FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | Questionnaire |
| Id | Questionnaire-HaematoOncologyAskAtOrderEntry.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-HaematoOncologyAskAtOrderEntry.html |
| URL | https://fhir.nwgenomics.nhs.uk/Questionnaire/HaematoOncologyAskAtOrderEntry |
| Version | 2.2.0 |
| Status | unknown |
| Date | 2026-09-27T08:17:18+00:00 |
| Title | Haemato-Oncology 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 NW GLH paper **Molecular Genomic Testing Request Form - Haemato-Oncology** (DOC5775), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). Unlike the Genomic Test Directory R-code panels used elsewhere, this form selects a **named laboratory test panel** directly (e.g. Myeloid NGS panel, BCR::ABL, MRD panels) rather than a coded test-directory indication. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire HaematoOncologyAskAtOrderEntry
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 NW GLH paper **Molecular Genomic Testing Request Form - Haemato-Oncology** (DOC5775), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). Unlike the Genomic Test Directory R-code panels used elsewhere, this form selects a **named laboratory test panel** directly (e.g. Myeloid NGS panel, BCR::ABL, MRD panels) rather than a coded test-directory indication. | Questionnaire | https://fhir.nwgenomics.nhs.uk/Questionnaire/HaematoOncologyAskAtOrderEntry#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/46098-0 | Biological Sex | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| 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 and CYP2C19 Mavacamten's own Gender Identity item. | 0..1 | display | |
| LN/56799-0 | Patient's Address | 0..* | string | Definition: Patient.address.line |
| LN/45401-7 | Postcode | 0..1 | string | Definition: Patient.address.postalCode |
| LN/32624-9 | Ethnicity | 0..1 | choice | Definition: Patient.extension:ethnicCategory Value Set: Ethnicity |
| LN/89061-6 | NHS No | 0..1 | string | Definition: Patient.identifier:nhsNumber |
| LN/76435-7 | Hospital No | 0..1 | string | Definition: Patient.identifier:MedicalRecordNumber |
| 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 | E-mail/Tel | 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/HaemOncPanelRequested | Test panel(s) requested | 1..* | choice | Definition: ServiceRequest.code |
| NOS/HaemOncPanelRequested-designNote | The paper form lists ~25 named panels (Myeloid NGS, Lymphoid NGS, MRD fusion panels, SNP array, etc.) as tick-boxes, not Genomic Test Directory R-codes. This item is left as free-choice pending a local test-panel CodeSystem rather than guessing lab-internal panel codes. | 0..1 | display | |
| NOS/DifferentialDiagnosis | Differential diagnosis/clinical question (if 'Other' panel selected) | 0..1 | string | Definition: ServiceRequest.note |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "HaematoOncologyAskAtOrderEntry",
"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/HaematoOncologyAskAtOrderEntry",
"version": "2.2.0",
"title": "Haemato-Oncology 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 NW GLH paper **Molecular Genomic\nTesting Request Form - Haemato-Oncology** (DOC5775), used alongside the\n[common core order form](Questionnaire-GenomicTestOrder.html) - see [Order\nEntry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions).\nUnlike the Genomic Test Directory R-code panels used elsewhere, this form\nselects a **named laboratory test panel** directly (e.g. Myeloid NGS panel,\nBCR::ABL, MRD panels) rather than a coded test-directory indication.",
"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/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": "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 and CYP2C19 Mavacamten's own Gender Identity item.",
"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",
"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/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/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 No",
"type": "string"
}
]
},
{
"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": "E-mail/Tel",
"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/HaemOncPanelRequested",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "HaemOncPanelRequested"
}
],
"text": "Test panel(s) requested",
"type": "choice",
"required": true,
"repeats": 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/HaemOncPanelRequested-designNote",
"text": "The paper form lists ~25 named panels (Myeloid NGS, Lymphoid NGS, MRD fusion panels, SNP array, etc.) as tick-boxes, not Genomic Test Directory R-codes. This item is left as free-choice pending a local test-panel CodeSystem rather than guessing lab-internal panel codes.",
"type": "display"
}
]
},
{
"linkId": "NOS/DifferentialDiagnosis",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.note",
"code": [
{
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "DifferentialDiagnosis"
}
],
"text": "Differential diagnosis/clinical question (if 'Other' panel selected)",
"type": "string"
}
]
}
]
}