FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | Questionnaire |
| Id | Questionnaire-GMSWGSCancerAskAtOrderEntry.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-GMSWGSCancerAskAtOrderEntry.html |
| URL | https://fhir.nwgenomics.nhs.uk/Questionnaire/GMSWGSCancerAskAtOrderEntry |
| Version | 2.2.0 |
| Status | unknown |
| Date | 2026-09-27T08:17:18+00:00 |
| Title | GMS WGS Cancer 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 **NHS Genomic Medicine Service (GMS) Whole Genome Sequencing (WGS) Test Request - Cancer** form (the national GMS-branded form, not NW GLH-specific), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). Like [GMS WGS Rare Disease](Questionnaire-GMSWGSRareDisease.html), this form has no Whole Genome Sequencing Test Category in the common core's Test Code branches, so its own Test Directory Clinical Indication item fills that gap directly. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire GMSWGSCancerAskAtOrderEntry
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 **NHS Genomic Medicine Service (GMS) Whole Genome Sequencing (WGS) Test Request - Cancer** form (the national GMS-branded form, not NW GLH-specific), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). Like [GMS WGS Rare Disease](Questionnaire-GMSWGSRareDisease.html), this form has no Whole Genome Sequencing Test Category in the common core's Test Code branches, so its own Test Directory Clinical Indication item fills that gap directly. | Questionnaire | https://fhir.nwgenomics.nhs.uk/Questionnaire/GMSWGSCancerAskAtOrderEntry#2.2.0 | |
  Patient | Patient | 0..1 | group | Definition: Patient |
  LN/45392-8 | Patient first name | 0..1 | string | Definition: Patient.name.given |
| LN/45394-4 | Patient last name | 0..1 | string | Definition: Patient.name.family |
 LN/32624-9 | Ethnicity | 0..1 | choice | Definition: Patient.extension:ethnicCategory Value Set: Ethnicity |
 LN/21112-8 | Date of birth (dd/mm/yyyy) | 0..1 | date | Definition: Patient.birthDate |
| LN/76435-7 | Hospital number | 0..1 | string | Definition: Patient.identifier:MedicalRecordNumber |
| LN/46098-0 | Gender | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| LN/45401-7 | Postcode | 0..1 | string | Definition: Patient.address.postalCode |
 LN/89061-6 | NHS number | 0..1 | string | Definition: Patient.identifier:nhsNumber |
  LN/89061-6-designNote | See NOS/ReasonNHSNumberNotAvailable-cancer in Ask At Order Entry Questions below if not available. | 0..1 | display | |
| HealthcareProfessional | Responsible consultant | 0..1 | group | Definition: PractitionerRole |
| LN/18705-4 | Name | 0..1 | string | Definition: PractitionerRole.practitioner.display |
| NOS/DepartmentAddress | Department address | 0..1 | string | Definition: PractitionerRole.organization.display |
| LN/81230-5 | Phone | 0..1 | string | Definition: PractitionerRole.telecom.value |
| LN/89058-2 | 0..1 | string | Definition: PractitionerRole.telecom.value | |
| AskAtOrderEntry | Ask At Order Entry Questions | 0..1 | group | |
| HL7/ORC-21-requesting-cancer | Requesting organisation | 0..1 | string | Definition: PractitionerRole.organization.identifier.value |
| HL7/ORC-21-requesting-cancer-designNote | Same concept as the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21) - see GMS WGS Rare Disease's equivalent item for the same requester/performer split. | 0..1 | display | |
| NOS/GLHLaboratory | GLH laboratory to receive sample | 0..1 | string | Definition: ServiceRequest.performer |
| NOS/ReasonNHSNumberNotAvailable-cancer | Reason NHS Number not available (e.g. patient not eligible, foreign national) | 0..1 | string | Definition: Patient.identifier:nhsNumber.extension |
| NOS/PresentationStatus | Presentation status | 0..1 | choice | Definition: Condition.clinicalStatus Options: 3 options |
| NOS/AdditionalClinicalInformation | Additional clinical information (previous tumours, molecular testing, relevant treatment history) | 0..1 | string | Definition: ServiceRequest.note |
| NOS/AdditionalClinicalInformation-designNote | Same FHIR target as the common core's own Relevant clinical information and family history (HL7/NTE-1). | 0..1 | display | |
| NOS/TestDirectoryClinicalIndication-cancer | Test Directory Clinical Indication & code (cancer type & sub-type) | 1..1 | choice | Definition: ServiceRequest.code Value Set: Genomic Test Codes |
| NOS/TestDirectoryClinicalIndication-cancer-designNote | Same gap-fill as GMS WGS Rare Disease's own Test Code item - the common core's Cancer Test Code branch (HL7/OBR-4-c) is scoped to CancerTestCode, not Whole Genome Sequencing. | 0..1 | display | |
| SolidTumour | Solid tumour requests only | 0..1 | group | |
| NOS/TumourPresentationType | Tumour presentation type | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 4 options |
| NOS/HistopathologyLabID | Histopathology Lab ID | 0..1 | string | Definition: Specimen.accessionIdentifier.assigner.identifier.value |
| NOS/HistopathologyLabID-designNote | Same underlying concept as the common core's own Pathology Laboratory Hospital/Trust ID (LN/80398-1-ODS). | 0..1 | display | |
| NOS/DateOfDiagnosis-solid | Date of this diagnosis | 0..1 | date | Definition: Condition.onsetDateTime |
| NOS/TumourTopography | Tumour topography | 0..1 | string | Definition: Specimen.collection.bodySite |
| NOS/TumourTopography-designNote | Overlaps conceptually with the common core's own Tissue source/organ of origin (LN/39111-0). | 0..1 | display | |
| NOS/TumourMorphology-solid | Tumour morphology | 0..1 | string | |
| NOS/TumourMorphology-solid-designNote | No clean FHIR field identified for tumour morphology. | 0..1 | display | |
| NOS/AdditionalTumourInformation | Additional tumour information (e.g. site of metastasis, unknown primary) | 0..1 | string | |
| HaemOncLiquidTumour | Haemato-oncology liquid tumour requests only | 0..1 | group | |
| NOS/HaematoOncologyLiquidTumourType | Haemato-oncology liquid tumour type | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| NOS/SIHMDSLabID | SIHMDS Lab ID | 0..1 | string | Definition: Specimen.accessionIdentifier.assigner.identifier.value |
| NOS/DateOfDiagnosis-haemonc | Date of this diagnosis | 0..1 | date | Definition: Condition.onsetDateTime |
| TumourSpecimen | Tumour sample (being sent to GLH DNA extraction lab) | 0..1 | group | |
| TumourSpecimen-designNote | Sample type (Fresh frozen tumour/Bone marrow/Blood EDTA/Other), Sample ID, Collection date/time and Sample volume map onto the common core's own Specimen group - not re-declared here. | 0..1 | display | |
 NOS/NeoplasticCellContent-gms | % Malignant nuclei / blasts (or equivalent) | 1..1 | quantity | Definition: Observation.valueQuantity |
| NOS/NeoplasticCellContent-gms-designNote | Same underlying concept as WGS Local Test Order's Neoplastic cell content (NOS/NeoplasticCellContent-wgs) - reuses the same local code. | 0..1 | display | |
 NOS/NucleatedCellCount | Nucleated cell count (if bone marrow/peripheral blood) | 0..1 | decimal | |
| GermlineSpecimen | Germline sample (being sent to GLH DNA extraction lab) | 0..1 | group | |
| GermlineSpecimen-designNote | Sample type (Blood EDTA/Saliva/Fibroblasts/Skin biopsy/Other), Sample ID, Collection date/time, Sample volume and Comments map onto the common core's own Specimen group - not re-declared here. | 0..1 | display | |
| NOS/RODToFollow-gms-cancer | Record of Discussion (ROD) attached, or to follow | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| MainContact-cancer | Main contact (if different from responsible consultant) | 0..1 | group | |
| MainContact-cancer-designNote | Responsible consultant maps directly onto the common core's own Healthcare Professional group and is not re-declared here. Main Contact is the same genuinely-additional-person gap identified on GMS WGS Rare Disease and Genomic Test Order - Common Fields We May Have Missed (Copy Report To). | 0..1 | display | |
| NOS/MainContactName-cancer | Name | 0..1 | string | |
| NOS/MainContactDepartmentAddress-cancer | Department address | 0..1 | string | |
| NOS/MainContactPhone-cancer | Phone | 0..1 | string | |
| NOS/MainContactEmail-cancer | 0..1 | string | ||
| Documentation for this format | ||||
Options Sets
Answer options for NOS/PresentationStatus
Answer options for NOS/TumourPresentationType
Answer options for NOS/HaematoOncologyLiquidTumourType
Answer options for NOS/RODToFollow-gms-cancer
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "GMSWGSCancerAskAtOrderEntry",
"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/GMSWGSCancerAskAtOrderEntry",
"version": "2.2.0",
"title": "GMS WGS Cancer 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 **NHS Genomic Medicine Service\n(GMS) Whole Genome Sequencing (WGS) Test Request - Cancer** form (the\nnational GMS-branded form, not NW GLH-specific), used alongside the [common\ncore order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry\nQuestions](Questionnaire-GenomicTestOrder.html#order-entry-questions). Like\n[GMS WGS Rare Disease](Questionnaire-GMSWGSRareDisease.html), this form has\nno Whole Genome Sequencing Test Category in the common core's Test Code\nbranches, so its own Test Directory Clinical Indication item fills that gap\ndirectly.",
"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",
"type": "group",
"item": [
{
"linkId": "LN/45392-8",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given",
"code": [
{
"system": "http://loinc.org",
"code": "45392-8"
}
],
"text": "Patient first name",
"type": "string"
},
{
"linkId": "LN/45394-4",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family",
"code": [
{
"system": "http://loinc.org",
"code": "45394-4"
}
],
"text": "Patient last name",
"type": "string"
},
{
"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": "LN/21112-8",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate",
"code": [
{
"system": "http://loinc.org",
"code": "21112-8"
}
],
"text": "Date of birth (dd/mm/yyyy)",
"type": "date"
},
{
"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": "LN/46098-0",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender",
"code": [
{
"system": "http://loinc.org",
"code": "46098-0"
}
],
"text": "Gender",
"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": "LN/89061-6",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:nhsNumber",
"code": [
{
"system": "http://loinc.org",
"code": "89061-6"
}
],
"text": "NHS number",
"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": "LN/89061-6-designNote",
"text": "See NOS/ReasonNHSNumberNotAvailable-cancer in Ask At Order Entry Questions below if not available.",
"type": "display"
}
]
}
]
},
{
"linkId": "HealthcareProfessional",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole",
"text": "Responsible consultant",
"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": "Name",
"type": "string"
},
{
"linkId": "NOS/DepartmentAddress",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.display",
"text": "Department address",
"type": "string"
},
{
"linkId": "LN/81230-5",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"code": [
{
"system": "http://loinc.org",
"code": "81230-5"
}
],
"text": "Phone",
"type": "string"
},
{
"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": "Email",
"type": "string"
}
]
},
{
"linkId": "AskAtOrderEntry",
"text": "Ask At Order Entry Questions",
"type": "group",
"item": [
{
"linkId": "HL7/ORC-21-requesting-cancer",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Requesting organisation",
"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": "HL7/ORC-21-requesting-cancer-designNote",
"text": "Same concept as the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21) - see GMS WGS Rare Disease's equivalent item for the same requester/performer split.",
"type": "display"
}
]
},
{
"linkId": "NOS/GLHLaboratory",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.performer",
"text": "GLH laboratory to receive sample",
"type": "string"
},
{
"linkId": "NOS/ReasonNHSNumberNotAvailable-cancer",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:nhsNumber.extension",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "ReasonNHSNumberNotAvailable"
}
],
"text": "Reason NHS Number not available (e.g. patient not eligible, foreign national)",
"type": "string"
},
{
"linkId": "NOS/PresentationStatus",
"definition": "http://hl7.org/fhir/StructureDefinition/Condition#Condition.clinicalStatus",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "PresentationStatus"
}
],
"text": "Presentation status",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "PresentationFirstDiagnosis"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "PresentationRecurrenceRelapse"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "NOS/AdditionalClinicalInformation",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.note",
"text": "Additional clinical information (previous tumours, molecular testing, relevant treatment history)",
"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/AdditionalClinicalInformation-designNote",
"text": "Same FHIR target as the common core's own Relevant clinical information and family history (HL7/NTE-1).",
"type": "display"
}
]
},
{
"linkId": "NOS/TestDirectoryClinicalIndication-cancer",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code",
"text": "Test Directory Clinical Indication & code (cancer type & sub-type)",
"type": "choice",
"required": true,
"answerValueSet": "https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "NOS/TestDirectoryClinicalIndication-cancer-designNote",
"text": "Same gap-fill as GMS WGS Rare Disease's own Test Code item - the common core's Cancer Test Code branch (HL7/OBR-4-c) is scoped to CancerTestCode, not Whole Genome Sequencing.",
"type": "display"
}
]
},
{
"linkId": "SolidTumour",
"text": "Solid tumour requests only",
"type": "group",
"item": [
{
"linkId": "NOS/TumourPresentationType",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "TumourPresentationType"
}
],
"text": "Tumour presentation type",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "TumourPresentationPrimary"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "TumourPresentationMetastatic"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "TumourPresentationLymphoma"
}
}
]
},
{
"linkId": "NOS/HistopathologyLabID",
"definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.accessionIdentifier.assigner.identifier.value",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "HistopathologyLabID"
}
],
"text": "Histopathology Lab ID",
"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/HistopathologyLabID-designNote",
"text": "Same underlying concept as the common core's own Pathology Laboratory Hospital/Trust ID (LN/80398-1-ODS).",
"type": "display"
}
]
},
{
"linkId": "NOS/DateOfDiagnosis-solid",
"definition": "http://hl7.org/fhir/StructureDefinition/Condition#Condition.onsetDateTime",
"text": "Date of this diagnosis",
"type": "date"
},
{
"linkId": "NOS/TumourTopography",
"definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.bodySite",
"text": "Tumour topography",
"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/TumourTopography-designNote",
"text": "Overlaps conceptually with the common core's own Tissue source/organ of origin (LN/39111-0).",
"type": "display"
}
]
},
{
"linkId": "NOS/TumourMorphology-solid",
"text": "Tumour morphology",
"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/TumourMorphology-solid-designNote",
"text": "No clean FHIR field identified for tumour morphology.",
"type": "display"
}
]
},
{
"linkId": "NOS/AdditionalTumourInformation",
"text": "Additional tumour information (e.g. site of metastasis, unknown primary)",
"type": "string"
}
]
},
{
"linkId": "HaemOncLiquidTumour",
"text": "Haemato-oncology liquid tumour requests only",
"type": "group",
"item": [
{
"linkId": "NOS/HaematoOncologyLiquidTumourType",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "HaematoOncologyLiquidTumourType"
}
],
"text": "Haemato-oncology liquid tumour type",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "91861009",
"display": "Acute myeloid leukaemia (AML)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "84228005",
"display": "Acute lymphoblastic leukaemia (ALL)"
}
}
]
},
{
"linkId": "NOS/SIHMDSLabID",
"definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.accessionIdentifier.assigner.identifier.value",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "SIHMDSLabID"
}
],
"text": "SIHMDS Lab ID",
"type": "string"
},
{
"linkId": "NOS/DateOfDiagnosis-haemonc",
"definition": "http://hl7.org/fhir/StructureDefinition/Condition#Condition.onsetDateTime",
"text": "Date of this diagnosis",
"type": "date"
}
]
},
{
"linkId": "TumourSpecimen",
"text": "Tumour sample (being sent to GLH DNA extraction lab)",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "TumourSpecimen-designNote",
"text": "Sample type (Fresh frozen tumour/Bone marrow/Blood EDTA/Other), Sample ID, Collection date/time and Sample volume map onto the common core's own Specimen group - not re-declared here.",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "%",
"display": "%"
}
}
],
"linkId": "NOS/NeoplasticCellContent-gms",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueQuantity",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NeoplasticCellContent"
}
],
"text": "% Malignant nuclei / blasts (or equivalent)",
"type": "quantity",
"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/NeoplasticCellContent-gms-designNote",
"text": "Same underlying concept as WGS Local Test Order's Neoplastic cell content (NOS/NeoplasticCellContent-wgs) - reuses the same local code.",
"type": "display"
}
]
},
{
"linkId": "NOS/NucleatedCellCount",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NucleatedCellCount"
}
],
"text": "Nucleated cell count (if bone marrow/peripheral blood)",
"type": "decimal"
}
]
},
{
"linkId": "GermlineSpecimen",
"text": "Germline sample (being sent to GLH DNA extraction lab)",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "GermlineSpecimen-designNote",
"text": "Sample type (Blood EDTA/Saliva/Fibroblasts/Skin biopsy/Other), Sample ID, Collection date/time, Sample volume and Comments map onto the common core's own Specimen group - not re-declared here.",
"type": "display"
}
]
},
{
"linkId": "NOS/RODToFollow-gms-cancer",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "RODToFollow"
}
],
"text": "Record of Discussion (ROD) attached, or to follow",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Attached"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "To follow"
}
}
]
},
{
"linkId": "MainContact-cancer",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "MainContact"
}
],
"text": "Main contact (if different from responsible consultant)",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "MainContact-cancer-designNote",
"text": "Responsible consultant maps directly onto the common core's own Healthcare Professional group and is not re-declared here. Main Contact is the same genuinely-additional-person gap identified on GMS WGS Rare Disease and Genomic Test Order - Common Fields We May Have Missed (Copy Report To).",
"type": "display"
},
{
"linkId": "NOS/MainContactName-cancer",
"text": "Name",
"type": "string"
},
{
"linkId": "NOS/MainContactDepartmentAddress-cancer",
"text": "Department address",
"type": "string"
},
{
"linkId": "NOS/MainContactPhone-cancer",
"text": "Phone",
"type": "string"
},
{
"linkId": "NOS/MainContactEmail-cancer",
"text": "Email",
"type": "string"
}
]
}
]
}
]
}