NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Unknown as of 2026-11-05 |
{
"resourceType" : "Questionnaire",
"id" : "WGSLocalTestOrderAskAtOrderEntry",
"meta" : {
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/NWQuestionnaire"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire WGSLocalTestOrderAskAtOrderEntry</b></p><a name=\"WGSLocalTestOrderAskAtOrderEntry\"> </a><a name=\"hcWGSLocalTestOrderAskAtOrderEntry\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-NWQuestionnaire.html\">Questionnaire</a></p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> </td><td style=\"\" class=\"hierarchy xhtCellBorder1\">**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](StructureDefinition-GenomicTestOrder.html) - see [Order Entry\nQuestions](StructureDefinition-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](https://github.com/nw-gmsa/nw-gmsa-use-cases/blob/main/dWGS.md)); this one is the\nplain paper form used for a **local** WGS request, and does not by itself\nimply any sub-contracting.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">https://fhir.nwgenomics.nhs.uk/Questionnaire/WGSLocalTestOrderAskAtOrderEntry#2.2.5</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Patient\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> Patient</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Patient Details</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient\">Patient</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/45394-4\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/45394-4</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Surname</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.name.family\">Patient.name.family</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/45392-8\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/45392-8</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Forename</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.name.given\">Patient.name.given</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/21112-8\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/21112-8</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">DoB</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.birthDate\">Patient.birthDate</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/46098-0\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/46098-0</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Sex</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.gender\">Patient.gender</a><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-administrative-gender.html\">AdministrativeGender</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/56799-0\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/56799-0</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Address</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.address.line\">Patient.address.line</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/45401-7\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/45401-7</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Postcode</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.address.postalCode\">Patient.address.postalCode</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.LN/89061-6-patient\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/89061-6-patient</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">NHS No</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.identifier:nhsNumber\">Patient.identifier:nhsNumber</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.LN/89061-6-patient-designNote\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / LN/89061-6-patient / </span>LN/89061-6-patient-designNote</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">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).</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.LN/76435-7-patient\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Patient / </span>LN/76435-7-patient</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Hospital No</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.identifier:MedicalRecordNumber\">Patient.identifier:MedicalRecordNumber</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.HealthcareProfessional\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> HealthcareProfessional</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Referring Clinician</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/practitionerrole.html#PractitionerRole\">PractitionerRole</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/18705-4\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">HealthcareProfessional / </span>LN/18705-4</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Consultant (in full)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/practitionerrole.html#PractitionerRole.practitioner.display\">PractitionerRole.practitioner.display</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HL7/ORC-21\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">HealthcareProfessional / </span>HL7/ORC-21</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Hospital (in full)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/practitionerrole.html#PractitionerRole.organization.identifier.value\">PractitionerRole.organization.identifier.value</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.NOS/DepartmentAddress\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">HealthcareProfessional / </span>NOS/DepartmentAddress</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Department</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/practitionerrole.html#PractitionerRole.organization.display\">PractitionerRole.organization.display</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LN/81230-5\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">HealthcareProfessional / </span>LN/81230-5</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Tel</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/practitionerrole.html#PractitionerRole.telecom.value\">PractitionerRole.telecom.value</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.LN/89058-2\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">HealthcareProfessional / </span>LN/89058-2</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Email</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/practitionerrole.html#PractitionerRole.telecom.value\">PractitionerRole.telecom.value</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck01.png)\" id=\"item.AskAtOrderEntry\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> AskAtOrderEntry</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Ask At Order Entry Questions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.NOS/WGSPathway\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / </span>NOS/WGSPathway</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">WGS test type requested</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/servicerequest.html#ServiceRequest.category\">ServiceRequest.category</a><br/>Options: <a href=\"#opt-item.NOS/WGSPathway\">4 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item.NOS/Proband\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / </span>NOS/Proband</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Proband (Family Member pathway only)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson\">RelatedPerson</a><br/>Enable When: <span><a href=\"#item.NOS/WGSPathway\">NOS/WGSPathway</a> = WGS pathway - Rare Disease, Family Member (NW GMSA Codes#WGSPathwayRareDiseaseFamilyMember)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.NOS/Proband-designNote\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>NOS/Proband-designNote</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">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.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.NOS/RelatedIndividualRole\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>NOS/RelatedIndividualRole</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Role</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.NOS/RelatedIndividualRole\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.HL7/NK1-2\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>HL7/NK1-2</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson.name\">RelatedPerson.name</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.HL7/NK1-3\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>HL7/NK1-3</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Relationship</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson.relationship\">RelatedPerson.relationship</a><br/>Value Set: <a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.29.0-pre-release&canonical=https://fhir.hl7.org.uk/ValueSet/UKCore-PersonRelationshipType\">UK Core Person Relationship Type</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.HL7/NK1.15\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>HL7/NK1.15</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Administrative Sex</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson.gender\">RelatedPerson.gender</a><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-administrative-gender.html\">AdministrativeGender</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.HL7/NK1-16\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>HL7/NK1-16</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Date of Birth</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson.birthDate\">RelatedPerson.birthDate</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.LN/89061-6\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>LN/89061-6</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">NHS Number (if known)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson.identifier:nhsNumber\">RelatedPerson.identifier:nhsNumber</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.LN/76435-7\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>LN/76435-7</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Hospital Number (Medical Record Number), if known</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson.identifier:MedicalRecordNumber\">RelatedPerson.identifier:MedicalRecordNumber</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item.NOS/RelatedIndividual-patient\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/Proband / </span>NOS/RelatedIndividual-patient</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">This order's own Patient (the family member)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/relatedperson.html#RelatedPerson.patient\">RelatedPerson.patient</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item.NOS/NGISTestCode\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / </span>NOS/NGISTestCode</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">National Genomic Informatics System (NGIS) Test Code</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/servicerequest.html#ServiceRequest.code\">ServiceRequest.code</a><br/>Value Set: <a href=\"ValueSet-NGISTestCodeVS.html\">NGIS Test Code</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item.NOS/NGISTestCode-designNote\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / NOS/NGISTestCode / </span>NOS/NGISTestCode-designNote</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">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.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item.SNM/281269004\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / </span>SNM/281269004</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">High Infection Risk?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/observation.html#Observation.valueCodeableConcept\">Observation.valueCodeableConcept</a><br/>Options: <a href=\"#opt-item.SNM/281269004\">2 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item.SNM/281269004-designNote\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / SNM/281269004 / </span>SNM/281269004-designNote</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">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.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.NOS/InfectionRiskDetails\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / </span>NOS/InfectionRiskDetails</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">High infection Risk Details</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/observation.html#Observation.valueString\">Observation.valueString</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck001.png)\" id=\"item.SNM/74996004-patient-choice-form\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / </span>SNM/74996004-patient-choice-form</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Confirm that a completed Patient Choice (consent) form has been received by the laboratory</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"http://hl7.org/fhir/R4/observation.html#Observation.valueCodeableConcept\">Observation.valueCodeableConcept</a><br/>Options: <a href=\"#opt-item.SNM/74996004-patient-choice-form\">3 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0000.png)\" id=\"item.SNM/74996004-patient-choice-form-designNote\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">AskAtOrderEntry / SNM/74996004-patient-choice-form / </span>SNM/74996004-patient-choice-form-designNote</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">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.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.NOS/WGSPathway\"> </a><p><b>Answer options for NOS/WGSPathway </b></p><ul><li style=\"font-size: 11px\">https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#WGSPathwayRareDiseaseProband</li><li style=\"font-size: 11px\">https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#WGSPathwayRareDiseaseFamilyMember</li><li style=\"font-size: 11px\">https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#WGSPathwayCancerTumour</li><li style=\"font-size: 11px\">https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#WGSPathwayCancerGermline</li></ul><a name=\"opt-item.NOS/RelatedIndividualRole\"> </a><p><b>Answer options for NOS/RelatedIndividualRole </b></p><ul><li style=\"font-size: 11px\">https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA#RoleProband</li></ul><a name=\"opt-item.SNM/281269004\"> </a><p><b>Answer options for SNM/281269004 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 ("Yes")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 ("No")</li></ul><a name=\"opt-item.SNM/74996004-patient-choice-form\"> </a><p><b>Answer options for SNM/74996004-patient-choice-form </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 ("Yes")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 ("No")</li><li style=\"font-size: 11px\">http://loinc.org#LA4489-6 ("Unknown")</li></ul></div>"
},
"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" : "2.2.5",
"title" : "WGS Local Test Order Ask At Order Entry Questions",
"status" : "unknown",
"date" : "2026-11-05T06:40:21+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](StructureDefinition-GenomicTestOrder.html) - see [Order Entry\nQuestions](StructureDefinition-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](https://github.com/nw-gmsa/nw-gmsa-use-cases/blob/main/dWGS.md)); 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"
}
]
}
]
}
]
}