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
| Draft as of 2026-11-05 |
XML representation of the GeneticClinicalReferral logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="GeneticClinicalReferral"/>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition GeneticClinicalReferral</b></p><table border="0" cellpadding="0" cellspacing="0" class="xhtTableBorder0"><tr class="xhtRowBorder1"><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th scope="col" style="; width: 100px" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" 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="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral" title="**For analysis purposes only - not an active or planned project.** This referral is not
expected to be implemented within this IG; it is expected to be implemented via a
Genomics England Limited application, NHS England BaRS/eRS or the NHS England Genomic
Order Management Service.
A closed-loop clinical referral into a genomics/clinical genetics service (see
[Genetic Referrals](GeneticReferrals.html)), modelled on the IHE 360X HL7 v2 referral
order `OMG^O19` with `OSU^O51` status updates (see [Referral Request [PCC-55]](PCC-55.html)) -
not a laboratory order. The referral itself stays small: clinical content
travels as forms, clinical documents (pathology report, patient summary) and family
history referenced from the referral.
This is a logical model - it is not exchanged as is. It breaks down into
`ServiceRequest`, `Patient`, `PractitionerRole`, `Organization`, `HealthcareService`,
`QuestionnaireResponse`, `RelatedPerson`, `Observation` and clinical documents
(`DocumentReference` or a FHIR Document `Bundle`).">GeneticClinicalReferral</a><a name="GeneticClinicalReferral"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="" class="hierarchy xhtCellBorder0">Genetic Clinical Referral<br/><span class="xhtPieceBold">Instances of this type can be the target of a Reference</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referralIdentifier" title="Originating referral identifier, assigned by the referrer and used in every message">referralIdentifier</a><a name="GeneticClinicalReferral.referralIdentifier"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-OrderIdentifier.html" title="Identifier">OrderIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Referral Identifier</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.status" title="e.g. active, completed, revoked">status</a><a name="GeneticClinicalReferral.status"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Referral Status<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-request-status.html" title="http://hl7.org/fhir/ValueSet/request-status" class="binding">RequestStatus</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.priority" title="Urgency of the referral">priority</a><a name="GeneticClinicalReferral.priority"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Priority<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-RequestPriority.html" title="https://fhir.nwgenomics.nhs.uk/ValueSet/RequestPriority" class="binding">Request Priority</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.dateOfReferral" title="When the referral was made">dateOfReferral</a><a name="GeneticClinicalReferral.dateOfReferral"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="" class="hierarchy xhtCellBorder0">Date of referral</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient" title="The proband. Same items as Genomic Test Order's patient.">patient</a><a name="GeneticClinicalReferral.patient"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Patient</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.nhsNumber" title="NHS Number of the patient">nhsNumber</a><a name="GeneticClinicalReferral.patient.nhsNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-NHSIdentifier.html" title="Identifier">NHSIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">NHS Number</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.medicalRecordNumber" title="Local hospital number of the patient">medicalRecordNumber</a><a name="GeneticClinicalReferral.patient.medicalRecordNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-MedicalRecordNumber.html" title="Identifier">MedicalRecordNumber</a></td><td style="" class="hierarchy xhtCellBorder0">Hospital Number (Medical Record Number)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.familyName" title="Patient surname">familyName</a><a name="GeneticClinicalReferral.patient.familyName"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Patient surname</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.givenName" title="Patient first name">givenName</a><a name="GeneticClinicalReferral.patient.givenName"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Patient first name</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.birthDate" title="Patient date of birth">birthDate</a><a name="GeneticClinicalReferral.patient.birthDate"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td><td style="" class="hierarchy xhtCellBorder0">Date of birth</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.address" title="Address line(s) and postcode">address</a><a name="GeneticClinicalReferral.patient.address"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#Address">Address</a></td><td style="" class="hierarchy xhtCellBorder0">Address</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.sexRegisteredAtBirth" title="Administrative gender">sexRegisteredAtBirth</a><a name="GeneticClinicalReferral.patient.sexRegisteredAtBirth"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Sex registered at birth<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-administrative-gender.html" title="http://hl7.org/fhir/ValueSet/administrative-gender" class="binding">AdministrativeGender</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.accountNumber" title="Patient account number">accountNumber</a><a name="GeneticClinicalReferral.patient.accountNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-HospitalProviderSpellIdentifier.html" title="Identifier">HospitalProviderSpellIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Account Number (Episode or Stay Number)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.patient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patient.pedigreeNumber" title="Links the proband to consultands (at-risk relatives) referred as part of the same
family investigation. Not a Patient identifier.">pedigreeNumber</a><a name="GeneticClinicalReferral.patient.pedigreeNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">G Number (Pedigree Number)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referrer" title="The referring clinician and organisation. Same items as Genomic Test Order's requester.">referrer</a><a name="GeneticClinicalReferral.referrer"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Referring Provider</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.referrer.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referrer.name" title="Referring clinician name">name</a><a name="GeneticClinicalReferral.referrer.name"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Referring Clinician Name</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.referrer.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referrer.specialty" title="Referring clinician specialty">specialty</a><a name="GeneticClinicalReferral.referrer.specialty"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Referring Clinician Current Speciality<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><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-PracticeSettingCode" title="https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode" class="binding">UK Core Practice Setting Code</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.referrer.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referrer.professionalIdentifier" title="e.g. GMC/GMP number">professionalIdentifier</a><a name="GeneticClinicalReferral.referrer.professionalIdentifier"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-PractitionerIdentifier.html" title="Identifier">PractitionerIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Referring Clinician Professional Identifier</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.referrer.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referrer.email" title="Referring clinician email">email</a><a name="GeneticClinicalReferral.referrer.email"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Email<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.referrer.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referrer.phone" title="Referring clinician telephone">phone</a><a name="GeneticClinicalReferral.referrer.phone"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Phone</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.referrer.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.referrer.organisation" title="ODS code of the referring organisation">organisation</a><a name="GeneticClinicalReferral.referrer.organisation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-OrganisationCode.html" title="Identifier">OrganisationCode</a></td><td style="" class="hierarchy xhtCellBorder0">Referring Organisation</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.recipient" title="Who the referral is sent to - a named clinician or a service/clinic. Genomic Test Order
has no equivalent: an order's Order Filler is fixed.">recipient</a><a name="GeneticClinicalReferral.recipient"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Referred-to Provider/Service</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.recipient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.recipient.service" title="e.g. clinical genetics clinic">service</a><a name="GeneticClinicalReferral.recipient.service"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Referred-to Service/Clinic Name</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.recipient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.recipient.organisation" title="ODS code of the receiving organisation">organisation</a><a name="GeneticClinicalReferral.recipient.organisation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-OrganisationCode.html" title="Identifier">OrganisationCode</a></td><td style="" class="hierarchy xhtCellBorder0">Referred-to Organisation</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.recipient.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.recipient.clinician" title="Named clinician, if any">clinician</a><a name="GeneticClinicalReferral.recipient.clinician"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Named Consultant/Clinician (if known)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.serviceRequested" title="The clinical service/assessment requested (e.g. genetic counselling, cascade testing) -
not a Genomic Test Directory code. For a clinical genetics referral this is SNOMED CT
`306119003`.">serviceRequested</a><a name="GeneticClinicalReferral.serviceRequested"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Referral Type / Service Requested<br/><span class="xhtPieceBold">Required Pattern: </span><div><pre class="json"><code>{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : <span title="Referral to genetics service">"306119003"</span>
}
]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.reasonForReferral" title="Suspected/confirmed condition">reasonForReferral</a><a name="GeneticClinicalReferral.reasonForReferral"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Reason for referral<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-GenomicClinicalIndicationCodes.html" title="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes" class="binding">Genomic Clinical Indication Codes</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span><br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.clinicalInformation" title="Brief free-text note, if no family letter is attached">clinicalInformation</a><a name="GeneticClinicalReferral.clinicalInformation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Clinical details</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.forms" title="Completed referral forms, e.g. a national GMS test order form or a service-specific
referral form, as structured answers.">forms</a><a name="GeneticClinicalReferral.forms"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-QuestionnaireResponse.html">QuestionnaireResponse</a>)</td><td style="" class="hierarchy xhtCellBorder0">Referral forms<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_reference.png" alt="" style="background-color: white; background-color: inherit" title="Reference to another Resource" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.consultand" title="A named at-risk relative being referred alongside the proband - one per relative">consultand</a><a name="GeneticClinicalReferral.consultand"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-RelatedPerson.html">RelatedPerson</a>)</td><td style="" class="hierarchy xhtCellBorder0">Consultand<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.pathologyReport" title="The pathology report supporting the referral. Ideally a reference to a clinical document
shared via the NHS England Single Patient Record (SPR); in the interim this may be an
attached PDF (`DocumentReference` -> `Binary`). NHS England NDRS also holds Cancer
Pathology Reports.">pathologyReport</a><a name="GeneticClinicalReferral.pathologyReport"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-DocumentReference.html">DocumentReference</a> | <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a>)</td><td style="" class="hierarchy xhtCellBorder0">Pathology report<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 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_reference.png" alt="" style="background-color: white; background-color: inherit" title="Reference to another Resource" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.patientSummary" title="The patient summary, as a clinical document. **Not** part of the NHS England Genomics
ServiceRequest specification.">patientSummary</a><a name="GeneticClinicalReferral.patientSummary"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-DocumentReference.html">DocumentReference</a> | <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a>)</td><td style="" class="hierarchy xhtCellBorder0">Patient summary</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck00.png)" class="hierarchy xhtCellBorder0 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_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" 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">GeneticClinicalReferral.</span><a href="StructureDefinition-GeneticClinicalReferral-definitions.html#GeneticClinicalReferral.familyHistory" title="Structured family history (FamilyMemberHistory, one per relative), or the unstructured
family letter as a clinical document. At present clinical genetics is believed
to retrieve structured family history from NHS England NDRS (National Disease Registration Service). NDRS is a
reporting/analytical service, so the information may not be current.">familyHistory</a><a name="GeneticClinicalReferral.familyHistory"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-FamilyMemberHistory.html">FamilyMemberHistory</a> | <a href="StructureDefinition-DocumentReference.html">DocumentReference</a> | <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a>)</td><td style="" class="hierarchy xhtCellBorder0">Family history<br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">
<valueCode value="can-be-target"/>
</extension>
<url
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GeneticClinicalReferral"/>
<version value="2.2.5"/>
<name value="GeneticClinicalReferralModel"/>
<title value="Genetic Clinical Referral"/>
<status value="draft"/>
<date value="2026-11-05T06:40:21+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.** This referral is not
expected to be implemented within this IG; it is expected to be implemented via a
Genomics England Limited application, NHS England BaRS/eRS or the NHS England Genomic
Order Management Service.
A closed-loop clinical referral into a genomics/clinical genetics service (see
[Genetic Referrals](GeneticReferrals.html)), modelled on the IHE 360X HL7 v2 referral
order `OMG^O19` with `OSU^O51` status updates (see [Referral Request [PCC-55]](PCC-55.html)) -
not a laboratory order. The referral itself stays small: clinical content
travels as forms, clinical documents (pathology report, patient summary) and family
history referenced from the referral.
This is a logical model - it is not exchanged as is. It breaks down into
`ServiceRequest`, `Patient`, `PractitionerRole`, `Organization`, `HealthcareService`,
`QuestionnaireResponse`, `RelatedPerson`, `Observation` and clinical documents
(`DocumentReference` or a FHIR Document `Bundle`)."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="GB"/>
<display value="United Kingdom of Great Britain and Northern Ireland"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="hl7v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 OMG_O19 / OSU_O51 (IHE 360X)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<uri value="https://fhir.nwgenomics.nhs.uk"/>
<name value="FHIR (this IG)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<uri
value="https://fhir.nwgenomics.nhs.uk/Questionnaire/GeneticClinicalReferral"/>
<name value="Questionnaire (linkId)"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GeneticClinicalReferral"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="GeneticClinicalReferral">
<path value="GeneticClinicalReferral"/>
<short value="Genetic Clinical Referral"/>
<definition
value="**For analysis purposes only - not an active or planned project.** This referral is not
expected to be implemented within this IG; it is expected to be implemented via a
Genomics England Limited application, NHS England BaRS/eRS or the NHS England Genomic
Order Management Service.
A closed-loop clinical referral into a genomics/clinical genetics service (see
[Genetic Referrals](GeneticReferrals.html)), modelled on the IHE 360X HL7 v2 referral
order `OMG^O19` with `OSU^O51` status updates (see [Referral Request [PCC-55]](PCC-55.html)) -
not a laboratory order. The referral itself stays small: clinical content
travels as forms, clinical documents (pathology report, patient summary) and family
history referenced from the referral.
This is a logical model - it is not exchanged as is. It breaks down into
`ServiceRequest`, `Patient`, `PractitionerRole`, `Organization`, `HealthcareService`,
`QuestionnaireResponse`, `RelatedPerson`, `Observation` and clinical documents
(`DocumentReference` or a FHIR Document `Bundle`)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="GeneticClinicalReferral.referralIdentifier">
<path value="GeneticClinicalReferral.referralIdentifier"/>
<short value="Referral Identifier"/>
<definition
value="Originating referral identifier, assigned by the referrer and used in every message"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.referralIdentifier"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-2 / OBR-2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.identifier[OrderIdentifier]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-2"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.status">
<path value="GeneticClinicalReferral.status"/>
<short value="Referral Status"/>
<definition value="e.g. active, completed, revoked"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/request-status"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map
value="ORC-1 / ORC-5 (OMG^O19 ORC-1 NW; status changes in OSU^O51)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.status"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-5"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.priority">
<path value="GeneticClinicalReferral.priority"/>
<short value="Priority"/>
<definition value="Urgency of the referral"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.priority"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/RequestPriority"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="TQ1-9"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.priority"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/82768-3"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.dateOfReferral">
<path value="GeneticClinicalReferral.dateOfReferral"/>
<short value="Date of referral"/>
<definition value="When the referral was made"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.dateOfReferral"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-9"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.authoredOn"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient">
<path value="GeneticClinicalReferral.patient"/>
<short value="Patient"/>
<definition
value="The proband. Same items as Genomic Test Order's patient."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="hl7v2"/>
<map value="PID"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.subject (Patient)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Patient"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.id">
<path value="GeneticClinicalReferral.patient.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.extension">
<path value="GeneticClinicalReferral.patient.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.modifierExtension">
<path value="GeneticClinicalReferral.patient.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.nhsNumber">
<path value="GeneticClinicalReferral.patient.nhsNumber"/>
<short value="NHS Number"/>
<definition value="NHS Number of the patient"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.nhsNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[nhsNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/89061-6"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.medicalRecordNumber">
<path value="GeneticClinicalReferral.patient.medicalRecordNumber"/>
<short value="Hospital Number (Medical Record Number)"/>
<definition value="Local hospital number of the patient"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.medicalRecordNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/MedicalRecordNumber"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[MedicalRecordNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/76435-7"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.familyName">
<path value="GeneticClinicalReferral.patient.familyName"/>
<short value="Patient surname"/>
<definition value="Patient surname"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.familyName"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-5.1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.name.family"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/45394-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.givenName">
<path value="GeneticClinicalReferral.patient.givenName"/>
<short value="Patient first name"/>
<definition value="Patient first name"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.givenName"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-5.2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.name.given"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/45392-8"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.birthDate">
<path value="GeneticClinicalReferral.patient.birthDate"/>
<short value="Date of birth"/>
<definition value="Patient date of birth"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.birthDate"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-7"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.birthDate"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/21112-8"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.address">
<path value="GeneticClinicalReferral.patient.address"/>
<short value="Address"/>
<definition value="Address line(s) and postcode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.address"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Address"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-11"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.address"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/56799-0"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.sexRegisteredAtBirth">
<path value="GeneticClinicalReferral.patient.sexRegisteredAtBirth"/>
<short value="Sex registered at birth"/>
<definition value="Administrative gender"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.sexRegisteredAtBirth"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="PID-8"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.gender"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/46098-0"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.accountNumber">
<path value="GeneticClinicalReferral.patient.accountNumber"/>
<short value="Account Number (Episode or Stay Number)"/>
<definition value="Patient account number"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.accountNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PV1-19"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.encounter.identifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/56797-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.pedigreeNumber">
<path value="GeneticClinicalReferral.patient.pedigreeNumber"/>
<short value="G Number (Pedigree Number)"/>
<definition
value="Links the proband to consultands (at-risk relatives) referred as part of the same
family investigation. Not a Patient identifier."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patient.pedigreeNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="Observation.valueString via ServiceRequest.supportingInfo"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="pedigreeNumber"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer">
<path value="GeneticClinicalReferral.referrer"/>
<short value="Referring Provider"/>
<definition
value="The referring clinician and organisation. Same items as Genomic Test Order's requester."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.referrer"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="hl7v2"/>
<map
value="ORC-12 / OBR-16 (ordering provider), ORC-21 (ordering facility)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.requester (PractitionerRole)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferringProvider"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.id">
<path value="GeneticClinicalReferral.referrer.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.extension">
<path value="GeneticClinicalReferral.referrer.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.modifierExtension">
<path value="GeneticClinicalReferral.referrer.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.name">
<path value="GeneticClinicalReferral.referrer.name"/>
<short value="Referring Clinician Name"/>
<definition value="Referring clinician name"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.referrer.name"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/18705-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.specialty">
<path value="GeneticClinicalReferral.referrer.specialty"/>
<short value="Referring Clinician Current Speciality"/>
<definition value="Referring clinician specialty"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.referrer.specialty"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"/>
</binding>
<mapping>
<identity value="questionnaire"/>
<map value="LN/18707-0"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.professionalIdentifier">
<path value="GeneticClinicalReferral.referrer.professionalIdentifier"/>
<short value="Referring Clinician Professional Identifier"/>
<definition value="e.g. GMC/GMP number"/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="GeneticClinicalReferral.referrer.professionalIdentifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/46608-6"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.email">
<path value="GeneticClinicalReferral.referrer.email"/>
<short value="Email"/>
<definition value="Referring clinician email"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GeneticClinicalReferral.referrer.email"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/89058-2"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.phone">
<path value="GeneticClinicalReferral.referrer.phone"/>
<short value="Phone"/>
<definition value="Referring clinician telephone"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.referrer.phone"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/81230-5"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.organisation">
<path value="GeneticClinicalReferral.referrer.organisation"/>
<short value="Referring Organisation"/>
<definition value="ODS code of the referring organisation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.referrer.organisation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="PractitionerRole.organization"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-21"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient">
<path value="GeneticClinicalReferral.recipient"/>
<short value="Referred-to Provider/Service"/>
<definition
value="Who the referral is sent to - a named clinician or a service/clinic. Genomic Test Order
has no equivalent: an order's Order Filler is fixed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.recipient"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="hl7v2"/>
<map value="MSH-5 / MSH-6 (receiving application / facility)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.performer (PractitionerRole or HealthcareService)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.id">
<path value="GeneticClinicalReferral.recipient.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.extension">
<path value="GeneticClinicalReferral.recipient.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.modifierExtension">
<path value="GeneticClinicalReferral.recipient.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.service">
<path value="GeneticClinicalReferral.recipient.service"/>
<short value="Referred-to Service/Clinic Name"/>
<definition value="e.g. clinical genetics clinic"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.recipient.service"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="HealthcareService.name"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider/serviceName"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.organisation">
<path value="GeneticClinicalReferral.recipient.organisation"/>
<short value="Referred-to Organisation"/>
<definition value="ODS code of the receiving organisation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.recipient.organisation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="PractitionerRole.organization"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider/organisationCode"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.clinician">
<path value="GeneticClinicalReferral.recipient.clinician"/>
<short value="Named Consultant/Clinician (if known)"/>
<definition value="Named clinician, if any"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.recipient.clinician"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="PractitionerRole.practitioner"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider/clinicianName"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.serviceRequested">
<path value="GeneticClinicalReferral.serviceRequested"/>
<short value="Referral Type / Service Requested"/>
<definition
value="The clinical service/assessment requested (e.g. genetic counselling, cascade testing) -
not a Genomic Test Directory code. For a clinical genetics referral this is SNOMED CT
`306119003`."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.serviceRequested"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="306119003"/>
</coding>
</patternCodeableConcept>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-4 (306119003^^SCT)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.code"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.reasonForReferral">
<path value="GeneticClinicalReferral.reasonForReferral"/>
<short value="Reason for referral"/>
<definition value="Suspected/confirmed condition"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GeneticClinicalReferral.reasonForReferral"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-31 / DG1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.reasonCode"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/51967-8"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.clinicalInformation">
<path value="GeneticClinicalReferral.clinicalInformation"/>
<short value="Clinical details"/>
<definition
value="Brief free-text note, if no family letter is attached"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.clinicalInformation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.note"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/NTE-1"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.forms">
<path value="GeneticClinicalReferral.forms"/>
<short value="Referral forms"/>
<definition
value="Completed referral forms, e.g. a national GMS test order form or a service-specific
referral form, as structured answers."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GeneticClinicalReferral.forms"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/QuestionnaireResponse"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.supportingInfo (QuestionnaireResponse)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="SupportingInformation/forms"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.consultand">
<path value="GeneticClinicalReferral.consultand"/>
<short value="Consultand"/>
<definition
value="A named at-risk relative being referred alongside the proband - one per relative"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GeneticClinicalReferral.consultand"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/RelatedPerson"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="NK1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.supportingInfo (RelatedPerson)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Genetic Referral Consultand Questionnaire"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.pathologyReport">
<path value="GeneticClinicalReferral.pathologyReport"/>
<short value="Pathology report"/>
<definition
value="The pathology report supporting the referral. Ideally a reference to a clinical document
shared via the NHS England Single Patient Record (SPR); in the interim this may be an
attached PDF (`DocumentReference` -> `Binary`). NHS England NDRS also holds Cancer
Pathology Reports."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GeneticClinicalReferral.pathologyReport"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map
value="OBX (type = RP reference pointer, or ED for an attached PDF)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="SupportingInformation/pathologyReport"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patientSummary">
<path value="GeneticClinicalReferral.patientSummary"/>
<short value="Patient summary"/>
<definition
value="The patient summary, as a clinical document. **Not** part of the NHS England Genomics
ServiceRequest specification."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GeneticClinicalReferral.patientSummary"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map
value="OBX (type = RP reference pointer, or ED for an attached PDF)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="SupportingInformation/patientSummary"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.familyHistory">
<path value="GeneticClinicalReferral.familyHistory"/>
<short value="Family history"/>
<definition
value="Structured family history (FamilyMemberHistory, one per relative), or the unstructured
family letter as a clinical document. At present clinical genetics is believed
to retrieve structured family history from NHS England NDRS (National Disease Registration Service). NDRS is a
reporting/analytical service, so the information may not be current."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GeneticClinicalReferral.familyHistory"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/FamilyMemberHistory"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map
value="OBX (type = RP or ED) for the family letter; structured family history has no OMG_O19 segment - retrieved from NHS England NDRS"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.supportingInfo (FamilyMemberHistory, or DocumentReference for the family letter)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="FamilyHistory (family letter: FamilyHistory/attachment)"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="GeneticClinicalReferral">
<path value="GeneticClinicalReferral"/>
<short value="Genetic Clinical Referral"/>
<definition
value="**For analysis purposes only - not an active or planned project.** This referral is not
expected to be implemented within this IG; it is expected to be implemented via a
Genomics England Limited application, NHS England BaRS/eRS or the NHS England Genomic
Order Management Service.
A closed-loop clinical referral into a genomics/clinical genetics service (see
[Genetic Referrals](GeneticReferrals.html)), modelled on the IHE 360X HL7 v2 referral
order `OMG^O19` with `OSU^O51` status updates (see [Referral Request [PCC-55]](PCC-55.html)) -
not a laboratory order. The referral itself stays small: clinical content
travels as forms, clinical documents (pathology report, patient summary) and family
history referenced from the referral.
This is a logical model - it is not exchanged as is. It breaks down into
`ServiceRequest`, `Patient`, `PractitionerRole`, `Organization`, `HealthcareService`,
`QuestionnaireResponse`, `RelatedPerson`, `Observation` and clinical documents
(`DocumentReference` or a FHIR Document `Bundle`)."/>
</element>
<element id="GeneticClinicalReferral.referralIdentifier">
<path value="GeneticClinicalReferral.referralIdentifier"/>
<short value="Referral Identifier"/>
<definition
value="Originating referral identifier, assigned by the referrer and used in every message"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-2 / OBR-2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.identifier[OrderIdentifier]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-2"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.status">
<path value="GeneticClinicalReferral.status"/>
<short value="Referral Status"/>
<definition value="e.g. active, completed, revoked"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/request-status"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map
value="ORC-1 / ORC-5 (OMG^O19 ORC-1 NW; status changes in OSU^O51)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.status"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-5"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.priority">
<path value="GeneticClinicalReferral.priority"/>
<short value="Priority"/>
<definition value="Urgency of the referral"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/RequestPriority"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="TQ1-9"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.priority"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/82768-3"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.dateOfReferral">
<path value="GeneticClinicalReferral.dateOfReferral"/>
<short value="Date of referral"/>
<definition value="When the referral was made"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-9"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.authoredOn"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient">
<path value="GeneticClinicalReferral.patient"/>
<short value="Patient"/>
<definition
value="The proband. Same items as Genomic Test Order's patient."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.subject (Patient)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Patient"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.nhsNumber">
<path value="GeneticClinicalReferral.patient.nhsNumber"/>
<short value="NHS Number"/>
<definition value="NHS Number of the patient"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[nhsNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/89061-6"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.medicalRecordNumber">
<path value="GeneticClinicalReferral.patient.medicalRecordNumber"/>
<short value="Hospital Number (Medical Record Number)"/>
<definition value="Local hospital number of the patient"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/MedicalRecordNumber"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[MedicalRecordNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/76435-7"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.familyName">
<path value="GeneticClinicalReferral.patient.familyName"/>
<short value="Patient surname"/>
<definition value="Patient surname"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-5.1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.name.family"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/45394-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.givenName">
<path value="GeneticClinicalReferral.patient.givenName"/>
<short value="Patient first name"/>
<definition value="Patient first name"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-5.2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.name.given"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/45392-8"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.birthDate">
<path value="GeneticClinicalReferral.patient.birthDate"/>
<short value="Date of birth"/>
<definition value="Patient date of birth"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-7"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.birthDate"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/21112-8"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.address">
<path value="GeneticClinicalReferral.patient.address"/>
<short value="Address"/>
<definition value="Address line(s) and postcode"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Address"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-11"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.address"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/56799-0"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.sexRegisteredAtBirth">
<path value="GeneticClinicalReferral.patient.sexRegisteredAtBirth"/>
<short value="Sex registered at birth"/>
<definition value="Administrative gender"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="PID-8"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.gender"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/46098-0"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.accountNumber">
<path value="GeneticClinicalReferral.patient.accountNumber"/>
<short value="Account Number (Episode or Stay Number)"/>
<definition value="Patient account number"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PV1-19"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.encounter.identifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/56797-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patient.pedigreeNumber">
<path value="GeneticClinicalReferral.patient.pedigreeNumber"/>
<short value="G Number (Pedigree Number)"/>
<definition
value="Links the proband to consultands (at-risk relatives) referred as part of the same
family investigation. Not a Patient identifier."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="Observation.valueString via ServiceRequest.supportingInfo"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="pedigreeNumber"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer">
<path value="GeneticClinicalReferral.referrer"/>
<short value="Referring Provider"/>
<definition
value="The referring clinician and organisation. Same items as Genomic Test Order's requester."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map
value="ORC-12 / OBR-16 (ordering provider), ORC-21 (ordering facility)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.requester (PractitionerRole)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferringProvider"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.name">
<path value="GeneticClinicalReferral.referrer.name"/>
<short value="Referring Clinician Name"/>
<definition value="Referring clinician name"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/18705-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.specialty">
<path value="GeneticClinicalReferral.referrer.specialty"/>
<short value="Referring Clinician Current Speciality"/>
<definition value="Referring clinician specialty"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"/>
</binding>
<mapping>
<identity value="questionnaire"/>
<map value="LN/18707-0"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.professionalIdentifier">
<path value="GeneticClinicalReferral.referrer.professionalIdentifier"/>
<short value="Referring Clinician Professional Identifier"/>
<definition value="e.g. GMC/GMP number"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/46608-6"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.email">
<path value="GeneticClinicalReferral.referrer.email"/>
<short value="Email"/>
<definition value="Referring clinician email"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/89058-2"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.phone">
<path value="GeneticClinicalReferral.referrer.phone"/>
<short value="Phone"/>
<definition value="Referring clinician telephone"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="questionnaire"/>
<map value="LN/81230-5"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.referrer.organisation">
<path value="GeneticClinicalReferral.referrer.organisation"/>
<short value="Referring Organisation"/>
<definition value="ODS code of the referring organisation"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="PractitionerRole.organization"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-21"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient">
<path value="GeneticClinicalReferral.recipient"/>
<short value="Referred-to Provider/Service"/>
<definition
value="Who the referral is sent to - a named clinician or a service/clinic. Genomic Test Order
has no equivalent: an order's Order Filler is fixed."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="MSH-5 / MSH-6 (receiving application / facility)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.performer (PractitionerRole or HealthcareService)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.service">
<path value="GeneticClinicalReferral.recipient.service"/>
<short value="Referred-to Service/Clinic Name"/>
<definition value="e.g. clinical genetics clinic"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="HealthcareService.name"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider/serviceName"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.organisation">
<path value="GeneticClinicalReferral.recipient.organisation"/>
<short value="Referred-to Organisation"/>
<definition value="ODS code of the receiving organisation"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="PractitionerRole.organization"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider/organisationCode"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.recipient.clinician">
<path value="GeneticClinicalReferral.recipient.clinician"/>
<short value="Named Consultant/Clinician (if known)"/>
<definition value="Named clinician, if any"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="PractitionerRole.practitioner"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="ReferredToProvider/clinicianName"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.serviceRequested">
<path value="GeneticClinicalReferral.serviceRequested"/>
<short value="Referral Type / Service Requested"/>
<definition
value="The clinical service/assessment requested (e.g. genetic counselling, cascade testing) -
not a Genomic Test Directory code. For a clinical genetics referral this is SNOMED CT
`306119003`."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="306119003"/>
</coding>
</patternCodeableConcept>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-4 (306119003^^SCT)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.code"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-4"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.reasonForReferral">
<path value="GeneticClinicalReferral.reasonForReferral"/>
<short value="Reason for referral"/>
<definition value="Suspected/confirmed condition"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-31 / DG1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.reasonCode"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/51967-8"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.clinicalInformation">
<path value="GeneticClinicalReferral.clinicalInformation"/>
<short value="Clinical details"/>
<definition
value="Brief free-text note, if no family letter is attached"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.note"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/NTE-1"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.forms">
<path value="GeneticClinicalReferral.forms"/>
<short value="Referral forms"/>
<definition
value="Completed referral forms, e.g. a national GMS test order form or a service-specific
referral form, as structured answers."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/QuestionnaireResponse"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.supportingInfo (QuestionnaireResponse)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="SupportingInformation/forms"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.consultand">
<path value="GeneticClinicalReferral.consultand"/>
<short value="Consultand"/>
<definition
value="A named at-risk relative being referred alongside the proband - one per relative"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/RelatedPerson"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="NK1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.supportingInfo (RelatedPerson)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Genetic Referral Consultand Questionnaire"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.pathologyReport">
<path value="GeneticClinicalReferral.pathologyReport"/>
<short value="Pathology report"/>
<definition
value="The pathology report supporting the referral. Ideally a reference to a clinical document
shared via the NHS England Single Patient Record (SPR); in the interim this may be an
attached PDF (`DocumentReference` -> `Binary`). NHS England NDRS also holds Cancer
Pathology Reports."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map
value="OBX (type = RP reference pointer, or ED for an attached PDF)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="SupportingInformation/pathologyReport"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.patientSummary">
<path value="GeneticClinicalReferral.patientSummary"/>
<short value="Patient summary"/>
<definition
value="The patient summary, as a clinical document. **Not** part of the NHS England Genomics
ServiceRequest specification."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map
value="OBX (type = RP reference pointer, or ED for an attached PDF)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="SupportingInformation/patientSummary"/>
</mapping>
</element>
<element id="GeneticClinicalReferral.familyHistory">
<path value="GeneticClinicalReferral.familyHistory"/>
<short value="Family history"/>
<definition
value="Structured family history (FamilyMemberHistory, one per relative), or the unstructured
family letter as a clinical document. At present clinical genetics is believed
to retrieve structured family history from NHS England NDRS (National Disease Registration Service). NDRS is a
reporting/analytical service, so the information may not be current."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/FamilyMemberHistory"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map
value="OBX (type = RP or ED) for the family letter; structured family history has no OMG_O19 segment - retrieved from NHS England NDRS"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.supportingInfo (FamilyMemberHistory, or DocumentReference for the family letter)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="FamilyHistory (family letter: FamilyHistory/attachment)"/>
</mapping>
</element>
</differential>
</StructureDefinition>