From ac1e6c3819889a775229801f93d332b612941fed Mon Sep 17 00:00:00 2001 From: vickyjaiswal0308 <126092393+vickyjaiswal0308@users.noreply.github.com> Date: Thu, 11 Jun 2026 11:32:37 +0100 Subject: [PATCH 1/5] Create Extension-Genomic-Report-Visibility.json --- .../Extension-Genomic-Report-Visibility.json | 73 +++++++++++++++++++ 1 file changed, 73 insertions(+) create mode 100644 StructureDefinition/Extension-Genomic-Report-Visibility.json diff --git a/StructureDefinition/Extension-Genomic-Report-Visibility.json b/StructureDefinition/Extension-Genomic-Report-Visibility.json new file mode 100644 index 0000000..7a85f1f --- /dev/null +++ b/StructureDefinition/Extension-Genomic-Report-Visibility.json @@ -0,0 +1,73 @@ +{ + "resourceType": "StructureDefinition", + "id": "Extension-Genomic-Report-Visibility", + "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Report-Visibility", + "version": "0.1.0", + "name": "ExtensionGenomicReportVisibility", + "title": "Extension Genomic Report Visibility", + "status": "draft", + "date": "2026-06-11", + "publisher": "NHS England", + "contact": [ + { + "name": "NHS England", + "telecom": [ + { + "system": "email", + "value": "interoperabilityteam@nhs.net", + "use": "work", + "rank": 1 + } + ] + } + ], + "description": "An extension used to indicate whether a data element should be included in patient-facing reports or retained solely for clinical interpretation and processing.", + "purpose": "This extension supports genomic and diagnostic workflows where certain data elements (for example sex/gender used for reference range determination or interpretation) are required for clinical processing but should not be displayed in patient-facing reports.", + "copyright": "Copyright © 2025+ 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.", + "fhirVersion": "4.0.1", + "kind": "complex-type", + "abstract": false, + "context": [ + { + "type": "element", + "expression": "Element" + } + ], + "type": "Extension", + "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension", + "derivation": "constraint", + "differential": { + "element": [ + { + "id": "Extension", + "path": "Extension", + "max": "1" + }, + { + "id": "Extension.extension", + "path": "Extension.extension", + "max": "0" + }, + { + "id": "Extension.url", + "path": "Extension.url", + "fixedUri": "https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Report-Visibility" + }, + { + "id": "Extension.value[x]", + "path": "Extension.value[x]", + "short": "Indicates whether a data element is patient-visible, clinical-use-only, or internal-only", + "min": 1, + "type": [ + { + "code": "CodeableConcept" + } + ], + "binding": { + "strength": "required", + "valueSet": "https://fhir.nhs.uk/ValueSet/report-visibility" + } + } + ] + } +} From 27a4518321c2ce5bc7bd1c9fd7d59c30e74b6c42 Mon Sep 17 00:00:00 2001 From: vickyjaiswal0308 <126092393+vickyjaiswal0308@users.noreply.github.com> Date: Thu, 11 Jun 2026 11:37:34 +0100 Subject: [PATCH 2/5] Create CodeSystem-Genomic-Report-Visibility.json --- .../CodeSystem-Genomic-Report-Visibility.json | 45 +++++++++++++++++++ 1 file changed, 45 insertions(+) create mode 100644 CodeSystem/CodeSystem-Genomic-Report-Visibility.json diff --git a/CodeSystem/CodeSystem-Genomic-Report-Visibility.json b/CodeSystem/CodeSystem-Genomic-Report-Visibility.json new file mode 100644 index 0000000..5594459 --- /dev/null +++ b/CodeSystem/CodeSystem-Genomic-Report-Visibility.json @@ -0,0 +1,45 @@ +{ + "resourceType": "CodeSystem", + "id": "genomic-report-visibility", + "url": "https://fhir.nhs.uk/CodeSystem/genomic-report-visibility", + "version": "0.1.0", + "name": "GenomicReportVisibility", + "title": "Genomic Report Visibility", + "status": "draft", + "date": "2026-06-11", + "publisher": "NHS England", + "contact": [ + { + "name": "NHS England", + "telecom": [ + { + "system": "email", + "value": "interoperabilityteam@nhs.net", + "use": "work", + "rank": 1 + } + ] + } + ], + "description": "CodeSystem used to specify whether a genomic data element is visible in patient-facing reports or restricted to clinical or internal use.", + "copyright": "Copyright © 2025+ 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.", + "caseSensitive": true, + "content": "complete", + "concept": [ + { + "code": "patient-visible", + "display": "Patient Visible", + "definition": "The data element may be included in patient-facing reports." + }, + { + "code": "clinical-use-only", + "display": "Clinical Use Only", + "definition": "The data element is required for clinical interpretation but must not be displayed in patient-facing reports." + }, + { + "code": "internal-only", + "display": "Internal Only", + "definition": "The data element is restricted to internal/system use and must not be displayed in patient-facing reports." + } + ] +} From 75a07967fd5bb38f7ad50a0f9601ada8199efea9 Mon Sep 17 00:00:00 2001 From: vickyjaiswal0308 <126092393+vickyjaiswal0308@users.noreply.github.com> Date: Thu, 11 Jun 2026 11:44:22 +0100 Subject: [PATCH 3/5] Create ValueSet-Genomic-Report-Visibility.json --- .../ValueSet-Genomic-Report-Visibility.json | 56 +++++++++++++++++++ 1 file changed, 56 insertions(+) create mode 100644 ValueSet/ValueSet-Genomic-Report-Visibility.json diff --git a/ValueSet/ValueSet-Genomic-Report-Visibility.json b/ValueSet/ValueSet-Genomic-Report-Visibility.json new file mode 100644 index 0000000..cf44a85 --- /dev/null +++ b/ValueSet/ValueSet-Genomic-Report-Visibility.json @@ -0,0 +1,56 @@ +{ + "resourceType": "ValueSet", + "id": "genomic-report-visibility", + "url": "https://fhir.nhs.uk/ValueSet/genomic-report-visibility", + "version": "0.1.0", + "name": "GenomicReportVisibility", + "title": "Genomic Report Visibility", + "status": "draft", + "date": "2026-06-11", + "publisher": "NHS England", + "contact": [ + { + "name": "NHS England", + "telecom": [ + { + "system": "email", + "value": "interoperabilityteam@nhs.net", + "use": "work", + "rank": 1 + } + ] + } + ], + "description": "A ValueSet used to indicate whether a genomic data element is visible in patient-facing reports or restricted to clinical or internal use.", + "copyright": "Copyright © 2025+ 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.", + "compose": { + "include": [ + { + "system": "https://fhir.nhs.uk/CodeSystem/genomic-report-visibility", + "version": "0.1.0" + } + ] + }, + "expansion": { + "timestamp": "2026-06-11T00:00:00Z", + "total": 3, + "offset": 0, + "contains": [ + { + "system": "https://fhir.nhs.uk/CodeSystem/genomic-report-visibility", + "code": "patient-visible", + "display": "Patient Visible" + }, + { + "system": "https://fhir.nhs.uk/CodeSystem/genomic-report-visibility", + "code": "clinical-use-only", + "display": "Clinical Use Only" + }, + { + "system": "https://fhir.nhs.uk/CodeSystem/genomic-report-visibility", + "code": "internal-only", + "display": "Internal Only" + } + ] + } +} From 337ef8daf75aa88cee9dbcddb8451f193d3af1bf Mon Sep 17 00:00:00 2001 From: vickyjaiswal0308 <126092393+vickyjaiswal0308@users.noreply.github.com> Date: Thu, 11 Jun 2026 11:46:45 +0100 Subject: [PATCH 4/5] Update Extension-Genomic-Report-Visibility.json --- StructureDefinition/Extension-Genomic-Report-Visibility.json | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/StructureDefinition/Extension-Genomic-Report-Visibility.json b/StructureDefinition/Extension-Genomic-Report-Visibility.json index 7a85f1f..1c77f83 100644 --- a/StructureDefinition/Extension-Genomic-Report-Visibility.json +++ b/StructureDefinition/Extension-Genomic-Report-Visibility.json @@ -65,7 +65,7 @@ ], "binding": { "strength": "required", - "valueSet": "https://fhir.nhs.uk/ValueSet/report-visibility" + "valueSet": "https://fhir.nhs.uk/ValueSet/genomic-report-visibility" } } ] From 00e43f7fc3178041500cc3fe2a970531536c9d6f Mon Sep 17 00:00:00 2001 From: vickyjaiswal0308 <126092393+vickyjaiswal0308@users.noreply.github.com> Date: Mon, 15 Jun 2026 16:33:54 +0100 Subject: [PATCH 5/5] Create Bundle-GenomicReportVisibility-JamesWilson-Example.json --- ...cReportVisibility-JamesWilson-Example.json | 65 +++++++++++++++++++ 1 file changed, 65 insertions(+) create mode 100644 Bundle/Bundle-GenomicReportVisibility-JamesWilson-Example.json diff --git a/Bundle/Bundle-GenomicReportVisibility-JamesWilson-Example.json b/Bundle/Bundle-GenomicReportVisibility-JamesWilson-Example.json new file mode 100644 index 0000000..a033aaf --- /dev/null +++ b/Bundle/Bundle-GenomicReportVisibility-JamesWilson-Example.json @@ -0,0 +1,65 @@ +{ + "resourceType": "Bundle", + "id": "Bundle-GenomicReportVisibility-JamesWilson-Example", + "type": "collection", + "entry": [ + { + "resource": { + "resourceType": "Patient", + "id": "Patient-JamesWilson", + "gender": "male", + "_gender": { + "extension": [ + { + "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-Genomic-Report-Visibility", + "valueCodeableConcept": { + "coding": [ + { + "system": "https://fhir.nhs.uk/CodeSystem/genomic-report-visibility", + "code": "clinical-use-only", + "display": "Clinical Use Only" + } + ] + } + } + ] + }, + "name": [ + { + "given": ["James"], + "family": "Wilson" + } + ] + } + }, + { + "resource": { + "resourceType": "ServiceRequest", + "id": "SR-JamesWilson", + "status": "active", + "intent": "order", + "subject": { + "reference": "Patient/Patient-JamesWilson" + }, + "code": { + "text": "Whole Genome Sequencing" + }, + "authoredOn": "2026-06-15T09:00:00Z" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "DR-JamesWilson", + "status": "final", + "subject": { + "reference": "Patient/Patient-JamesWilson" + }, + "code": { + "text": "Genomic Report" + }, + "conclusion": "No clinically significant variants identified." + } + } + ] +}