Generated Narrative: Questionnaire HRDTumourBRCAAskAtOrderEntry

Profile: Questionnaire

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. **For analysis purposes only - not an active or planned project.** **Ask At Order Entry Questions** for the NW GLH paper **HRD and Tumour BRCA Test Request Form** (GB-27189), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This form is specific to newly-diagnosed advanced high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer (HRD test, performed by Myriad Genetics Inc. in the United States) and its relapsed-disease tumour BRCA-only pathway.Questionnairehttps://fhir.nwgenomics.nhs.uk/Questionnaire/HRDTumourBRCAAskAtOrderEntry#2.2.0
... PatientPatient details0..1groupDefinition: Patient
.... LN/45392-8Forename0..1stringDefinition: Patient.name.given
.... LN/45394-4Surname0..1stringDefinition: Patient.name.family
.... LN/21112-8DoB (DD/MM/YY)0..1dateDefinition: Patient.birthDate
.... LN/46098-0Sex0..1choiceDefinition: Patient.gender
Value Set: AdministrativeGender
.... LN/89061-6NHS number0..1stringDefinition: Patient.identifier:nhsNumber
.... LN/76435-7Hospital number0..1stringDefinition: Patient.identifier:MedicalRecordNumber
... HealthcareProfessionalReferrers details0..1groupDefinition: PractitionerRole
.... LN/18705-4Name0..1stringDefinition: PractitionerRole.practitioner.display
.... NOS/ReferrerPositionPosition0..1string
..... NOS/ReferrerPosition-designNoteNo clean FHIR field identified for the referrer's job title, as distinct from their clinical specialty/department below.0..1display
.... HL7/ORC-21NHS hospital0..1stringDefinition: PractitionerRole.organization.identifier.value
.... LN/18707-0Department0..1choiceDefinition: PractitionerRole.specialty.coding.code
Value Set: UK Core Practice Setting Code
.... LN/81230-5Telephone number0..1stringDefinition: PractitionerRole.telecom.value
.... NOS/PreferredReportMethodPreferred method of report0..1choiceOptions: 2 options
..... NOS/PreferredReportMethod-designNoteEmail requires a secure account per the paper form's own footnote - no clean FHIR field identified for this preference.0..1display
.... LN/89058-2Email/ fax (1)0..1stringDefinition: PractitionerRole.telecom.value
.... NOS/EmailFax2Email/ fax (2)0..1stringDefinition: PractitionerRole.telecom.value
..... NOS/EmailFax2-designNoteThis form's own second, alternative contact method - maps to a second repeat of PractitionerRole.telecom, distinct from Email/ fax (1) above.0..1display
.... NOS/ReportingAddressReporting address0..1string
... AskAtOrderEntryAsk At Order Entry Questions0..1group
.... NOS/HRDPathwayPathway1..1choiceDefinition: ServiceRequest.code
Options: 2 options
.... NOS/NewlyDiagnosedAdvancedDiseaseConfirmationConfirm the patient has newly diagnosed, advanced (FIGO stages III and IV) high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer0..1booleanDefinition: Observation.valueBoolean
Enable When: NOS/HRDPathway = Ovarian Carcinoma, HRD status (either positive for BRCA 1 and/or 2, or HRD positive) (NHS England Genomic Test Code#M2.5)
.... NOS/RelapsedDiseaseConfirmationConfirm the patient has relapsed high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer and has already received one or more treatment for their disease (second line or beyond)0..1booleanDefinition: Observation.valueBoolean
Enable When: NOS/HRDPathway = Ovarian Carcinoma, Multi-target NGS panel - small variant (BRCA1, BRCA2, SMARCA4) (NHS England Genomic Test Code#M2.1)
.... NOS/MyriadInternationalTransferConsentConsent obtained for tissue, pathology report and personal details (name, NHS number, date of birth) to be sent to Myriad laboratory in the United States for analysis0..1booleanDefinition: Observation.valueBoolean
Enable When: NOS/HRDPathway = Ovarian Carcinoma, HRD status (either positive for BRCA 1 and/or 2, or HRD positive) (NHS England Genomic Test Code#M2.5)
.... NOS/PathologistNamePathologist0..1stringDefinition: Observation.valueString
.... NOS/PathologyHospitalPathology hospital0..1stringDefinition: Observation.valueString
.... NOS/NeoplasticCellContentApproximate % neoplastic nuclei in tumour area highlighted0..1quantityDefinition: Observation.valueQuantity
..... NOS/NeoplasticCellContent-designNoteSpecimen.accessionIdentifier (pathology block/sample number) is already captured by the common core order form's Specimen group - not repeated here.0..1display

doco Documentation for this format

Options Sets

Answer options for NOS/PreferredReportMethod

  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#ReportMethodEmail
  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#ReportMethodFax

Answer options for NOS/HRDPathway

  • https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#M2.5 ("HRD status (includes tumour BRCA results)")
  • https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory#M2.1 ("Tumour BRCA test only")
 <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 NW GLH paper **HRD and Tumour BRCA Test Request Form** (GB-27189), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This form is specific to newly-diagnosed advanced high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer (HRD test, performed by Myriad Genetics Inc. in the United States) and its relapsed-disease tumour BRCA-only pathway."/> <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 details"/> <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="Forename"/> <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="Surname"/> <type value="string"/> </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="DoB (DD/MM/YY)"/> <type value="date"/> </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="Sex"/> <type value="choice"/> <answerValueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/> </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> <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> <item> <linkId value="HealthcareProfessional"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole"/> <text value="Referrers details"/> <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/ReferrerPosition"/> <text value="Position"/> <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/ReferrerPosition-designNote"/> <text value="No clean FHIR field identified for the referrer's job title, as distinct from their clinical specialty/department below."/> <type value="display"/> </item> </item> <item> <linkId value="HL7/ORC-21"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value"/> <text value="NHS hospital"/> <type value="string"/> </item> <item> <linkId value="LN/18707-0"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.specialty.coding.code"/> <code> <system value="http://loinc.org"/> <code value="18707-0"/> </code> <text value="Department"/> <type value="choice"/> <answerValueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"/> </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="Telephone number"/> <type value="string"/> </item> <item> <linkId value="NOS/PreferredReportMethod"/> <text value="Preferred method of report"/> <type value="choice"/> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="ReportMethodEmail"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="ReportMethodFax"/> </valueCoding> </answerOption> <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/PreferredReportMethod-designNote"/> <text value="Email requires a secure account per the paper form's own footnote - no clean FHIR field identified for this preference."/> <type value="display"/> </item> </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/ fax (1)"/> <type value="string"/> </item> <item> <linkId value="NOS/EmailFax2"/> <definition value="http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value"/> <text value="Email/ fax (2)"/> <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/EmailFax2-designNote"/> <text value="This form's own second, alternative contact method - maps to a second repeat of PractitionerRole.telecom, distinct from Email/ fax (1) above."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/ReportingAddress"/> <text value="Reporting address"/> <type value="string"/> </item> </item> <item> <linkId value="AskAtOrderEntry"/> <text value="Ask At Order Entry Questions"/> <type value="group"/> <item> <linkId value="NOS/HRDPathway"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code"/> <text value="Pathway"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/> <code value="M2.5"/> <display value="HRD status (includes tumour BRCA results)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/> <code value="M2.1"/> <display value="Tumour BRCA test only"/> </valueCoding> </answerOption> </item> <item> <linkId value="NOS/NewlyDiagnosedAdvancedDiseaseConfirmation"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueBoolean"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="NewlyDiagnosedAdvancedDiseaseConfirmation"/> </code> <text value="Confirm the patient has newly diagnosed, advanced (FIGO stages III and IV) high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer"/> <type value="boolean"/> <enableWhen> <question value="NOS/HRDPathway"/> <operator value="="/> <answerCoding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/> <code value="M2.5"/> </answerCoding> </enableWhen> </item> <item> <linkId value="NOS/RelapsedDiseaseConfirmation"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueBoolean"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="RelapsedDiseaseConfirmation"/> </code> <text value="Confirm the patient has relapsed high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer and has already received one or more treatment for their disease (second line or beyond)"/> <type value="boolean"/> <enableWhen> <question value="NOS/HRDPathway"/> <operator value="="/> <answerCoding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/> <code value="M2.1"/> </answerCoding> </enableWhen> </item> <item> <linkId value="NOS/MyriadInternationalTransferConsent"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueBoolean"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="MyriadInternationalTransferConsent"/> </code> <text value="Consent obtained for tissue, pathology report and personal details (name, NHS number, date of birth) to be sent to Myriad laboratory in the United States for analysis"/> <type value="boolean"/> <enableWhen> <question value="NOS/HRDPathway"/> <operator value="="/> <answerCoding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/> <code value="M2.5"/> </answerCoding> </enableWhen> </item> <item> <linkId value="NOS/PathologistName"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueString"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="PathologistName"/> </code> <text value="Pathologist"/> <type value="string"/> </item> <item> <linkId value="NOS/PathologyHospital"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueString"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="PathologyHospital"/> </code> <text value="Pathology hospital"/> <type value="string"/> </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"/> <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="Approximate % neoplastic nuclei in tumour area highlighted"/> <type value="quantity"/> <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-designNote"/> <text value="Specimen.accessionIdentifier (pathology block/sample number) is already captured by the common core order form's Specimen group - not repeated here."/> <type value="display"/> </item> </item> </item> </Questionnaire>