Generated Narrative: Questionnaire GMSWGSCancerAskAtOrderEntry

Profile: Questionnaire

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. **For analysis purposes only - not an active or planned project.** **Ask At Order Entry Questions** for the **NHS Genomic Medicine Service (GMS) Whole Genome Sequencing (WGS) Test Request - Cancer** form (the national GMS-branded form, not NW GLH-specific), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). Like [GMS WGS Rare Disease](Questionnaire-GMSWGSRareDisease.html), this form has no Whole Genome Sequencing Test Category in the common core's Test Code branches, so its own Test Directory Clinical Indication item fills that gap directly.Questionnairehttps://fhir.nwgenomics.nhs.uk/Questionnaire/GMSWGSCancerAskAtOrderEntry#2.2.0
... PatientPatient0..1groupDefinition: Patient
.... LN/45392-8Patient first name0..1stringDefinition: Patient.name.given
.... LN/45394-4Patient last name0..1stringDefinition: Patient.name.family
.... LN/32624-9Ethnicity0..1choiceDefinition: Patient.extension:ethnicCategory
Value Set: Ethnicity
.... LN/21112-8Date of birth (dd/mm/yyyy)0..1dateDefinition: Patient.birthDate
.... LN/76435-7Hospital number0..1stringDefinition: Patient.identifier:MedicalRecordNumber
.... LN/46098-0Gender0..1choiceDefinition: Patient.gender
Value Set: AdministrativeGender
.... LN/45401-7Postcode0..1stringDefinition: Patient.address.postalCode
.... LN/89061-6NHS number0..1stringDefinition: Patient.identifier:nhsNumber
..... LN/89061-6-designNoteSee NOS/ReasonNHSNumberNotAvailable-cancer in Ask At Order Entry Questions below if not available.0..1display
... HealthcareProfessionalResponsible consultant0..1groupDefinition: PractitionerRole
.... LN/18705-4Name0..1stringDefinition: PractitionerRole.practitioner.display
.... NOS/DepartmentAddressDepartment address0..1stringDefinition: PractitionerRole.organization.display
.... LN/81230-5Phone0..1stringDefinition: PractitionerRole.telecom.value
.... LN/89058-2Email0..1stringDefinition: PractitionerRole.telecom.value
... AskAtOrderEntryAsk At Order Entry Questions0..1group
.... HL7/ORC-21-requesting-cancerRequesting organisation0..1stringDefinition: PractitionerRole.organization.identifier.value
..... HL7/ORC-21-requesting-cancer-designNoteSame concept as the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21) - see GMS WGS Rare Disease's equivalent item for the same requester/performer split.0..1display
.... NOS/GLHLaboratoryGLH laboratory to receive sample0..1stringDefinition: ServiceRequest.performer
.... NOS/ReasonNHSNumberNotAvailable-cancerReason NHS Number not available (e.g. patient not eligible, foreign national)0..1stringDefinition: Patient.identifier:nhsNumber.extension
.... NOS/PresentationStatusPresentation status0..1choiceDefinition: Condition.clinicalStatus
Options: 3 options
.... NOS/AdditionalClinicalInformationAdditional clinical information (previous tumours, molecular testing, relevant treatment history)0..1stringDefinition: ServiceRequest.note
..... NOS/AdditionalClinicalInformation-designNoteSame FHIR target as the common core's own Relevant clinical information and family history (HL7/NTE-1).0..1display
.... NOS/TestDirectoryClinicalIndication-cancerTest Directory Clinical Indication & code (cancer type & sub-type)1..1choiceDefinition: ServiceRequest.code
Value Set: Genomic Test Codes
..... NOS/TestDirectoryClinicalIndication-cancer-designNoteSame gap-fill as GMS WGS Rare Disease's own Test Code item - the common core's Cancer Test Code branch (HL7/OBR-4-c) is scoped to CancerTestCode, not Whole Genome Sequencing.0..1display
.... SolidTumourSolid tumour requests only0..1group
..... NOS/TumourPresentationTypeTumour presentation type0..1choiceDefinition: Observation.valueCodeableConcept
Options: 4 options
..... NOS/HistopathologyLabIDHistopathology Lab ID0..1stringDefinition: Specimen.accessionIdentifier.assigner.identifier.value
...... NOS/HistopathologyLabID-designNoteSame underlying concept as the common core's own Pathology Laboratory Hospital/Trust ID (LN/80398-1-ODS).0..1display
..... NOS/DateOfDiagnosis-solidDate of this diagnosis0..1dateDefinition: Condition.onsetDateTime
..... NOS/TumourTopographyTumour topography0..1stringDefinition: Specimen.collection.bodySite
...... NOS/TumourTopography-designNoteOverlaps conceptually with the common core's own Tissue source/organ of origin (LN/39111-0).0..1display
..... NOS/TumourMorphology-solidTumour morphology0..1string
...... NOS/TumourMorphology-solid-designNoteNo clean FHIR field identified for tumour morphology.0..1display
..... NOS/AdditionalTumourInformationAdditional tumour information (e.g. site of metastasis, unknown primary)0..1string
.... HaemOncLiquidTumourHaemato-oncology liquid tumour requests only0..1group
..... NOS/HaematoOncologyLiquidTumourTypeHaemato-oncology liquid tumour type0..1choiceDefinition: Observation.valueCodeableConcept
Options: 2 options
..... NOS/SIHMDSLabIDSIHMDS Lab ID0..1stringDefinition: Specimen.accessionIdentifier.assigner.identifier.value
..... NOS/DateOfDiagnosis-haemoncDate of this diagnosis0..1dateDefinition: Condition.onsetDateTime
.... TumourSpecimenTumour sample (being sent to GLH DNA extraction lab)0..1group
..... TumourSpecimen-designNoteSample type (Fresh frozen tumour/Bone marrow/Blood EDTA/Other), Sample ID, Collection date/time and Sample volume map onto the common core's own Specimen group - not re-declared here.0..1display
..... NOS/NeoplasticCellContent-gms% Malignant nuclei / blasts (or equivalent)1..1quantityDefinition: Observation.valueQuantity
...... NOS/NeoplasticCellContent-gms-designNoteSame underlying concept as WGS Local Test Order's Neoplastic cell content (NOS/NeoplasticCellContent-wgs) - reuses the same local code.0..1display
..... NOS/NucleatedCellCountNucleated cell count (if bone marrow/peripheral blood)0..1decimal
.... GermlineSpecimenGermline sample (being sent to GLH DNA extraction lab)0..1group
..... GermlineSpecimen-designNoteSample type (Blood EDTA/Saliva/Fibroblasts/Skin biopsy/Other), Sample ID, Collection date/time, Sample volume and Comments map onto the common core's own Specimen group - not re-declared here.0..1display
.... NOS/RODToFollow-gms-cancerRecord of Discussion (ROD) attached, or to follow0..1choiceDefinition: Observation.valueCodeableConcept
Options: 2 options
.... MainContact-cancerMain contact (if different from responsible consultant)0..1group
..... MainContact-cancer-designNoteResponsible consultant maps directly onto the common core's own Healthcare Professional group and is not re-declared here. Main Contact is the same genuinely-additional-person gap identified on GMS WGS Rare Disease and Genomic Test Order - Common Fields We May Have Missed (Copy Report To).0..1display
..... NOS/MainContactName-cancerName0..1string
..... NOS/MainContactDepartmentAddress-cancerDepartment address0..1string
..... NOS/MainContactPhone-cancerPhone0..1string
..... NOS/MainContactEmail-cancerEmail0..1string

doco Documentation for this format

Options Sets

Answer options for NOS/PresentationStatus

  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#PresentationFirstDiagnosis
  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#PresentationRecurrenceRelapse
  • http://loinc.org#LA4489-6 ("Unknown")

Answer options for NOS/TumourPresentationType

  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#TumourPresentationPrimary
  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#TumourPresentationMetastatic
  • http://loinc.org#LA4489-6 ("Unknown")
  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#TumourPresentationLymphoma

Answer options for NOS/HaematoOncologyLiquidTumourType

  • http://snomed.info/sct#91861009 ("Acute myeloid leukaemia (AML)")
  • http://snomed.info/sct#84228005 ("Acute lymphoblastic leukaemia (ALL)")

Answer options for NOS/RODToFollow-gms-cancer

  • http://loinc.org#LA33-6 ("Attached")
  • http://loinc.org#LA32-8 ("To follow")
 <status value="unknown"/> <date value="2026-09-20T05:53:36+00:00"/> <publisher value="NHS North West Genomics"/> <contact> <telecom> <system value="url"/> <value value="https://www.nwgenomics.nhs.uk/contact-us"/> </telecom> </contact> <description value="**For analysis purposes only - not an active or planned project.** **Ask At Order Entry Questions** for the **NHS Genomic Medicine Service (GMS) Whole Genome Sequencing (WGS) Test Request - Cancer** form (the national GMS-branded form, not NW GLH-specific), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). Like [GMS WGS Rare Disease](Questionnaire-GMSWGSRareDisease.html), this form has no Whole Genome Sequencing Test Category in the common core's Test Code branches, so its own Test Directory Clinical Indication item fills that gap directly."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="GB"/> <display value="United Kingdom of Great Britain and Northern Ireland"/> </coding> </jurisdiction> <item> <linkId value="Patient"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient"/> <text value="Patient"/> <type value="group"/> <item> <linkId value="LN/45392-8"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given"/> <code> <system value="http://loinc.org"/> <code value="45392-8"/> </code> <text value="Patient first name"/> <type value="string"/> </item> <item> <linkId value="LN/45394-4"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family"/> <code> <system value="http://loinc.org"/> <code value="45394-4"/> </code> <text value="Patient last name"/> <type value="string"/> </item> <item> <linkId value="LN/32624-9"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.extension:ethnicCategory"/> <code> <system value="http://loinc.org"/> <code value="32624-9"/> </code> <text value="Ethnicity"/> <type value="choice"/> <answerValueSet value="https://fhir.nwgenomics.nhs.uk/ValueSet/ethnicity"/> </item> <item> <linkId value="LN/21112-8"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate"/> <code> <system value="http://loinc.org"/> <code value="21112-8"/> </code> <text value="Date of birth (dd/mm/yyyy)"/> <type value="date"/> </item> <item> <linkId value="LN/76435-7"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber"/> <code> <system value="http://loinc.org"/> <code value="76435-7"/> </code> <text value="Hospital number"/> <type value="string"/> </item> <item> <linkId value="LN/46098-0"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender"/> <code> <system value="http://loinc.org"/> <code value="46098-0"/> </code> <text value="Gender"/> <type value="choice"/> <answerValueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/> </item> <item> <linkId value="LN/45401-7"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.postalCode"/> <code> <system value="http://loinc.org"/> <code value="45401-7"/> </code> <text value="Postcode"/> <type value="string"/> </item> <item> <linkId value="LN/89061-6"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:nhsNumber"/> <code> <system value="http://loinc.org"/> <code value="89061-6"/> </code> <text value="NHS number"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="LN/89061-6-designNote"/> <text value="See NOS/ReasonNHSNumberNotAvailable-cancer in Ask At Order Entry Questions below if not available."/> <type value="display"/> </item> </item> </item> <item> <linkId value="HealthcareProfessional"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole"/> <text value="Responsible consultant"/> <type value="group"/> <item> <linkId value="LN/18705-4"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display"/> <code> <system value="http://loinc.org"/> <code value="18705-4"/> </code> <text value="Name"/> <type value="string"/> </item> <item> <linkId value="NOS/DepartmentAddress"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.display"/> <text value="Department address"/> <type value="string"/> </item> <item> <linkId value="LN/81230-5"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value"/> <code> <system value="http://loinc.org"/> <code value="81230-5"/> </code> <text value="Phone"/> <type value="string"/> </item> <item> <linkId value="LN/89058-2"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value"/> <code> <system value="http://loinc.org"/> <code value="89058-2"/> <display value="Contact email address"/> </code> <text value="Email"/> <type value="string"/> </item> </item> <item> <linkId value="AskAtOrderEntry"/> <text value="Ask At Order Entry Questions"/> <type value="group"/> <item> <linkId value="HL7/ORC-21-requesting-cancer"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value"/> <text value="Requesting organisation"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="HL7/ORC-21-requesting-cancer-designNote"/> <text value="Same concept as the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21) - see GMS WGS Rare Disease's equivalent item for the same requester/performer split."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/GLHLaboratory"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.performer"/> <text value="GLH laboratory to receive sample"/> <type value="string"/> </item> <item> <linkId value="NOS/ReasonNHSNumberNotAvailable-cancer"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:nhsNumber.extension"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="ReasonNHSNumberNotAvailable"/> </code> <text value="Reason NHS Number not available (e.g. patient not eligible, foreign national)"/> <type value="string"/> </item> <item> <linkId value="NOS/PresentationStatus"/> <definition value="http://hl7.org/fhir/StructureDefinition/Condition#Condition.clinicalStatus"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="PresentationStatus"/> </code> <text value="Presentation status"/> <type value="choice"/> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="PresentationFirstDiagnosis"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="PresentationRecurrenceRelapse"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://loinc.org"/> <code value="LA4489-6"/> <display value="Unknown"/> </valueCoding> </answerOption> </item> <item> <linkId value="NOS/AdditionalClinicalInformation"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.note"/> <text value="Additional clinical information (previous tumours, molecular testing, relevant treatment history)"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/AdditionalClinicalInformation-designNote"/> <text value="Same FHIR target as the common core's own Relevant clinical information and family history (HL7/NTE-1)."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/TestDirectoryClinicalIndication-cancer"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code"/> <text value="Test Directory Clinical Indication & code (cancer type & sub-type)"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/TestDirectoryClinicalIndication-cancer-designNote"/> <text value="Same gap-fill as GMS WGS Rare Disease's own Test Code item - the common core's Cancer Test Code branch (HL7/OBR-4-c) is scoped to CancerTestCode, not Whole Genome Sequencing."/> <type value="display"/> </item> </item> <item> <linkId value="SolidTumour"/> <text value="Solid tumour requests only"/> <type value="group"/> <item> <linkId value="NOS/TumourPresentationType"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="TumourPresentationType"/> </code> <text value="Tumour presentation type"/> <type value="choice"/> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="TumourPresentationPrimary"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="TumourPresentationMetastatic"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://loinc.org"/> <code value="LA4489-6"/> <display value="Unknown"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="TumourPresentationLymphoma"/> </valueCoding> </answerOption> </item> <item> <linkId value="NOS/HistopathologyLabID"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.accessionIdentifier.assigner.identifier.value"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="HistopathologyLabID"/> </code> <text value="Histopathology Lab ID"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/HistopathologyLabID-designNote"/> <text value="Same underlying concept as the common core's own Pathology Laboratory Hospital/Trust ID (LN/80398-1-ODS)."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/DateOfDiagnosis-solid"/> <definition value="http://hl7.org/fhir/StructureDefinition/Condition#Condition.onsetDateTime"/> <text value="Date of this diagnosis"/> <type value="date"/> </item> <item> <linkId value="NOS/TumourTopography"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.bodySite"/> <text value="Tumour topography"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/TumourTopography-designNote"/> <text value="Overlaps conceptually with the common core's own Tissue source/organ of origin (LN/39111-0)."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/TumourMorphology-solid"/> <text value="Tumour morphology"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/TumourMorphology-solid-designNote"/> <text value="No clean FHIR field identified for tumour morphology."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/AdditionalTumourInformation"/> <text value="Additional tumour information (e.g. site of metastasis, unknown primary)"/> <type value="string"/> </item> </item> <item> <linkId value="HaemOncLiquidTumour"/> <text value="Haemato-oncology liquid tumour requests only"/> <type value="group"/> <item> <linkId value="NOS/HaematoOncologyLiquidTumourType"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="HaematoOncologyLiquidTumourType"/> </code> <text value="Haemato-oncology liquid tumour type"/> <type value="choice"/> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="91861009"/> <display value="Acute myeloid leukaemia (AML)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="84228005"/> <display value="Acute lymphoblastic leukaemia (ALL)"/> </valueCoding> </answerOption> </item> <item> <linkId value="NOS/SIHMDSLabID"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.accessionIdentifier.assigner.identifier.value"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="SIHMDSLabID"/> </code> <text value="SIHMDS Lab ID"/> <type value="string"/> </item> <item> <linkId value="NOS/DateOfDiagnosis-haemonc"/> <definition value="http://hl7.org/fhir/StructureDefinition/Condition#Condition.onsetDateTime"/> <text value="Date of this diagnosis"/> <type value="date"/> </item> </item> <item> <linkId value="TumourSpecimen"/> <text value="Tumour sample (being sent to GLH DNA extraction lab)"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="TumourSpecimen-designNote"/> <text value="Sample type (Fresh frozen tumour/Bone marrow/Blood EDTA/Other), Sample ID, Collection date/time and Sample volume map onto the common core's own Specimen group - not re-declared here."/> <type value="display"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="%"/> <display value="%"/> </valueCoding> </extension> <linkId value="NOS/NeoplasticCellContent-gms"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueQuantity"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="NeoplasticCellContent"/> </code> <text value="% Malignant nuclei / blasts (or equivalent)"/> <type value="quantity"/> <required value="true"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/NeoplasticCellContent-gms-designNote"/> <text value="Same underlying concept as WGS Local Test Order's Neoplastic cell content (NOS/NeoplasticCellContent-wgs) - reuses the same local code."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/NucleatedCellCount"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="NucleatedCellCount"/> </code> <text value="Nucleated cell count (if bone marrow/peripheral blood)"/> <type value="decimal"/> </item> </item> <item> <linkId value="GermlineSpecimen"/> <text value="Germline sample (being sent to GLH DNA extraction lab)"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="GermlineSpecimen-designNote"/> <text value="Sample type (Blood EDTA/Saliva/Fibroblasts/Skin biopsy/Other), Sample ID, Collection date/time, Sample volume and Comments map onto the common core's own Specimen group - not re-declared here."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/RODToFollow-gms-cancer"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="RODToFollow"/> </code> <text value="Record of Discussion (ROD) attached, or to follow"/> <type value="choice"/> <answerOption> <valueCoding> <system value="http://loinc.org"/> <code value="LA33-6"/> <display value="Attached"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://loinc.org"/> <code value="LA32-8"/> <display value="To follow"/> </valueCoding> </answerOption> </item> <item> <linkId value="MainContact-cancer"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="MainContact"/> </code> <text value="Main contact (if different from responsible consultant)"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="MainContact-cancer-designNote"/> <text value="Responsible consultant maps directly onto the common core's own Healthcare Professional group and is not re-declared here. Main Contact is the same genuinely-additional-person gap identified on GMS WGS Rare Disease and Genomic Test Order - Common Fields We May Have Missed (Copy Report To)."/> <type value="display"/> </item> <item> <linkId value="NOS/MainContactName-cancer"/> <text value="Name"/> <type value="string"/> </item> <item> <linkId value="NOS/MainContactDepartmentAddress-cancer"/> <text value="Department address"/> <type value="string"/> </item> <item> <linkId value="NOS/MainContactPhone-cancer"/> <text value="Phone"/> <type value="string"/> </item> <item> <linkId value="NOS/MainContactEmail-cancer"/> <text value="Email"/> <type value="string"/> </item> </item> </item> </Questionnaire>