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Packagefhir.nwgenomics.nhs.uk
Resource TypeQuestionnaire
IdQuestionnaire-dWGSSubOrder.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-dWGSSubOrder.html
URLhttps://fhir.nwgenomics.nhs.uk/Questionnaire/dWGSSubOrder
Version2.2.0
Statusdraft
Date2026-09-27T08:17:18+00:00
TitleNorth West Genomics dWGS Sub-Order Manifest
Realmus
Authorityhl7
Description**For analysis purposes only - not an active or planned project.** **CSV manifest description**, not an Ask At Order Entry Questionnaire - this Questionnaire documents the complete digital manifest for a **distributed WGS (dWGS)** sub-contracted order (IHE LTW `LAB-35`), sent by a Requesting Genomic Laboratory (RGL) to North West Genomics acting as Sequencing Genomic Laboratory (SGL): the 37 national digital manifest fields (NHS England `RGL to SGL SOP` Appendix 3) plus 5 local extension fields, with `item.definition` mappings to FHIR where a confirmed mapping exists - see [dWGS](dWGS.html#field-mapping-csv--hl7-v2--fhir). It deliberately carries **every** manifest field, including several also asked by [Genomic Test Order](Questionnaire-GenomicTestOrder.html) (Patient name/DOB/NHS number, Specimen Type, Specimen Collection Date) - because it describes the full CSV structure a Requesting Genomic Laboratory actually sends, not an incremental set of order-entry questions. For the genuinely additional Ask At Order Entry content - the manifest fields **not** already covered by the common core - see [dWGS Ask At Order Entry Questions](Questionnaire-dWGSAskAtOrderEntry.html), which `derivedFrom`/ extends [Genomic Test Order](Questionnaire-GenomicTestOrder.html) in the usual way.

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire dWGSSubOrder

Profile: Questionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. **For analysis purposes only - not an active or planned project.** **CSV manifest description**, not an Ask At Order Entry Questionnaire - this Questionnaire documents the complete digital manifest for a **distributed WGS (dWGS)** sub-contracted order (IHE LTW `LAB-35`), sent by a Requesting Genomic Laboratory (RGL) to North West Genomics acting as Sequencing Genomic Laboratory (SGL): the 37 national digital manifest fields (NHS England `RGL to SGL SOP` Appendix 3) plus 5 local extension fields, with `item.definition` mappings to FHIR where a confirmed mapping exists - see [dWGS](dWGS.html#field-mapping-csv--hl7-v2--fhir). It deliberately carries **every** manifest field, including several also asked by [Genomic Test Order](Questionnaire-GenomicTestOrder.html) (Patient name/DOB/NHS number, Specimen Type, Specimen Collection Date) - because it describes the full CSV structure a Requesting Genomic Laboratory actually sends, not an incremental set of order-entry questions. For the genuinely additional Ask At Order Entry content - the manifest fields **not** already covered by the common core - see [dWGS Ask At Order Entry Questions](Questionnaire-dWGSAskAtOrderEntry.html), which `derivedFrom`/ extends [Genomic Test Order](Questionnaire-GenomicTestOrder.html) in the usual way.Questionnairehttps://fhir.nwgenomics.nhs.uk/Questionnaire/dWGSSubOrder#2.2.0
... ReferralReferral / Sub-Order0..1groupDefinition: ServiceRequest
.... dWGS/referral_idOriginal Order Placer Group Number (Referral ID)1..1stringDefinition: ServiceRequest.requisition
.... dWGS/clinical_indication_test_type_idTest Code0..1choiceDefinition: ServiceRequest.code
Value Set: Genomic Test Codes
.... dWGS/ordering_entity_idOriginal Ordering Facility Code0..1stringDefinition: Specimen.identifier.assigner.identifier.value
..... dWGS/ordering_entity_id-designNoteODS code of the original referring Trust - assigner of the Received Sample Identifier (type=PLAC) below, not the same as the Filler Order Ordering Facility Code.0..1display
.... dWGS/glh_laboratory_idFiller Order Ordering Facility Code (GLH)1..1stringDefinition: ServiceRequest.requester.identifier.value
..... dWGS/glh_laboratory_id-designNoteA Genomic Laboratory Hub (GLH) ODS code, not the referring Trust's own ODS code - also assigns ServiceRequest.requisition and the Specimen's LIMS identifier (type=FILL).0..1display
.... dWGS/retrospective_sampleRetrospective Sample Flag0..1stringDefinition: ServiceRequest.intent
..... dWGS/retrospective_sample-designNoteValues: "New" (ServiceRequest.intent = filler-order) or "Retrospective" (ServiceRequest.intent = reflex-order - NW Genomics is reflexing further testing off a specimen it already holds, not a fresh sub-order).0..1display
.... dWGS/clinical_informationClinical Information0..1textDefinition: ServiceRequest.note
.... dWGS/approved_byApproved By0..1string
... PatientPatient0..1groupDefinition: Patient
.... LN/45392-8Patient first name1..1stringDefinition: Patient.name.given
.... LN/45394-4Patient surname1..1stringDefinition: Patient.name.family
.... LN/21112-8Date of birth1..1dateDefinition: Patient.birthDate
.... LN/89061-6NHS Number0..1stringDefinition: Patient.identifier:nhsNumber
.... dWGS/patient_ngis_idPatient Identifier (NGIS)1..1stringDefinition: Patient.identifier
..... dWGS/patient_ngis_id-designNoteNo confirmed identifier system - carried as Patient.identifier.assigner (Genomics England, ODS 8J834, who run NGIS), type=PI (v2-0203 Patient internal identifier).0..1display
... AskAtOrderEntryAsk At Order Entry Questions0..1group
.... NOS/FamilyStructureFamily Structure1..1stringDefinition: Observation.valueCodeableConcept
..... NOS/FamilyStructure-designNoteValues: "Singleton", "Duo" or "Trio" - how many people are being tested together as part of this referral. Text-only (no NW-GMSA-confirmed coding system exists), carried as an Observation referenced from ServiceRequest.supportingInfo. See [dWGS - Singleton, Duo and Trio testing](dWGS.html#singleton-duo-and-trio-testing).0..1display
.... NOS/ParticipantTypeParticipant Type1..1stringDefinition: Observation.valueCodeableConcept
..... NOS/ParticipantType-designNoteValues: "Proband" or "Family Member" - this individual's role within the Family Structure above. Text-only, carried as an Observation referenced from ServiceRequest.supportingInfo.0..1display
... PrimarySpecimenPrimary Specimen (as received by GLH)0..1groupDefinition: Specimen
.... dWGS/primary_sample_received_dateSample Received Date0..1dateTimeDefinition: Specimen.receivedTime
.... dWGS/primary_sample_id_as_received_by_glhReceived Sample Identifier0..1stringDefinition: Specimen.identifier
..... dWGS/primary_sample_id_as_received_by_glh-designNoteAssigned by the Original Ordering Facility - coded type=PLAC (Placer Identifier).0..1display
.... dWGS/primary_sample_id_in_glh_limsLIMS Sample Identifier0..1stringDefinition: Specimen.identifier
..... dWGS/primary_sample_id_in_glh_lims-designNoteAssigned by the Filler Order Ordering Facility (GLH) - coded type=FILL (Filler Identifier).0..1display
.... dWGS/primary_sample_typeSample Type0..1string
..... dWGS/primary_sample_type-designNoteGermline/tumour classifier - low confidence, no clean Specimen field identified; not currently built into any FHIR resource.0..1display
.... LN/66746-9Sample Material Type0..1choiceDefinition: Specimen.type.coding.code
Value Set: Specimen Type
.... dWGS/received_sample_topographySample Topography0..1stringDefinition: Specimen.bodySite
..... dWGS/received_sample_topography-designNoteCancer referrals only.0..1display
.... dWGS/received_sample_morphologySample Morphology0..1string
.... dWGS/received_sample_tumour_content_pctTumour Content (%)0..1decimal
..... dWGS/received_sample_tumour_content_pct-designNoteCancer referrals only.0..1display
.... dWGS/received_sample_commentsSample Comments0..1string
.... LN/33882-2Specimen Collection Date0..1dateTimeDefinition: Specimen.collection.collectedDateTime
... DispatchedSpecimenDispatched Specimen (extracted DNA sent onward)0..1groupDefinition: Specimen
.... dWGS/dispatched_sample_id_in_glh_limsDispatched Sample Identifier0..1string
.... dWGS/dispatched_sample_lsidSpecimen Barcode1..1stringDefinition: Specimen.container.identifier
..... dWGS/dispatched_sample_lsid-designNoteCarried on Specimen.container.identifier, coded type=ZCID - see NW IdentifierType.0..1display
.... dWGS/dispatched_sample_typeDispatched Sample Type0..1string
.... dWGS/dispatched_sample_stateDispatched Material Type0..1string
..... dWGS/dispatched_sample_state-designNoteNot currently built into any FHIR resource - the worked example's single Specimen only carries the primary specimen's Sample Material Type above.0..1display
.... dWGS/dispatched_sample_volume_ulSample Volume (uL)0..1decimalDefinition: Specimen.collection.quantity
.... dWGS/dna_extraction_protocolDNA Extraction Method0..1stringDefinition: Specimen.collection.method
.... dWGS/glh_sample_consignment_numberConsignment Number0..1stringDefinition: Specimen.identifier
..... dWGS/glh_sample_consignment_number-designNoteCarried as a Specimen identifier, coded type=STN (Shipment Tracking Number).0..1display
... LaboratoryQCLaboratory QC and Logistics0..1group
.... dWGS/laboratory_remaining_volume_banked_ulRemaining Banked Volume (uL)0..1decimal
.... dWGS/glh_concentration_ng_ulDNA Concentration (ng/uL)0..1decimal
.... dWGS/glh_od260_280DNA Purity (OD260/280)0..1decimal
.... dWGS/glh_din_valueDNA Integrity Number0..1decimal
.... dWGS/glh_percentage_dna_over_23kbDNA Fragment Size (% over 23kb)0..1decimal
.... dWGS/glh_qc_statusQC Status0..1string
.... dWGS/glh_sample_dispatch_dateDispatch Date0..1date
.... dWGS/plating_organisationPlating Organisation0..1string
.... dWGS/gmc_rack_idRack Identifier0..1string
.... dWGS/gmc_rack_wellRack Well Position0..1string
..... dWGS/gmc_rack_well-designNotePattern: [A-H]01-09 or [A-H]10-12.0..1display
.... dWGS/prolonged_sample_storageSample Storage Method0..1string

doco Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "dWGSSubOrder",
  "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/dWGSSubOrder",
  "version": "2.2.0",
  "title": "North West Genomics dWGS Sub-Order Manifest",
  "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": "**For analysis purposes only - not an active or planned project.**\n\n**CSV manifest description**, not an Ask At Order Entry Questionnaire - this\nQuestionnaire documents the complete digital manifest for a **distributed\nWGS (dWGS)** sub-contracted order (IHE LTW `LAB-35`), sent by a Requesting\nGenomic Laboratory (RGL) to North West Genomics acting as Sequencing\nGenomic Laboratory (SGL): the 37 national digital manifest fields (NHS\nEngland `RGL to SGL SOP` Appendix 3) plus 5 local extension fields, with\n`item.definition` mappings to FHIR where a confirmed mapping exists - see\n[dWGS](dWGS.html#field-mapping-csv--hl7-v2--fhir). It deliberately carries\n**every** manifest field, including several also asked by [Genomic Test\nOrder](Questionnaire-GenomicTestOrder.html) (Patient name/DOB/NHS number,\nSpecimen Type, Specimen Collection Date) - because it describes the full CSV\nstructure a Requesting Genomic Laboratory actually sends, not an incremental\nset of order-entry questions. For the genuinely additional Ask At Order\nEntry content - the manifest fields **not** already covered by the common\ncore - see [dWGS Ask At Order Entry\nQuestions](Questionnaire-dWGSAskAtOrderEntry.html), which `derivedFrom`/\nextends [Genomic Test Order](Questionnaire-GenomicTestOrder.html) in the\nusual way.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "GB",
          "display": "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "Referral",
      "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest",
      "text": "Referral / Sub-Order",
      "type": "group",
      "item": [
        {
          "linkId": "dWGS/referral_id",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.requisition",
          "text": "Original Order Placer Group Number (Referral ID)",
          "type": "string",
          "required": true
        },
        {
          "linkId": "dWGS/clinical_indication_test_type_id",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code",
          "text": "Test Code",
          "type": "choice",
          "required": false,
          "answerValueSet": "https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes"
        },
        {
          "linkId": "dWGS/ordering_entity_id",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier.assigner.identifier.value",
          "text": "Original Ordering Facility Code",
          "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": "dWGS/ordering_entity_id-designNote",
              "text": "ODS code of the original referring Trust - assigner of the Received Sample Identifier (type=PLAC) below, not the same as the Filler Order Ordering Facility Code.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/glh_laboratory_id",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.requester.identifier.value",
          "text": "Filler Order Ordering Facility Code (GLH)",
          "type": "string",
          "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": "dWGS/glh_laboratory_id-designNote",
              "text": "A Genomic Laboratory Hub (GLH) ODS code, not the referring Trust's own ODS code - also assigns ServiceRequest.requisition and the Specimen's LIMS identifier (type=FILL).",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/retrospective_sample",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.intent",
          "text": "Retrospective Sample Flag",
          "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": "dWGS/retrospective_sample-designNote",
              "text": "Values: \"New\" (ServiceRequest.intent = filler-order) or \"Retrospective\"\n(ServiceRequest.intent = reflex-order - NW Genomics is reflexing further testing\noff a specimen it already holds, not a fresh sub-order).",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/clinical_information",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.note",
          "text": "Clinical Information",
          "type": "text"
        },
        {
          "linkId": "dWGS/approved_by",
          "text": "Approved By",
          "type": "string"
        }
      ]
    },
    {
      "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",
          "required": true
        },
        {
          "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/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/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": "dWGS/patient_ngis_id",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier",
          "text": "Patient Identifier (NGIS)",
          "type": "string",
          "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": "dWGS/patient_ngis_id-designNote",
              "text": "No confirmed identifier system - carried as Patient.identifier.assigner (Genomics England, ODS 8J834, who run NGIS), type=PI (v2-0203 Patient internal identifier).",
              "type": "display"
            }
          ]
        }
      ]
    },
    {
      "linkId": "AskAtOrderEntry",
      "text": "Ask At Order Entry Questions",
      "type": "group",
      "item": [
        {
          "linkId": "NOS/FamilyStructure",
          "definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
          "code": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
              "code": "FamilyStructure"
            }
          ],
          "text": "Family Structure",
          "type": "string",
          "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/FamilyStructure-designNote",
              "text": "Values: \"Singleton\", \"Duo\" or \"Trio\" - how many people are being tested together\nas part of this referral. Text-only (no NW-GMSA-confirmed coding system exists),\ncarried as an Observation referenced from ServiceRequest.supportingInfo. See\n[dWGS - Singleton, Duo and Trio testing](dWGS.html#singleton-duo-and-trio-testing).",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "NOS/ParticipantType",
          "definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
          "code": [
            {
              "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA",
              "code": "ParticipantType"
            }
          ],
          "text": "Participant Type",
          "type": "string",
          "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/ParticipantType-designNote",
              "text": "Values: \"Proband\" or \"Family Member\" - this individual's role within the Family\nStructure above. Text-only, carried as an Observation referenced from\nServiceRequest.supportingInfo.",
              "type": "display"
            }
          ]
        }
      ]
    },
    {
      "linkId": "PrimarySpecimen",
      "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen",
      "text": "Primary Specimen (as received by GLH)",
      "type": "group",
      "item": [
        {
          "linkId": "dWGS/primary_sample_received_date",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.receivedTime",
          "text": "Sample Received Date",
          "type": "dateTime"
        },
        {
          "linkId": "dWGS/primary_sample_id_as_received_by_glh",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier",
          "text": "Received Sample Identifier",
          "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": "dWGS/primary_sample_id_as_received_by_glh-designNote",
              "text": "Assigned by the Original Ordering Facility - coded type=PLAC (Placer Identifier).",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/primary_sample_id_in_glh_lims",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier",
          "text": "LIMS Sample Identifier",
          "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": "dWGS/primary_sample_id_in_glh_lims-designNote",
              "text": "Assigned by the Filler Order Ordering Facility (GLH) - coded type=FILL (Filler Identifier).",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/primary_sample_type",
          "text": "Sample Type",
          "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": "dWGS/primary_sample_type-designNote",
              "text": "Germline/tumour classifier - low confidence, no clean Specimen field identified; not currently built into any FHIR resource.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "LN/66746-9",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.type.coding.code",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "66746-9",
              "display": "Specimen Type"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "123038009",
              "display": "Specimen"
            }
          ],
          "text": "Sample Material Type",
          "type": "choice",
          "answerValueSet": "https://fhir.nwgenomics.nhs.uk/ValueSet/specimen-type"
        },
        {
          "linkId": "dWGS/received_sample_topography",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.bodySite",
          "text": "Sample 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": "dWGS/received_sample_topography-designNote",
              "text": "Cancer referrals only.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/received_sample_morphology",
          "text": "Sample Morphology",
          "type": "string"
        },
        {
          "linkId": "dWGS/received_sample_tumour_content_pct",
          "text": "Tumour Content (%)",
          "type": "decimal",
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "help"
                      }
                    ]
                  }
                }
              ],
              "linkId": "dWGS/received_sample_tumour_content_pct-designNote",
              "text": "Cancer referrals only.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/received_sample_comments",
          "text": "Sample Comments",
          "type": "string"
        },
        {
          "linkId": "LN/33882-2",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.collectedDateTime",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "33882-2",
              "display": "Collection date of Specimen"
            }
          ],
          "text": "Specimen Collection Date",
          "type": "dateTime"
        }
      ]
    },
    {
      "linkId": "DispatchedSpecimen",
      "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen",
      "text": "Dispatched Specimen (extracted DNA sent onward)",
      "type": "group",
      "item": [
        {
          "linkId": "dWGS/dispatched_sample_id_in_glh_lims",
          "text": "Dispatched Sample Identifier",
          "type": "string"
        },
        {
          "linkId": "dWGS/dispatched_sample_lsid",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.container.identifier",
          "text": "Specimen Barcode",
          "type": "string",
          "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": "dWGS/dispatched_sample_lsid-designNote",
              "text": "Carried on Specimen.container.identifier, coded type=ZCID - see NW IdentifierType.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/dispatched_sample_type",
          "text": "Dispatched Sample Type",
          "type": "string"
        },
        {
          "linkId": "dWGS/dispatched_sample_state",
          "text": "Dispatched Material Type",
          "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": "dWGS/dispatched_sample_state-designNote",
              "text": "Not currently built into any FHIR resource - the worked example's single Specimen only carries the primary specimen's Sample Material Type above.",
              "type": "display"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding": {
                "system": "http://unitsofmeasure.org",
                "code": "uL",
                "display": "uL"
              }
            }
          ],
          "linkId": "dWGS/dispatched_sample_volume_ul",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.quantity",
          "text": "Sample Volume (uL)",
          "type": "decimal"
        },
        {
          "linkId": "dWGS/dna_extraction_protocol",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.method",
          "text": "DNA Extraction Method",
          "type": "string"
        },
        {
          "linkId": "dWGS/glh_sample_consignment_number",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier",
          "text": "Consignment 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": "dWGS/glh_sample_consignment_number-designNote",
              "text": "Carried as a Specimen identifier, coded type=STN (Shipment Tracking Number).",
              "type": "display"
            }
          ]
        }
      ]
    },
    {
      "linkId": "LaboratoryQC",
      "text": "Laboratory QC and Logistics",
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding": {
                "system": "http://unitsofmeasure.org",
                "code": "uL",
                "display": "uL"
              }
            }
          ],
          "linkId": "dWGS/laboratory_remaining_volume_banked_ul",
          "text": "Remaining Banked Volume (uL)",
          "type": "decimal"
        },
        {
          "linkId": "dWGS/glh_concentration_ng_ul",
          "text": "DNA Concentration (ng/uL)",
          "type": "decimal"
        },
        {
          "linkId": "dWGS/glh_od260_280",
          "text": "DNA Purity (OD260/280)",
          "type": "decimal"
        },
        {
          "linkId": "dWGS/glh_din_value",
          "text": "DNA Integrity Number",
          "type": "decimal"
        },
        {
          "linkId": "dWGS/glh_percentage_dna_over_23kb",
          "text": "DNA Fragment Size (% over 23kb)",
          "type": "decimal"
        },
        {
          "linkId": "dWGS/glh_qc_status",
          "text": "QC Status",
          "type": "string"
        },
        {
          "linkId": "dWGS/glh_sample_dispatch_date",
          "text": "Dispatch Date",
          "type": "date"
        },
        {
          "linkId": "dWGS/plating_organisation",
          "text": "Plating Organisation",
          "type": "string"
        },
        {
          "linkId": "dWGS/gmc_rack_id",
          "text": "Rack Identifier",
          "type": "string"
        },
        {
          "linkId": "dWGS/gmc_rack_well",
          "text": "Rack Well Position",
          "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": "dWGS/gmc_rack_well-designNote",
              "text": "Pattern: [A-H]01-09 or [A-H]10-12.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "dWGS/prolonged_sample_storage",
          "text": "Sample Storage Method",
          "type": "string"
        }
      ]
    }
  ]
}