FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | Questionnaire |
| Id | Questionnaire-GeneticClinicalReferral.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-GeneticClinicalReferral.html |
| URL | https://fhir.nwgenomics.nhs.uk/Questionnaire/GeneticClinicalReferral |
| Version | 2.2.0 |
| Status | unknown |
| Date | 2026-09-27T08:17:18+00:00 |
| Title | Genetic Clinical Referral |
| Realm | us |
| Authority | hl7 |
| Description | **For analysis purposes only - not an active or planned project.** See [Genetic Referrals](GeneticReferrals.html) for the narrative use case this Questionnaire sketches a computable data model for, and [Genetic Clinical Referral - Differences from Genomic Test Order](Questionnaire-GeneticClinicalReferral.html#differences-from-genomic-test-order) for how this compares to [Genomic Test Order](Questionnaire-GenomicTestOrder.html). This is a closed-loop clinical referral into a genomics/clinical genetics service (see [Genetic Referrals](GeneticReferrals.html)), modelled on HL7 v2 `REF_I12` (Patient Referral) - not a laboratory order. Where a data item is genuinely the same one [Genomic Test Order](Questionnaire-GenomicTestOrder.html) already captures (e.g. patient demographics), this Questionnaire reuses the same item, per the "check for existing patterns" principle in [How To Engineer (scale and deliver) Interoperability](HowToEngineerInteroperability.html#check-for-existing-patterns-before-modelling-new-ones). |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire GeneticClinicalReferral
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | **For analysis purposes only - not an active or planned project.** See [Genetic Referrals](GeneticReferrals.html) for the narrative use case this Questionnaire sketches a computable data model for, and [Genetic Clinical Referral - Differences from Genomic Test Order](Questionnaire-GeneticClinicalReferral.html#differences-from-genomic-test-order) for how this compares to [Genomic Test Order](Questionnaire-GenomicTestOrder.html). This is a closed-loop clinical referral into a genomics/clinical genetics service (see [Genetic Referrals](GeneticReferrals.html)), modelled on HL7 v2 `REF_I12` (Patient Referral) - not a laboratory order. Where a data item is genuinely the same one [Genomic Test Order](Questionnaire-GenomicTestOrder.html) already captures (e.g. patient demographics), this Questionnaire reuses the same item, per the "check for existing patterns" principle in [How To Engineer (scale and deliver) Interoperability](HowToEngineerInteroperability.html#check-for-existing-patterns-before-modelling-new-ones). | Questionnaire | https://fhir.nwgenomics.nhs.uk/Questionnaire/GeneticClinicalReferral#2.2.0 | |
  Patient | Patient | 0..1 | group | Definition: Patient |
  Patient-designNote | Reuses the same items as Genomic Test Order's Patient group - both populate the same HL7 v2 PID segment. | 0..1 | display | |
 LN/45394-4 | Patient surname | 1..1 | string | Definition: Patient.name.family |
| LN/45392-8 | Patient first name | 1..1 | string | Definition: Patient.name.given |
 LN/21112-8 | Date of birth | 1..1 | date | Definition: Patient.birthDate |
| LN/56799-0 | Address | 0..1 | group | Definition: Patient.address |
| HL7/PID-11-1 | Address Line | 0..* | string | Definition: Patient.address.line |
 LN/45401-7 | Postcode | 0..1 | string | Definition: Patient.address.postalCode |
 LN/46098-0 | Sex registered at birth | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| LN/89061-6 | NHS Number | 0..1 | string | Definition: Patient.identifier:nhsNumber |
| LN/76435-7 | Hospital Number (Medical Record Number) | 0..1 | string | Definition: Patient.identifier:MedicalRecordNumber |
| LN/56797-4 | Account Number (Episode or Stay Number) | 0..1 | string | Definition: ServiceRequest.encounter.identifier.value |
| LN/56797-4-designNote | REF_I12 PID-18 (Patient Account Number) - not the unrelated v2 ACC segment. | 0..1 | display | |
| pedigreeNumber | G Number (Pedigree Number) | 0..1 | string | Definition: Observation.valueString |
 pedigreeNumber-designNote | Links the proband to consultands (at-risk relatives) referred as part of the same family investigation - see Distributed WGS (dWGS) Family Structure/Participant Type pattern. Modelled as Observation.valueString, not a Patient identifier - see Genomic General Ask At Order Entry's own G Number (Pedigree Number) item and WholeGenomicSequence.html for why. | 0..1 | display | |
| ReferringProvider | Referring Provider/Organisation (PRD, role = Referring Provider) | 0..1 | group | Definition: PractitionerRole |
| ReferringProvider-designNote | REF_I12 PRD segment, role-coded as Referring Provider. Reuses the same items as Genomic Test Order's Healthcare Professional group. | 0..1 | display | |
| LN/18705-4 | Referring Clinician Name | 1..1 | string | Definition: PractitionerRole.practitioner.display |
| LN/18707-0 | Referring Clinician Current Speciality | 0..1 | choice | Definition: PractitionerRole.specialty.coding.code Value Set: UK Core Practice Setting Code |
| LN/46608-6 | Referring Clinician Professional Identifier | 0..1 | string | Definition: PractitionerRole.practitioner.identifier.value |
| LN/89058-2 | 0..* | string | Definition: PractitionerRole.telecom.value | |
| LN/81230-5 | Phone | 0..1 | string | Definition: PractitionerRole.telecom.value |
| HL7/PRD-referring-org | Referring Organisation ODS Code | 0..1 | string | Definition: PractitionerRole.organization.identifier.value |
| ReferredToProvider | Referred-to Provider/Service (PRD, role = Referred-to Provider) | 0..1 | group | Definition: ServiceRequest.performer |
| ReferredToProvider-designNote | REF_I12 PRD segment, role-coded as Referred-to Provider - who/what the referral is being sent to. Genomic Test Order has no equivalent group: an order's Order Filler is implicit/fixed (the destination LIMS), whereas a referral explicitly names the receiving clinic/service - see Differences from Genomic Test Order below. May be a named clinician (PractitionerRole) or a service/clinic (HealthcareService) rather than a named individual. | 0..1 | display | |
| ReferredToProvider/serviceName | Referred-to Service/Clinic Name | 0..1 | string | Definition: HealthcareService.name |
| ReferredToProvider/organisationCode | Referred-to Organisation ODS Code | 0..1 | string | Definition: PractitionerRole.organization.identifier.value |
| ReferredToProvider/clinicianName | Named Consultant/Clinician (if known) | 0..1 | string | Definition: PractitionerRole.practitioner.display |
| Referral | Referral (RF1) | 0..1 | group | Definition: ServiceRequest |
| HL7/RF1-6 | Referral Identifier | 0..1 | string | Definition: ServiceRequest.identifier:OrderIdentifier |
| HL7/RF1-1 | Referral Status | 0..1 | choice | Definition: ServiceRequest.status Value Set: RequestStatus |
| LN/82768-3 | Priority | 0..1 | choice | Definition: ServiceRequest.priority Value Set: Request Priority |
| HL7/RF1-4 | Referral Type / Service Requested | 0..1 | string | Definition: ServiceRequest.code |
| HL7/RF1-4-designNote | Not currently modelled as a coded value in this IG - see Genetic Referrals - Referral Data Model. Unlike Genomic Test Order's Test Code, this is not a Genomic Test Directory code: it names the clinical service/assessment being requested (e.g. genetic counselling, cascade testing), not a specific lab test. | 0..1 | display | |
| ReasonForReferral | Reason for Referral (RF1-12 / DG1) | 0..1 | group | |
| LN/51967-8 | Suspected/confirmed condition (reason for referral) | 0..* | choice | Definition: ServiceRequest.reasonCode Value Set: Genomic Clinical Indication Codes |
| FamilyHistory | Family History (Family Letter) | 0..1 | group | |
| FamilyHistory-designNote | Genomic Test Order's order/test-type-specific detail is captured by structured Ask At Order Entry Questionnaires. A referral has no equivalent structured sub-Questionnaire today: the corresponding detail - who else in the family is affected, the inheritance pattern, degree of relationship of at-risk relatives - travels as free text or an attached document within the unstructured **family letter** (see Genetic Referrals and Cancer Background Information for Use Cases - Genetic Counselling Referral Across Regions), not as discrete data items. A future structured representation could use FamilyMemberHistory per relative (see the FamilyMemberHistory examples on Genomic Test Report), but that is not attempted here. | 0..1 | display | |
| HL7/NTE-1 | Family Letter / Clinical Details (free text) | 0..1 | string | Definition: ServiceRequest.note |
 FamilyHistory/attachment | Family Letter (attached document) | 0..1 | reference | Definition: ServiceRequest.supportingInfo |
| FamilyHistory/attachment-designNote | ServiceRequest.supportingInfo references a DocumentReference (the family letter), whose own DocumentReference.content.attachment.url points at a Binary holding the actual document - the same pattern NHS e-Referral Service (eRS) itself already uses for referral attachments (ReferralRequest.supportingInfo -> DocumentReference) - see Genetic Referrals - eRS FHIR Resource Model. | 0..1 | display | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "GeneticClinicalReferral",
"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/GeneticClinicalReferral",
"version": "2.2.0",
"title": "Genetic Clinical Referral",
"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.** See\n[Genetic Referrals](GeneticReferrals.html) for the narrative use case this\nQuestionnaire sketches a computable data model for, and [Genetic Clinical\nReferral - Differences from Genomic Test\nOrder](Questionnaire-GeneticClinicalReferral.html#differences-from-genomic-test-order)\nfor how this compares to [Genomic Test\nOrder](Questionnaire-GenomicTestOrder.html).\n\nThis is a closed-loop clinical referral into a genomics/clinical genetics\nservice (see [Genetic Referrals](GeneticReferrals.html)), modelled on HL7 v2\n`REF_I12` (Patient Referral) - not a laboratory order. Where a data item is\ngenuinely the same one [Genomic Test Order](Questionnaire-GenomicTestOrder.html)\nalready captures (e.g. patient demographics), this Questionnaire reuses the\nsame item, per the \"check for existing patterns\" principle in [How To\nEngineer (scale and deliver)\nInteroperability](HowToEngineerInteroperability.html#check-for-existing-patterns-before-modelling-new-ones).",
"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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "Patient-designNote",
"text": "Reuses the same items as Genomic Test Order's Patient group - both populate the same HL7 v2 PID segment.",
"type": "display"
},
{
"linkId": "LN/45394-4",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family",
"code": [
{
"system": "http://loinc.org",
"code": "45394-4"
}
],
"text": "Patient surname",
"type": "string",
"required": true
},
{
"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",
"required": true
},
{
"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",
"type": "date",
"required": true
},
{
"linkId": "LN/56799-0",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address",
"code": [
{
"system": "http://loinc.org",
"code": "56799-0"
}
],
"text": "Address",
"type": "group",
"item": [
{
"linkId": "HL7/PID-11-1",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.line",
"text": "Address Line",
"type": "string",
"repeats": true
},
{
"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/46098-0",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender",
"code": [
{
"system": "http://loinc.org",
"code": "46098-0"
}
],
"text": "Sex registered at birth",
"type": "choice",
"answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
},
{
"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"
},
{
"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 (Medical Record Number)",
"type": "string"
},
{
"linkId": "LN/56797-4",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.encounter.identifier.value",
"code": [
{
"system": "http://loinc.org",
"code": "56797-4"
}
],
"text": "Account Number (Episode or Stay Number)",
"type": "string",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "LN/56797-4-designNote",
"text": "REF_I12 PID-18 (Patient Account Number) - not the unrelated v2 ACC segment.",
"type": "display"
}
]
},
{
"linkId": "pedigreeNumber",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueString",
"code": [
{
"system": "http://loinc.org",
"code": "74027-4",
"display": "Family pedigree identifier"
}
],
"text": "G Number (Pedigree 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": "pedigreeNumber-designNote",
"text": "Links the proband to consultands (at-risk relatives) referred as part of the same family investigation - see Distributed WGS (dWGS) Family Structure/Participant Type pattern. Modelled as Observation.valueString, not a Patient identifier - see Genomic General Ask At Order Entry's own G Number (Pedigree Number) item and WholeGenomicSequence.html for why.",
"type": "display"
}
]
}
]
},
{
"linkId": "ReferringProvider",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole",
"text": "Referring Provider/Organisation (PRD, role = Referring Provider)",
"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": "ReferringProvider-designNote",
"text": "REF_I12 PRD segment, role-coded as Referring Provider. Reuses the same items as Genomic Test Order's Healthcare Professional group.",
"type": "display"
},
{
"linkId": "LN/18705-4",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display",
"code": [
{
"system": "http://loinc.org",
"code": "18705-4"
}
],
"text": "Referring Clinician Name",
"type": "string",
"required": true
},
{
"linkId": "LN/18707-0",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.specialty.coding.code",
"code": [
{
"system": "http://loinc.org",
"code": "18707-0"
}
],
"text": "Referring Clinician Current Speciality",
"type": "choice",
"answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"
},
{
"linkId": "LN/46608-6",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.identifier.value",
"code": [
{
"system": "http://loinc.org",
"code": "46608-6"
}
],
"text": "Referring Clinician Professional Identifier",
"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",
"repeats": true
},
{
"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": "HL7/PRD-referring-org",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Referring Organisation ODS Code",
"type": "string"
}
]
},
{
"linkId": "ReferredToProvider",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.performer",
"text": "Referred-to Provider/Service (PRD, role = Referred-to Provider)",
"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": "ReferredToProvider-designNote",
"text": "REF_I12 PRD segment, role-coded as Referred-to Provider - who/what the\nreferral is being sent to. Genomic Test Order has no equivalent group: an\norder's Order Filler is implicit/fixed (the destination LIMS), whereas a\nreferral explicitly names the receiving clinic/service - see Differences\nfrom Genomic Test Order below. May be a named clinician (PractitionerRole)\nor a service/clinic (HealthcareService) rather than a named individual.",
"type": "display"
},
{
"linkId": "ReferredToProvider/serviceName",
"definition": "http://hl7.org/fhir/StructureDefinition/HealthcareService#HealthcareService.name",
"text": "Referred-to Service/Clinic Name",
"type": "string"
},
{
"linkId": "ReferredToProvider/organisationCode",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Referred-to Organisation ODS Code",
"type": "string"
},
{
"linkId": "ReferredToProvider/clinicianName",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display",
"text": "Named Consultant/Clinician (if known)",
"type": "string",
"required": false
}
]
},
{
"linkId": "Referral",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest",
"text": "Referral (RF1)",
"type": "group",
"item": [
{
"linkId": "HL7/RF1-6",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.identifier:OrderIdentifier",
"text": "Referral Identifier",
"type": "string"
},
{
"linkId": "HL7/RF1-1",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.status",
"text": "Referral Status",
"type": "choice",
"answerValueSet": "http://hl7.org/fhir/ValueSet/request-status"
},
{
"linkId": "LN/82768-3",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.priority",
"code": [
{
"system": "http://loinc.org",
"code": "82768-3"
}
],
"text": "Priority",
"type": "choice",
"required": false,
"answerValueSet": "https://fhir.nwgenomics.nhs.uk/ValueSet/RequestPriority"
},
{
"linkId": "HL7/RF1-4",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code",
"text": "Referral Type / Service Requested",
"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/RF1-4-designNote",
"text": "Not currently modelled as a coded value in this IG - see Genetic Referrals - Referral Data Model. Unlike Genomic Test Order's Test Code, this is not a Genomic Test Directory code: it names the clinical service/assessment being requested (e.g. genetic counselling, cascade testing), not a specific lab test.",
"type": "display"
}
]
}
]
},
{
"linkId": "ReasonForReferral",
"text": "Reason for Referral (RF1-12 / DG1)",
"type": "group",
"item": [
{
"linkId": "LN/51967-8",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.reasonCode",
"code": [
{
"system": "http://loinc.org",
"code": "51967-8"
},
{
"system": "http://snomed.info/sct",
"code": "782964007",
"display": "Genetic disease"
}
],
"text": "Suspected/confirmed condition (reason for referral)",
"type": "choice",
"repeats": true,
"answerValueSet": "https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes"
}
]
},
{
"linkId": "FamilyHistory",
"text": "Family History (Family Letter)",
"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": "FamilyHistory-designNote",
"text": "Genomic Test Order's order/test-type-specific detail is captured by\nstructured Ask At Order Entry Questionnaires. A referral has no equivalent\nstructured sub-Questionnaire today: the corresponding detail - who else in\nthe family is affected, the inheritance pattern, degree of relationship of\nat-risk relatives - travels as free text or an attached document within the\nunstructured **family letter** (see Genetic Referrals and Cancer\nBackground Information for Use Cases - Genetic Counselling Referral\nAcross Regions), not as discrete data items. A future structured\nrepresentation could use FamilyMemberHistory per relative (see the\nFamilyMemberHistory examples on Genomic Test Report), but that is not\nattempted here.",
"type": "display"
},
{
"linkId": "HL7/NTE-1",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.note",
"text": "Family Letter / Clinical Details (free text)",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
"valueCanonical": "http://hl7.org/fhir/StructureDefinition/DocumentReference"
}
],
"linkId": "FamilyHistory/attachment",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.supportingInfo",
"text": "Family Letter (attached document)",
"type": "reference",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "FamilyHistory/attachment-designNote",
"text": "ServiceRequest.supportingInfo references a DocumentReference (the\nfamily letter), whose own DocumentReference.content.attachment.url\npoints at a Binary holding the actual document - the same pattern NHS\ne-Referral Service (eRS) itself already uses for referral attachments\n(ReferralRequest.supportingInfo -> DocumentReference) - see Genetic\nReferrals - eRS FHIR Resource Model.",
"type": "display"
}
]
}
]
}
]
}