NHS North West Genomics
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Questionnaire: Genomic Variant Review Ask At Order Entry Questions

Official URL: https://fhir.nwgenomics.nhs.uk/Questionnaire/VariantReviewAskAtOrderEntry Version: 2.2.0
Unknown as of 2026-09-20 Computable Name:

For analysis purposes only - not an active or planned project.

Ask At Order Entry Questions for the NW GLH paper Genomic Variant Review Request Form (R442.1) - Rare Disease (DOC6004), used alongside the common core order form - see Order Entry Questions. This form does not request a new test on a new specimen - it asks the laboratory to re-review a variant already reported, so its distinctive content is a reference back to that prior report rather than specimen detail.

This Questionnaire is compared against Genomic Test Order - see NW GLH Paper Test Request Forms - but does not yet declare derivedFrom/extends it: unlike the Ask At Order Entry Questionnaires that originated from an existing digital order-entry screen (see Order Entry Questions), this one hasn't yet been processed into the specific electronic Ask At Order Entry shape that relationship implies for use in an actual order. It structures the NW GLH paper Genomic Variant Review Request Form (R442.1) - Rare Disease (DOC6004) - see NW Genomics paper test request forms for how this compares to the other paper forms.

Source form: Genomic Variant Review Request Form, R442.1/DOC6004 (DOCX)

Summary

Item Paper Form Field FHIR
Surname/Forename Free text Patient.name
D.O.B./Biological Sex/Gender Identity Free text Patient.birthDate / Patient.gender / not yet mapped
Address/Postcode Free text Patient.address
Ethnicity Coded Patient.extension:ethnicCategory
NHS No/Hospital No Free text Patient.identifier:nhsNumber / Patient.identifier:MedicalRecordNumber
Referring Clinician/Healthcare Professional (Consultant/GP, Hospital/Surgery, Department, E-mail/Tel, Requested by/Cc. Report to) Free text PractitionerRole
Reason for review New information / time elapsed / urgent scenario / formal classification required (tick boxes) ServiceRequest.reasonCode
Variant(s) under review Free text ServiceRequest.note
Prior report reference "Report reference" free text ServiceRequest.basedOn -> DiagnosticReport
Specialty Free text (e.g. Core, Cardiology) PractitionerRole.specialty
Additional evidence Free text ServiceRequest.note

This form does not request a new test on a new specimen - it asks the laboratory to re-review a variant already reported. Its distinguishing content is therefore a reference back to the prior report, not specimen detail, and the common core's own Specimen group does not apply. Where the prior report came from an external GLH, the form asks for a copy to be attached - the same ServiceRequest.supportingInfo -> DocumentReference -> Binary pattern used for the family letter on Genetic Clinical Referral. No Order Placer Number, Account Number/Hospital Spell Identifier, or clinician professional identifier (GMC/GMP) field is present on the paper form.

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 **Genomic Variant Review Request Form (R442.1) - Rare Disease** (DOC6004), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This form does not request a new test on a new specimen - it asks the laboratory to **re-review a variant already reported**, so its distinctive content is a reference back to that prior report rather than specimen detail. Questionnaire https://fhir.nwgenomics.nhs.uk/Questionnaire/VariantReviewAskAtOrderEntry#2.2.0
... Patient Patient Details 0..1 group Definition: Patient
Value Set:
.... LN/45394-4 Surname 0..1 string Definition: Patient.name.family
Value Set:
.... LN/45392-8 Forename 0..1 string Definition: Patient.name.given
Value Set:
.... LN/21112-8 D.O.B. 0..1 date Definition: Patient.birthDate
Value Set:
.... LN/46098-0 Biological Sex 0..1 choice Definition: Patient.gender
Value Set: AdministrativeGender
.... NOS/GenderIdentity Gender Identity 0..1 string Value Set:
..... NOS/GenderIdentity-designNote No clean FHIR field identified - distinct from Biological Sex on this form's own layout. 0..1 display Value Set:
.... LN/56799-0 Address 0..* string Definition: Patient.address.line
Value Set:
.... LN/45401-7 Postcode 0..1 string Definition: Patient.address.postalCode
Value Set:
.... LN/32624-9 Ethnicity 0..1 choice Definition: Patient.extension:ethnicCategory
Value Set: Ethnicity
.... LN/89061-6 NHS No 0..1 string Definition: Patient.identifier:nhsNumber
Value Set:
.... LN/76435-7 Hospital No 0..1 string Definition: Patient.identifier:MedicalRecordNumber
Value Set:
... HealthcareProfessional Referring Clinician/Healthcare Professional 0..1 group Definition: PractitionerRole
Value Set:
.... LN/18705-4 Consultant/GP (in full) 0..1 string Definition: PractitionerRole.practitioner.display
Value Set:
.... HL7/ORC-21 Hospital/Surgery (in full) 0..1 string Definition: PractitionerRole.organization.identifier.value
Value Set:
.... LN/18707-0 Department 0..1 choice Definition: PractitionerRole.specialty.coding.code
Value Set: UK Core Practice Setting Code
..... LN/18707-0-designNote Distinct from this Questionnaire's own Specialty (e.g. Core, Cardiology) item (NOS/ReviewSpecialty) below - that one is the specialty performing the review, this is the referring clinician's own department. 0..1 display Value Set:
.... LN/89058-2 E-mail/Tel 0..1 string Definition: PractitionerRole.telecom.value
Value Set:
.... NOS/RequestedByCcReportTo Requested by/Cc. Report to 0..1 string Value Set:
..... NOS/RequestedByCcReportTo-designNote Same genuinely-additional-person gap identified on the GMS WGS national forms' own Main Contact group and Genomic Test Order - Common Fields We May Have Missed (Copy Report To). 0..1 display Value Set:
... AskAtOrderEntry Ask At Order Entry Questions 0..1 group Value Set:
.... NOS/VariantReviewReason Reason for review 1..1 choice Definition: ServiceRequest.reasonCode
Value Set:
Options: 4 options
..... NOS/VariantReviewReason-designNote Covers similar ground to Reason For Variant Re-Interpretation Request in NW Genomic General Ask At Order Questions (NOS/VariantReinterpretationReason), which is a single free-text field - this form's four named reasons are kept as their own coded item rather than reused, since they are specific eligibility criteria for requesting a review, not a general free-text reason. 0..1 display Value Set:
.... NOS/VariantsUnderReview Variant(s) under review 1..1 string Definition: ServiceRequest.note
Value Set:
.... NOS/ReportReference Prior report reference 1..1 reference Definition: ServiceRequest.basedOn
Value Set:
..... NOS/ReportReference-designNote If this variant was reported by an external GLH, please attach a copy of the report - ServiceRequest.supportingInfo -> DocumentReference -> Binary, the same pattern used for the family letter on Genetic Clinical Referral. 0..1 display Value Set:
.... NOS/ReviewSpecialty Specialty (e.g. Core, Cardiology) 0..1 string Definition: PractitionerRole.specialty.coding.code
Value Set:
.... NOS/AdditionalEvidence Additional evidence (new clinical or scientific information) 0..1 string Definition: ServiceRequest.note
Value Set:

doco Documentation for this format

Options Sets

Answer options for NOS/VariantReviewReason

  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#VariantReviewReasonNewInformation
  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#VariantReviewReasonTimeElapsed
  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#VariantReviewReasonUrgent
  • https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#VariantReviewReasonFormalClassification

Profile: Questionnaire

Patient Details

  • linkId: Patient
  • Definition:: Patient
  • Answers:

Surname

Forename

D.O.B.

Biological Sex

Gender Identity

  • linkId: NOS/GenderIdentity
  • Answers:

No clean FHIR field identified - distinct from Biological Sex on this form's own layout.

  • linkId: NOS/GenderIdentity-designNote
  • Answers:

Address

Postcode

Ethnicity

NHS No

Hospital No

Referring Clinician/Healthcare Professional

Consultant/GP (in full)

Hospital/Surgery (in full)

Department

Distinct from this Questionnaire's own Specialty (e.g. Core, Cardiology) item (NOS/ReviewSpecialty) below - that one is the specialty performing the review, this is the referring clinician's own department.

  • linkId: LN/18707-0-designNote
  • Answers:

E-mail/Tel

Requested by/Cc. Report to

  • linkId: NOS/RequestedByCcReportTo
  • Answers:

Same genuinely-additional-person gap identified on the GMS WGS national forms' own Main Contact group and Genomic Test Order - Common Fields We May Have Missed (Copy Report To).

  • linkId: NOS/RequestedByCcReportTo-designNote
  • Answers:

Ask At Order Entry Questions

  • linkId: AskAtOrderEntry
  • Answers:

Reason for review*

Covers similar ground to Reason For Variant Re-Interpretation Request in NW Genomic General Ask At Order Questions (NOS/VariantReinterpretationReason), which is a single free-text field - this form's four named reasons are kept as their own coded item rather than reused, since they are specific eligibility criteria for requesting a review, not a general free-text reason.

  • linkId: NOS/VariantReviewReason-designNote
  • Answers:

Variant(s) under review*

Prior report reference*

If this variant was reported by an external GLH, please attach a copy of the report - ServiceRequest.supportingInfo -> DocumentReference -> Binary, the same pattern used for the family letter on Genetic Clinical Referral.

  • linkId: NOS/ReportReference-designNote
  • Answers:

Specialty (e.g. Core, Cardiology)

Additional evidence (new clinical or scientific information)

Profile: Questionnaire

LinkIDDescription & Constraintsdoco
.. Patient Definition: Patient
Value Set:
... LN/45394-4 Definition: Patient.name.family
Value Set:
... LN/45392-8 Definition: Patient.name.given
Value Set:
... LN/21112-8 Definition: Patient.birthDate
Value Set:
... LN/46098-0 Definition: Patient.gender
Value Set: AdministrativeGender
... NOS/GenderIdentity Value Set:
.... NOS/GenderIdentity-designNote Value Set:
... LN/56799-0 Definition: Patient.address.line
Value Set:
... LN/45401-7 Definition: Patient.address.postalCode
Value Set:
... LN/32624-9 Definition: Patient.extension:ethnicCategory
Value Set: Ethnicity
... LN/89061-6 Definition: Patient.identifier:nhsNumber
Value Set:
... LN/76435-7 Definition: Patient.identifier:MedicalRecordNumber
Value Set:
.. HealthcareProfessional Definition: PractitionerRole
Value Set:
... LN/18705-4 Definition: PractitionerRole.practitioner.display
Value Set:
... HL7/ORC-21 Definition: PractitionerRole.organization.identifier.value
Value Set:
... LN/18707-0 Definition: PractitionerRole.specialty.coding.code
Value Set: UK Core Practice Setting Code
.... LN/18707-0-designNote Value Set:
... LN/89058-2 Definition: PractitionerRole.telecom.value
Value Set:
... NOS/RequestedByCcReportTo Value Set:
.... NOS/RequestedByCcReportTo-designNote Value Set:
.. AskAtOrderEntry Value Set:
... NOS/VariantReviewReason Definition: ServiceRequest.reasonCode
Value Set:
Options: 4 options
.... NOS/VariantReviewReason-designNote Value Set:
... NOS/VariantsUnderReview Definition: ServiceRequest.note
Value Set:
... NOS/ReportReference Definition: ServiceRequest.basedOn
Value Set:
.... NOS/ReportReference-designNote Value Set:
... NOS/ReviewSpecialty Definition: PractitionerRole.specialty.coding.code
Value Set:
... NOS/AdditionalEvidence Definition: ServiceRequest.note
Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.