NHS North West Genomics
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ValueSet: GMS WGS Rare Disease Form - Guide Test Codes (Experimental)

Official URL: https://fhir.nwgenomics.nhs.uk/ValueSet/GMSWGSGuideTestCodesVS Version: 2.2.0
Draft as of 2026-09-20 Computable Name: GMSWGSGuideTestCodesVS

The Genomic Test Code ($GTD, England-GenomicTestDirectory) R* codes whose display text names Whole Genome Sequencing (WGS) specifically - 37 codes, all Rare & Inherited Disease. A candidate guide list for GMS WGS Rare Disease's Test Directory Clinical Indication item, which is currently bound to the full GenomicTestCodes ValueSet (every test family, not just WGS) - the same relationship GMS WGS Guide HPO Terms has to that Questionnaire's HPO Terms item: a curated, form-specific subset of a much larger external code list, not a replacement for it.

Excludes R447.1 "Validation of WGS Diagnostic discovery (Targeted variant testing)" - its display text names WGS, but it's a targeted follow-up/confirmation test of a WGS finding, not itself an order for WGS.

References

Logical Definition (CLD)

  • Include these codes as defined in https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory version 📦2.2.0
    CodeDisplay
    R14.1Acutely unwell children with a likely monogenic disorder (WGS)
    R15.4Primary immunodeficiency or monogenic inflammatory bowel disease (WGS)
    R27.3Paediatric disorders (WGS)
    R31.3Bilateral congenital or childhood onset cataracts (WGS)
    R32.2Retinal disorders (WGS)
    R36.2Structural eye disease (WGS)
    R54.3Hereditary ataxia with onset in adulthood (WGS)
    R55.4Hereditary ataxia with onset in childhood (WGS)
    R56.3Adult onset dystonia, chorea or related movement disorder (WGS)
    R57.5Childhood onset dystonia, chorea or related movement disorder (WGS)
    R60.3Adult onset hereditary spastic paraplegia (WGS)
    R61.4Childhood onset hereditary spastic paraplegia (WGS)
    R62.2Adult onset leukodystrophy (WGS)
    R69.5Hypotonic infant (WGS)
    R78.4Hereditary neuropathy or pain disorder (WGS)
    R83.3Arthrogryposis (WGS)
    R84.4Cerebellar anomalies (WGS)
    R85.2Holoprosencephaly - NOT chromosomal (WGS)
    R86.3Hydrocephalus (WGS)
    R87.3Cerebral malformation (WGS)
    R88.3Severe microcephaly (WGS)
    R89.3Ultra-rare and atypical monogenic disorders (WGS)
    R98.2Likely inborn error of metabolism (WGS)
    R100.3Rare syndromic craniosynostosis or isolated multisuture synostosis (WGS)
    R104.3Skeletal dysplasia (WGS)
    R109.3Childhood onset leukodystrophy (WGS)
    R135.2Paediatric or syndromic cardiomyopathy (WGS)
    R143.4Neonatal diabetes (WGS)
    R193.4Cystic renal disease (WGS)
    R195.3Proteinuric renal disease (WGS)
    R257.2Unexplained young onset end-stage renal disease (WGS)
    R381.2Other rare neuromuscular disorders (WGS)
    R441.1Unexplained death in infancy and sudden unexplained death in childhood (WGS)
    R458.1Young onset or familial dementia (WGS)
    R459.1Young onset or complex Parkinson disease (WGS)
    R460.1Amyotrophic lateral sclerosis (WGS)
    R461.1Cerebral amyloid angiopathy (WGS)

 

Expansion

Expansion performed internally based on codesystem NHS England Genomic Test Code v2.2.0 (CodeSystem)

This value set contains 37 concepts

SystemCodeDisplay (en)JSONXML
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R14.1Acutely unwell children with a likely monogenic disorder (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R15.4Primary immunodeficiency or monogenic inflammatory bowel disease (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R27.3Paediatric disorders (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R31.3Bilateral congenital or childhood onset cataracts (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R32.2Retinal disorders (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R36.2Structural eye disease (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R54.3Hereditary ataxia with onset in adulthood (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R55.4Hereditary ataxia with onset in childhood (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R56.3Adult onset dystonia, chorea or related movement disorder (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R57.5Childhood onset dystonia, chorea or related movement disorder (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R60.3Adult onset hereditary spastic paraplegia (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R61.4Childhood onset hereditary spastic paraplegia (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R62.2Adult onset leukodystrophy (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R69.5Hypotonic infant (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R78.4Hereditary neuropathy or pain disorder (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R83.3Arthrogryposis (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R84.4Cerebellar anomalies (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R85.2Holoprosencephaly - NOT chromosomal (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R86.3Hydrocephalus (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R87.3Cerebral malformation (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R88.3Severe microcephaly (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R89.3Ultra-rare and atypical monogenic disorders (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R98.2Likely inborn error of metabolism (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R100.3Rare syndromic craniosynostosis or isolated multisuture synostosis (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R104.3Skeletal dysplasia (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R109.3Childhood onset leukodystrophy (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R135.2Paediatric or syndromic cardiomyopathy (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R143.4Neonatal diabetes (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R193.4Cystic renal disease (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R195.3Proteinuric renal disease (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R257.2Unexplained young onset end-stage renal disease (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R381.2Other rare neuromuscular disorders (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R441.1Unexplained death in infancy and sudden unexplained death in childhood (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R458.1Young onset or familial dementia (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R459.1Young onset or complex Parkinson disease (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R460.1Amyotrophic lateral sclerosis (WGS)
https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory  R461.1Cerebral amyloid angiopathy (WGS)

Description of the above table(s).