| Package | nw-gmsa.github.io |
| Resource Type | Questionnaire |
| Id | GenomicTestOrder |
| FHIR Version | R4 |
| Source | https://nw-gmsa.github.io/https://build.fhir.org/ig/nw-gmsa/R4/Questionnaire-GenomicTestOrder.html |
| URL | https://nw-gmsa.github.io/Questionnaire/GenomicTestOrder |
| Version | 0.0.7 |
| Status | draft |
| Date | 2025-08-12T13:52:16+00:00 |
| Title | North West Genomics Test Order |
| Realm | uk |
| Description | The aim of this is to support conversion of multiple Genomic Order Forms from several NHS Trusts to HL7 v2 and/or FHIR. |
No resources found
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire GenomicTestOrder
Structure| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | The aim of this is to support conversion of multiple Genomic Order Forms from several NHS Trusts to HL7 v2 and/or FHIR. | Questionnaire | https://nw-gmsa.github.io/Questionnaire/GenomicTestOrder#0.0.7 | |
  Patient | Patient | 0..1 | group | Definition: Patient |
  LN/45394-4 | Patient surname | 1..1 | string | Definition: Patient.name.family |
| LN/45392-8 | Patient first name | 1..1 | string | Definition: Patient.name.given |
 LN/21112-8 | Date of birth | 1..1 | date | Definition: Patient.birthDate |
| LN/81954-0 | Date of death | 0..1 | date | Definition: Patient.deceasedDateTime |
| LN/56799-0 | Address | 0..1 | group | Definition: Patient.address |
| HL7/PID-11-1 | Address Line | 0..* | string | Definition: Patient.address.line |
| HL7/PID-11-3 | City | 0..1 | string | Definition: Patient.address.city |
 LN/45401-7 | Postcode | 0..1 | string | Definition: Patient.address.postalCode |
 LN/46098-0 | Sex registered at birth | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| LN/32624-9 | Ethnic Category | 0..1 | choice | Definition: Patient.extension:ethnicCategory Value Set: Ethnicity |
| LN/89061-6 | NHS Number | 0..1 | string | Definition: Patient.identifier:nhsNumber |
| LN/76435-7 | Hospital Number (Medical Record Number) | 1..1 | string | Definition: Patient.identifier:MedicalRecordNumber |
| LN/56797-4 | Account Number (Episode or Stay Number) | 0..1 | string | Definition: ServiceRequest.encounter.identifier.value |
 LN/56797-4-designNote | PV1-19 (also known as stay number) | 0..1 | display | |
 ageAtCollection | Age at collection (ignore for FHIR) | 0..1 | decimal | |
| LN/89009-5 | Location | 0..1 | string | Definition: Encounter.location |
| HL7/PD1-3 | GP Surgery (ODS Code) | 0..1 | choice | Definition: Patient.generalPractitioner |
| HealthcareProfessional | Healthcare Professional | 0..1 | group | Definition: PractitionerRole |
| LN/18705-4 | Referring Clinician Name | 1..1 | string | Definition: PractitionerRole.practitioner.display |
| LN/18707-0 | Referring Clinician Current Speciality | 1..1 | choice | Definition: PractitionerRole.specialty.coding.code Value Set: UK Core Practice Setting Code |
| LN/46608-6 | Referring Clinician Professional Identifier | 1..1 | string | Definition: PractitionerRole.practitioner.identifier.value |
| LN/89058-2 | 0..* | string | Definition: PractitionerRole.telecom.value | |
| LN/81230-5 | Phone | 0..1 | string | Definition: PractitionerRole.telecom.value |
| HL7/ORC-21 | Referring Organisation ODS Code | 0..1 | string | Definition: PractitionerRole.organization.identifier.value |
| TestRequest | Test Request | 0..1 | group | Definition: ServiceRequest |
| SNM/15220000 | Test Category | 0..1 | choice | Definition: ServiceRequest.category Value Set: Order Category |
| HL7/OBR-4-r | Test Code (Rare and inherited diseases) | 1..* | choice | Definition: ServiceRequest.code Enable When: SNM/15220000 = Value Set: Genomic Rare and Inherited Disease Test Directory |
| HL7/OBR-4-h | Test Code (Haemoglobinopathy) | 1..* | choice | Definition: ServiceRequest.code Enable When: SNM/15220000 = Options: 5 options |
| HL7/OBR-4-c | Test Code (Cancer) | 1..* | choice | Definition: ServiceRequest.code Enable When: SNM/15220000 = Value Set: Genomic Cancer Test Directory |
| pedigreeNumber | G Number (Pedigree Number) - Order Group Number | 0..1 | string | Definition: ServiceRequest.requisition |
| LN/106194-4 | Test request ID/Order ID | 0..1 | string | Definition: ServiceRequest.identifier:placerOrderNumber |
| LN/82768-3 | Priority | 0..1 | choice | Definition: ServiceRequest.priority Value Set: Request Priority |
| NOS/GeneticistEmail | Clinical Geneticist email | 0..1 | string | Definition: Observation.valueString |
| NOS/GeneticistDepartmentEmail | Clinical Geneticist department email | 0..1 | string | Definition: Observation.valueString |
| Consent | Consent | 0..1 | group | |
| LN/19826-7 | Has consent has been obtained for tests (Y/N) | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| LN/75520-7 | Has consent has been obtained for DNA storage (Y/N) | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| NOS/RODToFollow | ROD attached or to follow | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| PatientClinicalInformation | Patient Clinical Information | 0..1 | group | |
 LN/51967-8 | CITT code (Specific disease suspected/reason for testing) | 0..* | choice | Definition: ServiceRequest.reasonCode Value Set: Genomic Condition Codes |
| HL7/NTE-1 | Relevant clinical information and family history | 0..1 | string | Definition: ServiceRequest.note |
| HL7/NTE-2 | Reason For Variant Re-Interpretation Request | 0..1 | string | Definition: ServiceRequest.note |
| Specimen | Specimen/Biopsy | 0..1 | group | Definition: Specimen |
| HL7/SPM | Sample collection status | 0..1 | choice | Definition: Specimen.status Value Set: SpecimenStatus |
| LN/80398-1 | Specimen ID Number | 0..1 | string | Definition: Specimen.identifier |
| LN/80398-1-designNote | ORM v2.4 - OBX-3 = LOINC 80398-1 and OBX-2 = CE. OML v2.5.1 SPM-2 | 0..1 | display | |
| Specimen/accessionIdentifier | Lab DNA Number (If Known) | 0..1 | string | Definition: Specimen.accessionIdentifier |
| LN/80398-1-ODS | Pathology Laboratory Hospital/Trust ID (for Path Lab Sample/Stored DNA) | 0..1 | string | Definition: Specimen.accessionIdentifier.assigner.identifier.value |
 LN/33882-2 | Specimen Collection Date | 0..1 | dateTime | Definition: Specimen.collection.collectedDateTime |
| LN/33882-2-designNote | ORM v2.4 - OBX-3 = LOINC 33882-2 and OBX-2 = TS . OML v2.5.1 SPM-17 | 0..1 | display | |
| LN/66746-9 | Specimen Type | 0..1 | choice | Definition: Specimen.type.coding.code Value Set: Specimen Type |
| LN/66746-9-designNote | ORM v2.4 - OBX-3 = LOINC 66746-9 and OBX-2 = CE. OML v2.5.1 SPM-4 | 0..1 | display | |
| SNM/281269004 | High Infection Risk? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| NOS/InfectionRiskDetails | High infection Risk Details | 0..1 | string | Definition: Observation.valueString |
| LN/74384-9 | Anticoagulant/preservative? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| LN/39111-0 | Tissue source/organ of origin | 0..1 | choice | Definition: Specimen.collection.bodySite |
| LN/3169-0 | Specimen Volume/number of slides or scrolls | 0..1 | string | Definition: Specimen.collection.quantity |
| OrderTracking | Audit (Specimen Tracking) | 0..1 | group | Definition: Specimen.collection |
| NOS/SampleReceived | Date and time sample received in lab | 0..1 | date | Definition: Specimen.receivedTime |
| NOS/SampleSent | Date and time sample sent | 0..1 | date | Definition: Observation.valueDateTime |
| NOS/TransportUsed | Transport used | 0..1 | string | Definition: Observation.valueString |
| LN/97209-1 | Tracking number | 0..1 | string | Definition: Observation.valueString |
| NOS/SampleSentTo | Sample sent to | 0..1 | string | Definition: Observation.valueString |
| NOS/SampleSentToName | Name of person who sent sample | 0..1 | string | Definition: Observation.valueString |
| AskAtOrderEntry | Ask At Order Entry Questions | 0..1 | group | |
| SNM/842009 | Patient is from consanguineous union? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| SNM/74996004-pathology-report | Confirm that a pathology report will be provided alongside the sample. | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| SNM/118185001 | Neonatal/Prenatal/Neither? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| pregnant | Pregnant | 0..1 | group | Enable When: SNM/118185001 = |
| SNM/370386005 | Does this test relate to a pregnancy with > 1 fetus? | 0..1 | string | Definition: Observation.valueCodeableConcept Options: 3 options |
| SNM/161714006 | Patient expected delivery date | 0..1 | date | Definition: Observation.valueDateTime |
 SNM/598151000005105 | Patient gestation | 0..1 | integer | Definition: Observation.valueQuantity |
| SNM/17369002 | Is this test for a pregnancy loss? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| SNM/419099009 | Is this test for a deceased infant? | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 3 options |
| PriorResults | Prior Results | 0..1 | group | |
| Documentation for this format | ||||
Options Sets
Answer options for HL7/OBR-4-h
Answer options for LN/19826-7
Answer options for LN/75520-7
Answer options for NOS/RODToFollow
Answer options for SNM/281269004
Answer options for LN/74384-9
Answer options for SNM/842009
Answer options for SNM/74996004-pathology-report
Answer options for SNM/118185001
Answer options for SNM/370386005
Answer options for SNM/17369002
Answer options for SNM/419099009
FHIR{
"resourceType": "Questionnaire",
"id": "GenomicTestOrder",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://nw-gmsa.github.io/Questionnaire/GenomicTestOrder",
"version": "0.0.7",
"title": "North West Genomics Test Order",
"status": "draft",
"date": "2025-08-12T13:52:16+00:00",
"publisher": "NHS North West GMSA",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.nw-gmsa.nhs.uk/contact-us"
}
]
}
],
"description": "The aim of this is to support conversion of multiple Genomic Order Forms from several NHS Trusts to HL7 v2 and/or FHIR.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "GB",
"display": "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"item": [
{
"linkId": "Patient",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient",
"text": "Patient",
"type": "group",
"item": [
{
"linkId": "LN/45394-4",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.name.family",
"code": [
{
"system": "http://loinc.org",
"code": "45394-4"
}
],
"text": "Patient surname",
"type": "string",
"required": true
},
{
"linkId": "LN/45392-8",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.name.given",
"code": [
{
"system": "http://loinc.org",
"code": "45392-8"
}
],
"text": "Patient first name",
"type": "string",
"required": true
},
{
"linkId": "LN/21112-8",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.birthDate",
"code": [
{
"system": "http://loinc.org",
"code": "21112-8"
}
],
"text": "Date of birth",
"type": "date",
"required": true
},
{
"linkId": "LN/81954-0",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.deceasedDateTime",
"code": [
{
"system": "http://loinc.org",
"code": "81954-0"
}
],
"text": "Date of death",
"type": "date",
"required": false
},
{
"linkId": "LN/56799-0",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.address",
"code": [
{
"system": "http://loinc.org",
"code": "56799-0"
}
],
"text": "Address",
"type": "group",
"item": [
{
"linkId": "HL7/PID-11-1",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.address.line",
"text": "Address Line",
"type": "string",
"repeats": true
},
{
"linkId": "HL7/PID-11-3",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.address.city",
"text": "City",
"type": "string"
},
{
"linkId": "LN/45401-7",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.address.postalCode",
"code": [
{
"system": "http://loinc.org",
"code": "45401-7"
}
],
"text": "Postcode",
"type": "string"
}
]
},
{
"linkId": "LN/46098-0",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.gender",
"code": [
{
"system": "http://loinc.org",
"code": "46098-0"
}
],
"text": "Sex registered at birth",
"type": "choice",
"answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
},
{
"linkId": "LN/32624-9",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.extension:ethnicCategory",
"code": [
{
"system": "http://loinc.org",
"code": "32624-9"
}
],
"text": "Ethnic Category",
"type": "choice",
"answerValueSet": "https://nw-gmsa.github.io/ValueSet/ethnicity"
},
{
"linkId": "LN/89061-6",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.identifier:nhsNumber",
"code": [
{
"system": "http://loinc.org",
"code": "89061-6"
}
],
"text": "NHS Number",
"type": "string"
},
{
"linkId": "LN/76435-7",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber",
"code": [
{
"system": "http://loinc.org",
"code": "76435-7"
}
],
"text": "Hospital Number (Medical Record Number)",
"type": "string",
"required": true
},
{
"linkId": "LN/56797-4",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.encounter.identifier.value",
"code": [
{
"system": "http://loinc.org",
"code": "56797-4"
}
],
"text": "Account Number (Episode or Stay Number)",
"type": "string",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "LN/56797-4-designNote",
"text": "PV1-19 (also known as stay number)",
"type": "display"
}
]
},
{
"linkId": "ageAtCollection",
"text": "Age at collection (ignore for FHIR)",
"type": "decimal"
},
{
"linkId": "LN/89009-5",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Encounter#Encounter.location",
"text": "Location",
"type": "string"
},
{
"linkId": "HL7/PD1-3",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Patient#Patient.generalPractitioner",
"text": "GP Surgery (ODS Code)",
"type": "choice"
}
]
},
{
"linkId": "HealthcareProfessional",
"definition": "https://nw-gmsa.github.io/StructureDefinition/PractitionerRole#PractitionerRole",
"text": "Healthcare Professional",
"type": "group",
"item": [
{
"linkId": "LN/18705-4",
"definition": "https://nw-gmsa.github.io/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display",
"code": [
{
"system": "http://loinc.org",
"code": "18705-4"
}
],
"text": "Referring Clinician Name",
"type": "string",
"required": true
},
{
"linkId": "LN/18707-0",
"definition": "https://nw-gmsa.github.io/StructureDefinition/PractitionerRole#PractitionerRole.specialty.coding.code",
"code": [
{
"system": "http://loinc.org",
"code": "18707-0"
}
],
"text": "Referring Clinician Current Speciality",
"type": "choice",
"required": true,
"answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"
},
{
"linkId": "LN/46608-6",
"definition": "https://nw-gmsa.github.io/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.identifier.value",
"code": [
{
"system": "http://loinc.org",
"code": "46608-6"
}
],
"text": "Referring Clinician Professional Identifier",
"type": "string",
"required": true
},
{
"linkId": "LN/89058-2",
"definition": "https://nw-gmsa.github.io/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"code": [
{
"system": "http://loinc.org",
"code": "89058-2",
"display": "Contact email address"
}
],
"text": "Email",
"type": "string",
"repeats": true
},
{
"linkId": "LN/81230-5",
"definition": "https://nw-gmsa.github.io/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"code": [
{
"system": "http://loinc.org",
"code": "81230-5"
}
],
"text": "Phone",
"type": "string"
},
{
"linkId": "HL7/ORC-21",
"definition": "https://nw-gmsa.github.io/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Referring Organisation ODS Code",
"type": "string"
}
]
},
{
"linkId": "TestRequest",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest",
"text": "Test Request",
"type": "group",
"item": [
{
"linkId": "SNM/15220000",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.category",
"code": [
{
"system": "http://snomed.info/sct",
"code": "15220000",
"display": "Laboratory test"
}
],
"text": "Test Category",
"type": "choice",
"answerValueSet": "https://nw-gmsa.github.io/ValueSet/order-category"
},
{
"linkId": "HL7/OBR-4-r",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.code",
"code": [
{
"system": "http://loinc.org",
"code": "29300-1"
}
],
"text": "Test Code (Rare and inherited diseases)",
"type": "choice",
"enableWhen": [
{
"question": "SNM/15220000",
"operator": "=",
"answerCoding": {
"system": "https://nw-gmsa.github.io/CodeSystem/NWGMSA",
"code": "RareAndInheritedDiseasesGeneticTesting"
}
}
],
"required": true,
"repeats": true,
"answerValueSet": "https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease"
},
{
"linkId": "HL7/OBR-4-h",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.code",
"code": [
{
"system": "http://loinc.org",
"code": "29300-1"
}
],
"text": "Test Code (Haemoglobinopathy)",
"type": "choice",
"enableWhen": [
{
"question": "SNM/15220000",
"operator": "=",
"answerCoding": {
"system": "https://nw-gmsa.github.io/CodeSystem/NWGMSA",
"code": "HaemoglobinopathyGeneticTesting"
}
}
],
"required": true,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R361.1",
"display": "Sickle cell, thalassaemia and other haemoglobinopathies trait or carrier testing"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R361.2",
"display": "Sickle cell, thalassaemia and other haemoglobinopathies trait or carrier testing"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R372.1",
"display": "Newborn screening for sickle cell disease in a transfused baby"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R93.1",
"display": "Sickle cell, thalassaemia and other haemoglobinopathies"
}
},
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
"code": "R93.2",
"display": "Sickle cell, thalassaemia and other haemoglobinopathies"
}
}
]
},
{
"linkId": "HL7/OBR-4-c",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.code",
"code": [
{
"system": "http://loinc.org",
"code": "29300-1"
}
],
"text": "Test Code (Cancer)",
"type": "choice",
"enableWhen": [
{
"question": "SNM/15220000",
"operator": "=",
"answerCoding": {
"system": "https://nw-gmsa.github.io/CodeSystem/NWGMSA",
"code": "CancerGeneticTesting"
}
}
],
"required": true,
"repeats": true,
"answerValueSet": "https://nw-gmsa.github.io/ValueSet/GenomicCancer"
},
{
"linkId": "pedigreeNumber",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.requisition",
"text": "G Number (Pedigree Number) - Order Group Number",
"type": "string"
},
{
"linkId": "LN/106194-4",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.identifier:placerOrderNumber",
"code": [
{
"system": "http://loinc.org",
"code": "106194-4"
}
],
"text": "Test request ID/Order ID",
"type": "string",
"required": false
},
{
"linkId": "LN/82768-3",
"definition": "https://nw-gmsa.github.io/StructureDefinition/ServiceRequest#ServiceRequest.priority",
"code": [
{
"system": "http://loinc.org",
"code": "82768-3"
}
],
"text": "Priority",
"type": "choice",
"required": false,
"answerValueSet": "https://nw-gmsa.github.io/ValueSet/RequestPriority"
},
{
"linkId": "NOS/GeneticistEmail",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Observation#Observation.valueString",
"code": [
{
"system": "https://nw-gmsa.github.io/CodeSystem/NWGMSA",
"code": "GeneticistEmail"
}
],
"text": "Clinical Geneticist email",
"type": "string"
},
{
"linkId": "NOS/GeneticistDepartmentEmail",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Observation#Observation.valueString",
"code": [
{
"system": "https://nw-gmsa.github.io/CodeSystem/NWGMSA",
"code": "GeneticistDepartmentEmail"
}
],
"text": "Clinical Geneticist department email",
"type": "string"
},
{
"linkId": "Consent",
"text": "Consent",
"type": "group",
"item": [
{
"linkId": "LN/19826-7",
"definition": "https://nw-gmsa.github.io/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "309370004",
"display": "Consent status"
},
{
"system": "http://loinc.org",
"code": "19826-7",
"display": "Informed consent obtained"
},
{
"system": "http://loinc.org",
"code": "59284-0",
"display": "Consent Document"
}
],
"text": "Has consent has been obtained for tests (Y/N)",
"type": "choice",
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],
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]
},
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},
{
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{
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{
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]
}
]
},
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],
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]
},
{
"linkId": "Specimen/accessionIdentifier",
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],
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},
{
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},
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{
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],
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}
],
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}
]
},
{
"linkId": "LN/66746-9",
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},
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"repeats": false,
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},
{
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],
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"code": "434711009",
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{
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],
"text": "Anticoagulant/preservative?",
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"repeats": false,
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]
},
{
"linkId": "LN/39111-0",
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"code": "39111-0"
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{
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"code": "31208-2",
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],
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},
{
"linkId": "LN/3169-0",
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"code": "3169-0",
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{
"system": "http://loinc.org",
"code": "42185-9",
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],
"text": "Specimen Volume/number of slides or scrolls",
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},
{
"linkId": "OrderTracking",
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{
"linkId": "NOS/SampleSent",
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],
"text": "Date and time sample sent",
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{
"linkId": "NOS/TransportUsed",
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"code": "TransportUsed"
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],
"text": "Transport used",
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},
{
"linkId": "LN/97209-1",
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"code": [
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"code": "97209-1"
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],
"text": "Tracking number",
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},
{
"linkId": "NOS/SampleSentTo",
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],
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{
"linkId": "NOS/SampleSentToName",
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],
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}
]
}
]
},
{
"linkId": "AskAtOrderEntry",
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],
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},
{
"valueCoding": {
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}
},
{
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}
]
},
{
"linkId": "SNM/74996004-pathology-report",
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],
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}
},
{
"valueCoding": {
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"code": "LA32-8",
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}
},
{
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}
]
},
{
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],
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},
{
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},
{
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],
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"item": [
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],
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}
},
{
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},
{
"linkId": "SNM/161714006",
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{
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"linkId": "SNM/598151000005105",
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],
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]
},
{
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],
"text": "Is this test for a pregnancy loss?",
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},
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},
{
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]
},
{
"linkId": "SNM/419099009",
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],
"text": "Is this test for a deceased infant?",
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},
{
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},
{
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]
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]
},
{
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]
}