FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | CodeSystem |
| Id | CodeSystem-DigitalGenomicTestServices.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/CodeSystem-DigitalGenomicTestServices.html |
| URL | https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices |
| Version | 2.2.0 |
| Status | active |
| Date | 2026-09-04 |
| Name | DigitalGenomicTestServices |
| Title | NHS England Digital Genomic Test Services |
| Realm | us |
| Authority | hl7 |
| Description | The **digital** National Genomic Test Directory codes, rolled out as the Test Directory itself went digital - replacing the legacy R-code/M-code style codes in [NHS England Genomic Test Code](CodeSystem-GenomicTestCode.html) (`$GTD`, `England-GenomicTestDirectory`) for new/migrated indications. Two code types share this one system, distinguished by prefix: - **TP (Test Package)** codes replace the old clinical-indication concept - a package of related genomic tests grouped by clinical condition. For example, 12 separate B-cell lymphoma clinical indications were consolidated into a single TP code. - **GT (Genomic/Genetic Test)** codes identify a single specific laboratory investigation (e.g. one BRCA gene test, one WGS test). For example, 17 separate DPYD test entries were consolidated into a single GT code. Both code types already appear together in this IG's own [WGS Test Order Form example](Bundle-WGSTestOrderForm-Example.html) - `ServiceRequest-WGSTestOrderForm-Example` carries `GT497` "Cystic renal disease - WGS" on `ServiceRequest.code` and `TP171` "Cystic renal disease" on `ServiceRequest.reasonCode` - confirming both share this same NHS England system (`https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices`) rather than being modelled as two separate CodeSystems. This CodeSystem currently carries only those two codes as a starting fragment, not the complete digital Test Directory. |
| Content | fragment |
| ValueSet | ||
| fhir.nwgenomics.nhs.uk#current | GenomicTestCodes | Genomic Test Codes |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: CodeSystem DigitalGenomicTestServices
This case-sensitive code system https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices provides a fragment that includes following codes:
| Code | Display |
| TP171 | Cystic renal disease |
| GT497 | Cystic renal disease - WGS |
FHIR
FHIRsmith{
"resourceType": "CodeSystem",
"id": "DigitalGenomicTestServices",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices",
"version": "2.2.0",
"name": "DigitalGenomicTestServices",
"title": "NHS England Digital Genomic Test Services",
"status": "active",
"experimental": false,
"date": "2026-09-04",
"publisher": "NHS North West Genomics",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.nwgenomics.nhs.uk/contact-us"
}
]
}
],
"description": "The **digital** National Genomic Test Directory codes, rolled out as the\nTest Directory itself went digital - replacing the legacy R-code/M-code\nstyle codes in [NHS England Genomic Test\nCode](CodeSystem-GenomicTestCode.html) (`$GTD`,\n`England-GenomicTestDirectory`) for new/migrated indications. Two code\ntypes share this one system, distinguished by prefix:\n\n- **TP (Test Package)** codes replace the old clinical-indication concept -\n a package of related genomic tests grouped by clinical condition. For\n example, 12 separate B-cell lymphoma clinical indications were\n consolidated into a single TP code.\n- **GT (Genomic/Genetic Test)** codes identify a single specific laboratory\n investigation (e.g. one BRCA gene test, one WGS test). For example, 17\n separate DPYD test entries were consolidated into a single GT code.\n\nBoth code types already appear together in this IG's own [WGS Test Order\nForm example](Bundle-WGSTestOrderForm-Example.html) -\n`ServiceRequest-WGSTestOrderForm-Example` carries `GT497` \"Cystic renal\ndisease - WGS\" on `ServiceRequest.code` and `TP171` \"Cystic renal disease\"\non `ServiceRequest.reasonCode` - confirming both share this same NHS\nEngland system (`https://fhir.nhs.uk/CodeSystem/England-DigitalGenomicTestServices`)\nrather than being modelled as two separate CodeSystems. This CodeSystem\ncurrently carries only those two codes as a starting fragment, not the\ncomplete digital Test Directory.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "GB",
"display": "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"caseSensitive": true,
"content": "fragment",
"concept": [
{
"code": "TP171",
"display": "Cystic renal disease"
},
{
"code": "GT497",
"display": "Cystic renal disease - WGS"
}
]
}