<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="GMSWGSGuideTestCodesVS"/>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet GMSWGSGuideTestCodesVS</b></p><a name="GMSWGSGuideTestCodesVS"> </a><a name="hcGMSWGSGuideTestCodesVS"> </a><ul><li>Include these codes as defined in <a href="CodeSystem-GenomicTestCode.html"><code>https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory</code></a><span title="Version is not explicitly stated, which means it is fixed to the version provided in this specification"> version &#x1F4E6;2.2.0</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R14.461">R14.1</a></td><td>Acutely unwell children with a likely monogenic disorder (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R15.464">R15.4</a></td><td>Primary immunodeficiency or monogenic inflammatory bowel disease (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R27.463">R27.3</a></td><td>Paediatric disorders (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R31.463">R31.3</a></td><td>Bilateral congenital or childhood onset cataracts (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R32.462">R32.2</a></td><td>Retinal disorders (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R36.462">R36.2</a></td><td>Structural eye disease (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R54.463">R54.3</a></td><td>Hereditary ataxia with onset in adulthood (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R55.464">R55.4</a></td><td>Hereditary ataxia with onset in childhood (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R56.463">R56.3</a></td><td>Adult onset dystonia, chorea or related movement disorder (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R57.465">R57.5</a></td><td>Childhood onset dystonia, chorea or related movement disorder (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R60.463">R60.3</a></td><td>Adult onset hereditary spastic paraplegia (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R61.464">R61.4</a></td><td>Childhood onset hereditary spastic paraplegia (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R62.462">R62.2</a></td><td>Adult onset leukodystrophy (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R69.465">R69.5</a></td><td>Hypotonic infant (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R78.464">R78.4</a></td><td>Hereditary neuropathy or pain disorder (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R83.463">R83.3</a></td><td>Arthrogryposis (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R84.464">R84.4</a></td><td>Cerebellar anomalies (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R85.462">R85.2</a></td><td>Holoprosencephaly - NOT chromosomal (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R86.463">R86.3</a></td><td>Hydrocephalus (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R87.463">R87.3</a></td><td>Cerebral malformation (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R88.463">R88.3</a></td><td>Severe microcephaly (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R89.463">R89.3</a></td><td>Ultra-rare and atypical monogenic disorders (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R98.462">R98.2</a></td><td>Likely inborn error of metabolism (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R100.463">R100.3</a></td><td>Rare syndromic craniosynostosis or isolated multisuture synostosis (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R104.463">R104.3</a></td><td>Skeletal dysplasia (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R109.463">R109.3</a></td><td>Childhood onset leukodystrophy (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R135.462">R135.2</a></td><td>Paediatric or syndromic cardiomyopathy (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R143.464">R143.4</a></td><td>Neonatal diabetes (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R193.464">R193.4</a></td><td>Cystic renal disease (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R195.463">R195.3</a></td><td>Proteinuric renal disease (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R257.462">R257.2</a></td><td>Unexplained young onset end-stage renal disease (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R381.462">R381.2</a></td><td>Other rare neuromuscular disorders (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R441.461">R441.1</a></td><td>Unexplained death in infancy and sudden unexplained death in childhood (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R458.461">R458.1</a></td><td>Young onset or familial dementia (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R459.461">R459.1</a></td><td>Young onset or complex Parkinson disease (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R460.461">R460.1</a></td><td>Amyotrophic lateral sclerosis (WGS)</td></tr><tr><td><a href="CodeSystem-GenomicTestCode.html#GenomicTestCode-R461.461">R461.1</a></td><td>Cerebral amyloid angiopathy (WGS)</td></tr></table></li></ul></div>
  </text>
  <url value="https://fhir.nwgenomics.nhs.uk/ValueSet/GMSWGSGuideTestCodesVS"/>
  <version value="2.2.0"/>
  <name value="GMSWGSGuideTestCodesVS"/>
  <title value="GMS WGS Rare Disease Form - Guide Test Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-09-20T05:53:36+00:00"/>
  <publisher value="NHS North West Genomics"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.nwgenomics.nhs.uk/contact-us"/>
    </telecom>
  </contact>
  <description value="The [Genomic Test Code](CodeSystem-GenomicTestCode.html) (`$GTD`,&#xA;`England-GenomicTestDirectory`) `R*` codes whose display text names Whole Genome&#xA;Sequencing (WGS) specifically - 37 codes, all Rare &amp; Inherited Disease. A candidate&#xA;guide list for [GMS WGS Rare&#xA;Disease](Questionnaire-GMSWGSRareDisease.html)'s Test Directory Clinical Indication&#xA;item, which is currently bound to the full [GenomicTestCodes](ValueSet-GenomicTestCodes.html)&#xA;ValueSet (every test family, not just WGS) - the same relationship [GMS WGS Guide HPO&#xA;Terms](ValueSet-GMSWGSGuideHPOTermsVS.html) has to that Questionnaire's HPO Terms item: a&#xA;curated, form-specific subset of a much larger external code list, not a replacement for&#xA;it.&#xA;&#xA;Excludes `R447.1` &quot;Validation of WGS Diagnostic discovery (Targeted variant testing)&quot; -&#xA;its display text names WGS, but it's a targeted follow-up/confirmation test *of* a WGS&#xA;finding, not itself an order for WGS."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
      <concept>
        <code value="R14.1"/>
        <display value="Acutely unwell children with a likely monogenic disorder (WGS)"/>
      </concept>
      <concept>
        <code value="R15.4"/>
        <display value="Primary immunodeficiency or monogenic inflammatory bowel disease (WGS)"/>
      </concept>
      <concept>
        <code value="R27.3"/>
        <display value="Paediatric disorders (WGS)"/>
      </concept>
      <concept>
        <code value="R31.3"/>
        <display value="Bilateral congenital or childhood onset cataracts (WGS)"/>
      </concept>
      <concept>
        <code value="R32.2"/>
        <display value="Retinal disorders (WGS)"/>
      </concept>
      <concept>
        <code value="R36.2"/>
        <display value="Structural eye disease (WGS)"/>
      </concept>
      <concept>
        <code value="R54.3"/>
        <display value="Hereditary ataxia with onset in adulthood (WGS)"/>
      </concept>
      <concept>
        <code value="R55.4"/>
        <display value="Hereditary ataxia with onset in childhood (WGS)"/>
      </concept>
      <concept>
        <code value="R56.3"/>
        <display value="Adult onset dystonia, chorea or related movement disorder (WGS)"/>
      </concept>
      <concept>
        <code value="R57.5"/>
        <display value="Childhood onset dystonia, chorea or related movement disorder (WGS)"/>
      </concept>
      <concept>
        <code value="R60.3"/>
        <display value="Adult onset hereditary spastic paraplegia (WGS)"/>
      </concept>
      <concept>
        <code value="R61.4"/>
        <display value="Childhood onset hereditary spastic paraplegia (WGS)"/>
      </concept>
      <concept>
        <code value="R62.2"/>
        <display value="Adult onset leukodystrophy (WGS)"/>
      </concept>
      <concept>
        <code value="R69.5"/>
        <display value="Hypotonic infant (WGS)"/>
      </concept>
      <concept>
        <code value="R78.4"/>
        <display value="Hereditary neuropathy or pain disorder (WGS)"/>
      </concept>
      <concept>
        <code value="R83.3"/>
        <display value="Arthrogryposis (WGS)"/>
      </concept>
      <concept>
        <code value="R84.4"/>
        <display value="Cerebellar anomalies (WGS)"/>
      </concept>
      <concept>
        <code value="R85.2"/>
        <display value="Holoprosencephaly - NOT chromosomal (WGS)"/>
      </concept>
      <concept>
        <code value="R86.3"/>
        <display value="Hydrocephalus (WGS)"/>
      </concept>
      <concept>
        <code value="R87.3"/>
        <display value="Cerebral malformation (WGS)"/>
      </concept>
      <concept>
        <code value="R88.3"/>
        <display value="Severe microcephaly (WGS)"/>
      </concept>
      <concept>
        <code value="R89.3"/>
        <display value="Ultra-rare and atypical monogenic disorders (WGS)"/>
      </concept>
      <concept>
        <code value="R98.2"/>
        <display value="Likely inborn error of metabolism (WGS)"/>
      </concept>
      <concept>
        <code value="R100.3"/>
        <display value="Rare syndromic craniosynostosis or isolated multisuture synostosis (WGS)"/>
      </concept>
      <concept>
        <code value="R104.3"/>
        <display value="Skeletal dysplasia (WGS)"/>
      </concept>
      <concept>
        <code value="R109.3"/>
        <display value="Childhood onset leukodystrophy (WGS)"/>
      </concept>
      <concept>
        <code value="R135.2"/>
        <display value="Paediatric or syndromic cardiomyopathy (WGS)"/>
      </concept>
      <concept>
        <code value="R143.4"/>
        <display value="Neonatal diabetes (WGS)"/>
      </concept>
      <concept>
        <code value="R193.4"/>
        <display value="Cystic renal disease (WGS)"/>
      </concept>
      <concept>
        <code value="R195.3"/>
        <display value="Proteinuric renal disease (WGS)"/>
      </concept>
      <concept>
        <code value="R257.2"/>
        <display value="Unexplained young onset end-stage renal disease (WGS)"/>
      </concept>
      <concept>
        <code value="R381.2"/>
        <display value="Other rare neuromuscular disorders (WGS)"/>
      </concept>
      <concept>
        <code value="R441.1"/>
        <display value="Unexplained death in infancy and sudden unexplained death in childhood (WGS)"/>
      </concept>
      <concept>
        <code value="R458.1"/>
        <display value="Young onset or familial dementia (WGS)"/>
      </concept>
      <concept>
        <code value="R459.1"/>
        <display value="Young onset or complex Parkinson disease (WGS)"/>
      </concept>
      <concept>
        <code value="R460.1"/>
        <display value="Amyotrophic lateral sclerosis (WGS)"/>
      </concept>
      <concept>
        <code value="R461.1"/>
        <display value="Cerebral amyloid angiopathy (WGS)"/>
      </concept>
    </include>
  </compose>
</ValueSet>