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KazeemHamzatKazeemHamzat
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Alignment to EU-Lab Report 2.0 (#253)
Alignment to EU-Lab Report 2.0
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Lines changed: 79 additions & 196 deletions

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‎Composition/Composition-EULabGenomicReport-Example.json‎

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]
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},
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"extension": [
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{
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"url": "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition",
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"valueReference": {
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"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example"
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}
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},
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{
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"url": "http://hl7.eu/fhir/StructureDefinition/information-recipient",
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"valueReference": {
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}
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}
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],
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"identifier": {
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"system": "https://fhir.nhs.uk/Id/genomic-report",
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"value": "GR-12345"
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},
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"identifier": {
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"system": "https://fhir.nhs.uk/Id/genomic-report",
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"value": "GR-12345"
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},
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"status": "final",
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"type": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "51969-4",
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"display": "Genetic analysis report"
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"system": "http://snomed.info/sct",
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"code": "1054161000000101",
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"display": "Genetic report"
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}
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]
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},
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"section": [
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{
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"title": "Results",
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Genomic findings.</div>"
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},
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Genomic findings.</div>"
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},
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"code": {
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"coding": [
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{

‎StructureDefinition/NHSEngland-Composition-GenomicsEULabReport.json‎

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@@ -2,11 +2,11 @@
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"resourceType": "StructureDefinition",
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"id": "NHSEngland-Composition-GenomicsEULabReport",
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"url": "https://fhir.nhs.uk/StructureDefinition/NHSEngland-Composition-GenomicsEULabReport",
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"version": "0.3.0",
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"version": "0.4.0",
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"name": "NHSEngland_Composition_GenomicsEULabReport",
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"title": "NHSEngland Composition GenomicsEULabReport",
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"status": "active",
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"date": "2026-04-16",
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"date": "2026-07-15",
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"publisher": "NHS England",
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"contact": [
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{
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"derivation": "constraint",
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"differential": {
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"element": [
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{
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"id": "Composition.extension:basedOn-order-or-requisition",
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"path": "Composition.extension",
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"sliceName": "basedOn-order-or-requisition",
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"definition": "TBC. Only relevant for EU Lab aligned reports (included in HL7 EU Laboratory Report: Composition Profile). A reference to the ServiceRequest which this report is in response to."
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},
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{
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"id": "Composition.extension:basedOn-order-or-requisition.value[x]:valueReference",
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"path": "Composition.extension.value[x]",
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"sliceName": "valueReference",
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"type": [
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{
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"code": "Reference",
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"targetProfile": [
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"https://fhir.nhs.uk/StructureDefinition/NHSEngland-ServiceRequest-Genomics",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
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],
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"aggregation": [
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"referenced",
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"bundled"
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]
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}
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]
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},
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{
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"id": "Composition.extension:information-recipient",
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"path": "Composition.extension",
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"sliceName": "information-recipient",
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"definition": "TBC. Only relevant for EU Lab aligned reports (included in HL7 EU Laboratory Report: Composition Profile). A reference to the recipient for a report, could potentially be used to reference additional recipients over the subject and original requester for the request."
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},
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{
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"id": "Composition.extension:information-recipient.value[x]",
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"path": "Composition.extension.value[x]",
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"type": [
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{
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"code": "Reference",
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"targetProfile": [
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"https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/Practitioner-eu-lab",
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"http://hl7.org/fhir/StructureDefinition/Device",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab",
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"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/PractitionerRole-eu-lab",
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"http://hl7.org/fhir/StructureDefinition/Organization"
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],
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"aggregation": [
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"referenced",
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"bundled"
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]
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}
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]
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},
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{
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"id": "Composition.extension:diagnosticReport-reference",
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"path": "Composition.extension",
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"sliceName": "diagnosticReport-reference",
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"definition": "TBC. Only relevant for EU Lab aligned reports (included in HL7 EU Laboratory Report: Composition Profile). A reference to the focal DiagnosticReport this Composition is for."
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},
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{
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"id": "Composition.extension:diagnosticReport-reference.value[x]",
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"path": "Composition.extension.value[x]",
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"type": [
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{
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"code": "Reference",
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"targetProfile": [
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"https://fhir.nhs.uk/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"
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],
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"aggregation": [
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"referenced",
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"bundled"
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]
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}
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]
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},
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{
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"id": "Composition.status",
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"path": "Composition.status",
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{
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"id": "Composition.type",
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"path": "Composition.type",
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"definition": "SNOMED CT code for either a Laboratory Request (24691000000102) or Genetic report (1054161000000101)"
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},
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{
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"id": "Composition.type.coding",
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"path": "Composition.type.coding",
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"slicing": {
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"discriminator": [
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{
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"type": "pattern",
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"path": "$this"
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}
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],
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"rules": "open"
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}
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},
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{
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"id": "Composition.type.coding.display.extension:translation",
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"path": "Composition.type.coding.display.extension",
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"sliceName": "translation"
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},
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{
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"id": "Composition.type.coding.display.extension:translation.extension",
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"path": "Composition.type.coding.display.extension.extension",
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"min": 2
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},
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{
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"id": "Composition.type.coding:codingGenomics",
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"path": "Composition.type.coding",
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"sliceName": "codingGenomics",
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"fixedCoding": {
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"system": "http://snomed.info/sct",
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"code": "1054161000000101",
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"display": "Genetic report"
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"definition": "SNOMED CT code for either a Laboratory Request (24691000000102) or Genetic report (1054161000000101)",
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"binding": {
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"strength": "required",
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"valueSet": "https://fhir.nhs.uk/ValueSet/type-of-genomic-report"
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}
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},
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{
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"id": "Composition.type.coding:codingGenomics.display.extension:translation",
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"path": "Composition.type.coding.display.extension",
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"sliceName": "translation"
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},
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{
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"id": "Composition.type.coding:codingGenomics.display.extension:translation.extension",
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"path": "Composition.type.coding.display.extension.extension",
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"min": 2
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},
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{
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"id": "Composition.type.text.extension:translation",
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"path": "Composition.type.text.extension",
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"sliceName": "translation"
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},
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{
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"id": "Composition.type.text.extension:translation.extension",
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"path": "Composition.type.text.extension.extension",
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"min": 2
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},
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{
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"id": "Composition.category",
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"path": "Composition.category",
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"definition": "Fixed codes for conformance to the EU Lab Composition profile (for cross border sharing of lab reports)."
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},
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{
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"id": "Composition.category.coding.display.extension:translation",
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"path": "Composition.category.coding.display.extension",
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"sliceName": "translation"
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},
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{
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"id": "Composition.category.coding.display.extension:translation.extension",
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"path": "Composition.category.coding.display.extension.extension",
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"min": 2
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},
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{
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"id": "Composition.category.text.extension:translation",
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"path": "Composition.category.text.extension",
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"sliceName": "translation"
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},
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{
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"id": "Composition.category.text.extension:translation.extension",
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"path": "Composition.category.text.extension.extension",
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"min": 2
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},
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{
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"id": "Composition.category:studyType",
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"path": "Composition.category",
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"type": [
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{
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"code": "Reference",
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"targetProfile": [
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"https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab",
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"http://hl7.org/fhir/StructureDefinition/Group",
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"http://hl7.org/fhir/StructureDefinition/Location",
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"http://hl7.org/fhir/StructureDefinition/Device"
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],
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"aggregation": [
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"referenced",
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"bundled"
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"path": "Composition.section",
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"definition": "To conform to EU Lab, SHOULD include references to the results that form part of the genomic report. For the UGR, will include sections that conform to the UGR folders, this work is currently in development."
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},
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{
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"id": "Composition.section.code.coding.display.extension:translation",
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"path": "Composition.section.code.coding.display.extension",
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"sliceName": "translation"
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},
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{
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"id": "Composition.section.code.coding.display.extension:translation.extension",
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"path": "Composition.section.code.coding.display.extension.extension",
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"min": 2
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},
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{
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"id": "Composition.section.code.text.extension:translation",
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"path": "Composition.section.code.text.extension",
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"sliceName": "translation"
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},
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{
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"id": "Composition.section.code.text.extension:translation.extension",
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"path": "Composition.section.code.text.extension.extension",
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"min": 2
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},
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{
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"id": "Composition.section:sectionUGR",
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"path": "Composition.section",
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"sliceName": "sectionUGR",
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"definition": "Sections included within the UGR: patient-demographics | investigations-and-procedures-requested | investigation-results | consent-for-information-sharing | family-history "
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"definition": "Sections included within the UGR: patient-demographics | investigations-and-procedures-requested | investigation-results | consent-for-information-sharing | family-history."
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},
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{
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"id": "Composition.section:sectionUGR.code",

‎ValueSet/ValueSet-Genomics-type-of-genomic-report.json‎

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{
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"resourceType": "ValueSet",
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"id": "type-of-genomic-report",
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"url": "https://fhir.nhs.uk/ValueSet/type-of-genomic-report",
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"version": "0.1.0",
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"name": "TypeofGenomicsReport",
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"title": "Types of Genomics Report",
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"status": "draft",
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"date": "2026-07-15T00:00:00.000Z",
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"publisher": "NHS England",
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"contact": [
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{
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"name": "NHS England",
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"telecom": [
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{
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"system": "email",
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"value": "interoperabilityteam@nhs.net",
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"use": "work",
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"rank": 1
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}
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]
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}
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],
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"description": "A ValueSet used to identify the types of genomics report. The Composition.type SHALL identify either a Laboratory report or a Genetic report using SNOMED CT.",
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"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.",
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"compose": {
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"include": [
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{
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"system": "http://snomed.info/sct",
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"concept": [
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{
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"code": "4241000179101",
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"display": "Laboratory report"
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},
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{
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"code": "1054161000000101",
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"display": "Genetic report"
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}
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]
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}
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]
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},
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"expansion": {
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"identifier": "urn:0ee21901-da3d-403a-aabe-b09cf4b70719",
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"timestamp": "2026-07-15T00:00:00Z",
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"total": 2,
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"offset": 0,
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"contains": [
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{
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"system": "http://snomed.info/sct",
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"code": "4241000179101",
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"display": "Laboratory report"
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},
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{
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"system": "http://snomed.info/sct",
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"code": "1054161000000101",
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"display": "Genetic report"
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}
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]
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}
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}

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