| Package | nw-gmsa.github.io |
| Type | Questionnaire |
| Id | GenomicTestOrder |
| FHIR Version | R4 |
| Source | https://nw-gmsa.github.io/LTW/https://build.fhir.org/ig/nw-gmsa/LTW/Questionnaire-GenomicTestOrder.html |
| URL | https://nw-gmsa.github.io/LTW/Questionnaire/GenomicTestOrder |
| Version | 0.0.1 |
| Status | draft |
| Date | 2025-04-28T04:51:38+00:00 |
| Realm | uk |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire GenomicTestOrder
Structure| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire | https://nw-gmsa.github.io/LTW/Questionnaire/GenomicTestOrder#0.0.1 | ||
  Patient | Patient | 0..1 | group | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.subject |
  LN/45394-4 | Patient surname | 1..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.name.family |
| LN/45392-8 | Patient first name | 1..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.name.given |
 LN/21112-8 | Date of birth | 1..1 | date | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.birthDate |
| LN/81954-0 | Date of death | 0..1 | date | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.deceasedDateTime |
| LN/56799-0 | Address | 0..1 | group | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address |
| HL7/PID-11-1 | Address Line | 0..* | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address.line |
| HL7/PID-11-3 | City | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address.city |
 HL7/PID-11- | Postcode | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address.postalCode |
 LN/46098-0 | Sex registered at birth | 0..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.gender Value Set: AdministrativeGender |
| LN/32624-9 | Ethnic Category | 0..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.extension:ethnicCategory Value Set: Ethnicity |
| LN/89061-6 | NHS Number | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.identifier:nhsNumber |
| LN/76435-7 | Hospital Number | 1..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber |
| LN/56797-4 | Account Number | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.encounter.identifier.value |
 LN/56797-4-designNote | PV1-19 (also known as stay number) | 0..1 | display | |
| pedigreeNumber | G Number (Pedigree Number) | 0..1 | string | |
 ageAtCollection | Age at collection | 0..1 | decimal | |
| location | Location | 0..1 | string | |
| HL7/PD1-3 | GP Surgery (ODS Code) | 0..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.generalPractitioner |
| SNM/842009 | Patient is from consanguineous union? | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCodeableConcept Options: 3 options |
| SNM/77386006 | Does this test relate to an ongoing pregnancy? | 0..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCodeableConcept Options: 3 options |
 pregnant | null | 0..1 | group | Enable When: SNM/77386006 = |
| SNM/370386005 | Does this test relate to a pregnancy with > 1 fetus? | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCodeableConcept Options: 3 options |
| SNM/161714006 | Patient expected delivery date | 0..1 | date | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueDateTime |
 SNM/598151000005105 | Patient gestation | 0..1 | quantity | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity |
| HL7/ORC-12 | Healthcare Professional | 0..1 | group | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.requester |
| LN/18705-4 | Referring Clinician Name | 1..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display |
| LN/18707-0 | Referring Clinician Current Speciality | 1..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.specialty.coding.code Value Set: UK Core Practice Setting Code |
| LN/46608-6 | Referring Clinician Professional Identifier | 1..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.identifier.value |
| LN/89058-2 | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value | |
| LN/81230-5 | Phone | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value |
| HL7/ORC-21 | Referring Organisation ODS Code | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value |
| HL7/OBR/ORC | Test Request | 0..1 | group | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest |
| HL7/OBR-2/ORC-2 | Test request ID/Order ID | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.identifier:placerOrderNumber |
| LN/82768-3 | Priority | 0..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.priority Value Set: Request Priority |
| NOS/230056 | Test Category | 0..1 | choice | Options: 3 options |
| HL7/OBR-4-rci | CITT Code (Rare and inherited diseases) | 1..1 | choice | Enable When: NOS/230056 = |
| HL7/OBR-4-r | Test Code (Rare and inherited diseases) | 1..* | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.code Enable When: NOS/230056 = Value Set: Genomic Rare and Inherited Disease Test Directory |
| HL7/OBR-4-cci | CI Code (Cancer) | 1..1 | choice | Enable When: NOS/230056 = |
| HL7/OBR-4-c | Test Code (Cancer) | 1..* | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.code Enable When: NOS/230056 = Value Set: Genomic Cancer Test Directory |
| 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 |
| consent-2 | Has consent has been obtained for DNA storage (Y/N) | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
| consent-3 | ROD attached or to follow | 0..1 | choice | Options: 3 options |
| PatientClinicalInformation | Patient Clinical Information | 0..1 | group | |
| HL7/DG1 | Specific disease suspected/reason for testing | 0..* | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.reasonCode Value Set: UK Core Condition Code |
| HL7/NTE | Relevant clinical information and family history | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.note |
| HL7/SPM | Specimen/Biopsy | 0..1 | group | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen |
| LN/80398-1 | Specimen ID Number | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.identifier.value |
| 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 | |
| LN/80398-1-ODS | Pathology Laboratory Hospital/Trust ID | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.identifier.assigner.identifier.value |
 LN/33882-2 | Specimen Collection Date | 0..1 | dateTime | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#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: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#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 | |
| NOS/102313 | High Infection Risk? | 0..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCoding Options: 2 options |
| NOS/230002 | Tissue source/organ of origin | 0..1 | choice | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.collection.bodySite |
| NOS/230004 | Specimen Volume/number of slides or scrolls | 0..1 | string | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.collection.quantity |
| NOS/audit | Audit (Tracking | 0..1 | group | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.collection |
| NOS/xxxx1 | Date and time sample received in lab | 0..1 | date | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.receivedTime |
| NOS/xxxx2 | Date and time sample sent | 0..1 | date | |
| NOS/xxxx3 | Transport used | 0..1 | string | |
| NOS/xxxx4 | Tracking number | 0..1 | string | |
| NOS/xxxx5 | Sample sent to | 0..1 | string | |
| NOS/xxxx6 | Name of person who sent sample | 0..1 | string | |
| raredisease | Rare and Inherited Disease | 0..1 | group | Enable When: NOS/230056 = |
| cancer | Cancer | 0..1 | group | Enable When: NOS/230056 = |
| UnknownResultsPanel | Unknown Results Panel | 0..1 | group | |
| SNM/250537006 | Neoplastic Cell Content Level | 0..1 | quantity | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity |
| NOS/230031 | Neoplastic Cell Content Level % | 0..1 | quantity | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity |
| SNM/252416005 | Macrodissection Requirements | 0..1 | string | |
| NOS/230033 | Blast Cell Count | 0..1 | quantity | Definition: https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity |
| Documentation for this format | ||||
Options Sets
Answer options for SNM/842009
Answer options for SNM/77386006
Answer options for SNM/370386005
Answer options for NOS/230056
Answer options for LN/19826-7
Answer options for consent-2
Answer options for consent-3
Answer options for NOS/102313
FHIR{
"resourceType": "Questionnaire",
"id": "GenomicTestOrder",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://nw-gmsa.github.io/LTW/Questionnaire/GenomicTestOrder",
"version": "0.0.1",
"status": "draft",
"date": "2025-04-28T04:51:38+00:00",
"publisher": "NHS North West GMSA",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.nw-gmsa.nhs.uk/contact-us"
}
]
}
],
"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/LTW/StructureDefinition/ServiceRequest#ServiceRequest.subject",
"text": "Patient",
"type": "group",
"item": [
{
"linkId": "LN/45394-4",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.name.family",
"text": "Patient surname",
"type": "string",
"required": true
},
{
"linkId": "LN/45392-8",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.name.given",
"text": "Patient first name",
"type": "string",
"required": true
},
{
"linkId": "LN/21112-8",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.birthDate",
"text": "Date of birth",
"type": "date",
"required": true
},
{
"linkId": "LN/81954-0",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.deceasedDateTime",
"text": "Date of death",
"type": "date",
"required": false
},
{
"linkId": "LN/56799-0",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address",
"text": "Address",
"type": "group",
"item": [
{
"linkId": "HL7/PID-11-1",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address.line",
"text": "Address Line",
"type": "string",
"repeats": true
},
{
"linkId": "HL7/PID-11-3",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address.city",
"text": "City",
"type": "string"
},
{
"linkId": "HL7/PID-11-",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.address.postalCode",
"text": "Postcode",
"type": "string"
}
]
},
{
"linkId": "LN/46098-0",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.gender",
"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/LTW/StructureDefinition/Patient#Patient.extension:ethnicCategory",
"text": "Ethnic Category",
"type": "choice",
"answerValueSet": "https://nw-gmsa.github.io/LTW//ValueSet/ethnicity"
},
{
"linkId": "LN/89061-6",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.identifier:nhsNumber",
"text": "NHS Number",
"type": "string"
},
{
"linkId": "LN/76435-7",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber",
"text": "Hospital Number",
"type": "string",
"required": true
},
{
"linkId": "LN/56797-4",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.encounter.identifier.value",
"text": "Account 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": "pedigreeNumber",
"text": "G Number (Pedigree Number)",
"type": "string"
},
{
"linkId": "ageAtCollection",
"text": "Age at collection",
"type": "decimal"
},
{
"linkId": "location",
"text": "Location",
"type": "string"
},
{
"linkId": "HL7/PD1-3",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Patient#Patient.generalPractitioner",
"text": "GP Surgery (ODS Code)",
"type": "choice"
},
{
"linkId": "SNM/842009",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "842009",
"display": "Consanguinity"
}
],
"text": "Patient is from consanguineous union?",
"type": "string",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "SNM/77386006",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "77386006",
"display": "Pregnancy"
}
],
"text": "Does this test relate to an ongoing pregnancy?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
],
"item": [
{
"linkId": "pregnant",
"type": "group",
"enableWhen": [
{
"question": "SNM/77386006",
"operator": "=",
"answerCoding": {
"code": "LA33-6"
}
}
],
"item": [
{
"linkId": "SNM/370386005",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "370386005",
"display": "Ultrasound scan - multiple fetus"
}
],
"text": "Does this test relate to a pregnancy with > 1 fetus?",
"type": "string",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"linkId": "SNM/161714006",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueDateTime",
"code": [
{
"system": "http://snomed.info/sct",
"code": "161714006",
"display": "Estimated date of delivery"
}
],
"text": "Patient expected delivery date",
"type": "date"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "wk",
"display": "Wk"
}
}
],
"linkId": "SNM/598151000005105",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity",
"code": [
{
"system": "http://snomed.info/sct",
"code": "598151000005105",
"display": "Gestational age"
}
],
"text": "Patient gestation",
"type": "quantity"
}
]
}
]
}
]
},
{
"linkId": "HL7/ORC-12",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.requester",
"text": "Healthcare Professional",
"type": "group",
"item": [
{
"linkId": "LN/18705-4",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display",
"code": [
{
"system": "http://loinc.org",
"code": "18705-4"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "114867",
"display": "NAME OF SUPERVISING CLINICIAN (CLC)"
}
],
"text": "Referring Clinician Name",
"type": "string",
"required": true
},
{
"linkId": "LN/18707-0",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.specialty.coding.code",
"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/LTW/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.identifier.value",
"text": "Referring Clinician Professional Identifier",
"type": "string",
"required": true
},
{
"linkId": "LN/89058-2",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"code": [
{
"system": "http://loinc.org",
"code": "89058-2",
"display": "Contact email address"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230027",
"display": "EMAIL ADDRESSES"
}
],
"text": "Email",
"type": "string"
},
{
"linkId": "LN/81230-5",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"text": "Phone",
"type": "string"
},
{
"linkId": "HL7/ORC-21",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Referring Organisation ODS Code",
"type": "string"
}
]
},
{
"linkId": "HL7/OBR/ORC",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest",
"text": "Test Request",
"type": "group",
"item": [
{
"linkId": "HL7/OBR-2/ORC-2",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.identifier:placerOrderNumber",
"text": "Test request ID/Order ID",
"type": "string",
"required": false
},
{
"linkId": "LN/82768-3",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.priority",
"text": "Priority",
"type": "choice",
"required": false,
"answerValueSet": "https://nw-gmsa.github.io/LTW//ValueSet/RequestPriority"
},
{
"linkId": "NOS/230056",
"code": [
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230056",
"display": "What Type of Referral Do You Require?"
}
],
"text": "Test Category",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "rare",
"display": "Rare and inherited diseases"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1186936003",
"display": "Storage of specimen (procedure)"
}
},
{
"valueCoding": {
"code": "cancer",
"display": "Cancer"
}
}
]
},
{
"linkId": "HL7/OBR-4-rci",
"text": "CITT Code (Rare and inherited diseases)",
"type": "choice",
"enableWhen": [
{
"question": "NOS/230056",
"operator": "=",
"answerCoding": {
"code": "rare"
}
}
],
"required": true,
"repeats": false
},
{
"linkId": "HL7/OBR-4-r",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.code",
"text": "Test Code (Rare and inherited diseases)",
"type": "choice",
"enableWhen": [
{
"question": "NOS/230056",
"operator": "=",
"answerCoding": {
"code": "rare"
}
}
],
"required": true,
"repeats": true,
"answerValueSet": "https://nw-gmsa.github.io/LTW//ValueSet/GenomicRareAndInheritedDisease"
},
{
"linkId": "HL7/OBR-4-cci",
"text": "CI Code (Cancer)",
"type": "choice",
"enableWhen": [
{
"question": "NOS/230056",
"operator": "=",
"answerCoding": {
"code": "cancer"
}
}
],
"required": true,
"repeats": false
},
{
"linkId": "HL7/OBR-4-c",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.code",
"text": "Test Code (Cancer)",
"type": "choice",
"enableWhen": [
{
"question": "NOS/230056",
"operator": "=",
"answerCoding": {
"code": "cancer"
}
}
],
"required": true,
"repeats": true,
"answerValueSet": "https://nw-gmsa.github.io/LTW//ValueSet/GenomicCancer"
}
]
},
{
"linkId": "Consent",
"text": "Consent",
"type": "group",
"item": [
{
"linkId": "LN/19826-7",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Has consent has been obtained for tests (Y/N)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "consent-2",
"definition": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Has consent has been obtained for DNA storage (Y/N)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "consent-3",
"text": "ROD attached or to follow",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
}
]
},
{
"linkId": "PatientClinicalInformation",
"text": "Patient Clinical Information",
"type": "group",
"item": [
{
"linkId": "HL7/DG1",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.reasonCode",
"text": "Specific disease suspected/reason for testing",
"type": "choice",
"repeats": true,
"answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode"
},
{
"linkId": "HL7/NTE",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/ServiceRequest#ServiceRequest.note",
"text": "Relevant clinical information and family history",
"type": "string"
}
]
},
{
"linkId": "HL7/SPM",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen",
"text": "Specimen/Biopsy",
"type": "group",
"item": [
{
"linkId": "LN/80398-1",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.identifier.value",
"code": [
{
"system": "http://loinc.org",
"code": "80398-1",
"display": "Unique identifier for Current sample"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230021",
"display": "SAMPLE IDENTIFIER(S)"
}
],
"text": "Specimen ID 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": "LN/80398-1-designNote",
"text": "ORM v2.4 - OBX-3 = LOINC 80398-1 and OBX-2 = CE. OML v2.5.1 SPM-2",
"type": "display"
}
]
},
{
"linkId": "LN/80398-1-ODS",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.identifier.assigner.identifier.value",
"text": "Pathology Laboratory Hospital/Trust ID",
"type": "string"
},
{
"linkId": "LN/33882-2",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.collection.collectedDateTime",
"code": [
{
"system": "http://loinc.org",
"code": "33882-2",
"display": "Collection date of Specimen"
},
{
"system": "http://snomed.info/sct",
"code": "1208523001",
"display": "Specimen collection by healthcare professional (finding)"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230028",
"display": "DATE OF SPECIMEN COLLECTION"
}
],
"text": "Specimen Collection Date",
"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": "LN/33882-2-designNote",
"text": "ORM v2.4 - OBX-3 = LOINC 33882-2 and OBX-2 = TS .\nOML v2.5.1 SPM-17",
"type": "display"
}
]
},
{
"linkId": "LN/66746-9",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.type.coding.code",
"code": [
{
"system": "http://loinc.org",
"code": "66746-9",
"display": "Specimen Type"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230001",
"display": "SPECIMEN TYPE"
}
],
"text": "Specimen Type",
"type": "choice",
"answerValueSet": "https://nw-gmsa.github.io/LTW//ValueSet/specimen-type",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help"
}
]
}
}
],
"linkId": "LN/66746-9-designNote",
"text": "ORM v2.4 - OBX-3 = LOINC 66746-9 and OBX-2 = CE.\nOML v2.5.1 SPM-4",
"type": "display"
}
]
},
{
"linkId": "NOS/102313",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueCoding",
"code": [
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "102313",
"display": "GENETICS HIGH INFECTION RISK"
}
],
"text": "High Infection Risk?",
"type": "choice",
"required": false,
"repeats": false,
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "NOS/230002",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.collection.bodySite",
"text": "Tissue source/organ of origin",
"type": "choice"
},
{
"linkId": "NOS/230004",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.collection.quantity",
"text": "Specimen Volume/number of slides or scrolls",
"type": "string"
},
{
"linkId": "NOS/audit",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.collection",
"text": "Audit (Tracking",
"type": "group",
"item": [
{
"linkId": "NOS/xxxx1",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Specimen#Specimen.receivedTime",
"text": "Date and time sample received in lab",
"type": "date"
},
{
"linkId": "NOS/xxxx2",
"text": "Date and time sample sent",
"type": "date"
},
{
"linkId": "NOS/xxxx3",
"text": "Transport used",
"type": "string"
},
{
"linkId": "NOS/xxxx4",
"text": "Tracking number",
"type": "string"
},
{
"linkId": "NOS/xxxx5",
"text": "Sample sent to",
"type": "string"
},
{
"linkId": "NOS/xxxx6",
"text": "Name of person who sent sample",
"type": "string"
}
]
}
]
},
{
"linkId": "raredisease",
"text": "Rare and Inherited Disease",
"type": "group",
"enableWhen": [
{
"question": "NOS/230056",
"operator": "=",
"answerCoding": {
"code": "rare"
}
}
]
},
{
"linkId": "cancer",
"text": "Cancer",
"type": "group",
"enableWhen": [
{
"question": "NOS/230056",
"operator": "=",
"answerCoding": {
"code": "cancer"
}
}
],
"item": [
{
"linkId": "UnknownResultsPanel",
"text": "Unknown Results Panel",
"type": "group",
"item": [
{
"linkId": "SNM/250537006",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity",
"code": [
{
"system": "http://snomed.info/sct",
"code": "250537006",
"display": "Histopathology finding (finding)"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230030",
"display": "NEOPLASTIC CELL CONTENT LEVEL"
}
],
"text": "Neoplastic Cell Content Level",
"type": "quantity"
},
{
"linkId": "NOS/230031",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity",
"code": [
{
"system": "http://snomed.info/sct",
"code": "250537006",
"display": "Histopathology finding (finding)"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230031",
"display": "NEOPLASTIC CELL CONTENT LEVEL EXACT"
}
],
"text": "Neoplastic Cell Content Level %",
"type": "quantity"
},
{
"linkId": "SNM/252416005",
"code": [
{
"system": "http://snomed.info/sct",
"code": "252416005",
"display": "Histopathology test (procedure)"
},
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230032",
"display": "MACRODISSECTION REQUIREMENTS"
}
],
"text": "Macrodissection Requirements",
"type": "string"
},
{
"linkId": "NOS/230033",
"definition": "https://nw-gmsa.github.io/LTW/StructureDefinition/Observation#Observation.valueQuantity",
"code": [
{
"system": "https://fhir.nw-gmsa.nhs.uk/CodeSystem/NotOtherwiseSpecified",
"code": "230033",
"display": "BLAST CELL COUNT"
}
],
"text": "Blast Cell Count",
"type": "quantity"
}
]
}
]
}
]
}