FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | Questionnaire |
| Id | Questionnaire-CYP2C19MavacamtenAskAtOrderEntry.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-CYP2C19MavacamtenAskAtOrderEntry.html |
| URL | https://fhir.nwgenomics.nhs.uk/Questionnaire/CYP2C19MavacamtenAskAtOrderEntry |
| Version | 2.2.0 |
| Status | unknown |
| Date | 2026-09-27T08:17:18+00:00 |
| Title | CYP2C19 Mavacamten (R454) Ask At Order Entry Questions |
| Realm | us |
| Authority | hl7 |
| Description | **For analysis purposes only - not an active or planned project.** **Ask At Order Entry Questions** for the **R454 Mavacamten CYP2C19 Test Request Form** (DOC6602), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This is one of the leanest of the paper forms - the test itself (R454) is fixed by the choice of form, and there is no specimen-specific content beyond the common core's own Specimen group. Like several of the newer DOC-numbered forms, it captures **Gender Identity** separately from Biological Sex - see [Genomic Test Order - Common Fields We May Have Missed](Questionnaire-GenomicTestOrder.html#common-fields-we-may-have-missed) for why that item is proposed as a common-core addition rather than repeated per Ask At Order Entry Questionnaire. |
No resources found
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire CYP2C19MavacamtenAskAtOrderEntry
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | **For analysis purposes only - not an active or planned project.** **Ask At Order Entry Questions** for the **R454 Mavacamten CYP2C19 Test Request Form** (DOC6602), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This is one of the leanest of the paper forms - the test itself (R454) is fixed by the choice of form, and there is no specimen-specific content beyond the common core's own Specimen group. Like several of the newer DOC-numbered forms, it captures **Gender Identity** separately from Biological Sex - see [Genomic Test Order - Common Fields We May Have Missed](Questionnaire-GenomicTestOrder.html#common-fields-we-may-have-missed) for why that item is proposed as a common-core addition rather than repeated per Ask At Order Entry Questionnaire. | Questionnaire | https://fhir.nwgenomics.nhs.uk/Questionnaire/CYP2C19MavacamtenAskAtOrderEntry#2.2.0 | |
  Patient | Patient Details | 0..1 | group | Definition: Patient |
  LN/45394-4 | Surname | 0..1 | string | Definition: Patient.name.family |
| LN/45392-8 | Forename | 0..1 | string | Definition: Patient.name.given |
 LN/21112-8 | D.O.B. | 0..1 | date | Definition: Patient.birthDate |
| LN/89061-6 | NHS No | 0..1 | string | Definition: Patient.identifier:nhsNumber |
| LN/76435-7 | Hospital Number | 0..1 | string | Definition: Patient.identifier:MedicalRecordNumber |
 NOS/NHSOrPrivate | NHS/Private | 0..1 | choice | Options: 2 options |
  NOS/NHSOrPrivate-designNote | No clean FHIR field identified - this form's own distinction between an NHS-funded and privately-funded request. | 0..1 | display | |
| LN/56799-0 | Patient's Address | 0..1 | string | Definition: Patient.address.line |
| LN/46098-0 | Biological Sex | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| LN/45401-7 | Postcode | 0..1 | string | Definition: Patient.address.postalCode |
| NOS/GenderIdentity | Gender Identity | 0..1 | string | |
| NOS/GenderIdentity-designNote | No clean FHIR field identified - distinct from Biological Sex on this form's own layout, same pattern as Genomic Variant Review's own Gender Identity item. | 0..1 | display | |
| LN/32624-9 | Ethnicity | 0..1 | choice | Definition: Patient.extension:ethnicCategory Value Set: Ethnicity |
| HealthcareProfessional | Referring Clinician/Healthcare Professional | 0..1 | group | Definition: PractitionerRole |
| LN/18705-4 | Consultant/GP (in full) | 0..1 | string | Definition: PractitionerRole.practitioner.display |
| HL7/ORC-21 | Hospital/Surgery (in full) | 0..1 | string | Definition: PractitionerRole.organization.identifier.value |
| LN/18707-0 | Department | 0..1 | choice | Definition: PractitionerRole.specialty.coding.code Value Set: UK Core Practice Setting Code |
| LN/89058-2 | Contact E-mail | 0..1 | string | Definition: PractitionerRole.telecom.value |
| NOS/RequestedByCcReportTo | Requested by/Cc. Report to | 0..1 | string | |
 NOS/RequestedByCcReportTo-designNote | Same genuinely-additional-person gap identified on Genomic Variant Review and the GMS WGS national forms' own Main Contact group - see Genomic Test Order - Common Fields We May Have Missed (Copy Report To). | 0..1 | display | |
| AskAtOrderEntry | Ask At Order Entry Questions | 0..1 | group | |
 NOS/R454TestingRequired | R454 Mavacamten CYP2C19 testing required | 1..1 | boolean | Definition: ServiceRequest.code |
| NOS/R454TestingRequired-designNote | The paper form has a single tick-box rather than a choice of test codes - R454.1 is implied by using this form at all. | 0..1 | display | |
| Documentation for this format | ||||
Options Sets
Answer options for NOS/NHSOrPrivate
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "CYP2C19MavacamtenAskAtOrderEntry",
"meta": {
"profile": [
"https://fhir.nwgenomics.nhs.uk/StructureDefinition/NWQuestionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
}
],
"url": "https://fhir.nwgenomics.nhs.uk/Questionnaire/CYP2C19MavacamtenAskAtOrderEntry",
"version": "2.2.0",
"title": "CYP2C19 Mavacamten (R454) Ask At Order Entry Questions",
"status": "unknown",
"date": "2026-09-27T08:17:18+00:00",
"publisher": "NHS North West Genomics",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.nwgenomics.nhs.uk/contact-us"
}
]
}
],
"description": "**For analysis purposes only - not an active or planned project.**\n\n**Ask At Order Entry Questions** for the **R454 Mavacamten CYP2C19 Test\nRequest Form** (DOC6602), used alongside the [common core order\nform](Questionnaire-GenomicTestOrder.html) - see [Order Entry\nQuestions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This\nis one of the leanest of the paper forms - the test itself (R454) is fixed\nby the choice of form, and there is no specimen-specific content beyond the\ncommon core's own Specimen group. Like several of the newer DOC-numbered\nforms, it captures **Gender Identity** separately from Biological Sex - see\n[Genomic Test Order - Common Fields We May Have\nMissed](Questionnaire-GenomicTestOrder.html#common-fields-we-may-have-missed)\nfor why that item is proposed as a common-core addition rather than repeated\nper Ask At Order Entry Questionnaire.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "GB",
"display": "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"item": [
{
"linkId": "Patient",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient",
"text": "Patient Details",
"type": "group",
"item": [
{
"linkId": "LN/45394-4",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family",
"code": [
{
"system": "http://loinc.org",
"code": "45394-4"
}
],
"text": "Surname",
"type": "string"
},
{
"linkId": "LN/45392-8",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given",
"code": [
{
"system": "http://loinc.org",
"code": "45392-8"
}
],
"text": "Forename",
"type": "string"
},
{
"linkId": "LN/21112-8",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate",
"code": [
{
"system": "http://loinc.org",
"code": "21112-8"
}
],
"text": "D.O.B.",
"type": "date"
},
{
"linkId": "LN/89061-6",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:nhsNumber",
"code": [
{
"system": "http://loinc.org",
"code": "89061-6"
}
],
"text": "NHS No",
"type": "string"
},
{
"linkId": "LN/76435-7",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber",
"code": [
{
"system": "http://loinc.org",
"code": "76435-7"
}
],
"text": "Hospital Number",
"type": "string"
},
{
"linkId": "NOS/NHSOrPrivate",
"text": "NHS/Private",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NHSPatient"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "PrivatePatient"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "NOS/NHSOrPrivate-designNote",
"text": "No clean FHIR field identified - this form's own distinction between an NHS-funded and privately-funded request.",
"type": "display"
}
]
},
{
"linkId": "LN/56799-0",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.line",
"code": [
{
"system": "http://loinc.org",
"code": "56799-0"
}
],
"text": "Patient's Address",
"type": "string"
},
{
"linkId": "LN/46098-0",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender",
"code": [
{
"system": "http://loinc.org",
"code": "46098-0"
}
],
"text": "Biological Sex",
"type": "choice",
"answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
},
{
"linkId": "LN/45401-7",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.postalCode",
"code": [
{
"system": "http://loinc.org",
"code": "45401-7"
}
],
"text": "Postcode",
"type": "string"
},
{
"linkId": "NOS/GenderIdentity",
"text": "Gender Identity",
"type": "string",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "NOS/GenderIdentity-designNote",
"text": "No clean FHIR field identified - distinct from Biological Sex on this form's own layout, same pattern as Genomic Variant Review's own Gender Identity item.",
"type": "display"
}
]
},
{
"linkId": "LN/32624-9",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.extension:ethnicCategory",
"code": [
{
"system": "http://loinc.org",
"code": "32624-9"
}
],
"text": "Ethnicity",
"type": "choice",
"answerValueSet": "https://fhir.nwgenomics.nhs.uk/ValueSet/ethnicity"
}
]
},
{
"linkId": "HealthcareProfessional",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole",
"text": "Referring Clinician/Healthcare Professional",
"type": "group",
"item": [
{
"linkId": "LN/18705-4",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display",
"code": [
{
"system": "http://loinc.org",
"code": "18705-4"
}
],
"text": "Consultant/GP (in full)",
"type": "string"
},
{
"linkId": "HL7/ORC-21",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Hospital/Surgery (in full)",
"type": "string"
},
{
"linkId": "LN/18707-0",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.specialty.coding.code",
"code": [
{
"system": "http://loinc.org",
"code": "18707-0"
}
],
"text": "Department",
"type": "choice",
"answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"
},
{
"linkId": "LN/89058-2",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"code": [
{
"system": "http://loinc.org",
"code": "89058-2",
"display": "Contact email address"
}
],
"text": "Contact E-mail",
"type": "string"
},
{
"linkId": "NOS/RequestedByCcReportTo",
"text": "Requested by/Cc. Report to",
"type": "string",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "NOS/RequestedByCcReportTo-designNote",
"text": "Same genuinely-additional-person gap identified on Genomic Variant Review and the GMS WGS national forms' own Main Contact group - see Genomic Test Order - Common Fields We May Have Missed (Copy Report To).",
"type": "display"
}
]
}
]
},
{
"linkId": "AskAtOrderEntry",
"text": "Ask At Order Entry Questions",
"type": "group",
"item": [
{
"linkId": "NOS/R454TestingRequired",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code",
"text": "R454 Mavacamten CYP2C19 testing required",
"type": "boolean",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "NOS/R454TestingRequired-designNote",
"text": "The paper form has a single tick-box rather than a choice of test codes - R454.1 is implied by using this form at all.",
"type": "display"
}
]
}
]
}
]
}