{ "resourceType" : "Questionnaire", "id" : "WGSLocalTestOrderAskAtOrderEntry", "meta" : { "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/NWQuestionnaire"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire WGSLocalTestOrderAskAtOrderEntry

Profile: Questionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" **For analysis purposes only - not an active or planned project.**\n\n**Ask At Order Entry Questions** for the NW GLH paper **Genetic Testing\nRequest Form - Whole Genome Sequencing (WGS)** form, which accompanies\nsamples sent directly to a NW GLH site, used alongside the [common core\norder form](Questionnaire-GenomicTestOrder.html) - see [Order Entry\nQuestions](Questionnaire-GenomicTestOrder.html#order-entry-questions).\n\n**Not to be confused with** [dWGS Sub-Order Manifest](Questionnaire-dWGSSubOrder.html) -\nthat Questionnaire is the digital manifest for a **distributed WGS\nsub-contracted order** between GLHs (see [dWGS](dWGS.html)); this one is the\nplain paper form used for a **local** WGS request, and does not by itself\nimply any sub-contracting.Questionnairehttps://fhir.nwgenomics.nhs.uk/Questionnaire/WGSLocalTestOrderAskAtOrderEntry#2.2.0
\".\"\".\"\".\" PatientPatient Details0..1groupDefinition: Patient
\".\"\".\"\".\"\".\" LN/45394-4Surname0..1stringDefinition: Patient.name.family
\".\"\".\"\".\"\".\" LN/45392-8Forename0..1stringDefinition: Patient.name.given
\".\"\".\"\".\"\".\" LN/21112-8DoB0..1dateDefinition: Patient.birthDate
\".\"\".\"\".\"\".\" LN/46098-0Sex0..1choiceDefinition: Patient.gender
Value Set: AdministrativeGender
\".\"\".\"\".\"\".\" LN/56799-0Address0..1stringDefinition: Patient.address.line
\".\"\".\"\".\"\".\" LN/45401-7Postcode0..1stringDefinition: Patient.address.postalCode
\".\"\".\"\".\"\".\" LN/89061-6-patientNHS No0..1stringDefinition: Patient.identifier:nhsNumber
\".\"\".\"\".\"\".\"\".\" LN/89061-6-patient-designNoteDistinct linkId from NOS/Proband's own NHS Number (if known) item below (LN/89061-6) - that one is the Proband's, this is this order's own Patient (the family member, on the Family Member pathway).0..1display
\".\"\".\"\".\"\".\" LN/76435-7-patientHospital No0..1stringDefinition: Patient.identifier:MedicalRecordNumber
\".\"\".\"\".\" HealthcareProfessionalReferring Clinician0..1groupDefinition: PractitionerRole
\".\"\".\"\".\"\".\" LN/18705-4Consultant (in full)0..1stringDefinition: PractitionerRole.practitioner.display
\".\"\".\"\".\"\".\" HL7/ORC-21Hospital (in full)0..1stringDefinition: PractitionerRole.organization.identifier.value
\".\"\".\"\".\"\".\" NOS/DepartmentAddressDepartment0..1stringDefinition: PractitionerRole.organization.display
\".\"\".\"\".\"\".\" LN/81230-5Tel0..1stringDefinition: PractitionerRole.telecom.value
\".\"\".\"\".\"\".\" LN/89058-2Email0..1stringDefinition: PractitionerRole.telecom.value
\".\"\".\"\".\" AskAtOrderEntryAsk At Order Entry Questions0..1group
\".\"\".\"\".\"\".\" NOS/WGSPathwayWGS test type requested1..1choiceDefinition: ServiceRequest.category
Options: 4 options
\".\"\".\"\".\"\".\" NOS/ProbandProband (Family Member pathway only)0..*groupDefinition: RelatedPerson
Enable When: NOS/WGSPathway = WGS pathway - Rare Disease, Family Member (NW GMSA Codes#WGSPathwayRareDiseaseFamilyMember)
\".\"\".\"\".\"\".\"\".\" NOS/Proband-designNoteSame NK1-shaped RelatedPerson group as NW Genomic General Ask At\nOrder Questions' own Related Individual (NK1) group\n(NOS/RelatedIndividual), used here under its Proband role rather than\nConsultand: the roles are reversed from Genetic Clinical Referral -\nConsultand, where the base ServiceRequest's own Patient is always the\nproband and the relative is the supportingInfo reference. Here, when\nthe Family Member pathway is selected, this ServiceRequest's own\ncommon-core Patient group is completed for the FAMILY MEMBER whose\nspecimen this particular order carries - it is this group, not the\nbase Patient group, that names the proband. NHS/hospital number (if\nknown) are enough to resolve this RelatedPerson to the proband's own,\nalready-existing Patient record from their own separate WGS referral,\nwithout needing to duplicate it as a new Patient.\n\nThis Family Member pathway is effectively a **consultand test**: the\nsame real-world scenario as one repetition of GMS WGS Rare Disease's\nown repeating Family Members group (a relative tested alongside a\nproband for interpretation), just modelled the other way round because\nthis form produces one order per specimen rather than a single\ncomposite family submission - see GMS WGS Rare Disease - Practical\nIssues: One Form, Multiple Orders. This Questionnaire may represent a\nready-made way of resolving that composite-form problem, not just an\nanalogy to it: decomposing a GMS WGS Rare Disease Family Members entry\ninto an individual order could reuse this Family Member pathway's own\nshape directly - proband referenced back via NOS/Proband, the same way\neach Family Members repetition there references the proband via\nRelatedPerson - rather than needing a new decomposition pattern\ndesigned from scratch.0..1display
\".\"\".\"\".\"\".\"\".\" NOS/RelatedIndividualRoleRole1..1choiceOptions: 1 option
\".\"\".\"\".\"\".\"\".\" HL7/NK1-2Name1..1stringDefinition: RelatedPerson.name
\".\"\".\"\".\"\".\"\".\" HL7/NK1-3Relationship1..1choiceDefinition: RelatedPerson.relationship
Value Set: UK Core Person Relationship Type
\".\"\".\"\".\"\".\"\".\" HL7/NK1.15Administrative Sex0..1choiceDefinition: RelatedPerson.gender
Value Set: AdministrativeGender
\".\"\".\"\".\"\".\"\".\" HL7/NK1-16Date of Birth0..1dateDefinition: RelatedPerson.birthDate
\".\"\".\"\".\"\".\"\".\" LN/89061-6NHS Number (if known)0..1stringDefinition: RelatedPerson.identifier:nhsNumber
\".\"\".\"\".\"\".\"\".\" LN/76435-7Hospital Number (Medical Record Number), if known0..1stringDefinition: RelatedPerson.identifier:MedicalRecordNumber
\".\"\".\"\".\"\".\"\".\" NOS/RelatedIndividual-patientThis order's own Patient (the family member)1..1referenceDefinition: RelatedPerson.patient
\".\"\".\"\".\"\".\" NOS/NGISTestCodeNational Genomic Informatics System (NGIS) Test Code0..1choiceDefinition: ServiceRequest.code
Value Set: NGIS Test Code
\".\"\".\"\".\"\".\"\".\" NOS/NGISTestCode-designNoteThe paper form's own 'NGIS/Barcode (Until NGIS Referral Received)' box is a placeholder used before the digital NGIS referral exists, rather than a distinct order identifier - it converges on the same ServiceRequest.code as the common core's Test Request group once the NGIS referral is created.0..1display
\".\"\".\"\".\"\".\" SNM/281269004High Infection Risk?0..1choiceDefinition: Observation.valueCodeableConcept
Options: 2 options
\".\"\".\"\".\"\".\"\".\" SNM/281269004-designNotePresent on the paper form's own Sample Information section (and echoed again in the NW GLH Laboratory use ONLY section) - same SNM/281269004 code and Yes/No shape as NW Genomic General Ask At Order Questions' own High Infection Risk item.0..1display
\".\"\".\"\".\"\".\" NOS/InfectionRiskDetailsHigh infection Risk Details0..1stringDefinition: Observation.valueString
\".\"\".\"\".\"\".\" SNM/74996004-patient-choice-formConfirm that a completed Patient Choice (consent) form has been received by the laboratory0..1choiceDefinition: Observation.valueCodeableConcept
Options: 3 options
\".\"\".\"\".\"\".\"\".\" SNM/74996004-patient-choice-form-designNoteThe paper form's own Referring Clinician section carries a Consent Statement: 'A complete Patient Choice form must be received by the laboratory before WGS can be initiated.' Modelled as a confirmation-of-receipt choice, the same #choice/confirmation-code shape as NW Genomic General Ask At Order Questions' own pathology-report confirmation item, rather than the Consent group's consent-for-testing/DNA-storage Y/N questions - the Patient Choice form is a separate, externally-referenced document this order depends on, not a question this order itself is asking.0..1display

\"doco\" Documentation for this format

Options Sets

Answer options for NOS/WGSPathway

Answer options for NOS/RelatedIndividualRole

Answer options for SNM/281269004

Answer options for SNM/74996004-patient-choice-form

" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm", "valueCoding" : { "system" : "http://hl7.org/fhir/version-algorithm", "code" : "semver" } }], "url" : "https://fhir.nwgenomics.nhs.uk/Questionnaire/WGSLocalTestOrderAskAtOrderEntry", "version" : "2.2.0", "title" : "WGS Local Test Order Ask At Order Entry Questions", "status" : "unknown", "date" : "2026-09-20T05:53:36+00:00", "publisher" : "NHS North West Genomics", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "https://www.nwgenomics.nhs.uk/contact-us" }] }], "description" : "**For analysis purposes only - not an active or planned project.**\n\n**Ask At Order Entry Questions** for the NW GLH paper **Genetic Testing\nRequest Form - Whole Genome Sequencing (WGS)** form, which accompanies\nsamples sent directly to a NW GLH site, used alongside the [common core\norder form](Questionnaire-GenomicTestOrder.html) - see [Order Entry\nQuestions](Questionnaire-GenomicTestOrder.html#order-entry-questions).\n\n**Not to be confused with** [dWGS Sub-Order Manifest](Questionnaire-dWGSSubOrder.html) -\nthat Questionnaire is the digital manifest for a **distributed WGS\nsub-contracted order** between GLHs (see [dWGS](dWGS.html)); this one is the\nplain paper form used for a **local** WGS request, and does not by itself\nimply any sub-contracting.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "GB", "display" : "United Kingdom of Great Britain and Northern Ireland" }] }], "item" : [{ "linkId" : "Patient", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient", "text" : "Patient Details", "type" : "group", "item" : [{ "linkId" : "LN/45394-4", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family", "code" : [{ "system" : "http://loinc.org", "code" : "45394-4" }], "text" : "Surname", "type" : "string" }, { "linkId" : "LN/45392-8", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given", "code" : [{ "system" : "http://loinc.org", "code" : "45392-8" }], "text" : "Forename", "type" : "string" }, { "linkId" : "LN/21112-8", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate", "code" : [{ "system" : "http://loinc.org", "code" : "21112-8" }], "text" : "DoB", "type" : "date" }, { "linkId" : "LN/46098-0", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.gender", "code" : [{ "system" : "http://loinc.org", "code" : "46098-0" }], "text" : "Sex", "type" : "choice", "answerValueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender" }, { "linkId" : "LN/56799-0", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.line", "code" : [{ "system" : "http://loinc.org", "code" : "56799-0" }], "text" : "Address", "type" : "string" }, { "linkId" : "LN/45401-7", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.postalCode", "code" : [{ "system" : "http://loinc.org", "code" : "45401-7" }], "text" : "Postcode", "type" : "string" }, { "linkId" : "LN/89061-6-patient", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:nhsNumber", "code" : [{ "system" : "http://loinc.org", "code" : "89061-6" }], "text" : "NHS No", "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/89061-6-patient-designNote", "text" : "Distinct linkId from NOS/Proband's own NHS Number (if known) item below (LN/89061-6) - that one is the Proband's, this is this order's own Patient (the family member, on the Family Member pathway).", "type" : "display" }] }, { "linkId" : "LN/76435-7-patient", "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber", "code" : [{ "system" : "http://loinc.org", "code" : "76435-7" }], "text" : "Hospital No", "type" : "string" }] }, { "linkId" : "HealthcareProfessional", "definition" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole", "text" : "Referring Clinician", "type" : "group", "item" : [{ "linkId" : "LN/18705-4", "definition" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display", "code" : [{ "system" : "http://loinc.org", "code" : "18705-4" }], "text" : "Consultant (in full)", "type" : "string" }, { "linkId" : "HL7/ORC-21", "definition" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value", "text" : "Hospital (in full)", "type" : "string" }, { "linkId" : "NOS/DepartmentAddress", "definition" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.organization.display", "text" : "Department", "type" : "string" }, { "linkId" : "LN/81230-5", "definition" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value", "code" : [{ "system" : "http://loinc.org", "code" : "81230-5" }], "text" : "Tel", "type" : "string" }, { "linkId" : "LN/89058-2", "definition" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value", "code" : [{ "system" : "http://loinc.org", "code" : "89058-2", "display" : "Contact email address" }], "text" : "Email", "type" : "string" }] }, { "linkId" : "AskAtOrderEntry", "text" : "Ask At Order Entry Questions", "type" : "group", "item" : [{ "linkId" : "NOS/WGSPathway", "definition" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.category", "text" : "WGS test type requested", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "WGSPathwayRareDiseaseProband" } }, { "valueCoding" : { "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "WGSPathwayRareDiseaseFamilyMember" } }, { "valueCoding" : { "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "WGSPathwayCancerTumour" } }, { "valueCoding" : { "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "WGSPathwayCancerGermline" } }] }, { "linkId" : "NOS/Proband", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson", "text" : "Proband (Family Member pathway only)", "type" : "group", "enableWhen" : [{ "question" : "NOS/WGSPathway", "operator" : "=", "answerCoding" : { "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "WGSPathwayRareDiseaseFamilyMember" } }], "repeats" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "NOS/Proband-designNote", "text" : "Same NK1-shaped RelatedPerson group as NW Genomic General Ask At\nOrder Questions' own Related Individual (NK1) group\n(NOS/RelatedIndividual), used here under its Proband role rather than\nConsultand: the roles are reversed from Genetic Clinical Referral -\nConsultand, where the base ServiceRequest's own Patient is always the\nproband and the relative is the supportingInfo reference. Here, when\nthe Family Member pathway is selected, this ServiceRequest's own\ncommon-core Patient group is completed for the FAMILY MEMBER whose\nspecimen this particular order carries - it is this group, not the\nbase Patient group, that names the proband. NHS/hospital number (if\nknown) are enough to resolve this RelatedPerson to the proband's own,\nalready-existing Patient record from their own separate WGS referral,\nwithout needing to duplicate it as a new Patient.\n\nThis Family Member pathway is effectively a **consultand test**: the\nsame real-world scenario as one repetition of GMS WGS Rare Disease's\nown repeating Family Members group (a relative tested alongside a\nproband for interpretation), just modelled the other way round because\nthis form produces one order per specimen rather than a single\ncomposite family submission - see GMS WGS Rare Disease - Practical\nIssues: One Form, Multiple Orders. This Questionnaire may represent a\nready-made way of resolving that composite-form problem, not just an\nanalogy to it: decomposing a GMS WGS Rare Disease Family Members entry\ninto an individual order could reuse this Family Member pathway's own\nshape directly - proband referenced back via NOS/Proband, the same way\neach Family Members repetition there references the proband via\nRelatedPerson - rather than needing a new decomposition pattern\ndesigned from scratch.", "type" : "display" }, { "linkId" : "NOS/RelatedIndividualRole", "code" : [{ "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "RelatedIndividualRole" }], "text" : "Role", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "RoleProband" } }] }, { "linkId" : "HL7/NK1-2", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name", "text" : "Name", "type" : "string", "required" : true }, { "linkId" : "HL7/NK1-3", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.relationship", "text" : "Relationship", "type" : "choice", "required" : true, "answerValueSet" : "https://fhir.hl7.org.uk/ValueSet/UKCore-PersonRelationshipType" }, { "linkId" : "HL7/NK1.15", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.gender", "text" : "Administrative Sex", "type" : "choice", "answerValueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender" }, { "linkId" : "HL7/NK1-16", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.birthDate", "text" : "Date of Birth", "type" : "date" }, { "linkId" : "LN/89061-6", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.identifier:nhsNumber", "code" : [{ "system" : "http://loinc.org", "code" : "89061-6" }], "text" : "NHS Number (if known)", "type" : "string", "required" : false }, { "linkId" : "LN/76435-7", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.identifier:MedicalRecordNumber", "code" : [{ "system" : "http://loinc.org", "code" : "76435-7" }], "text" : "Hospital Number (Medical Record Number), if known", "type" : "string", "required" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile", "valueCanonical" : "http://hl7.org/fhir/StructureDefinition/Patient" }], "linkId" : "NOS/RelatedIndividual-patient", "definition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.patient", "text" : "This order's own Patient (the family member)", "type" : "reference", "required" : true }] }, { "linkId" : "NOS/NGISTestCode", "definition" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code", "text" : "National Genomic Informatics System (NGIS) Test Code", "type" : "choice", "answerValueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/NGISTestCodeVS", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "NOS/NGISTestCode-designNote", "text" : "The paper form's own 'NGIS/Barcode (Until NGIS Referral Received)' box is a placeholder used before the digital NGIS referral exists, rather than a distinct order identifier - it converges on the same ServiceRequest.code as the common core's Test Request group once the NGIS referral is created.", "type" : "display" }] }, { "linkId" : "SNM/281269004", "definition" : "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept", "code" : [{ "system" : "http://snomed.info/sct", "code" : "281269004", "display" : "High infection risk sample" }], "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" } }], "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "SNM/281269004-designNote", "text" : "Present on the paper form's own Sample Information section (and echoed again in the NW GLH Laboratory use ONLY section) - same SNM/281269004 code and Yes/No shape as NW Genomic General Ask At Order Questions' own High Infection Risk item.", "type" : "display" }] }, { "linkId" : "NOS/InfectionRiskDetails", "definition" : "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueString", "code" : [{ "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA", "code" : "InfectionRiskDetails" }], "text" : "High infection Risk Details", "type" : "string" }, { "linkId" : "SNM/74996004-patient-choice-form", "definition" : "http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept", "code" : [{ "system" : "http://snomed.info/sct", "code" : "74996004", "display" : "Confirmation of" }], "text" : "Confirm that a completed Patient Choice (consent) form has been received by the laboratory", "type" : "choice", "required" : false, "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" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "help" }] } }], "linkId" : "SNM/74996004-patient-choice-form-designNote", "text" : "The paper form's own Referring Clinician section carries a Consent Statement: 'A complete Patient Choice form must be received by the laboratory before WGS can be initiated.' Modelled as a confirmation-of-receipt choice, the same #choice/confirmation-code shape as NW Genomic General Ask At Order Questions' own pathology-report confirmation item, rather than the Consent group's consent-for-testing/DNA-storage Y/N questions - the Patient Choice form is a separate, externally-referenced document this order depends on, not a question this order itself is asking.", "type" : "display" }] }] }] }