FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagefhir.nwgenomics.nhs.uk
Resource TypeQuestionnaire
IdQuestionnaire-iGeneLaboratoryOrderExport.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/nw-gmsa/nw-gmsa.github.com/Questionnaire-iGeneLaboratoryOrderExport.html
URLhttps://fhir.nwgenomics.nhs.uk/Questionnaire/iGeneLaboratoryOrderExport
Version2.2.0
Statusdraft
Date2026-09-27T08:17:18+00:00
TitleiGene Laboratory Order Export (CSV)
Realmus
Authorityhl7
DescriptionRepresents the flat-file shape of `NEYctDNA.csv`, iGene's daily CSV export of ctDNA orders and reports copied to NE&Y Genomics for regional management information - see [ctDNA Management Information (NW to NE&Y Genomics)](NEYManagementInformation.html#current-process). One row per test; a report row carries both order fields and report/result fields together, so this Questionnaire models the full row - the order-only columns populate the FHIR Message O21 Laboratory Order ([Bundle-GenomicsOrderMessage-ctDNA](Bundle-GenomicsOrderMessage-ctDNA.html)), while the report/result columns (`ReportStatusDateTime`, `ReportIdentifier`, `ObservationResultStatus`, `ObservationDateTime`, `ObservationIdentifierCode`, `ObservationIdentifierDescription`) instead populate the separate FHIR Message R01 Laboratory Report ([Bundle-GenomicsReportMessage-ctDNA](Bundle-GenomicsReportMessage-ctDNA.html), itself based on an HL7 v2 `ORU^R01`, not O21). See [ctDNA Management Information - Laboratory Order O21 Mapping](NEYManagementInformation.html#laboratory-order-o21-mapping) for the O21-only columns and [Laboratory Report R01 Mapping](NEYManagementInformation.html#laboratory-report-r01-mapping) for the report/result columns - the two markdown tables split this Questionnaire's items by which FHIR Message actually carries them, even though all items live on this one Questionnaire. Named for iGene (the common source) rather than NE&Y/ctDNA specifically, since the shape isn't NE&Y- or ctDNA-specific - it's the same LAB-2 CSV re-export pattern [iGene Work Order Export](Questionnaire-iGeneWorkOrderExport.html) documents for StarLIMS/DLIMS work orders, just with ctDNA report/result columns added. Each item's `linkId` is the literal CSV column header, `type` the FHIR datatype the column's values coerce to, and `definition` the FHIR field the column populates once converted into the relevant FHIR Message - many of these reuse the exact same field as the equivalent item already defined on [Genomic Test Order](Questionnaire-GenomicTestOrder.html) or [iGene Work Order Export](Questionnaire-iGeneWorkOrderExport.html), since this is the same underlying order data plus report/result-specific columns those don't carry. See [NEYctDNA.csv](https://github.com/nw-gmsa/Testing/blob/main/Input/NEYctDNA.csv) for the source file this was extracted from. Unlike the Ask At Order Entry Questionnaires elsewhere in this IG, this is not a `derivedFrom`/`extends` Questionnaire - it documents an existing system-to-system CSV export shape, not a human-facing order-entry form.

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: Questionnaire iGeneLaboratoryOrderExport

Profile: Questionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Represents the flat-file shape of `NEYctDNA.csv`, iGene's daily CSV export of ctDNA orders and reports copied to NE&Y Genomics for regional management information - see [ctDNA Management Information (NW to NE&Y Genomics)](NEYManagementInformation.html#current-process). One row per test; a report row carries both order fields and report/result fields together, so this Questionnaire models the full row - the order-only columns populate the FHIR Message O21 Laboratory Order ([Bundle-GenomicsOrderMessage-ctDNA](Bundle-GenomicsOrderMessage-ctDNA.html)), while the report/result columns (`ReportStatusDateTime`, `ReportIdentifier`, `ObservationResultStatus`, `ObservationDateTime`, `ObservationIdentifierCode`, `ObservationIdentifierDescription`) instead populate the separate FHIR Message R01 Laboratory Report ([Bundle-GenomicsReportMessage-ctDNA](Bundle-GenomicsReportMessage-ctDNA.html), itself based on an HL7 v2 `ORU^R01`, not O21). See [ctDNA Management Information - Laboratory Order O21 Mapping](NEYManagementInformation.html#laboratory-order-o21-mapping) for the O21-only columns and [Laboratory Report R01 Mapping](NEYManagementInformation.html#laboratory-report-r01-mapping) for the report/result columns - the two markdown tables split this Questionnaire's items by which FHIR Message actually carries them, even though all items live on this one Questionnaire. Named for iGene (the common source) rather than NE&Y/ctDNA specifically, since the shape isn't NE&Y- or ctDNA-specific - it's the same LAB-2 CSV re-export pattern [iGene Work Order Export](Questionnaire-iGeneWorkOrderExport.html) documents for StarLIMS/DLIMS work orders, just with ctDNA report/result columns added. Each item's `linkId` is the literal CSV column header, `type` the FHIR datatype the column's values coerce to, and `definition` the FHIR field the column populates once converted into the relevant FHIR Message - many of these reuse the exact same field as the equivalent item already defined on [Genomic Test Order](Questionnaire-GenomicTestOrder.html) or [iGene Work Order Export](Questionnaire-iGeneWorkOrderExport.html), since this is the same underlying order data plus report/result-specific columns those don't carry. See [NEYctDNA.csv](https://github.com/nw-gmsa/Testing/blob/main/Input/NEYctDNA.csv) for the source file this was extracted from. Unlike the Ask At Order Entry Questionnaires elsewhere in this IG, this is not a `derivedFrom`/`extends` Questionnaire - it documents an existing system-to-system CSV export shape, not a human-facing order-entry form.Questionnairehttps://fhir.nwgenomics.nhs.uk/Questionnaire/iGeneLaboratoryOrderExport#2.2.0
... PatientPatient0..1groupDefinition: Patient
.... PatientAccessionIdentifierPatientAccessionIdentifier0..1stringDefinition: Patient.identifier:PatientIdentifier
.... NHSNumberNHSNumber0..1stringDefinition: Patient.identifier:nhsNumber
.... HospitalNumberHospitalNumber0..1stringDefinition: Patient.identifier:MedicalRecordNumber
.... PatientFamilyNamePatientFamilyName0..1stringDefinition: Patient.name.family
.... PatientGivenNamePatientGivenName0..1stringDefinition: Patient.name.given
.... DateOfBirthDateOfBirth0..1dateDefinition: Patient.birthDate
.... AdministrativeSexAdministrativeSex0..1stringDefinition: Patient.gender
.... PostCodePostCode0..1stringDefinition: Patient.address.postalCode
... HealthcareProfessionalHealthcare Professional0..1groupDefinition: PractitionerRole
.... OrderingProviderIdentifierOrderingProviderIdentifier0..1stringDefinition: PractitionerRole.practitioner.identifier.value
.... OrderingProviderNameOrderingProviderName0..1stringDefinition: PractitionerRole.practitioner.display
.... RequestingOrganisationCodeRequestingOrganisationCode0..1stringDefinition: PractitionerRole.organization.identifier.value
.... RequestingOrganisationNameRequestingOrganisationName0..1stringDefinition: PractitionerRole.organization.display
... TestRequestTest Request0..1groupDefinition: ServiceRequest
.... HospitalSpellIdentifierHospitalSpellIdentifier0..1stringDefinition: ServiceRequest.encounter.identifier
.... PlacerOrderNumberPlacerOrderNumber0..1stringDefinition: ServiceRequest.identifier:OrderIdentifier
..... PlacerOrderNumber-designNoteidentifier.type = PLAC (v2-0203), the same OrderIdentifier slice FillerOrderNumber below uses with type = FILL.0..1display
.... FMIIdentifierFMIIdentifier0..1stringDefinition: ServiceRequest.identifier
..... FMIIdentifier-designNoteBlank on every current example row - purpose and identifier system not yet confirmed.0..1display
.... FillerOrderNumberFillerOrderNumber0..1stringDefinition: ServiceRequest.identifier:OrderIdentifier
..... FillerOrderNumber-designNoteidentifier.type = FILL (v2-0203).0..1display
.... OrderStatusOrderStatus0..1stringDefinition: ServiceRequest.status
.... NGTDTestCodeNGTDTestCode0..1stringDefinition: ServiceRequest.code
.... NGTDTestNameNGTDTestName0..1stringDefinition: ServiceRequest.code.coding.display
.... TestCodeTestCode0..1stringDefinition: ServiceRequest.code.coding
..... TestCode-designNoteA shorter local iGene test code (e.g. ctDNA_M4) alongside the national NGTDTestCode - a second `coding` entry on the same ServiceRequest.code, local system not yet confirmed.0..1display
.... TestAccessionIdentifierTestAccessionIdentifier0..1stringDefinition: ServiceRequest.identifier
..... TestAccessionIdentifier-designNoteA further, test-level iGene identifier distinct from both the Placer and Filler Order Number slices above - exact identifier.type/system not yet confirmed.0..1display
.... TestOrderDateTestOrderDate0..1dateTimeDefinition: ServiceRequest.authoredOn
... ReportReport0..1groupDefinition: DiagnosticReport
.... ReportStatusDateTimeReportStatusDateTime0..1dateTimeDefinition: DiagnosticReport.issued
.... ReportIdentifierReportIdentifier0..1stringDefinition: DiagnosticReport.identifier:ReportIdentifier
.... ObservationResultStatusObservationResultStatus0..1stringDefinition: DiagnosticReport.status
..... ObservationResultStatus-designNoteF = finalised - see Why this matters for developers on NEYManagementInformation.html for how this drives treating an R01 copy as a completed test.0..1display
.... ObservationDateTimeObservationDateTime0..1dateTimeDefinition: DiagnosticReport.effectiveDateTime
..... ObservationDateTime-designNotePopulated on DiagnosticReport.effectiveDateTime in the current worked example - see R01 Mapping on NEYManagementInformation.html for detail, including why this isn't the individual result Observation's own effectiveDateTime.0..1display
.... ObservationIdentifierCodeObservationIdentifierCode0..1stringDefinition: DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode.code
..... ObservationIdentifierCode-designNoteAlso known as the Genomics Test Outcome - see Genomic Test Outcome Codes and R01 Mapping on NEYManagementInformation.html for detail.0..1display
.... ObservationIdentifierDescriptionObservationIdentifierDescription0..1stringDefinition: DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode.display
... SpecimenSpecimen/Biopsy0..1groupDefinition: Specimen
.... SpecimenTakenDateTimeSpecimenTakenDateTime0..1dateTimeDefinition: Specimen.collection.collectedDateTime
.... SpecimenReceivedDateTimeSpecimenReceivedDateTime0..1dateTimeDefinition: Specimen.receivedTime
.... SpecimenAccessionIdentifierSpecimenAccessionIdentifier0..1stringDefinition: Specimen.accessionIdentifier
.... SpecimenTypeCodeSpecimenTypeCode0..1stringDefinition: Specimen.type.coding.code
..... SpecimenTypeCode-designNoteNormally SNOMED coded using the [Specimen Type](ValueSet-specimen-type.html) value set.0..1display
.... SpecimenTypeDescriptionSpecimenTypeDescription0..1stringDefinition: Specimen.type.coding.display

doco Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "iGeneLaboratoryOrderExport",
  "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/iGeneLaboratoryOrderExport",
  "version": "2.2.0",
  "title": "iGene Laboratory Order Export (CSV)",
  "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": "Represents the flat-file shape of `NEYctDNA.csv`, iGene's daily CSV export of ctDNA\norders and reports copied to NE&Y Genomics for regional management information - see\n[ctDNA Management Information (NW to NE&Y\nGenomics)](NEYManagementInformation.html#current-process). One row per test; a report\nrow carries both order fields and report/result fields together, so this Questionnaire\nmodels the full row - the order-only columns populate the FHIR Message O21 Laboratory\nOrder ([Bundle-GenomicsOrderMessage-ctDNA](Bundle-GenomicsOrderMessage-ctDNA.html)),\nwhile the report/result columns (`ReportStatusDateTime`, `ReportIdentifier`,\n`ObservationResultStatus`, `ObservationDateTime`, `ObservationIdentifierCode`,\n`ObservationIdentifierDescription`) instead populate the separate FHIR Message R01\nLaboratory Report ([Bundle-GenomicsReportMessage-ctDNA](Bundle-GenomicsReportMessage-ctDNA.html),\nitself based on an HL7 v2 `ORU^R01`, not O21). See [ctDNA Management Information -\nLaboratory Order O21 Mapping](NEYManagementInformation.html#laboratory-order-o21-mapping)\nfor the O21-only columns and [Laboratory Report R01\nMapping](NEYManagementInformation.html#laboratory-report-r01-mapping) for the\nreport/result columns - the two markdown tables split this Questionnaire's items by\nwhich FHIR Message actually carries them, even though all items live on this one\nQuestionnaire. Named for iGene (the common source) rather than NE&Y/ctDNA\nspecifically, since the shape isn't NE&Y- or ctDNA-specific - it's the same LAB-2\nCSV re-export pattern [iGene Work Order Export](Questionnaire-iGeneWorkOrderExport.html)\ndocuments for StarLIMS/DLIMS work orders, just with ctDNA report/result columns added.\n\nEach item's `linkId` is the literal CSV column header, `type` the FHIR datatype the\ncolumn's values coerce to, and `definition` the FHIR field the column populates once\nconverted into the relevant FHIR Message - many of these reuse the exact same field as\nthe equivalent item already defined on [Genomic Test Order](Questionnaire-GenomicTestOrder.html)\nor [iGene Work Order Export](Questionnaire-iGeneWorkOrderExport.html), since\nthis is the same underlying order data plus report/result-specific columns those don't\ncarry. See [NEYctDNA.csv](https://github.com/nw-gmsa/Testing/blob/main/Input/NEYctDNA.csv)\nfor the source file this was extracted from.\n\nUnlike the Ask At Order Entry Questionnaires elsewhere in this IG, this is not a\n`derivedFrom`/`extends` Questionnaire - it documents an existing system-to-system CSV\nexport shape, not a human-facing order-entry form.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "GB",
          "display": "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "Patient",
      "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient",
      "text": "Patient",
      "type": "group",
      "item": [
        {
          "linkId": "PatientAccessionIdentifier",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:PatientIdentifier",
          "text": "PatientAccessionIdentifier",
          "type": "string"
        },
        {
          "linkId": "NHSNumber",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:nhsNumber",
          "text": "NHSNumber",
          "type": "string"
        },
        {
          "linkId": "HospitalNumber",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber",
          "text": "HospitalNumber",
          "type": "string"
        },
        {
          "linkId": "PatientFamilyName",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family",
          "text": "PatientFamilyName",
          "type": "string"
        },
        {
          "linkId": "PatientGivenName",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given",
          "text": "PatientGivenName",
          "type": "string"
        },
        {
          "linkId": "DateOfBirth",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate",
          "text": "DateOfBirth",
          "type": "date"
        },
        {
          "linkId": "AdministrativeSex",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender",
          "text": "AdministrativeSex",
          "type": "string"
        },
        {
          "linkId": "PostCode",
          "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.postalCode",
          "text": "PostCode",
          "type": "string"
        }
      ]
    },
    {
      "linkId": "HealthcareProfessional",
      "definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole",
      "text": "Healthcare Professional",
      "type": "group",
      "item": [
        {
          "linkId": "OrderingProviderIdentifier",
          "definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.identifier.value",
          "text": "OrderingProviderIdentifier",
          "type": "string"
        },
        {
          "linkId": "OrderingProviderName",
          "definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display",
          "text": "OrderingProviderName",
          "type": "string"
        },
        {
          "linkId": "RequestingOrganisationCode",
          "definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
          "text": "RequestingOrganisationCode",
          "type": "string"
        },
        {
          "linkId": "RequestingOrganisationName",
          "definition": "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.display",
          "text": "RequestingOrganisationName",
          "type": "string"
        }
      ]
    },
    {
      "linkId": "TestRequest",
      "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest",
      "text": "Test Request",
      "type": "group",
      "item": [
        {
          "linkId": "HospitalSpellIdentifier",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.encounter.identifier",
          "text": "HospitalSpellIdentifier",
          "type": "string"
        },
        {
          "linkId": "PlacerOrderNumber",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.identifier:OrderIdentifier",
          "text": "PlacerOrderNumber",
          "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": "PlacerOrderNumber-designNote",
              "text": "identifier.type = PLAC (v2-0203), the same OrderIdentifier slice FillerOrderNumber below uses with type = FILL.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "FMIIdentifier",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.identifier",
          "text": "FMIIdentifier",
          "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": "FMIIdentifier-designNote",
              "text": "Blank on every current example row - purpose and identifier system not yet confirmed.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "FillerOrderNumber",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.identifier:OrderIdentifier",
          "text": "FillerOrderNumber",
          "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": "FillerOrderNumber-designNote",
              "text": "identifier.type = FILL (v2-0203).",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "OrderStatus",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.status",
          "text": "OrderStatus",
          "type": "string"
        },
        {
          "linkId": "NGTDTestCode",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code",
          "text": "NGTDTestCode",
          "type": "string"
        },
        {
          "linkId": "NGTDTestName",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code.coding.display",
          "text": "NGTDTestName",
          "type": "string"
        },
        {
          "linkId": "TestCode",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code.coding",
          "text": "TestCode",
          "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": "TestCode-designNote",
              "text": "A shorter local iGene test code (e.g. ctDNA_M4) alongside the national NGTDTestCode - a second `coding` entry on the same ServiceRequest.code, local system not yet confirmed.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "TestAccessionIdentifier",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.identifier",
          "text": "TestAccessionIdentifier",
          "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": "TestAccessionIdentifier-designNote",
              "text": "A further, test-level iGene identifier distinct from both the Placer and Filler Order Number slices above - exact identifier.type/system not yet confirmed.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "TestOrderDate",
          "definition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.authoredOn",
          "text": "TestOrderDate",
          "type": "dateTime"
        }
      ]
    },
    {
      "linkId": "Report",
      "definition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport",
      "text": "Report",
      "type": "group",
      "item": [
        {
          "linkId": "ReportStatusDateTime",
          "definition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.issued",
          "text": "ReportStatusDateTime",
          "type": "dateTime"
        },
        {
          "linkId": "ReportIdentifier",
          "definition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.identifier:ReportIdentifier",
          "text": "ReportIdentifier",
          "type": "string"
        },
        {
          "linkId": "ObservationResultStatus",
          "definition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.status",
          "text": "ObservationResultStatus",
          "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": "ObservationResultStatus-designNote",
              "text": "F = finalised - see Why this matters for developers on NEYManagementInformation.html for how this drives treating an R01 copy as a completed test.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "ObservationDateTime",
          "definition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.effectiveDateTime",
          "text": "ObservationDateTime",
          "type": "dateTime",
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "help"
                      }
                    ]
                  }
                }
              ],
              "linkId": "ObservationDateTime-designNote",
              "text": "Populated on DiagnosticReport.effectiveDateTime in the current worked example - see R01 Mapping on NEYManagementInformation.html for detail, including why this isn't the individual result Observation's own effectiveDateTime.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "ObservationIdentifierCode",
          "definition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode.code",
          "text": "ObservationIdentifierCode",
          "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": "ObservationIdentifierCode-designNote",
              "text": "Also known as the Genomics Test Outcome - see Genomic Test Outcome Codes and R01 Mapping on NEYManagementInformation.html for detail.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "ObservationIdentifierDescription",
          "definition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport#DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode.display",
          "text": "ObservationIdentifierDescription",
          "type": "string"
        }
      ]
    },
    {
      "linkId": "Specimen",
      "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen",
      "text": "Specimen/Biopsy",
      "type": "group",
      "item": [
        {
          "linkId": "SpecimenTakenDateTime",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.collectedDateTime",
          "text": "SpecimenTakenDateTime",
          "type": "dateTime"
        },
        {
          "linkId": "SpecimenReceivedDateTime",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.receivedTime",
          "text": "SpecimenReceivedDateTime",
          "type": "dateTime"
        },
        {
          "linkId": "SpecimenAccessionIdentifier",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.accessionIdentifier",
          "text": "SpecimenAccessionIdentifier",
          "type": "string"
        },
        {
          "linkId": "SpecimenTypeCode",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.type.coding.code",
          "text": "SpecimenTypeCode",
          "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": "SpecimenTypeCode-designNote",
              "text": "Normally SNOMED coded using the [Specimen Type](ValueSet-specimen-type.html) value set.",
              "type": "display"
            }
          ]
        },
        {
          "linkId": "SpecimenTypeDescription",
          "definition": "http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.type.coding.display",
          "text": "SpecimenTypeDescription",
          "type": "string"
        }
      ]
    }
  ]
}