsdigital", "dependencies": { "hl7.fhir.r4.core": "4.0.1", - "hl7.fhir.uv.extensions.r4": "5.3.0-ballot-tc1", - "hl7.fhir.uv.xver-r5.r4": "0.1.0", "hl7.fhir.uv.genomics-reporting": "3.0.0", "hl7.fhir.uv.ips": "2.0.0", "hl7.fhir.eu.laboratory": "2.0.0", "ihe.iti.pcf": "1.1.0", - "hl7.fhir.us.mcode": "4.0.0", - "fhir.r4.nhsengland.pars": "0.1.2-alpha", - "fhir.r4.nhsengland.pathology": "0.2.4-alpha", "hl7.fhir.uv.tools.r4": "1.1.2", "hl7.fhir.uv.security-label-ds4p": "1.0.0", - "fhir.r4.nhsengland.nhse-identifiers": "0.1.1-alpha", "fhir.r4.ukcore.stu3.currentbuild": "0.29.0-pre-release" }, "fhirVersions": [ "4.0.1" ], "jurisdiction": "urn:iso:std:iso:3166:-2#GB" -} +} \ No newline at end of file diff --git a/private.package.yaml b/private.package.yaml new file mode 100644 index 00000000..107f20f4 --- /dev/null +++ b/private.package.yaml @@ -0,0 +1,49 @@ +implementationguides: + hl7-fhir-uv-extensions-r4: + name: hl7.fhir.uv.extensions.r4 + version: 5.3.0-ballot-tc1 + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7-fhir-uv-xver-r5-r4: + name: hl7.fhir.uv.xver-r5.r4 + version: 0.1.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7-fhir-uv-ips: + name: hl7.fhir.uv.ips + version: 2.0.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false + fhir-r4-nhsengland-pathology: + name: fhir.r4.nhsengland.pathology + version: 0.2.4-alpha + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7-fhir-uv-tools-r4: + name: hl7.fhir.uv.tools.r4 + version: 1.1.2 + installMode: STORE_AND_INSTALL + fhir-r4-nhsengland-nhse-identifiers: + name: fhir.r4.nhsengland.nhse-identifiers + version: 0.1.1-alpha + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7.fhir.us.core: + name: hl7.fhir.us.core + version: 6.1.0 + installMode: STORE_AND_INSTALL + hl7.fhir.us.mcode: + name: hl7.fhir.us.mcode + version: 4.0.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false + fhir.r4.nhsengland.pars: + name: fhir.r4.nhsengland.pars + version: 0.1.2-alpha + installMode: STORE_AND_INSTALL + fetchDependencies: false + hl7.fhir.uv.security-label-ds4p: + name: hl7.fhir.uv.security-label-ds4p + version: 1.0.0 + installMode: STORE_AND_INSTALL + fetchDependencies: false \ No newline at end of file From b9e2edc48d75a4e62d5da8a5ea7a308c5fb09228 Mon Sep 17 00:00:00 2001 From: Kazeem Hamzat Date: Tue, 25 Aug 2026 13:03:06 +0100 Subject: [PATCH 07/10] Using IOPS Validator Update --- .github/workflows/terminology.yml | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/.github/workflows/terminology.yml b/.github/workflows/terminology.yml index 5174c153..a6f2ed8d 100644 --- a/.github/workflows/terminology.yml +++ b/.github/workflows/terminology.yml @@ -5,7 +5,7 @@ on: # Triggers the workflow on push or pull request events but only for the master branch # Allows you to run this workflow manually from the Actions tab - #push: + push: # Allows you to run this workflow manually from the Actions tab From 0232677fef88a1e5d044acef806f12265fa4dc37 Mon Sep 17 00:00:00 2001 From: Omar Khan Date: Tue, 25 Aug 2026 15:12:54 +0100 Subject: [PATCH 08/10] Removal of target profiles Updated StructureDefinitions and specific errors in examples --- 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"coding": [ - { - "system": "http://snomed.info/sct", - "code": "117040002", - "display": "Nucleic acid sequencing" - } - ] - } - ] + "method": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "117040002", + "display": "Nucleic acid sequencing" + } + ] + } } \ No newline at end of file diff --git a/SearchParameter/SearchParameter-Genomics-plandefinition-actor-role.json b/SearchParameter/SearchParameter-Genomics-plandefinition-actor-role.json index 43ad9239..b581b53f 100644 --- a/SearchParameter/SearchParameter-Genomics-plandefinition-actor-role.json +++ b/SearchParameter/SearchParameter-Genomics-plandefinition-actor-role.json @@ -3,7 +3,7 @@ "id": "SearchParameter-plandefinition-actor-role", "url": "https://fhir.nhs.uk/SearchParameter/plandefinition-actor-role", "version": "0.1.0", - "name": "PlanDefinition Actor Role", + "name": "PlanDefinition_Actor_Role", "status": "draft", "experimental": false, "date": "2026-05-19", diff --git a/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json b/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json index b8ee74e4..2b8c7a44 100644 --- a/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json +++ b/StructureDefinition/NHSEngland-Condition-GenomicsmCODE.json @@ -146,46 +146,6 @@ "path": "Condition.subject", "definition": "SHALL be present. Reference to the associated Patient. This MAY be through a resource reference if the ID on the central service is known (or provided within the transaction bundle) or through NHS number where this is known and has been traced through PDS" }, - { - "id": "Condition.recorder", - "path": "Condition.recorder", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/RelatedPerson" - ], - "aggregation": [ - "referenced", - "bundled" - ] - } - ] - }, - { - "id": "Condition.asserter", - "path": "Condition.asserter", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/RelatedPerson" - ], - "aggregation": [ - "referenced", - "bundled" - ] - } - ] - }, { "id": "Condition.note", "path": "Condition.note", diff --git a/StructureDefinition/NHSEngland-Consent-GenomicsPCF.json b/StructureDefinition/NHSEngland-Consent-GenomicsPCF.json index 33c04078..1296d8d5 100644 --- a/StructureDefinition/NHSEngland-Consent-GenomicsPCF.json +++ b/StructureDefinition/NHSEngland-Consent-GenomicsPCF.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Consent-GenomicsPCF", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Consent-GenomicsPCF", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Consent_GenomicsPCF", "title": "NHSEngland Consent GenomicsPCF", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -139,10 +139,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient" - ], "aggregation": [ "referenced", "bundled" @@ -162,14 +158,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics", - "http://hl7.org/fhir/StructureDefinition/Organization", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/RelatedPerson", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole" - ], "aggregation": [ "referenced", "bundled" @@ -263,10 +251,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-ServiceRequest-Genomics", - "http://hl7.org/fhir/StructureDefinition/Resource" - ], "aggregation": [ "referenced", "bundled" diff --git a/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json b/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json index 873c1c30..2257f065 100644 --- a/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json +++ b/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json @@ -191,6 +191,9 @@ { "id": "DiagnosticReport.category", "path": "DiagnosticReport.category", + "slicing": { + "rules": "open" + }, "definition": "Potentially multiple categories to specify the specialty the report is relevant for. Different codings are expected by the Genomic Report and EU Lab profiles." }, { @@ -242,13 +245,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/Group", - "http://hl7.org/fhir/StructureDefinition/Device", - "http://hl7.org/fhir/StructureDefinition/Location" - ], "aggregation": [ "referenced" ] @@ -263,23 +259,7 @@ { "id": "DiagnosticReport.performer", "path": "DiagnosticReport.performer", - "definition": "SHOULD reference the organization responsible for the testing, preferably by ODS code.", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole", - "http://hl7.org/fhir/StructureDefinition/Organization", - "http://hl7.org/fhir/StructureDefinition/CareTeam" - ], - "aggregation": [ - "referenced", - "bundled" - ] - } - ] + "definition": "SHOULD reference the organization responsible for the testing, preferably by ODS code." }, { "id": "DiagnosticReport.performer.reference", @@ -299,23 +279,7 @@ { "id": "DiagnosticReport.resultsInterpreter", "path": "DiagnosticReport.resultsInterpreter", - "definition": "SHOULD reference the person responsible for interpreting the raw results, preferably by a recognised NHS identifier, such as SDS code.", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole", - "http://hl7.org/fhir/StructureDefinition/Organization", - "http://hl7.org/fhir/StructureDefinition/CareTeam" - ], - "aggregation": [ - "referenced", - "bundled" - ] - } - ] + "definition": "SHOULD reference the person responsible for interpreting the raw results, preferably by a recognised NHS identifier, such as SDS code." }, { "id": "DiagnosticReport.specimen", @@ -325,10 +289,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Specimen-Genomics", - "http://hl7.org/fhir/StructureDefinition/Specimen" - ], "aggregation": [ "referenced" ] diff --git a/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json b/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json index ba1c44dc..ab7fc3fc 100644 --- a/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json +++ b/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-DocumentReference-GenomicDataFile", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_DocumentReference_GenomicDataFile", "title": "NHSEngland DocumentReference GenomicDataFile", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -40,13 +40,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/Group", - "http://hl7.org/fhir/StructureDefinition/Device" - ], "aggregation": [ "referenced" ] diff --git a/StructureDefinition/NHSEngland-FamilyMemberHistory-Genomics.json b/StructureDefinition/NHSEngland-FamilyMemberHistory-Genomics.json index b20b5ff3..b2391080 100644 --- a/StructureDefinition/NHSEngland-FamilyMemberHistory-Genomics.json +++ b/StructureDefinition/NHSEngland-FamilyMemberHistory-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-FamilyMemberHistory-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-FamilyMemberHistory-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_FamilyMemberHistory_Genomics", "title": "NHSEngland FamilyMemberHistory Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -64,10 +64,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient" - ], "aggregation": [ "referenced", "bundled" diff --git a/StructureDefinition/NHSEngland-Group-Genomics.json b/StructureDefinition/NHSEngland-Group-Genomics.json index bbc87dda..1b108c88 100644 --- a/StructureDefinition/NHSEngland-Group-Genomics.json +++ b/StructureDefinition/NHSEngland-Group-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Group-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Group-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Group_Genomics", "title": "NHSEngland Group Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -75,29 +75,6 @@ "path": "Group.member", "definition": "SHALL be present. `entity` SHOULD be a reference to a Patient resource within the GOMS infrastructure or a unique identifier where this is not possible. `period` SHOULD record the date the member was added to the Group. `inactive` MAY be used to record entities which are no longer members of the group, though if an individual was added to a Group in error and should never have been part of the group, the entity SHALL be removed entirely.", "min": 1 - }, - { - "id": "Group.member.entity", - "path": "Group.member.entity", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole", - "http://hl7.org/fhir/StructureDefinition/Device", - "http://hl7.org/fhir/StructureDefinition/Medication", - "http://hl7.org/fhir/StructureDefinition/Substance", - "http://hl7.org/fhir/StructureDefinition/Group" - ], - "aggregation": [ - "referenced", - "bundled" - ] - } - ] } ] } diff --git a/StructureDefinition/NHSEngland-Observation-GenomicsLab.json b/StructureDefinition/NHSEngland-Observation-GenomicsLab.json index 05498746..46a40ccd 100644 --- a/StructureDefinition/NHSEngland-Observation-GenomicsLab.json +++ b/StructureDefinition/NHSEngland-Observation-GenomicsLab.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Observation-GenomicsLab", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Observation-GenomicsLab", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Observation_GenomicsLab", "title": "NHSEngland Observation GenomicsLab", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -54,15 +54,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study", - "http://hl7.org/fhir/StructureDefinition/MedicationAdministration", - "http://hl7.org/fhir/StructureDefinition/MedicationDispense", - "http://hl7.org/fhir/StructureDefinition/MedicationStatement", - "http://hl7.org/fhir/StructureDefinition/Procedure", - "http://hl7.org/fhir/StructureDefinition/Immunization", - "http://hl7.org/fhir/StructureDefinition/ImagingStudy" - ], "aggregation": [ "referenced", "bundled" @@ -121,10 +112,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient" - ], "aggregation": [ "referenced", "bundled" @@ -139,10 +126,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Specimen-Genomics", - "http://hl7.org/fhir/StructureDefinition/Resource" - ], "aggregation": [ "referenced", "bundled" @@ -155,28 +138,6 @@ "path": "Observation.effective[x]", "definition": "It is expected that all Observations SHOULD include the effective time the observation was made, if known, to aid interpretation." }, - { - "id": "Observation.performer", - "path": "Observation.performer", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole", - "http://hl7.org/fhir/StructureDefinition/Organization", - "http://hl7.org/fhir/StructureDefinition/CareTeam", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/RelatedPerson" - ], - "aggregation": [ - "referenced", - "bundled" - ] - } - ] - }, { "id": "Observation.value[x]", "path": "Observation.value[x]", diff --git a/StructureDefinition/NHSEngland-Patient-Genomics.json b/StructureDefinition/NHSEngland-Patient-Genomics.json index 6b51ba51..5aa58bb5 100644 --- a/StructureDefinition/NHSEngland-Patient-Genomics.json +++ b/StructureDefinition/NHSEngland-Patient-Genomics.json @@ -115,53 +115,26 @@ { "id": "Patient.identifier", "path": "Patient.identifier", - "slicing": { - "discriminator": [ - { - "type": "pattern", - "path": "$this" - } - ], - "rules": "open" - }, "definition": "SHALL be present for Patients within the Genomic Order Management ecosystem. It is preferred that all patients with an NHS number have this included within the Patient resource upon submission of a test order. Patient who do not have an NHS number SHOULD have a temporary one registered/assigned with PDS.\r\nFor patient records where the NHS number has been traced from PDS, the trace status SHOULD be provided within the NHS Number identifier slice.\r\n\r\nAdditional identifiers SHOULD include an appropriate naming system scheme which clearly identifies the assigner (to disambiguate the identifier from other resources where these are not nationally unique). Alternatively, the OID for local identifier MAY be used, with the 'assigner' organization explicitly referenced.", - "min": 1 - }, - { - "id": "Patient.identifier:nhsNumber", - "path": "Patient.identifier", - "sliceName": "nhsNumber" - }, - { - "id": "Patient.identifier:nhsNumber.assigner", - "path": "Patient.identifier.assigner", - "max": "0" - }, - { - "id": "Patient.identifier:localIdentifier", - "path": "Patient.identifier", - "sliceName": "localIdentifier", + "min": 1, "constraint": [ { "key": "gen-4", "severity": "error", - "human": "localIdentifier MUST be provided when no NHS number is present", - "expression": "(Patient.identifier(localIdentifier).exists() and Patient.identifier(nhsNumber).notExists()) or Patient.identifier(nhsNumber).exists() or Patient.identifier(localIdentifier).exists()" + "human": "Identifiers which are not NHS Numbers SHALL have an assigner", + "expression": "identifier.where(system != 'https://fhir.nhs.uk/Id/nhs-number').all(assigner.exists())" } ] }, { - "id": "Patient.identifier:localIdentifier.assigner", - "path": "Patient.identifier.assigner", - "min": 1 + "id": "Patient.identifier:nhsNumber", + "path": "Patient.identifier", + "sliceName": "nhsNumber" }, { - "id": "Patient.identifier:localIdentifier.assigner.identifier", - "path": "Patient.identifier.assigner.identifier", - "min": 1, - "fixedIdentifier": { - "system": "https://fhir.nhs.uk/Id/ods-organization-code" - } + "id": "Patient.identifier:nhsNumber.assigner", + "path": "Patient.identifier.assigner", + "max": "0" }, { "id": "Patient.name", diff --git a/StructureDefinition/NHSEngland-Procedure-Genomics.json b/StructureDefinition/NHSEngland-Procedure-Genomics.json index 6f60af8a..9df88f17 100644 --- a/StructureDefinition/NHSEngland-Procedure-Genomics.json +++ b/StructureDefinition/NHSEngland-Procedure-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Procedure-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Procedure-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Procedure_Genomics", "title": "NHSEngland Procedure Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -111,11 +111,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/Group" - ], "aggregation": [ "referenced", "bundled" @@ -127,26 +122,6 @@ "id": "Procedure.performed[x]", "path": "Procedure.performed[x]", "definition": "performed SHOULD be provided wherever possible, using the appropriate data type, to aid in interpretation of Genomic test results." - }, - { - "id": "Procedure.recorder", - "path": "Procedure.recorder", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/RelatedPerson", - "http://hl7.org/fhir/StructureDefinition/Practitioner", - "http://hl7.org/fhir/StructureDefinition/PractitionerRole" - ], - "aggregation": [ - "referenced", - "bundled" - ] - } - ] } ] } diff --git a/StructureDefinition/NHSEngland-Provenance-Genomics.json b/StructureDefinition/NHSEngland-Provenance-Genomics.json index b8ca4114..863f25a4 100644 --- a/StructureDefinition/NHSEngland-Provenance-Genomics.json +++ b/StructureDefinition/NHSEngland-Provenance-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Provenance-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Provenance-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Provenance_Genomics", "title": "NHSEngland Provenance Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -39,11 +39,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-ServiceRequest-Genomics", - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport", - "http://hl7.org/fhir/StructureDefinition/Resource" - ], "aggregation": [ "referenced", "bundled" diff --git a/StructureDefinition/NHSEngland-RelatedPerson-Genomics.json b/StructureDefinition/NHSEngland-RelatedPerson-Genomics.json index 651133dd..9498c85a 100644 --- a/StructureDefinition/NHSEngland-RelatedPerson-Genomics.json +++ b/StructureDefinition/NHSEngland-RelatedPerson-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-RelatedPerson-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-RelatedPerson-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_RelatedPerson_Genomics", "title": "NHSEngland RelatedPerson Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -45,9 +45,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics" - ], "aggregation": [ "referenced", "bundled" diff --git a/StructureDefinition/NHSEngland-RequestGroup-Genomics.json b/StructureDefinition/NHSEngland-RequestGroup-Genomics.json index 43fa088b..7deadda5 100644 --- a/StructureDefinition/NHSEngland-RequestGroup-Genomics.json +++ b/StructureDefinition/NHSEngland-RequestGroup-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-RequestGroup-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-RequestGroup-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_RequestGroup_Genomics", "title": "NHSEngland RequestGroup Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -56,17 +56,7 @@ "id": "RequestGroup.subject", "path": "RequestGroup.subject", "definition": "Automatically assigned by the central service. SHALL match the subject referenced from the Proband request.", - "min": 1, - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Patient", - "http://hl7.org/fhir/StructureDefinition/Group" - ] - } - ] + "min": 1 }, { "id": "RequestGroup.encounter", diff --git a/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json b/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json index feac5d25..03ee8e1a 100644 --- a/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json +++ b/StructureDefinition/NHSEngland-ServiceRequest-Genomics.json @@ -222,27 +222,16 @@ { "id": "ServiceRequest.category", "path": "ServiceRequest.category", - "slicing": { - "discriminator": [ - { - "type": "pattern", - "path": "$this" - } - ], - "rules": "open" - }, "definition": "Category SHALL be populated with the reason for the request being ordered e.g. Diagnostic, Carrier, Predictive, Stored DNA etc. The final list of applicable codes which can be selected is still under review, the Genomic-ReasonforTesting ValueSet SHOULD be used for this categorisation.", - "min": 1 - }, - { - "id": "ServiceRequest.category:reasonForTesting", - "path": "ServiceRequest.category", - "sliceName": "reasonForTesting", "min": 1, - "binding": { - "strength": "required", - "valueSet": "https://fhir.nhs.uk/ValueSet/genomics-reasonfortesting" - } + "constraint": [ + { + "key": "gen-5", + "severity": "error", + "human": "At least 1 reason for testing SHALL be provided", + "expression": "category.coding.memberOf('https://fhir.nhs.uk/ValueSet/Genomic-ReasonForTesting').exists()" + } + ] }, { "id": "ServiceRequest.priority", @@ -501,9 +490,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Condition-Genomics" - ], "aggregation": [ "referenced", "bundled" diff --git a/StructureDefinition/NHSEngland-Specimen-Genomics.json b/StructureDefinition/NHSEngland-Specimen-Genomics.json index 9aadddf6..c61caacc 100644 --- a/StructureDefinition/NHSEngland-Specimen-Genomics.json +++ b/StructureDefinition/NHSEngland-Specimen-Genomics.json @@ -2,11 +2,11 @@ "resourceType": "StructureDefinition", "id": "NHSEngland-Specimen-Genomics", "url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Specimen-Genomics", - "version": "0.3.0", + "version": "0.3.1", "name": "NHSEngland_Specimen_Genomics", "title": "NHSEngland Specimen Genomics", "status": "active", - "date": "2026-04-16", + "date": "2026-08-25", "publisher": "NHS England", "contact": [ { @@ -53,18 +53,6 @@ "definition": "Multiple identifiers MAY be assigned to a sample as it travels between labs. Each lab SHOULD append their local identifier to the identifier array if needed, ensuring either the system or assigner, is able to disambiguate any identifiers from possibly overlapping numbers from other organizations. Assigner is preferred in this case (see identifier example on the UKCore-Patient page for further guidance)\r\nNote: accessionIdentifier is unused by the Genomic Medicine Service to facilitate movement of samples across organizational boundaries.", "min": 1 }, - { - "id": "Specimen.identifier.assigner", - "path": "Specimen.identifier.assigner", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Organization-Genomics" - ] - } - ] - }, { "id": "Specimen.identifier:identifierGMSSpecimen", "path": "Specimen.identifier", diff --git a/StructureDefinition/NHSEngland-Task-Genomics.json b/StructureDefinition/NHSEngland-Task-Genomics.json index 2382b32b..4a8917f3 100644 --- a/StructureDefinition/NHSEngland-Task-Genomics.json +++ b/StructureDefinition/NHSEngland-Task-Genomics.json @@ -149,10 +149,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics", - "http://hl7.org/fhir/StructureDefinition/Resource" - ], "aggregation": [ "referenced" ] @@ -209,9 +205,6 @@ "type": [ { "code": "Reference", - "targetProfile": [ - "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" - ], "aggregation": [ "referenced" ] From ac390af6356a8596fae9e3e9f39d4ae824611ddf Mon Sep 17 00:00:00 2001 From: Omar Khan Date: Tue, 25 Aug 2026 15:26:51 +0100 Subject: [PATCH 09/10] Further fixes --- .../CodeSystem-Genomics-mds-questiontag.json | 2 +- .../NHSEngland-Procedure-Genomics.json | 1 + StructureDefinition/NHSEngland-Task-Genomics.json | 15 --------------- 3 files changed, 2 insertions(+), 16 deletions(-) diff --git a/CodeSystem/CodeSystem-Genomics-mds-questiontag.json b/CodeSystem/CodeSystem-Genomics-mds-questiontag.json index e8b1fc9d..91b10a46 100644 --- a/CodeSystem/CodeSystem-Genomics-mds-questiontag.json +++ b/CodeSystem/CodeSystem-Genomics-mds-questiontag.json @@ -43,7 +43,7 @@ { "code": "HCP-13", "display": "HCP - surname", - "definition": "HCP'surname " + "definition": "HCP's surname." }, { "code": "HCP-3", diff --git a/StructureDefinition/NHSEngland-Procedure-Genomics.json b/StructureDefinition/NHSEngland-Procedure-Genomics.json index 9df88f17..9fabb1ca 100644 --- a/StructureDefinition/NHSEngland-Procedure-Genomics.json +++ b/StructureDefinition/NHSEngland-Procedure-Genomics.json @@ -6,6 +6,7 @@ "name": "NHSEngland_Procedure_Genomics", "title": "NHSEngland Procedure Genomics", "status": "active", + "experimental": true, "date": "2026-08-25", "publisher": "NHS England", "contact": [ diff --git a/StructureDefinition/NHSEngland-Task-Genomics.json b/StructureDefinition/NHSEngland-Task-Genomics.json index 4a8917f3..27b46694 100644 --- a/StructureDefinition/NHSEngland-Task-Genomics.json +++ b/StructureDefinition/NHSEngland-Task-Genomics.json @@ -38,21 +38,6 @@ "definition": "This element will not be used within the Genomic Medicine Service. The ServiceRequest a Task is seeking to fulfill SHALL be referenced through the `focus` element. Specimen resources being acted upon by tasks related to specimen prep/processing SHOULD be referenced through the `Task.input` element.", "max": "0" }, - { - "id": "Task.basedOn.identifier.assigner", - "path": "Task.basedOn.identifier.assigner", - "type": [ - { - "code": "Reference", - "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Organization-Genomics" - ], - "aggregation": [ - "referenced" - ] - } - ] - }, { "id": "Task.partOf", "path": "Task.partOf", From c4556ae404e1f2a02f7ab1154f9fd0b4e63ee6f0 Mon Sep 17 00:00:00 2001 From: Kazeem Hamzat Date: Tue, 25 Aug 2026 16:42:47 +0100 Subject: [PATCH 10/10] Remove Slicing from DiagnosticReport.categor [Should be inherited from the base](https://simplifier.net/packages/hl7.fhir.uv.genomics-reporting/3.0.0/files/2682262/~json). e.g, "id": "DiagnosticReport.category", "path": "DiagnosticReport.category", "slicing": { "discriminator": [ { "type": "value", "path": "coding" } ], --- .../NHSEngland-DiagnosticReport-GenomicReport.json | 3 --- .../NHSEngland-DocumentReference-GenomicDataFile.json | 2 -- 2 files changed, 5 deletions(-) diff --git a/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json b/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json index 2257f065..b3f1fa40 100644 --- a/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json +++ b/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport.json @@ -191,9 +191,6 @@ { "id": "DiagnosticReport.category", "path": "DiagnosticReport.category", - "slicing": { - "rules": "open" - }, "definition": "Potentially multiple categories to specify the specialty the report is relevant for. Different codings are expected by the Genomic Report and EU Lab profiles." }, { diff --git a/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json b/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json index ab7fc3fc..ced09764 100644 --- a/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json +++ b/StructureDefinition/NHSEngland-DocumentReference-GenomicDataFile.json @@ -111,9 +111,7 @@ { "code": "Reference", "targetProfile": [ - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Specimen-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport", - "https://fhir.nhs.uk/StructureDefinition/NHSEngland-ServiceRequest-Genomics", "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report" ], "aggregation": [