NHS North West Genomics
2.2.0 - ci-build United Kingdom flag

NHS North West Genomics - Local Development build (v2.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Bundle - Form Search Results SDC

Language: en

Bundle SDCSearchResults of type searchset

Entry 1 - fullUrl = http://example.org/fhir/Questionnaire/GenomicTestOrder

Search:Mode = match

Resource Questionnaire:

Language: en

Profile: Questionnaire

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. The aim of this is to support conversion of multiple Genomic Order Forms from several NHS Trusts to HL7 v2 and/or FHIR. This is the **common core** order form: the Patient, Healthcare Professional, Test Request and Specimen fields shared by every order, regardless of test type - these map onto the standardised [HL7 v2 OML_O21](hl7v2.html#oml_o21-laboratory-order) message and its FHIR equivalent, the [FHIR Message O21](MessageDefinition-laboratory-order.html). Ask At Order Entry questions, which vary by order/test type, are **not** part of this core form - see [Order Entry Questions](#order-entry-questions) below for the separate, order-type-specific Questionnaire to use alongside this one.Questionnairehttps://fhir.nwgenomics.nhs.uk/Questionnaire/GenomicTestOrder
... PatientPatient0..1groupDefinition: Patient
.... LN/45394-4Patient surname1..1stringDefinition: Patient.name.family
.... LN/45392-8Patient first name1..1stringDefinition: Patient.name.given
.... LN/21112-8Date of birth1..1dateDefinition: Patient.birthDate
.... LN/81954-0Date of death0..1dateDefinition: Patient.deceasedDateTime
.... LN/56799-0Address0..1groupDefinition: Patient.address
..... HL7/PID-11-1Address Line0..*stringDefinition: Patient.address.line
..... HL7/PID-11-3City0..1stringDefinition: Patient.address.city
..... LN/45401-7Postcode0..1stringDefinition: Patient.address.postalCode
.... LN/46098-0Sex registered at birth0..1choiceDefinition: Patient.gender
Value Set: AdministrativeGender
.... LN/32624-9Ethnic Category0..1choiceDefinition: Patient.extension:ethnicCategory
Value Set: Ethnicity
.... LN/89061-6NHS Number0..1stringDefinition: Patient.identifier:nhsNumber
.... LN/76435-7Hospital Number (Medical Record Number)1..1stringDefinition: Patient.identifier:MedicalRecordNumber
.... LN/56797-4Account Number (Episode or Stay Number)0..1stringDefinition: ServiceRequest.encounter.identifier.value
..... LN/56797-4-designNotePV1-19 (also known as stay number)0..1display
.... ageAtCollectionAge at collection (ignore for FHIR)0..1decimal
.... LN/89009-5Location0..1stringDefinition: Encounter.location
.... HL7/PD1-3GP Surgery (ODS Code)0..1choiceDefinition: Patient.generalPractitioner
... HealthcareProfessionalHealthcare Professional0..1groupDefinition: PractitionerRole
.... LN/18705-4Referring Clinician Name1..1stringDefinition: PractitionerRole.practitioner.display
.... LN/18707-0Referring Clinician Current Speciality1..1choiceDefinition: PractitionerRole.specialty.coding.code
Value Set: UK Core Practice Setting Code
.... LN/46608-6Referring Clinician Professional Identifier1..1stringDefinition: PractitionerRole.practitioner.identifier.value
.... LN/89058-2Email0..*stringDefinition: PractitionerRole.telecom.value
.... LN/81230-5Phone0..1stringDefinition: PractitionerRole.telecom.value
.... HL7/ORC-21Referring Organisation ODS Code / Ordering Facility0..1stringDefinition: PractitionerRole.organization.identifier.value
... TestRequestTest Request0..1groupDefinition: ServiceRequest
.... SNM/15220000Test Category0..1choiceDefinition: ServiceRequest.category
Value Set: Order Category
.... HL7/OBR-4-rTest Code (Rare and inherited diseases)1..*choiceDefinition: ServiceRequest.code
Enable When: SNM/15220000 = Rare and inherited diseases Genetic Testing (procedure) (NW GMSA Codes#RareAndInheritedDiseasesGeneticTesting)
Value Set: Genomic Rare and Inherited Disease Test Directory
.... HL7/OBR-4-hTest Code (Haemoglobinopathy)1..*choiceDefinition: ServiceRequest.code
Enable When: SNM/15220000 = Haemoglobinopathy Genetic Testing (procedure) (NW GMSA Codes#HaemoglobinopathyGeneticTesting)
Options: 5 options
.... HL7/OBR-4-cTest Code (Cancer)1..*choiceDefinition: ServiceRequest.code
Enable When: SNM/15220000 = Cancer Genetic Testing (procedure) (NW GMSA Codes#CancerGeneticTesting)
Value Set: Genomic Cancer Test Directory
.... LN/106194-4Test request ID/Order ID0..1stringDefinition: ServiceRequest.identifier:OrderIdentifier
.... LN/82768-3Priority0..1choiceDefinition: ServiceRequest.priority
Value Set: Request Priority
.... NOS/GeneticistEmailClinical Geneticist email0..1stringDefinition: Observation.valueString
.... NOS/GeneticistDepartmentEmailClinical Geneticist department email0..1stringDefinition: Observation.valueString
.... PatientClinicalInformationPatient Clinical Information0..1group
..... LN/51967-8CITT code (Specific disease suspected/reason for testing)0..*choiceDefinition: ServiceRequest.reasonCode
Value Set: Genomic Clinical Indication Codes
..... HL7/NTE-1Relevant clinical information and family history0..1stringDefinition: ServiceRequest.note
... SpecimenSpecimen/Biopsy0..1groupDefinition: Specimen
.... HL7/SPMSample collection status0..1choiceDefinition: Specimen.status
Value Set: SpecimenStatus
.... LN/80398-1Specimen ID Number0..1stringDefinition: Specimen.identifier
..... LN/80398-1-designNoteORM v2.4 - OBX-3 = LOINC 80398-1 and OBX-2 = CE. OML v2.5.1 SPM-20..1display
.... Specimen/accessionIdentifierLab DNA Number (If Known)0..1stringDefinition: Specimen.accessionIdentifier
.... LN/80398-1-ODSPathology Laboratory Hospital/Trust ID (for Path Lab Sample/Stored DNA)0..1stringDefinition: Specimen.accessionIdentifier.assigner.identifier.value
.... LN/33882-2Specimen Collection Date0..1dateTimeDefinition: Specimen.collection.collectedDateTime
..... LN/33882-2-designNoteORM v2.4 - OBX-3 = LOINC 33882-2 and OBX-2 = TS . OML v2.5.1 SPM-170..1display
.... LN/66746-9Specimen Type0..1choiceDefinition: Specimen.type.coding.code
Value Set: Specimen Type
..... LN/66746-9-designNoteORM v2.4 - OBX-3 = LOINC 66746-9 and OBX-2 = CE. OML v2.5.1 SPM-40..1display
.... LN/74384-9Anticoagulant/preservative?0..1choiceDefinition: Observation.valueCodeableConcept
Options: 2 options
.... LN/39111-0Tissue source/organ of origin0..1choiceDefinition: Specimen.collection.bodySite
.... LN/3169-0Specimen Volume/number of slides or scrolls0..1stringDefinition: Specimen.collection.quantity
.... OrderTrackingAudit (Specimen Tracking)0..1groupDefinition: Specimen.collection
..... NOS/SampleReceivedDate and time sample received in lab0..1dateDefinition: Specimen.receivedTime
..... NOS/SampleSentDate and time sample sent0..1dateDefinition: Observation.valueDateTime
..... NOS/TransportUsedTransport used0..1stringDefinition: Observation.valueString
..... LN/97209-1Tracking number0..1stringDefinition: Specimen.identifier[ShipmentTrackingNumber]
..... NOS/SampleSentToSample sent to0..1stringDefinition: Observation.valueString
..... NOS/SampleSentToNameName of person who sent sample0..1stringDefinition: Observation.valueString

doco Documentation for this format

Options Sets

Answer options for HL7/OBR-4-h

  • https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#R361.1
  • https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#R361.2
  • https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#R372.1
  • https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#R93.1
  • https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#R93.2

Answer options for LN/74384-9

  • http://loinc.org#LA33-6 ("Yes")
  • http://loinc.org#LA32-8 ("No")