FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | Questionnaire |
| Id | Questionnaire-GenomicGeneralAskAtOrderEntry.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-GenomicGeneralAskAtOrderEntry.html |
| URL | https://fhir.nwgenomics.nhs.uk/Questionnaire/GenomicGeneralAskAtOrderEntry |
| Version | 2.2.0 |
| Status | active |
| Date | 2026-09-27T08:17:18+00:00 |
| Title | NW Genomic General Ask At Order Questions |
| Realm | us |
| Authority | hl7 |
| Description | **Ask At Order Entry Questions Common** - the default set used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) for order/test types that do not have their own dedicated Ask At Order Entry Questionnaire - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). These questions were originally part of [GenomicTestOrder](Questionnaire-GenomicTestOrder.html) and have been extracted here so the core form stays generic to every order/test type. Covers Cancer, Whole Genome Sequencing (WGS) and Rare and Inherited Disease orders generally - see [Guidance by Order Type](#guidance-by-order-type) below for which questions actually apply to which. Questions only relevant to WGS specifically (`Related Individual (NK1)`, `Record of Discussion attached or to follow`) have moved to [WGS Test Additional Ask At Order Entry Questions](Questionnaire-WGSTestAdditionalAskAtOrderQuestions.html), used *alongside* this Questionnaire for WGS orders, not instead of it. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire GenomicGeneralAskAtOrderEntry
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | **Ask At Order Entry Questions Common** - the default set used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) for order/test types that do not have their own dedicated Ask At Order Entry Questionnaire - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). These questions were originally part of [GenomicTestOrder](Questionnaire-GenomicTestOrder.html) and have been extracted here so the core form stays generic to every order/test type. Covers Cancer, Whole Genome Sequencing (WGS) and Rare and Inherited Disease orders generally - see [Guidance by Order Type](#guidance-by-order-type) below for which questions actually apply to which. Questions only relevant to WGS specifically (`Related Individual (NK1)`, `Record of Discussion attached or to follow`) have moved to [WGS Test Additional Ask At Order Entry Questions](Questionnaire-WGSTestAdditionalAskAtOrderQuestions.html), used *alongside* this Questionnaire for WGS orders, not instead of it. | Questionnaire | https://fhir.nwgenomics.nhs.uk/Questionnaire/GenomicGeneralAskAtOrderEntry#2.2.0 | |
  AskAtOrderEntry | Ask At Order Entry Questions | 0..1 | group | |
   SNM/281269004 | High Infection Risk? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
 NOS/InfectionRiskDetails | High infection Risk Details | 0..1 | string | Definition: Observation.valueString |
| Consent | Consent | 0..1 | group | |
 LN/19826-7 | Has consent has been obtained for tests (Y/N) | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| LN/75520-7 | Has consent has been obtained for DNA storage (Y/N) | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| pedigreeNumber | G Number (Pedigree Number) | 0..1 | string | Definition: Observation.valueString |
 pedigreeNumber-designNote | Useful for Duo/Trio orders, to record the shared pedigree/family group these related orders belong to. Moved here from Genomic Test Order (where it was wrongly mapped to Patient.identifier:PedigreeNumber, implying it was a formal Patient identifier) - NHS England's own Genomics Pedigree Number naming system (https://fhir.nhs.uk/Id/genomics-pedigree-number) describes this as a patient's genetic/pedigree number which links their family, and their own FHIR Genomics Implementation Guide has since moved its own equivalent mapping to a Group resource. Not an Order Group Number (ServiceRequest.requisition) - see WholeGenomicSequence.html for that distinction. Modelled here simply as an Observation.valueString pending a decision on whether a more structured representation (e.g. Group) is needed. | 0..1 | display | |
| SNM/842009 | Patient is from consanguineous union? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| SNM/74996004-pathology-report | Confirm that a pathology report will be provided alongside the sample. | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| SNM/118185001 | Neonatal/Prenatal/Neither? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| pregnant | Pregnant | 0..1 | group | Enable When: SNM/118185001 = Pregnancy (SNOMED CT#77386006) |
| SNM/370386005 | Does this test relate to a pregnancy with > 1 fetus? | 0..1 | string | Definition: Observation.valueCodeableConcept Options: 3 options |
 SNM/161714006 | Patient expected delivery date | 0..1 | date | Definition: Observation.valueDateTime |
 SNM/598151000005105 | Patient gestation | 0..1 | integer | Definition: Observation.valueQuantity |
| SNM/17369002 | Is this test for a pregnancy loss? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| SNM/419099009 | Is this test for a deceased infant? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| NOS/VariantReinterpretationReason | Reason For Variant Re-Interpretation Request | 0..1 | string | Definition: Observation.valueString |
| Documentation for this format | ||||
Options Sets
Answer options for SNM/281269004
Answer options for LN/19826-7
Answer options for LN/75520-7
Answer options for SNM/842009
Answer options for SNM/74996004-pathology-report
Answer options for SNM/118185001
Answer options for SNM/370386005
Answer options for SNM/17369002
Answer options for SNM/419099009
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "GenomicGeneralAskAtOrderEntry",
"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/GenomicGeneralAskAtOrderEntry",
"version": "2.2.0",
"title": "NW Genomic General Ask At Order Questions",
"derivedFrom": [
"https://fhir.nwgenomics.nhs.uk/Questionnaire/GenomicTestOrder"
],
"_derivedFrom": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-derivationType",
"valueCoding": {
"system": "http://hl7.org/fhir/questionnaire-derivationType",
"code": "extends"
}
}
]
}
],
"status": "active",
"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": "**Ask At Order Entry Questions Common** - the default set used alongside the\n[common core order form](Questionnaire-GenomicTestOrder.html) for order/test\ntypes that do not have their own dedicated Ask At Order Entry Questionnaire -\nsee [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions).\nThese questions were originally part of [GenomicTestOrder](Questionnaire-GenomicTestOrder.html)\nand have been extracted here so the core form stays generic to every order/test type.\n\nCovers Cancer, Whole Genome Sequencing (WGS) and Rare and Inherited Disease\norders generally - see [Guidance by Order Type](#guidance-by-order-type)\nbelow for which questions actually apply to which. Questions only relevant\nto WGS specifically (`Related Individual (NK1)`, `Record of Discussion\nattached or to follow`) have moved to [WGS Test Additional Ask At Order\nEntry Questions](Questionnaire-WGSTestAdditionalAskAtOrderQuestions.html),\nused *alongside* this Questionnaire for WGS orders, not instead of it.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "GB",
"display": "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"item": [
{
"linkId": "AskAtOrderEntry",
"text": "Ask At Order Entry Questions",
"type": "group",
"item": [
{
"linkId": "SNM/281269004",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "281269004",
"display": "High infection risk sample"
}
],
"text": "High Infection Risk?",
"type": "choice",
"required": false,
"repeats": false,
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "NOS/InfectionRiskDetails",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueString",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "InfectionRiskDetails"
}
],
"text": "High infection Risk Details",
"type": "string"
},
{
"linkId": "Consent",
"text": "Consent",
"type": "group",
"item": [
{
"linkId": "LN/19826-7",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "309370004",
"display": "Consent status"
},
{
"system": "http://loinc.org",
"code": "19826-7",
"display": "Informed consent obtained"
},
{
"system": "http://loinc.org",
"code": "59284-0",
"display": "Consent Document"
}
],
"text": "Has consent has been obtained for tests (Y/N)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "LN/75520-7",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://loinc.org",
"code": "75520-7",
"display": "Biobank specimens are stored and available for research"
}
],
"text": "Has consent has been obtained for DNA storage (Y/N)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"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": "Useful for Duo/Trio orders, to record the shared pedigree/family group these\nrelated orders belong to. Moved here from Genomic Test Order (where it was\nwrongly mapped to Patient.identifier:PedigreeNumber, implying it was a formal\nPatient identifier) - NHS England's own Genomics Pedigree Number naming system\n(https://fhir.nhs.uk/Id/genomics-pedigree-number) describes this as a patient's\ngenetic/pedigree number which links their family, and their own FHIR Genomics\nImplementation Guide has since moved its own equivalent mapping to a Group\nresource. Not an Order Group Number (ServiceRequest.requisition) - see\nWholeGenomicSequence.html for that distinction. Modelled here simply as an\nObservation.valueString pending a decision on whether a more structured\nrepresentation (e.g. Group) is needed.",
"type": "display"
}
]
},
{
"linkId": "SNM/842009",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "842009",
"display": "Consanguinity"
}
],
"text": "Patient is from consanguineous union?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "SNM/74996004-pathology-report",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "74996004",
"display": "Confirmation of"
}
],
"text": "Confirm that a pathology report will be provided alongside the sample.",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "SNM/118185001",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "118185001",
"display": "Finding related to pregnancy"
}
],
"text": "Neonatal/Prenatal/Neither?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "77386006",
"display": "Pregnancy"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "255407002",
"display": "Neonatal"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
],
"item": [
{
"linkId": "pregnant",
"text": "Pregnant",
"type": "group",
"enableWhen": [
{
"question": "SNM/118185001",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "77386006"
}
}
],
"item": [
{
"linkId": "SNM/370386005",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "370386005",
"display": "Ultrasound scan - multiple fetus"
}
],
"text": "Does this test relate to a pregnancy with > 1 fetus?",
"type": "string",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "SNM/161714006",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueDateTime",
"code": [
{
"system": "http://snomed.info/sct",
"code": "161714006",
"display": "Estimated date of delivery"
}
],
"text": "Patient expected delivery date",
"type": "date"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "wk",
"display": "Wk"
}
}
],
"linkId": "SNM/598151000005105",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueQuantity",
"code": [
{
"system": "http://snomed.info/sct",
"code": "57036006",
"display": "Fetal gestational age"
}
],
"text": "Patient gestation",
"type": "integer"
}
]
}
]
},
{
"linkId": "SNM/17369002",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "17369002",
"display": "Miscarriage"
}
],
"text": "Is this test for a pregnancy loss?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "SNM/419099009",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "419099009",
"display": "Dead"
}
],
"text": "Is this test for a deceased infant?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "NOS/VariantReinterpretationReason",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueString",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "VariantReinterpretationReason"
}
],
"text": "Reason For Variant Re-Interpretation Request",
"type": "string"
}
]
}
]
}