diff --git a/CodeSystem/CodeSystem-Genomics-types-of-reanalysistest.json b/CodeSystem/CodeSystem-Genomics-types-of-reanalysistest.json
new file mode 100644
index 00000000..4b613241
--- /dev/null
+++ b/CodeSystem/CodeSystem-Genomics-types-of-reanalysistest.json
@@ -0,0 +1,44 @@
+{
+  "resourceType": "CodeSystem",
+  "id": "types-of-reanalysistest-genomics",
+  "url": "https://fhir.nhs.uk/CodeSystem/types-of-reanalysistest-genomics",
+  "version": "0.1.0",
+  "name": "TypesofReAnalysisTestGenomics",
+  "title": "Types of Re-Analysis Test Genomics",
+  "status": "draft",
+  "date": "2024-07-09T00:00:00.000Z",
+  "publisher": "NHS England",
+  "contact": [
+    {
+      "name": "NHS England",
+      "telecom": [
+        {
+          "system": "email",
+          "value": "interoperabilityteam@nhs.net"
+        }
+      ]
+    }
+  ],
+  "description": "A set of codes use to identify the types of re-analysis test request in genomics.This is intended to be used on ServiceRequest.orderDetail element.",
+  "copyright": "Copyright © 2023+ 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": "original-gene-panels",
+      "display": "Original Gene Panels"
+    },
+    {
+      "code": "change-in-penetrance-setting",
+      "display": "Change in Penetrance Setting"
+    },
+    {
+      "code": "new-gene panel-analysis",
+      "display": "New Gene Panel Analysis"
+    },
+    {
+      "code": "change-in-affection-status-of-family-member",
+      "display": "Change in Affection Status of Family Member"
+    }
+  ]
+}
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diff --git a/ValueSet/ValueSet-Genomics-types-of-reanalysistest.json b/ValueSet/ValueSet-Genomics-types-of-reanalysistest.json
new file mode 100644
index 00000000..f9f36685
--- /dev/null
+++ b/ValueSet/ValueSet-Genomics-types-of-reanalysistest.json
@@ -0,0 +1,32 @@
+{
+  "resourceType": "ValueSet",
+  "id": "genomics-reasonfortesting",
+  "url": "https://fhir.nhs.uk/ValueSet/genomics-types-of-reanalysistest",
+  "version": "0.1.0",
+  "name": "TypesofReAnalysisTestGenomics",
+  "title": "Types of Re-Analysis Test Genomics",
+  "status": "draft",
+  "date": "2024-07-09T00:00:00.000Z",
+  "publisher": "NHS England",
+  "contact": [
+    {
+      "name": "NHS England",
+      "telecom": [
+        {
+          "system": "email",
+          "value": "interoperabilityteam@nhs.net"
+        }
+      ]
+    }
+  ],
+  "description": "A ValueSet use to identify the types of re-analysis test request in genomics.",
+  "copyright": "Copyright © 2023+ 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/types-of-reanalysistest-genomics",
+        "version": "0.1.0"
+      }
+    ]
+  }
+}
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