<derivedFrom value="https://fhir.nwgenomics.nhs.uk/Questionnaire/GenomicTestOrder|2.2.0"> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-derivationType"> <valueCoding> <system value="http://hl7.org/fhir/questionnaire-derivationType"/> <code value="extends"/> </valueCoding> </extension> </derivedFrom> <status value="active"/> <date value="2026-09-20T05:53:36+00:00"/> <publisher value="NHS North West Genomics"/> <contact> <telecom> <system value="url"/> <value value="https://www.nwgenomics.nhs.uk/contact-us"/> </telecom> </contact> <description value="**Test Specific Additional Ask At Order Entry Questions** for Whole Genome Sequencing (WGS) orders - used *alongside* the [common core order form](Questionnaire-GenomicTestOrder.html) **and** [Ask At Order Entry Questions Common](Questionnaire-GenomicGeneralAskAtOrderEntry.html), rather than instead of it - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). A WGS order therefore combines **three** Questionnaires, not the usual two. Split out of [Genomic General Ask At Order Entry](Questionnaire-GenomicGeneralAskAtOrderEntry.html): `Related Individual (NK1)` and `Record of Discussion attached or to follow` are only genuinely relevant to WGS orders, not every order/test type that Questionnaire covers (Cancer, WGS and Rare and Inherited Disease generally) - see that Questionnaire's own Guidance by Order Type section. `WGS participant type` is new here, surfaced by a real NHS Trust WGS order-entry screen with no prior equivalent anywhere in this IG."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="GB"/> <display value="United Kingdom of Great Britain and Northern Ireland"/> </coding> </jurisdiction> <item> <linkId value="AskAtOrderEntry"/> <text value="Ask At Order Entry Questions"/> <type value="group"/> <item> <linkId value="NOS/WGSParticipantType"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept"/> <text value="WGS participant type?"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="WGSParticipantTypeProband"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="WGSParticipantTypeFamilyMember"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/WGSParticipantType-designNote"/> <text value="States which role *this order's own Patient* plays in the family study - distinct from, and complementary to, `Related Individual`'s own **Role** item below: that item describes the *named relative's* role (Consultand or Proband) relative to this order's Patient, not a direct statement about the Patient's own role. Also distinct from [WGS Local Test Order](Questionnaire-WGSLocalTestOrderAskAtOrderEntry.html)'s own `NOS/WGSPathway` item, which conflates this same Proband/Family Member distinction with the WGS pathway (Rare Disease vs Cancer) into a single four-value field for that specific local paper form - this item is deliberately just the participant-type half of that, for use alongside the generic order path. Surfaced by a real NHS Trust WGS order-entry screen as a required field, with no prior equivalent anywhere in this IG."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/RODToFollow"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="RODToFollow"/> </code> <text value="ROD attached or to follow"/> <type value="choice"/> <answerOption> <valueCoding> <system value="http://loinc.org"/> <code value="LA33-6"/> <display value="Yes"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://loinc.org"/> <code value="LA32-8"/> <display value="No"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://loinc.org"/> <code value="LA4489-6"/> <display value="Unknown"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/RODToFollow-designNote"/> <text value="Moved here from [Genomic General Ask At Order Entry](Questionnaire-GenomicGeneralAskAtOrderEntry.html): a real NHS Trust WGS order-entry screen requires this specifically "if requesting whole genome sequencing or rapid whole genome sequencing (R14)", confirming it as a WGS-specific requirement in practice rather than a generic one."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/RelatedIndividual"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson"/> <text value="Related Individual (NK1)"/> <type value="group"/> <repeats value="true"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/RelatedIndividual-designNote"/> <text value="Moved here from [Genomic General Ask At Order Entry](Questionnaire-GenomicGeneralAskAtOrderEntry.html), where it was originally generalised from Genetic Clinical Referral - Consultand (RelatedPerson): the same NK1-shaped RelatedPerson group, but not always a consultand. Role below states which - a **Consultand** is a relative referenced from this order's own Patient (who is the proband), the usual case; a **Proband** is the opposite direction - used when this order's own Patient is actually a family member (e.g. WGS Local Test Order's Family Member pathway), and this group instead names the original proband the family member is being tested alongside. Repeats, since an order can name more than one related individual (e.g. several consultands, or occasionally both a proband reference and a consultand on the same order)."/> <type value="display"/> </item> <item> <linkId value="NOS/RelatedIndividualRole"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="RelatedIndividualRole"/> </code> <text value="Role"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="RoleConsultand"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="RoleProband"/> </valueCoding> </answerOption> </item> <item> <linkId value="HL7/NK1-2"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name"/> <text value="Name"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="HL7/NK1-3"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.relationship"/> <text value="Relationship"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-PersonRelationshipType"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="HL7/NK1-3-designNote"/> <text value="Real examples in this IG currently code this with HL7 v3 RoleCode (e.g. MTH "mother") rather than UKCore-PersonRelationshipType - see RelatedPerson-MotherCerseiLondon. When Role = Proband, this is the family member's relationship to the proband (e.g. the family member is the proband's MTH "mother"), the same direction as when Role = Consultand."/> <type value="display"/> </item> </item> <item> <linkId value="HL7/NK1.15"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.gender"/> <text value="Administrative Sex"/> <type value="choice"/> <answerValueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/> </item> <item> <linkId value="HL7/NK1-16"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.birthDate"/> <text value="Date of Birth"/> <type value="date"/> </item> <item> <linkId value="LN/89061-6"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.identifier:nhsNumber"/> <code> <system value="http://loinc.org"/> <code value="89061-6"/> </code> <text value="NHS Number (if known)"/> <type value="string"/> <required value="false"/> </item> <item> <linkId value="LN/76435-7"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.identifier:MedicalRecordNumber"/> <code> <system value="http://loinc.org"/> <code value="76435-7"/> </code> <text value="Hospital Number (Medical Record Number), if known"/> <type value="string"/> <required value="false"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"> <valueCanonical value="http://hl7.org/fhir/StructureDefinition/Patient"/> </extension> <linkId value="NOS/RelatedIndividual-patient"/> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.patient"/> <text value="This order's own Patient"/> <type value="reference"/> <required value="true"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="NOS/RelatedIndividual-patient-designNote"/> <text value="The same Patient as this order's own common-core Patient group. When Role = Consultand, that Patient is the proband and this group names a relative of theirs. When Role = Proband, that Patient is instead a family member whose specimen this particular order carries, and this group names the original proband instead - see WGS Local Test Order Ask At Order Entry's Family Member pathway."/> <type value="display"/> </item> </item> </item> </item> </Questionnaire>

Generated Narrative: Questionnaire WGSTestAdditionalAskAtOrderQuestions

Structure

Options Sets

Answer options for NOS/WGSParticipantType

Answer options for NOS/RODToFollow

Answer options for NOS/RelatedIndividualRole