Generated Narrative: Questionnaire dWGSAskAtOrderEntry

Profile: Questionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. **For analysis purposes only - not an active or planned project.** **Ask At Order Entry Questions** for a **distributed WGS (dWGS)** sub-contracted order (IHE LTW `LAB-35`), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This Questionnaire carries only the fields from the [dWGS digital manifest](dWGS.html#field-mapping-csv--hl7-v2--fhir) (NHS England `RGL to SGL SOP` Appendix 3, plus 5 local extension fields) that are **not** already asked by the common core - see [dWGS Sub-Order Manifest](Questionnaire-dWGSSubOrder.html) for the full 42-field manifest description, including the fields this Questionnaire deliberately omits because the common core already asks them.Questionnairehttps://fhir.nwgenomics.nhs.uk/Questionnaire/dWGSAskAtOrderEntry#2.2.0
... ReferralReferral / Sub-Order0..1groupDefinition: ServiceRequest
.... dWGS/referral_idOriginal Order Placer Group Number (Referral ID)1..1stringDefinition: ServiceRequest.requisition
..... dWGS/referral_id-designNoteNot the same field as Genomic General Ask At Order Entry's own G Number (Pedigree Number) (Observation.valueString, LOINC 74027-4) - this identifies the referral/requisition shared across every participant's sub-order, the pedigree number identifies a family/pedigree group instead. See dWGS - Outstanding Issues (resolved) for why these were previously confused, and WholeGenomicSequence.html for the pedigree number correction.0..1display
.... dWGS/clinical_indication_test_type_idTest Code0..1choiceDefinition: ServiceRequest.code
Value Set: Genomic Test Codes
..... dWGS/clinical_indication_test_type_id-designNoteThe common core's own Test Code item only appears via enableWhen branches gated on Test Category (Rare and Inherited Disease/Haemoglobinopathy/Cancer) - there is no Whole Genome Sequencing/dWGS Test Category, so none of those branches can fire for a dWGS order. This item fills that gap directly against the broader GenomicTestCodes value set rather than one of the base's narrower per-category lists.0..1display
.... dWGS/ordering_entity_idOriginal Ordering Facility Code0..1stringDefinition: Specimen.identifier.assigner.identifier.value
..... dWGS/ordering_entity_id-designNoteODS code of the original referring Trust - assigner of the Received Sample Identifier (type=PLAC) below, not the same as the Filler Order Ordering Facility Code. Conceptually related to the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21), but carried here on Specimen.identifier.assigner rather than PractitionerRole.organization, since dWGS distinguishes the original referring organisation (who provides the specimen) from the requester of this particular sub-order.0..1display
.... dWGS/glh_laboratory_idFiller Order Ordering Facility Code (GLH)1..1stringDefinition: ServiceRequest.requester.identifier.value
..... dWGS/glh_laboratory_id-designNoteA Genomic Laboratory Hub (GLH) ODS code, not the referring Trust's own ODS code - also assigns ServiceRequest.requisition and the Specimen's LIMS identifier (type=FILL). Conceptually related to the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21), but identifies the Sequencing Genomic Laboratory acting on this sub-order rather than the clinician's own referring organisation, and is carried directly on ServiceRequest.requester rather than via PractitionerRole.0..1display
.... dWGS/retrospective_sampleRetrospective Sample Flag0..1stringDefinition: ServiceRequest.intent
..... dWGS/retrospective_sample-designNoteValues: "New" (ServiceRequest.intent = filler-order) or "Retrospective" (ServiceRequest.intent = reflex-order - NW Genomics is reflexing further testing off a specimen it already holds, not a fresh sub-order).0..1display
.... dWGS/clinical_informationClinical Information0..1textDefinition: ServiceRequest.note
..... dWGS/clinical_information-designNoteSame FHIR target (ServiceRequest.note) as the common core's own Relevant clinical information and family history item (HL7/NTE-1), but sourced from a different HL7 v2 NTE field occurrence (NTE-3, not NTE-1) - both append to the same note list rather than conflicting.0..1display
.... dWGS/approved_byApproved By0..1string
... PatientPatient0..1groupDefinition: Patient
.... dWGS/patient_ngis_idPatient Identifier (NGIS)1..1stringDefinition: Patient.identifier
..... dWGS/patient_ngis_id-designNoteNo confirmed identifier system - carried as Patient.identifier.assigner (Genomics England, ODS 8J834, who run NGIS), type=PI (v2-0203 Patient internal identifier). The common core's own Patient group (name/DOB/NHS number) is not repeated here - it is asked once by Genomic Test Order itself.0..1display
... AskAtOrderEntryAsk At Order Entry Questions0..1group
.... NOS/FamilyStructureFamily Structure1..1stringDefinition: Observation.valueCodeableConcept
..... NOS/FamilyStructure-designNoteValues: "Singleton", "Duo" or "Trio" - how many people are being tested together as part of this referral. Text-only (no NW-GMSA-confirmed coding system exists), carried as an Observation referenced from ServiceRequest.supportingInfo. See [dWGS - Singleton, Duo and Trio testing](dWGS.html#singleton-duo-and-trio-testing).0..1display
.... NOS/ParticipantTypeParticipant Type1..1stringDefinition: Observation.valueCodeableConcept
..... NOS/ParticipantType-designNoteValues: "Proband" or "Family Member" - this individual's role within the Family Structure above. Text-only, carried as an Observation referenced from ServiceRequest.supportingInfo.0..1display
... PrimarySpecimenPrimary Specimen (as received by GLH)0..1groupDefinition: Specimen
.... dWGS/primary_sample_received_dateSample Received Date0..1dateTimeDefinition: Specimen.receivedTime
..... dWGS/primary_sample_received_date-designNoteSame FHIR target (Specimen.receivedTime) as Date and time sample received in lab in NW Genomic General Ask At Order Questions (NOS/SampleReceived) - kept as its own item here since it belongs to dWGS's two-specimen model (primary vs dispatched), not because it is new content.0..1display
.... dWGS/primary_sample_id_as_received_by_glhReceived Sample Identifier0..1stringDefinition: Specimen.identifier
..... dWGS/primary_sample_id_as_received_by_glh-designNoteAssigned by the Original Ordering Facility - coded type=PLAC (Placer Identifier). The same general element as the common core's own Specimen ID Number (LN/80398-1) - this is the PLAC-typed instance of it, specific to the two-specimen (primary/dispatched) dWGS model.0..1display
.... dWGS/primary_sample_id_in_glh_limsLIMS Sample Identifier0..1stringDefinition: Specimen.identifier
..... dWGS/primary_sample_id_in_glh_lims-designNoteAssigned by the Filler Order Ordering Facility (GLH) - coded type=FILL (Filler Identifier). Conceptually the same as the common core's own Lab DNA Number (If Known) (Specimen/accessionIdentifier), which instead uses Specimen.accessionIdentifier rather than a typed Specimen.identifier - the two have not been reconciled onto a single FHIR element.0..1display
.... dWGS/primary_sample_typeSample Type0..1string
..... dWGS/primary_sample_type-designNoteGermline/tumour classifier - low confidence, no clean Specimen field identified; not currently built into any FHIR resource.0..1display
.... dWGS/received_sample_topographySample Topography0..1stringDefinition: Specimen.bodySite
..... dWGS/received_sample_topography-designNoteCancer referrals only. Conceptually overlaps with the common core's own Tissue source/organ of origin (LN/39111-0, Specimen.collection.bodySite) - kept separate pending reconciliation of the exact FHIR path.0..1display
.... dWGS/received_sample_morphologySample Morphology0..1string
.... dWGS/received_sample_tumour_content_pctTumour Content (%)0..1decimal
..... dWGS/received_sample_tumour_content_pct-designNoteCancer referrals only. The same underlying concept as Neoplastic cell content in WGS Local Test Order Ask At Order Entry Questions (NOS/NeoplasticCellContent-wgs) - see dWGS - Comparison with WGS Local Test Order for how the distributed (dWGS) and local paper-based WGS pathways relate.0..1display
.... dWGS/received_sample_commentsSample Comments0..1string
... DispatchedSpecimenDispatched Specimen (extracted DNA sent onward)0..1groupDefinition: Specimen
.... dWGS/dispatched_sample_id_in_glh_limsDispatched Sample Identifier0..1string
.... dWGS/dispatched_sample_lsidSpecimen Barcode1..1stringDefinition: Specimen.container.identifier
..... dWGS/dispatched_sample_lsid-designNoteCarried on Specimen.container.identifier, coded type=ZCID - see NW IdentifierType.0..1display
.... dWGS/dispatched_sample_typeDispatched Sample Type0..1string
.... dWGS/dispatched_sample_stateDispatched Material Type0..1string
..... dWGS/dispatched_sample_state-designNoteNot currently built into any FHIR resource - the worked example's single Specimen only carries the primary specimen's Sample Material Type.0..1display
.... dWGS/dispatched_sample_volume_ulSample Volume (uL)0..1decimalDefinition: Specimen.collection.quantity
..... dWGS/dispatched_sample_volume_ul-designNoteSame FHIR target (Specimen.collection.quantity) as the common core's own Specimen Volume/number of slides or scrolls (LN/3169-0) - kept as its own item because it specifically measures the dispatched DNA volume, not the raw specimen.0..1display
.... dWGS/dna_extraction_protocolDNA Extraction Method0..1stringDefinition: Specimen.collection.method
.... dWGS/glh_sample_consignment_numberConsignment Number0..1stringDefinition: Specimen.identifier
..... dWGS/glh_sample_consignment_number-designNoteCarried as a Specimen identifier, coded type=STN (Shipment Tracking Number) - the same identifier type as the common core's own Tracking number (LN/97209-1, Specimen.identifier[ShipmentTrackingNumber]).0..1display
... LaboratoryQCLaboratory QC and Logistics0..1group
.... dWGS/laboratory_remaining_volume_banked_ulRemaining Banked Volume (uL)0..1decimal
.... dWGS/glh_concentration_ng_ulDNA Concentration (ng/uL)0..1decimal
.... dWGS/glh_od260_280DNA Purity (OD260/280)0..1decimal
.... dWGS/glh_din_valueDNA Integrity Number0..1decimal
.... dWGS/glh_percentage_dna_over_23kbDNA Fragment Size (% over 23kb)0..1decimal
.... dWGS/glh_qc_statusQC Status0..1string
.... dWGS/glh_sample_dispatch_dateDispatch Date0..1date
.... dWGS/plating_organisationPlating Organisation0..1string
.... dWGS/gmc_rack_idRack Identifier0..1string
.... dWGS/gmc_rack_wellRack Well Position0..1string
..... dWGS/gmc_rack_well-designNotePattern: [A-H]01-09 or [A-H]10-12.0..1display
.... dWGS/prolonged_sample_storageSample Storage Method0..1string

doco Documentation for this format
 <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="draft"/> <date value="2026-09-20T05:53:36+00:00"/> <publisher value="NHS North West Genomics"/> <contact> <telecom> <system value="url"/> <value value="https://www.nwgenomics.nhs.uk/contact-us"/> </telecom> </contact> <description value="**For analysis purposes only - not an active or planned project.** **Ask At Order Entry Questions** for a **distributed WGS (dWGS)** sub-contracted order (IHE LTW `LAB-35`), used alongside the [common core order form](Questionnaire-GenomicTestOrder.html) - see [Order Entry Questions](Questionnaire-GenomicTestOrder.html#order-entry-questions). This Questionnaire carries only the fields from the [dWGS digital manifest](dWGS.html#field-mapping-csv--hl7-v2--fhir) (NHS England `RGL to SGL SOP` Appendix 3, plus 5 local extension fields) that are **not** already asked by the common core - see [dWGS Sub-Order Manifest](Questionnaire-dWGSSubOrder.html) for the full 42-field manifest description, including the fields this Questionnaire deliberately omits because the common core already asks them."/> <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="Referral"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest"/> <text value="Referral / Sub-Order"/> <type value="group"/> <item> <linkId value="dWGS/referral_id"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.requisition"/> <text value="Original Order Placer Group Number (Referral ID)"/> <type value="string"/> <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="dWGS/referral_id-designNote"/> <text value="Not the same field as Genomic General Ask At Order Entry's own G Number (Pedigree Number) (Observation.valueString, LOINC 74027-4) - this identifies the referral/requisition shared across every participant's sub-order, the pedigree number identifies a family/pedigree group instead. See dWGS - Outstanding Issues (resolved) for why these were previously confused, and WholeGenomicSequence.html for the pedigree number correction."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/clinical_indication_test_type_id"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.code"/> <text value="Test Code"/> <type value="choice"/> <required value="false"/> <answerValueSet value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes"/> <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="dWGS/clinical_indication_test_type_id-designNote"/> <text value="The common core's own Test Code item only appears via enableWhen branches gated on Test Category (Rare and Inherited Disease/Haemoglobinopathy/Cancer) - there is no Whole Genome Sequencing/dWGS Test Category, so none of those branches can fire for a dWGS order. This item fills that gap directly against the broader GenomicTestCodes value set rather than one of the base's narrower per-category lists."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/ordering_entity_id"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier.assigner.identifier.value"/> <text value="Original Ordering Facility Code"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/ordering_entity_id-designNote"/> <text value="ODS code of the original referring Trust - assigner of the Received Sample Identifier (type=PLAC) below, not the same as the Filler Order Ordering Facility Code. Conceptually related to the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21), but carried here on Specimen.identifier.assigner rather than PractitionerRole.organization, since dWGS distinguishes the original referring organisation (who provides the specimen) from the requester of this particular sub-order."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/glh_laboratory_id"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.requester.identifier.value"/> <text value="Filler Order Ordering Facility Code (GLH)"/> <type value="string"/> <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="dWGS/glh_laboratory_id-designNote"/> <text value="A Genomic Laboratory Hub (GLH) ODS code, not the referring Trust's own ODS code - also assigns ServiceRequest.requisition and the Specimen's LIMS identifier (type=FILL). Conceptually related to the common core's own Referring Organisation ODS Code / Ordering Facility (HL7/ORC-21), but identifies the Sequencing Genomic Laboratory acting on this sub-order rather than the clinician's own referring organisation, and is carried directly on ServiceRequest.requester rather than via PractitionerRole."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/retrospective_sample"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.intent"/> <text value="Retrospective Sample Flag"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/retrospective_sample-designNote"/> <text value="Values: "New" (ServiceRequest.intent = filler-order) or "Retrospective" (ServiceRequest.intent = reflex-order - NW Genomics is reflexing further testing off a specimen it already holds, not a fresh sub-order)."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/clinical_information"/> <definition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest#ServiceRequest.note"/> <text value="Clinical Information"/> <type value="text"/> <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="dWGS/clinical_information-designNote"/> <text value="Same FHIR target (ServiceRequest.note) as the common core's own Relevant clinical information and family history item (HL7/NTE-1), but sourced from a different HL7 v2 NTE field occurrence (NTE-3, not NTE-1) - both append to the same note list rather than conflicting."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/approved_by"/> <text value="Approved By"/> <type value="string"/> </item> </item> <item> <linkId value="Patient"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient"/> <text value="Patient"/> <type value="group"/> <item> <linkId value="dWGS/patient_ngis_id"/> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.identifier"/> <text value="Patient Identifier (NGIS)"/> <type value="string"/> <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="dWGS/patient_ngis_id-designNote"/> <text value="No confirmed identifier system - carried as Patient.identifier.assigner (Genomics England, ODS 8J834, who run NGIS), type=PI (v2-0203 Patient internal identifier). The common core's own Patient group (name/DOB/NHS number) is not repeated here - it is asked once by Genomic Test Order itself."/> <type value="display"/> </item> </item> </item> <item> <linkId value="AskAtOrderEntry"/> <text value="Ask At Order Entry Questions"/> <type value="group"/> <item> <linkId value="NOS/FamilyStructure"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="FamilyStructure"/> </code> <text value="Family Structure"/> <type value="string"/> <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/FamilyStructure-designNote"/> <text value="Values: "Singleton", "Duo" or "Trio" - how many people are being tested together as part of this referral. Text-only (no NW-GMSA-confirmed coding system exists), carried as an Observation referenced from ServiceRequest.supportingInfo. See [dWGS - Singleton, Duo and Trio testing](dWGS.html#singleton-duo-and-trio-testing)."/> <type value="display"/> </item> </item> <item> <linkId value="NOS/ParticipantType"/> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.valueCodeableConcept"/> <code> <system value="https://fhir.nwgenomics.nhs.uk/CodeSystem/NWGMSA"/> <code value="ParticipantType"/> </code> <text value="Participant Type"/> <type value="string"/> <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/ParticipantType-designNote"/> <text value="Values: "Proband" or "Family Member" - this individual's role within the Family Structure above. Text-only, carried as an Observation referenced from ServiceRequest.supportingInfo."/> <type value="display"/> </item> </item> </item> <item> <linkId value="PrimarySpecimen"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen"/> <text value="Primary Specimen (as received by GLH)"/> <type value="group"/> <item> <linkId value="dWGS/primary_sample_received_date"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.receivedTime"/> <text value="Sample Received Date"/> <type value="dateTime"/> <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="dWGS/primary_sample_received_date-designNote"/> <text value="Same FHIR target (Specimen.receivedTime) as Date and time sample received in lab in NW Genomic General Ask At Order Questions (NOS/SampleReceived) - kept as its own item here since it belongs to dWGS's two-specimen model (primary vs dispatched), not because it is new content."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/primary_sample_id_as_received_by_glh"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier"/> <text value="Received Sample Identifier"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/primary_sample_id_as_received_by_glh-designNote"/> <text value="Assigned by the Original Ordering Facility - coded type=PLAC (Placer Identifier). The same general element as the common core's own Specimen ID Number (LN/80398-1) - this is the PLAC-typed instance of it, specific to the two-specimen (primary/dispatched) dWGS model."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/primary_sample_id_in_glh_lims"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier"/> <text value="LIMS Sample Identifier"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/primary_sample_id_in_glh_lims-designNote"/> <text value="Assigned by the Filler Order Ordering Facility (GLH) - coded type=FILL (Filler Identifier). Conceptually the same as the common core's own Lab DNA Number (If Known) (Specimen/accessionIdentifier), which instead uses Specimen.accessionIdentifier rather than a typed Specimen.identifier - the two have not been reconciled onto a single FHIR element."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/primary_sample_type"/> <text value="Sample Type"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/primary_sample_type-designNote"/> <text value="Germline/tumour classifier - low confidence, no clean Specimen field identified; not currently built into any FHIR resource."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/received_sample_topography"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.bodySite"/> <text value="Sample Topography"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/received_sample_topography-designNote"/> <text value="Cancer referrals only. Conceptually overlaps with the common core's own Tissue source/organ of origin (LN/39111-0, Specimen.collection.bodySite) - kept separate pending reconciliation of the exact FHIR path."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/received_sample_morphology"/> <text value="Sample Morphology"/> <type value="string"/> </item> <item> <linkId value="dWGS/received_sample_tumour_content_pct"/> <text value="Tumour Content (%)"/> <type value="decimal"/> <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="dWGS/received_sample_tumour_content_pct-designNote"/> <text value="Cancer referrals only. The same underlying concept as Neoplastic cell content in WGS Local Test Order Ask At Order Entry Questions (NOS/NeoplasticCellContent-wgs) - see dWGS - Comparison with WGS Local Test Order for how the distributed (dWGS) and local paper-based WGS pathways relate."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/received_sample_comments"/> <text value="Sample Comments"/> <type value="string"/> </item> </item> <item> <linkId value="DispatchedSpecimen"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen"/> <text value="Dispatched Specimen (extracted DNA sent onward)"/> <type value="group"/> <item> <linkId value="dWGS/dispatched_sample_id_in_glh_lims"/> <text value="Dispatched Sample Identifier"/> <type value="string"/> </item> <item> <linkId value="dWGS/dispatched_sample_lsid"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.container.identifier"/> <text value="Specimen Barcode"/> <type value="string"/> <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="dWGS/dispatched_sample_lsid-designNote"/> <text value="Carried on Specimen.container.identifier, coded type=ZCID - see NW IdentifierType."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/dispatched_sample_type"/> <text value="Dispatched Sample Type"/> <type value="string"/> </item> <item> <linkId value="dWGS/dispatched_sample_state"/> <text value="Dispatched Material Type"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/dispatched_sample_state-designNote"/> <text value="Not currently built into any FHIR resource - the worked example's single Specimen only carries the primary specimen's Sample Material Type."/> <type value="display"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="uL"/> <display value="uL"/> </valueCoding> </extension> <linkId value="dWGS/dispatched_sample_volume_ul"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.quantity"/> <text value="Sample Volume (uL)"/> <type value="decimal"/> <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="dWGS/dispatched_sample_volume_ul-designNote"/> <text value="Same FHIR target (Specimen.collection.quantity) as the common core's own Specimen Volume/number of slides or scrolls (LN/3169-0) - kept as its own item because it specifically measures the dispatched DNA volume, not the raw specimen."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/dna_extraction_protocol"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.collection.method"/> <text value="DNA Extraction Method"/> <type value="string"/> </item> <item> <linkId value="dWGS/glh_sample_consignment_number"/> <definition value="http://hl7.org/fhir/StructureDefinition/Specimen#Specimen.identifier"/> <text value="Consignment Number"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/glh_sample_consignment_number-designNote"/> <text value="Carried as a Specimen identifier, coded type=STN (Shipment Tracking Number) - the same identifier type as the common core's own Tracking number (LN/97209-1, Specimen.identifier[ShipmentTrackingNumber])."/> <type value="display"/> </item> </item> </item> <item> <linkId value="LaboratoryQC"/> <text value="Laboratory QC and Logistics"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="uL"/> <display value="uL"/> </valueCoding> </extension> <linkId value="dWGS/laboratory_remaining_volume_banked_ul"/> <text value="Remaining Banked Volume (uL)"/> <type value="decimal"/> </item> <item> <linkId value="dWGS/glh_concentration_ng_ul"/> <text value="DNA Concentration (ng/uL)"/> <type value="decimal"/> </item> <item> <linkId value="dWGS/glh_od260_280"/> <text value="DNA Purity (OD260/280)"/> <type value="decimal"/> </item> <item> <linkId value="dWGS/glh_din_value"/> <text value="DNA Integrity Number"/> <type value="decimal"/> </item> <item> <linkId value="dWGS/glh_percentage_dna_over_23kb"/> <text value="DNA Fragment Size (% over 23kb)"/> <type value="decimal"/> </item> <item> <linkId value="dWGS/glh_qc_status"/> <text value="QC Status"/> <type value="string"/> </item> <item> <linkId value="dWGS/glh_sample_dispatch_date"/> <text value="Dispatch Date"/> <type value="date"/> </item> <item> <linkId value="dWGS/plating_organisation"/> <text value="Plating Organisation"/> <type value="string"/> </item> <item> <linkId value="dWGS/gmc_rack_id"/> <text value="Rack Identifier"/> <type value="string"/> </item> <item> <linkId value="dWGS/gmc_rack_well"/> <text value="Rack Well Position"/> <type value="string"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control"/> <code value="help"/> </coding> </valueCodeableConcept> </extension> <linkId value="dWGS/gmc_rack_well-designNote"/> <text value="Pattern: [A-H]01-09 or [A-H]10-12."/> <type value="display"/> </item> </item> <item> <linkId value="dWGS/prolonged_sample_storage"/> <text value="Sample Storage Method"/> <type value="string"/> </item> </item> </Questionnaire>