FHIR IG analytics| Package | fhir.nwgenomics.nhs.uk |
| Resource Type | Questionnaire |
| Id | Questionnaire-OrganTransplantPatientsAndDonorsAskAtOrderEntry.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-OrganTransplantPatientsAndDonorsAskAtOrderEntry.html |
| URL | https://fhir.nwgenomics.nhs.uk/Questionnaire/OrganTransplantPatientsAndDonorsAskAtOrderEntry |
| Version | 2.2.0 |
| Status | draft |
| Date | 2026-09-27T08:17:18+00:00 |
| Title | H&I Organ Transplant (Patients and Donors) Ask At Order Entry |
| Realm | us |
| Authority | hl7 |
| Description | **Ask At Order Entry Questions** for NHS Blood and Transplant's (NHSBT) national **H&I Organ Transplant (Patients and Donors)** request form (`FRM1008`, form "3B" in NHSBT's own numbering) - see [NHSBT's published form](https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/31363/3b-organ-transplant-patients-and-donors.pdf) and [Histocompatibility and Immunogenetics](HistocompatibilityAndImmunogenetics.html#ask-at-order-entry-questions). This is the national form the existing [HLA Tests - Transplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html) Ask At Order Entry Questionnaire's own design notes already identify as `FRM1008` - but that Questionnaire was extracted from Hive/Histotrac's own order-entry UI, which offers a narrower Patient Type (Stem cell/Renal/Thoracic) and Organ (Kidney/Pancreas/Islets/Simultaneous Pancreas-Kidney/Simultaneous Islet-Kidney) picker than this form's own **Category** (Patient - Renal/Patient - Non-Renal/Donor) and **Request details** checkboxes. As with [HSCT Recipients and Donors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html), this Questionnaire is modelled directly from NHSBT's own **paper request form** rather than the live Hive UI, and is **not** `derivedFrom`/`extends` [Genomic Test Order](Questionnaire-GenomicTestOrder.html) for the same reason - this form is submitted directly to NHSBT, so its own Patient/Requester fields are restored here. **A separate form must be completed for each individual** - the same physical form is used both for the patient and for each family member/potential donor being tested, distinguished by which "Complete for..." section is filled in. Modelled below as a `Role` choice with `enableWhen`-conditioned items, the same pattern used on [HSCT Recipients and Donors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html) (and reusing its `Patient`/`Family Member - Potential Donor` `NWGMSA` codes). The form's **Category** section (a further three-way choice - Patient - Renal, Patient - Non-Renal, or Donor, each with its own sub-checklist) is a related but separate concept from `Role` above: a person whose `Role` is Patient will pick a Patient - Renal or Patient - Non-Renal Category, while a person whose `Role` is Family Member/Potential Donor will pick the Donor Category - the form itself does not state this relationship explicitly, so it is not enforced here with `enableWhen`. **No NHSBT-published FHIR/LOINC/SNOMED binding was found** for any of this form's own fields (Category, Request details, Previous transfusion(s)/Pregnancies/Previous transplant(s)) - all coded locally against the `NWGMSA` CodeSystem, the same approach taken for the sibling H&I Questionnaires above. Field mappings below are this IG's own best-effort candidates, not confirmed against a live order message. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire OrganTransplantPatientsAndDonorsAskAtOrderEntry
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | **Ask At Order Entry Questions** for NHS Blood and Transplant's (NHSBT) national **H&I Organ Transplant (Patients and Donors)** request form (`FRM1008`, form "3B" in NHSBT's own numbering) - see [NHSBT's published form](https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/31363/3b-organ-transplant-patients-and-donors.pdf) and [Histocompatibility and Immunogenetics](HistocompatibilityAndImmunogenetics.html#ask-at-order-entry-questions). This is the national form the existing [HLA Tests - Transplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html) Ask At Order Entry Questionnaire's own design notes already identify as `FRM1008` - but that Questionnaire was extracted from Hive/Histotrac's own order-entry UI, which offers a narrower Patient Type (Stem cell/Renal/Thoracic) and Organ (Kidney/Pancreas/Islets/Simultaneous Pancreas-Kidney/Simultaneous Islet-Kidney) picker than this form's own **Category** (Patient - Renal/Patient - Non-Renal/Donor) and **Request details** checkboxes. As with [HSCT Recipients and Donors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html), this Questionnaire is modelled directly from NHSBT's own **paper request form** rather than the live Hive UI, and is **not** `derivedFrom`/`extends` [Genomic Test Order](Questionnaire-GenomicTestOrder.html) for the same reason - this form is submitted directly to NHSBT, so its own Patient/Requester fields are restored here. **A separate form must be completed for each individual** - the same physical form is used both for the patient and for each family member/potential donor being tested, distinguished by which "Complete for..." section is filled in. Modelled below as a `Role` choice with `enableWhen`-conditioned items, the same pattern used on [HSCT Recipients and Donors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html) (and reusing its `Patient`/`Family Member - Potential Donor` `NWGMSA` codes). The form's **Category** section (a further three-way choice - Patient - Renal, Patient - Non-Renal, or Donor, each with its own sub-checklist) is a related but separate concept from `Role` above: a person whose `Role` is Patient will pick a Patient - Renal or Patient - Non-Renal Category, while a person whose `Role` is Family Member/Potential Donor will pick the Donor Category - the form itself does not state this relationship explicitly, so it is not enforced here with `enableWhen`. **No NHSBT-published FHIR/LOINC/SNOMED binding was found** for any of this form's own fields (Category, Request details, Previous transfusion(s)/Pregnancies/Previous transplant(s)) - all coded locally against the `NWGMSA` CodeSystem, the same approach taken for the sibling H&I Questionnaires above. Field mappings below are this IG's own best-effort candidates, not confirmed against a live order message. | Questionnaire | https://fhir.nwgenomics.nhs.uk/Questionnaire/OrganTransplantPatientsAndDonorsAskAtOrderEntry#2.2.0 | |
  PatientOrDonor | Patient/Donor details | 0..1 | group | Definition: Patient |
  LN/45392-8 | Forename | 0..1 | string | Definition: Patient.name.given |
| LN/45394-4 | Surname | 0..1 | string | Definition: Patient.name.family |
 LN/21112-8 | DOB (DD/MM/YY) | 0..1 | date | Definition: Patient.birthDate |
 LN/46098-0 | Sex | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| LN/89061-6 | NHS/CHI number | 0..1 | string | Definition: Patient.identifier:nhsNumber |
| LN/76435-7 | Hospital number | 0..1 | string | Definition: Patient.identifier:MedicalRecordNumber |
 NOS/Ethnicity | Ethnicity | 0..1 | string | Definition: Patient.extension:ethnicCategory |
| HealthcareProfessional | Requester details | 0..1 | group | Definition: PractitionerRole |
| LN/18705-4 | Name of Requester | 0..1 | string | Definition: PractitionerRole.practitioner.display |
| NOS/ConsultantName | Name of Consultant | 0..1 | string | |
| LN/18707-0 | Department | 0..1 | choice | Definition: PractitionerRole.specialty.coding.code Value Set: UK Core Practice Setting Code |
| HL7/ORC-21 | Hospital Name, Full Address and ODS code | 0..1 | string | Definition: PractitionerRole.organization.identifier.value |
| LN/81230-5 | Contact No. | 0..1 | string | Definition: PractitionerRole.telecom.value |
| NOS/PurchaseOrderNumber | Purchase Order No. (if applicable) | 0..1 | string | |
| AskAtOrderEntry | Ask At Order Entry Questions | 0..1 | group | |
 OrganTx/role | This form is for | 1..1 | choice | Options: 2 options |
 OrganTx/role-designNote | The same pattern as `HSCT/role` on [HSCT Recipients and Donors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html#HSCT/role) - inferred from which of the form's two boxed sections ("Complete for new patients only" vs "Complete for Family Member / Potential Donor") is filled in, not itself a field on the form. Reuses the same `NWGMSA` codes as that Questionnaire. | 0..1 | display | |
| OrganTx/blood_group | Blood group (if known) | 0..1 | string | Definition: Observation.valueCodeableConcept Enable When: OrganTx/role = Patient (NW GMSA Codes#Patient) |
| OrganTx/blood_group-designNote | Free text on the form. LOINC has an ABO group typing panel that is a candidate binding for the resulting Observation, not yet confirmed against a live message. | 0..1 | display | |
 OrganTx/previous_transfusions | Previous transfusion(s)? | 0..1 | boolean | Definition: Observation.valueBoolean Enable When: OrganTx/role = Patient (NW GMSA Codes#Patient) |
| OrganTx/pregnancies | Pregnancies? | 0..1 | boolean | Definition: Observation.valueBoolean Enable When: OrganTx/role = Patient (NW GMSA Codes#Patient) |
| OrganTx/previous_transplants | Previous transplant(s)? | 0..1 | boolean | Definition: Observation.valueBoolean Enable When: OrganTx/role = Patient (NW GMSA Codes#Patient) |
| OrganTx/relationship_to_patient | Relationship to patient | 0..1 | string | Definition: RelatedPerson.relationship Enable When: OrganTx/role = Family Member / Potential Donor (NW GMSA Codes#FamilyMemberPotentialDonor) |
| OrganTx/relationship_to_patient-designNote | Free text on the form. The FHIR v3 RoleCode family-member value set (http://terminology.hl7.org/ValueSet/v3-FamilyMember) is a candidate coded binding, not yet confirmed against a live message. | 0..1 | display | |
| OrganTx/linked_patient_name | Patient's Name | 0..1 | string | Definition: RelatedPerson.patient.display Enable When: OrganTx/role = Family Member / Potential Donor (NW GMSA Codes#FamilyMemberPotentialDonor) |
| OrganTx/linked_patient_dob | Patient's DOB | 0..1 | date | Enable When: OrganTx/role = Family Member / Potential Donor (NW GMSA Codes#FamilyMemberPotentialDonor) |
| OrganTx/linked_patient_nhs_number | Patient's NHS No. | 0..1 | string | Definition: RelatedPerson.patient.identifier Enable When: OrganTx/role = Family Member / Potential Donor (NW GMSA Codes#FamilyMemberPotentialDonor) |
| OrganTx/linked_patient_nhs_number-designNote | Links this Family Member/Potential Donor's own RelatedPerson resource back to the actual Patient this form is testing in relation to - the same NHS Number reused, not re-declared as a separate Patient. The same pattern as HSCT Recipients and Donors. | 0..1 | display | |
| OrganTx/linked_patient_hospital_number | Patient's Hospital No. | 0..1 | string | Enable When: OrganTx/role = Family Member / Potential Donor (NW GMSA Codes#FamilyMemberPotentialDonor) |
 NOS/ClinicalInformation | Relevant Clinical Information | 0..1 | text | Definition: ServiceRequest.reasonCode |
| OrganTx/category | Category | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| OrganTx/category-designNote | Carried as an Observation referenced from ServiceRequest.supportingInfo - the same Ask At Order Entry pattern as `HistoIG/patient_type` on [HLA Tests - Transplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html#HistoIG/patient_type), but this form's own 3-value Category list (Patient - Renal/Patient - Non-Renal/Donor), not that Questionnaire's Hive-specific Stem cell/Renal/Thoracic list. A person whose `Role` above is Patient would be expected to pick Patient - Renal or Patient - Non-Renal here, and a Family Member/Potential Donor would pick Donor - not enforced with `enableWhen` since the form itself does not state this relationship explicitly. | 0..1 | display | |
| OrganTx/category_renal_status | Patient - Renal: status | 0..1 | choice | Definition: Observation.valueCodeableConcept Enable When: OrganTx/category = Patient - Renal (NW GMSA Codes#CategoryPatientRenal) Options: 4 options |
| OrganTx/category_non_renal_type | Patient - Non-Renal: type | 0..1 | choice | Definition: Observation.valueCodeableConcept Enable When: OrganTx/category = Patient - Non-Renal (NW GMSA Codes#CategoryPatientNonRenal) Options: 4 options |
| OrganTx/category_non_renal_other_specify | Non-Renal Other: please state | 0..1 | string | Enable When: OrganTx/category_non_renal_type = Other (NW GMSA Codes#NonRenalOther) |
| OrganTx/category_donor_status | Donor: status | 0..* | choice | Definition: Observation.valueCodeableConcept Enable When: OrganTx/category = Donor (NW GMSA Codes#CategoryDonor) Options: 4 options |
| OrganTx/category_donor_status-designNote | Modelled as repeats = true - the form's own layout shows Pre/Post transplant/Live donor grouped together on one row, suggesting more than one may apply (e.g. a Live donor who is Pre transplant), unlike the single-select Renal/Non-Renal sub-lists. | 0..1 | display | |
| OrganTx/request_details | Request details | 1..* | choice | Definition: ServiceRequest.orderDetail Options: 4 options |
| OrganTx/request_details-designNote | This form's own 4-value test checklist (`repeats = true`, since more than one may be ticked per order) - a different, coarser list from [HLA Tests - Transplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html#HistoIG/patient_test)'s 5-value Hive checklist (HLA Typing + Antibody Screening, HLA Antibody Screening, HLA Type Recipient, DSA, HLA Auto XM), though conceptually related (Live donor crossmatch/Auto crossmatch here are close to DSA/HLA Auto XM there). Coded locally against `NWGMSA` rather than attempting a direct 1:1 mapping between the two lists, since neither this IG nor NHSBT publishes one. Mapped to `ServiceRequest.orderDetail` rather than `ServiceRequest.code` - the same reasoning as [HLA Tests - Transplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html#HistoIG/patient_test)'s own `patient_test` item: `ServiceRequest.code` is single-cardinality and not used by this Questionnaire's own primary test-code item, and `orderDetail` is repeating and intended for exactly this kind of further order qualifier. | 0..1 | display | |
| Documentation for this format | ||||
Options Sets
Answer options for OrganTx/role
Answer options for OrganTx/category
Answer options for OrganTx/category_renal_status
Answer options for OrganTx/category_non_renal_type
Answer options for OrganTx/category_donor_status
Answer options for OrganTx/request_details
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "OrganTransplantPatientsAndDonorsAskAtOrderEntry",
"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/OrganTransplantPatientsAndDonorsAskAtOrderEntry",
"version": "2.2.0",
"title": "H&I Organ Transplant (Patients and Donors) Ask At Order Entry",
"status": "draft",
"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** for NHS Blood and Transplant's (NHSBT) national\n**H&I Organ Transplant (Patients and Donors)** request form (`FRM1008`, form \"3B\" in\nNHSBT's own numbering) - see [NHSBT's published\nform](https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/31363/3b-organ-transplant-patients-and-donors.pdf)\nand [Histocompatibility and\nImmunogenetics](HistocompatibilityAndImmunogenetics.html#ask-at-order-entry-questions).\n\nThis is the national form the existing [HLA Tests -\nTransplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html) Ask At Order Entry\nQuestionnaire's own design notes already identify as `FRM1008` - but that Questionnaire\nwas extracted from Hive/Histotrac's own order-entry UI, which offers a narrower\nPatient Type (Stem cell/Renal/Thoracic) and Organ (Kidney/Pancreas/Islets/Simultaneous\nPancreas-Kidney/Simultaneous Islet-Kidney) picker than this form's own **Category**\n(Patient - Renal/Patient - Non-Renal/Donor) and **Request details** checkboxes. As\nwith [HSCT Recipients and\nDonors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html), this Questionnaire\nis modelled directly from NHSBT's own **paper request form** rather than the live Hive\nUI, and is **not** `derivedFrom`/`extends` [Genomic Test\nOrder](Questionnaire-GenomicTestOrder.html) for the same reason - this form is\nsubmitted directly to NHSBT, so its own Patient/Requester fields are restored here.\n\n**A separate form must be completed for each individual** - the same physical form is\nused both for the patient and for each family member/potential donor being tested,\ndistinguished by which \"Complete for...\" section is filled in. Modelled below as a\n`Role` choice with `enableWhen`-conditioned items, the same pattern used on [HSCT\nRecipients and Donors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html) (and\nreusing its `Patient`/`Family Member - Potential Donor` `NWGMSA` codes).\n\nThe form's **Category** section (a further three-way choice - Patient - Renal,\nPatient - Non-Renal, or Donor, each with its own sub-checklist) is a related but\nseparate concept from `Role` above: a person whose `Role` is Patient will pick a\nPatient - Renal or Patient - Non-Renal Category, while a person whose `Role` is Family\nMember/Potential Donor will pick the Donor Category - the form itself does not state\nthis relationship explicitly, so it is not enforced here with `enableWhen`.\n\n**No NHSBT-published FHIR/LOINC/SNOMED binding was found** for any of this form's own\nfields (Category, Request details, Previous transfusion(s)/Pregnancies/Previous\ntransplant(s)) - all coded locally against the `NWGMSA` CodeSystem, the same approach\ntaken for the sibling H&I Questionnaires above. Field mappings below are this IG's own\nbest-effort candidates, not confirmed against a live order message.",
"jurisdiction": [
{
"coding": [
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"code": "GB",
"display": "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"item": [
{
"linkId": "PatientOrDonor",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient",
"text": "Patient/Donor details",
"type": "group",
"item": [
{
"linkId": "LN/45392-8",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given",
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}
],
"text": "Forename",
"type": "string"
},
{
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"code": [
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"code": "45394-4"
}
],
"text": "Surname",
"type": "string"
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{
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"code": [
{
"system": "http://loinc.org",
"code": "21112-8"
}
],
"text": "DOB (DD/MM/YY)",
"type": "date"
},
{
"linkId": "LN/46098-0",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender",
"code": [
{
"system": "http://loinc.org",
"code": "46098-0"
}
],
"text": "Sex",
"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/CHI 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",
"type": "string"
},
{
"linkId": "NOS/Ethnicity",
"definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.extension:ethnicCategory",
"text": "Ethnicity",
"type": "string"
}
]
},
{
"linkId": "HealthcareProfessional",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole",
"text": "Requester details",
"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 of Requester",
"type": "string"
},
{
"linkId": "NOS/ConsultantName",
"text": "Name of Consultant",
"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": "HL7/ORC-21",
"definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Hospital Name, Full Address and ODS code",
"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": "Contact No.",
"type": "string"
},
{
"linkId": "NOS/PurchaseOrderNumber",
"text": "Purchase Order No. (if applicable)",
"type": "string"
}
]
},
{
"linkId": "AskAtOrderEntry",
"text": "Ask At Order Entry Questions",
"type": "group",
"item": [
{
"linkId": "OrganTx/role",
"text": "This form is for",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "Patient",
"display": "Patient"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "FamilyMemberPotentialDonor",
"display": "Family Member / Potential Donor"
}
}
],
"item": [
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"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
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}
}
],
"linkId": "OrganTx/role-designNote",
"text": "The same pattern as `HSCT/role` on [HSCT Recipients and\nDonors](Questionnaire-HSCTRecipientsAndDonorsAskAtOrderEntry.html#HSCT/role) -\ninferred from which of the form's two boxed sections (\"Complete for new patients\nonly\" vs \"Complete for Family Member / Potential Donor\") is filled in, not itself\na field on the form. Reuses the same `NWGMSA` codes as that Questionnaire.",
"type": "display"
}
]
},
{
"linkId": "OrganTx/blood_group",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Blood group (if known)",
"type": "string",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "Patient"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "OrganTx/blood_group-designNote",
"text": "Free text on the form. LOINC has an ABO group typing panel that is a candidate binding for the resulting Observation, not yet confirmed against a live message.",
"type": "display"
}
]
},
{
"linkId": "OrganTx/previous_transfusions",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueBoolean",
"text": "Previous transfusion(s)?",
"type": "boolean",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "Patient"
}
}
]
},
{
"linkId": "OrganTx/pregnancies",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueBoolean",
"text": "Pregnancies?",
"type": "boolean",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "Patient"
}
}
]
},
{
"linkId": "OrganTx/previous_transplants",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueBoolean",
"text": "Previous transplant(s)?",
"type": "boolean",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "Patient"
}
}
]
},
{
"linkId": "OrganTx/relationship_to_patient",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.relationship",
"text": "Relationship to patient",
"type": "string",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "FamilyMemberPotentialDonor"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "OrganTx/relationship_to_patient-designNote",
"text": "Free text on the form. The FHIR v3 RoleCode family-member value set (http://terminology.hl7.org/ValueSet/v3-FamilyMember) is a candidate coded binding, not yet confirmed against a live message.",
"type": "display"
}
]
},
{
"linkId": "OrganTx/linked_patient_name",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.patient.display",
"text": "Patient's Name",
"type": "string",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "FamilyMemberPotentialDonor"
}
}
]
},
{
"linkId": "OrganTx/linked_patient_dob",
"text": "Patient's DOB",
"type": "date",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "FamilyMemberPotentialDonor"
}
}
]
},
{
"linkId": "OrganTx/linked_patient_nhs_number",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.patient.identifier",
"text": "Patient's NHS No.",
"type": "string",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "FamilyMemberPotentialDonor"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "OrganTx/linked_patient_nhs_number-designNote",
"text": "Links this Family Member/Potential Donor's own RelatedPerson resource back to the actual Patient this form is testing in relation to - the same NHS Number reused, not re-declared as a separate Patient. The same pattern as HSCT Recipients and Donors.",
"type": "display"
}
]
},
{
"linkId": "OrganTx/linked_patient_hospital_number",
"text": "Patient's Hospital No.",
"type": "string",
"enableWhen": [
{
"question": "OrganTx/role",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "FamilyMemberPotentialDonor"
}
}
]
},
{
"linkId": "NOS/ClinicalInformation",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.reasonCode",
"text": "Relevant Clinical Information",
"type": "text"
},
{
"linkId": "OrganTx/category",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Category",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "CategoryPatientRenal",
"display": "Patient - Renal"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "CategoryPatientNonRenal",
"display": "Patient - Non-Renal"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "CategoryDonor",
"display": "Donor"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "OrganTx/category-designNote",
"text": "Carried as an Observation referenced from ServiceRequest.supportingInfo - the\nsame Ask At Order Entry pattern as `HistoIG/patient_type` on [HLA Tests -\nTransplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html#HistoIG/patient_type),\nbut this form's own 3-value Category list (Patient - Renal/Patient -\nNon-Renal/Donor), not that Questionnaire's Hive-specific Stem cell/Renal/Thoracic\nlist. A person whose `Role` above is Patient would be expected to pick Patient -\nRenal or Patient - Non-Renal here, and a Family Member/Potential Donor would pick\nDonor - not enforced with `enableWhen` since the form itself does not state this\nrelationship explicitly.",
"type": "display"
}
]
},
{
"linkId": "OrganTx/category_renal_status",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Patient - Renal: status",
"type": "choice",
"enableWhen": [
{
"question": "OrganTx/category",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "CategoryPatientRenal"
}
}
],
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "RenalPreDialysis",
"display": "Pre-dialysis"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "RenalCAPD",
"display": "CAPD"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "RenalHaemodialysis",
"display": "Haemodialysis"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "RenalPostTransplant",
"display": "Post transplant"
}
}
]
},
{
"linkId": "OrganTx/category_non_renal_type",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Patient - Non-Renal: type",
"type": "choice",
"enableWhen": [
{
"question": "OrganTx/category",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "CategoryPatientNonRenal"
}
}
],
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NonRenalCardiothoracic",
"display": "Cardiothoracic"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NonRenalLiverSmallBowel",
"display": "Liver/small bowel"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NonRenalCornea",
"display": "Cornea"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NonRenalOther",
"display": "Other"
}
}
]
},
{
"linkId": "OrganTx/category_non_renal_other_specify",
"text": "Non-Renal Other: please state",
"type": "string",
"enableWhen": [
{
"question": "OrganTx/category_non_renal_type",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "NonRenalOther"
}
}
]
},
{
"linkId": "OrganTx/category_donor_status",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Donor: status",
"type": "choice",
"enableWhen": [
{
"question": "OrganTx/category",
"operator": "=",
"answerCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "CategoryDonor"
}
}
],
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "DonorPreTransplant",
"display": "Pre transplant"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "DonorPostTransplant",
"display": "Post transplant"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "DonorLiveDonor",
"display": "Live donor"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "DonorAltruisticDonor",
"display": "Altruistic donor"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "OrganTx/category_donor_status-designNote",
"text": "Modelled as repeats = true - the form's own layout shows Pre/Post transplant/Live donor grouped together on one row, suggesting more than one may apply (e.g. a Live donor who is Pre transplant), unlike the single-select Renal/Non-Renal sub-lists.",
"type": "display"
}
]
},
{
"linkId": "OrganTx/request_details",
"definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.orderDetail",
"text": "Request details",
"type": "choice",
"required": true,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "OrganHLAType",
"display": "HLA type (6ml EDTA)"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "OrganHLASpecificAntibodies",
"display": "HLA specific antibodies (6ml clotted)"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "OrganLiveDonorCrossmatch",
"display": "Live donor crossmatch"
}
},
{
"valueCoding": {
"system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
"code": "OrganAutoCrossmatch",
"display": "Auto crossmatch"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "OrganTx/request_details-designNote",
"text": "This form's own 4-value test checklist (`repeats = true`, since more than one may\nbe ticked per order) - a different, coarser list from [HLA Tests -\nTransplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html#HistoIG/patient_test)'s\n5-value Hive checklist (HLA Typing + Antibody Screening, HLA Antibody Screening,\nHLA Type Recipient, DSA, HLA Auto XM), though conceptually related (Live donor\ncrossmatch/Auto crossmatch here are close to DSA/HLA Auto XM there). Coded locally\nagainst `NWGMSA` rather than attempting a direct 1:1 mapping between the two lists,\nsince neither this IG nor NHSBT publishes one. Mapped to `ServiceRequest.orderDetail`\nrather than `ServiceRequest.code` - the same reasoning as [HLA Tests -\nTransplant](Questionnaire-HLATestsTransplantAskAtOrderEntry.html#HistoIG/patient_test)'s\nown `patient_test` item: `ServiceRequest.code` is single-cardinality and not used by\nthis Questionnaire's own primary test-code item, and `orderDetail` is repeating and\nintended for exactly this kind of further order qualifier.",
"type": "display"
}
]
}
]
}
]
}