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 |
JSON representation of the GenomicTestOrder logical model.
{
"resourceType" : "StructureDefinition",
"id" : "GenomicTestOrder",
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition GenomicTestOrder</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-GenomicTestOrder-definitions.html#GenomicTestOrder\" title=\"The common core of a Genomic Test Order: the Patient, Healthcare Professional, Test\nRequest and Specimen shared by every order, regardless of test type. Ask At Order Entry\nquestions, which vary by order/test type, are **not** part of this core - they are\ncarried alongside it (see Order Entry Questions below).\n\nThis is a logical model - it is not exchanged as is. It breaks down into `ServiceRequest`,\n`Patient`, `Encounter`, `PractitionerRole`, `Organization`, `Specimen`, `Observation` and\n`RelatedPerson` for exchange via [HL7 v2 OML_O21](hl7v2.html#oml_o21-laboratory-order)\nor the [FHIR Message O21](MessageDefinition-laboratory-order.html).\">GenomicTestOrder</a><a name=\"GenomicTestOrder\"> </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\">Genomic Test Order<br/><span class=\"xhtPieceBold\">Instances of this type can be the target of a Reference</span></td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient\" title=\"Patient (proband) identification and demographics\">patient</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.nhsNumber\" title=\"NHS Number of the patient\">nhsNumber</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.medicalRecordNumber\" title=\"Local hospital number of the patient. Used as the subject identifier if NHS Number is not present.\">medicalRecordNumber</a><a name=\"GenomicTestOrder.patient.medicalRecordNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.familyName\" title=\"Patient surname\">familyName</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.givenName\" title=\"Patient first name\">givenName</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.birthDate\" title=\"Patient date of birth\">birthDate</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.deceasedDateTime\" title=\"Patient date of death\">deceasedDateTime</a><a name=\"GenomicTestOrder.patient.deceasedDateTime\"> </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 death</td></tr>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.address\" title=\"Address line(s), city and postcode\">address</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.sexRegisteredAtBirth\" title=\"Administrative gender\">sexRegisteredAtBirth</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.ethnicCategory\" title=\"Patient ethnic category\">ethnicCategory</a><a name=\"GenomicTestOrder.patient.ethnicCategory\"> </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\">Ethnic Category<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-ethnicity.html\" title=\"https://fhir.nwgenomics.nhs.uk/ValueSet/ethnicity\" class=\"binding\">Ethnicity</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>\r\n<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\">GenomicTestOrder.patient.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patient.generalPractice\" title=\"Patient's registered GP practice\">generalPractice</a><a name=\"GenomicTestOrder.patient.generalPractice\"> </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\">GP Surgery (ODS Code)</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.hospitalSpell\" title=\"Treat as mandatory for reflex or subcontracted orders.\">hospitalSpell</a><a name=\"GenomicTestOrder.hospitalSpell\"> </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\">Hospital Spell</td></tr>\r\n<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\">GenomicTestOrder.hospitalSpell.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.hospitalSpell.accountNumber\" title=\"Case identification or account number. Assigned by the Order Placer, where it is known\nas spell or episode id. Also known as stay number.\">accountNumber</a><a name=\"GenomicTestOrder.hospitalSpell.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>\r\n<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\">GenomicTestOrder.hospitalSpell.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.hospitalSpell.hospitalService\" title=\"Hospital service the patient is under\">hospitalService</a><a name=\"GenomicTestOrder.hospitalSpell.hospitalService\"> </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\">Hospital Service<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-service.html\" title=\"https://fhir.nwgenomics.nhs.uk/ValueSet/service\" class=\"binding\">Service</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>\r\n<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\">GenomicTestOrder.hospitalSpell.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.hospitalSpell.location\" title=\"Where the patient is (ward/clinic)\">location</a><a name=\"GenomicTestOrder.hospitalSpell.location\"> </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\">Location</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.requester\" title=\"The referring clinician and their organisation\">requester</a><a name=\"GenomicTestOrder.requester\"> </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\">Healthcare Professional (Ordering Practitioner)</td></tr>\r\n<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\">GenomicTestOrder.requester.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.requester.name\" title=\"Referring clinician name\">name</a><a name=\"GenomicTestOrder.requester.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>\r\n<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\">GenomicTestOrder.requester.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.requester.specialty\" title=\"Referring clinician specialty\">specialty</a><a name=\"GenomicTestOrder.requester.specialty\"> </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\">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>\r\n<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\">GenomicTestOrder.requester.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.requester.professionalIdentifier\" title=\"e.g. GMC/GMP number\">professionalIdentifier</a><a name=\"GenomicTestOrder.requester.professionalIdentifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..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>\r\n<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\">GenomicTestOrder.requester.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.requester.email\" title=\"Referring (and secondary) clinician email\">email</a><a name=\"GenomicTestOrder.requester.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>\r\n<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\">GenomicTestOrder.requester.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.requester.phone\" title=\"Referring clinician telephone\">phone</a><a name=\"GenomicTestOrder.requester.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>\r\n<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_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\">GenomicTestOrder.requester.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.requester.orderingFacility\" title=\"ODS code of the organisation placing the order\">orderingFacility</a><a name=\"GenomicTestOrder.requester.orderingFacility\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-OrganisationCode.html\" title=\"Identifier\">OrganisationCode</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Referring Organisation / Ordering Facility</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.orderIdentifier\" title=\"Test request ID / Order ID, assigned by the Order Placer\">orderIdentifier</a><a name=\"GenomicTestOrder.orderIdentifier\"> </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\">Order Identifier (Placer)</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.fillerOrderNumber\" title=\"Order number assigned by the Order Filler (LIMS)\">fillerOrderNumber</a><a name=\"GenomicTestOrder.fillerOrderNumber\"> </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#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Filler Order Number</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.orderGroupNumber\" title=\"Groups related orders together\">orderGroupNumber</a><a name=\"GenomicTestOrder.orderGroupNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-OrderGroupNumber.html\" title=\"Identifier\">OrderGroupNumber</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">(Placer) Order Group Number</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.category\" title=\"e.g. Rare and inherited disease, Cancer, Haemoglobinopathy\">category</a><a name=\"GenomicTestOrder.category\"> </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\">Test Category<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-order-category.html\" title=\"https://fhir.nwgenomics.nhs.uk/ValueSet/order-category\" class=\"binding\">Order Category</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>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.testCode\" title=\"(Order) Procedure Code - the National Genomic Test Directory code. Which codes apply\ndepends on the test category (Rare and Inherited Disease, Haemoglobinopathy, Cancer).\">testCode</a><a name=\"GenomicTestOrder.testCode\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">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\">Test Code<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-GenomicTestCodes.html\" title=\"https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes\" class=\"binding\">Genomic Test 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>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.orderDate\" title=\"When the order was placed\">orderDate</a><a name=\"GenomicTestOrder.orderDate\"> </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\">Order date</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.priority\" title=\"Urgency of the order\">priority</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.performer\" title=\"The laboratory the order is sent to\">performer</a><a name=\"GenomicTestOrder.performer\"> </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\">Performer</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.reasonCode\" title=\"Clinical indication (CITT code), generally a SNOMED CT condition\">reasonCode</a><a name=\"GenomicTestOrder.reasonCode\"> </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\">Specific disease suspected / reason for testing<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>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.clinicalInformation\" title=\"Free-text clinical details\">clinicalInformation</a><a name=\"GenomicTestOrder.clinicalInformation\"> </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\">Relevant clinical information and family history<br/></td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.clinicalGeneticist\" title=\"Clinical geneticist contact details\">clinicalGeneticist</a><a name=\"GenomicTestOrder.clinicalGeneticist\"> </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\">Clinical Geneticist</td></tr>\r\n<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\">GenomicTestOrder.clinicalGeneticist.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.clinicalGeneticist.email\" title=\"Clinical geneticist email\">email</a><a name=\"GenomicTestOrder.clinicalGeneticist.email\"> </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 Geneticist email</td></tr>\r\n<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\">GenomicTestOrder.clinicalGeneticist.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.clinicalGeneticist.departmentEmail\" title=\"Clinical geneticist department email\">departmentEmail</a><a name=\"GenomicTestOrder.clinicalGeneticist.departmentEmail\"> </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 Geneticist department email</td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.forms\" title=\"Also known as **Ask At Order Entry** questions. Questions that vary by order/test type,\ndefined by a separate Ask At Order Entry Questionnaire and completed as a\nQuestionnaireResponse. For exchange the answers are carried as Observation (OBX) or\nRelatedPerson (NK1). See Order Entry Questions.\">forms</a><a name=\"GenomicTestOrder.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> | <a href=\"StructureDefinition-Observation.html\">Observation</a> | <a href=\"StructureDefinition-RelatedPerson.html\">RelatedPerson</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Order forms (Ask At Order Entry)<br/></td></tr>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.pathologyReport\" title=\"Pathology studies supporting the order, e.g. a Cancer Pathology Report held by NHS\nEngland NDRS, or a pathology report shared by the NHS England Single Patient Record.\nReferenced as a clinical document, or in the interim an attached PDF.\">pathologyReport</a><a name=\"GenomicTestOrder.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>\r\n<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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.patientSummary\" title=\"The patient summary, as a clinical document. **Not** part of the NHS England Genomics\nServiceRequest specification.\">patientSummary</a><a name=\"GenomicTestOrder.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>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck01.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_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\">GenomicTestOrder.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen\" title=\"The sample(s) sent for testing\">specimen</a><a name=\"GenomicTestOrder.specimen\"> </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#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Specimen/Biopsy<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.status\" title=\"e.g. available, unavailable\">status</a><a name=\"GenomicTestOrder.specimen.status\"> </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\">Sample collection status<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-specimen-status.html\" title=\"http://hl7.org/fhir/ValueSet/specimen-status\" class=\"binding\">SpecimenStatus</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>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.identifier\" title=\"Placer specimen number (LOINC 80398-1)\">identifier</a><a name=\"GenomicTestOrder.specimen.identifier\"> </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#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Specimen ID Number<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.accessionIdentifier\" title=\"Identifier assigned by the laboratory that holds the sample/stored DNA\">accessionIdentifier</a><a name=\"GenomicTestOrder.specimen.accessionIdentifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-SpecimenAccessionNumber.html\" title=\"Identifier\">SpecimenAccessionNumber</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Lab DNA Number (if known)<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.accessionAssigner\" title=\"For a pathology lab sample or stored DNA\">accessionAssigner</a><a name=\"GenomicTestOrder.specimen.accessionAssigner\"> </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\">Pathology Laboratory Hospital/Trust ID</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.type\" title=\"Specimen type\">type</a><a name=\"GenomicTestOrder.specimen.type\"> </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\">Specimen Type<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-specimen-type.html\" title=\"https://fhir.nwgenomics.nhs.uk/ValueSet/specimen-type\" class=\"binding\">Specimen Type</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>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.bodySite\" title=\"Specimen source site\">bodySite</a><a name=\"GenomicTestOrder.specimen.bodySite\"> </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\">Tissue source/organ of origin<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-specimen-bodysite.html\" title=\"https://fhir.nwgenomics.nhs.uk/ValueSet/specimen-bodysite\" class=\"binding\">Specimen Body Site</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>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.quantity\" title=\"Volume, or number of slides or scrolls\">quantity</a><a name=\"GenomicTestOrder.specimen.quantity\"> </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\">Specimen Volume/number of slides or scrolls</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.additive\" title=\"Whether an anticoagulant/preservative was used\">additive</a><a name=\"GenomicTestOrder.specimen.additive\"> </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#boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Anticoagulant/preservative?</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.collectedDateTime\" title=\"When the specimen was collected\">collectedDateTime</a><a name=\"GenomicTestOrder.specimen.collectedDateTime\"> </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\">Specimen Collection Date</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.receivedTime\" title=\"When the laboratory received the specimen\">receivedTime</a><a name=\"GenomicTestOrder.specimen.receivedTime\"> </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 and time sample received in lab</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.shipmentTrackingNumber\" title=\"Shipment tracking number\">shipmentTrackingNumber</a><a name=\"GenomicTestOrder.specimen.shipmentTrackingNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-ShipmentTrackingNumber.html\" title=\"Identifier\">ShipmentTrackingNumber</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Tracking number<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck001.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.tracking\" title=\"How the specimen was sent\">tracking</a><a name=\"GenomicTestOrder.specimen.tracking\"> </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\">Audit (Specimen Tracking)</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck0010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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\">GenomicTestOrder.specimen.tracking.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.tracking.sentDateTime\" title=\"When the specimen was sent\">sentDateTime</a><a name=\"GenomicTestOrder.specimen.tracking.sentDateTime\"> </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 and time sample sent</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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\">GenomicTestOrder.specimen.tracking.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.tracking.transportUsed\" title=\"e.g. courier\">transportUsed</a><a name=\"GenomicTestOrder.specimen.tracking.transportUsed\"> </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\">Transport used</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck0010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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\">GenomicTestOrder.specimen.tracking.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.tracking.sentTo\" title=\"Destination of the specimen\">sentTo</a><a name=\"GenomicTestOrder.specimen.tracking.sentTo\"> </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\">Sample sent to</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0000.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_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\">GenomicTestOrder.specimen.tracking.</span><a href=\"StructureDefinition-GenomicTestOrder-definitions.html#GenomicTestOrder.specimen.tracking.sentBy\" title=\"Who sent the specimen\">sentBy</a><a name=\"GenomicTestOrder.specimen.tracking.sentBy\"> </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\">Name of person who sent sample</td></tr>\r\n<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>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode" : "can-be-target"
}
],
"url" : "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicTestOrder",
"version" : "2.2.5",
"name" : "GenomicTestOrderModel",
"title" : "Genomic Test Order",
"status" : "draft",
"date" : "2026-11-05T06:40:21+00:00",
"publisher" : "NHS North West Genomics",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.nwgenomics.nhs.uk/contact-us"
}
]
}
],
"description" : "The common core of a Genomic Test Order: the Patient, Healthcare Professional, Test\nRequest and Specimen shared by every order, regardless of test type. Ask At Order Entry\nquestions, which vary by order/test type, are **not** part of this core - they are\ncarried alongside it (see Order Entry Questions below).\n\nThis is a logical model - it is not exchanged as is. It breaks down into `ServiceRequest`,\n`Patient`, `Encounter`, `PractitionerRole`, `Organization`, `Specimen`, `Observation` and\n`RelatedPerson` for exchange via [HL7 v2 OML_O21](hl7v2.html#oml_o21-laboratory-order)\nor the [FHIR Message O21](MessageDefinition-laboratory-order.html).",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "hl7v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 OML_O21 / OMG_O19"
},
{
"identity" : "fhir",
"uri" : "https://fhir.nwgenomics.nhs.uk",
"name" : "FHIR (this IG)"
},
{
"identity" : "questionnaire",
"uri" : "https://fhir.nwgenomics.nhs.uk/Questionnaire/GenomicTestOrder",
"name" : "Questionnaire (linkId)"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicTestOrder",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "GenomicTestOrder",
"path" : "GenomicTestOrder",
"short" : "Genomic Test Order",
"definition" : "The common core of a Genomic Test Order: the Patient, Healthcare Professional, Test\nRequest and Specimen shared by every order, regardless of test type. Ask At Order Entry\nquestions, which vary by order/test type, are **not** part of this core - they are\ncarried alongside it (see Order Entry Questions below).\n\nThis is a logical model - it is not exchanged as is. It breaks down into `ServiceRequest`,\n`Patient`, `Encounter`, `PractitionerRole`, `Organization`, `Specimen`, `Observation` and\n`RelatedPerson` for exchange via [HL7 v2 OML_O21](hl7v2.html#oml_o21-laboratory-order)\nor the [FHIR Message O21](MessageDefinition-laboratory-order.html).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "GenomicTestOrder.patient",
"path" : "GenomicTestOrder.patient",
"short" : "Patient",
"definition" : "Patient (proband) identification and demographics",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.subject (Patient)"
},
{
"identity" : "questionnaire",
"map" : "Patient"
}
]
},
{
"id" : "GenomicTestOrder.patient.id",
"path" : "GenomicTestOrder.patient.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.patient.extension",
"path" : "GenomicTestOrder.patient.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "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" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.patient.modifierExtension",
"path" : "GenomicTestOrder.patient.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "GenomicTestOrder.patient.nhsNumber",
"path" : "GenomicTestOrder.patient.nhsNumber",
"short" : "NHS Number",
"definition" : "NHS Number of the patient",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.nhsNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-3"
},
{
"identity" : "fhir",
"map" : "Patient.identifier[nhsNumber]"
},
{
"identity" : "questionnaire",
"map" : "LN/89061-6"
}
]
},
{
"id" : "GenomicTestOrder.patient.medicalRecordNumber",
"path" : "GenomicTestOrder.patient.medicalRecordNumber",
"short" : "Hospital Number (Medical Record Number)",
"definition" : "Local hospital number of the patient. Used as the subject identifier if NHS Number is not present.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.medicalRecordNumber",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/MedicalRecordNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-3"
},
{
"identity" : "fhir",
"map" : "Patient.identifier[MedicalRecordNumber]"
},
{
"identity" : "questionnaire",
"map" : "LN/76435-7"
}
]
},
{
"id" : "GenomicTestOrder.patient.familyName",
"path" : "GenomicTestOrder.patient.familyName",
"short" : "Patient surname",
"definition" : "Patient surname",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.familyName",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-5.1"
},
{
"identity" : "fhir",
"map" : "Patient.name.family"
},
{
"identity" : "questionnaire",
"map" : "LN/45394-4"
}
]
},
{
"id" : "GenomicTestOrder.patient.givenName",
"path" : "GenomicTestOrder.patient.givenName",
"short" : "Patient first name",
"definition" : "Patient first name",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.givenName",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-5.2"
},
{
"identity" : "fhir",
"map" : "Patient.name.given"
},
{
"identity" : "questionnaire",
"map" : "LN/45392-8"
}
]
},
{
"id" : "GenomicTestOrder.patient.birthDate",
"path" : "GenomicTestOrder.patient.birthDate",
"short" : "Date of birth",
"definition" : "Patient date of birth",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.birthDate",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-7"
},
{
"identity" : "fhir",
"map" : "Patient.birthDate"
},
{
"identity" : "questionnaire",
"map" : "LN/21112-8"
}
]
},
{
"id" : "GenomicTestOrder.patient.deceasedDateTime",
"path" : "GenomicTestOrder.patient.deceasedDateTime",
"short" : "Date of death",
"definition" : "Patient date of death",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.deceasedDateTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-29"
},
{
"identity" : "fhir",
"map" : "Patient.deceasedDateTime"
},
{
"identity" : "questionnaire",
"map" : "LN/81954-0"
}
]
},
{
"id" : "GenomicTestOrder.patient.address",
"path" : "GenomicTestOrder.patient.address",
"short" : "Address",
"definition" : "Address line(s), city and postcode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.address",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Address"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-11"
},
{
"identity" : "fhir",
"map" : "Patient.address"
},
{
"identity" : "questionnaire",
"map" : "LN/56799-0"
}
]
},
{
"id" : "GenomicTestOrder.patient.sexRegisteredAtBirth",
"path" : "GenomicTestOrder.patient.sexRegisteredAtBirth",
"short" : "Sex registered at birth",
"definition" : "Administrative gender",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.sexRegisteredAtBirth",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-8"
},
{
"identity" : "fhir",
"map" : "Patient.gender"
},
{
"identity" : "questionnaire",
"map" : "LN/46098-0"
}
]
},
{
"id" : "GenomicTestOrder.patient.ethnicCategory",
"path" : "GenomicTestOrder.patient.ethnicCategory",
"short" : "Ethnic Category",
"definition" : "Patient ethnic category",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.ethnicCategory",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/ethnicity"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-22"
},
{
"identity" : "fhir",
"map" : "Patient.extension:ethnicCategory"
},
{
"identity" : "questionnaire",
"map" : "LN/32624-9"
}
]
},
{
"id" : "GenomicTestOrder.patient.generalPractice",
"path" : "GenomicTestOrder.patient.generalPractice",
"short" : "GP Surgery (ODS Code)",
"definition" : "Patient's registered GP practice",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patient.generalPractice",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PD1-3"
},
{
"identity" : "fhir",
"map" : "Patient.generalPractitioner"
},
{
"identity" : "questionnaire",
"map" : "HL7/PD1-3"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell",
"path" : "GenomicTestOrder.hospitalSpell",
"short" : "Hospital Spell",
"definition" : "Treat as mandatory for reflex or subcontracted orders.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.hospitalSpell",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.encounter (Encounter - HospitalSpell)"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.id",
"path" : "GenomicTestOrder.hospitalSpell.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.extension",
"path" : "GenomicTestOrder.hospitalSpell.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "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" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.modifierExtension",
"path" : "GenomicTestOrder.hospitalSpell.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.accountNumber",
"path" : "GenomicTestOrder.hospitalSpell.accountNumber",
"short" : "Account Number (Episode or Stay Number)",
"definition" : "Case identification or account number. Assigned by the Order Placer, where it is known\nas spell or episode id. Also known as stay number.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.hospitalSpell.accountNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-19"
},
{
"identity" : "fhir",
"map" : "Encounter.identifier"
},
{
"identity" : "questionnaire",
"map" : "LN/56797-4"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.hospitalService",
"path" : "GenomicTestOrder.hospitalSpell.hospitalService",
"short" : "Hospital Service",
"definition" : "Hospital service the patient is under",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.hospitalSpell.hospitalService",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/service"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-10"
},
{
"identity" : "fhir",
"map" : "Encounter.serviceType"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.location",
"path" : "GenomicTestOrder.hospitalSpell.location",
"short" : "Location",
"definition" : "Where the patient is (ward/clinic)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.hospitalSpell.location",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-3"
},
{
"identity" : "fhir",
"map" : "Encounter.location"
},
{
"identity" : "questionnaire",
"map" : "LN/89009-5"
}
]
},
{
"id" : "GenomicTestOrder.requester",
"path" : "GenomicTestOrder.requester",
"short" : "Healthcare Professional (Ordering Practitioner)",
"definition" : "The referring clinician and their organisation",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.requester",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-12"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.requester (PractitionerRole)"
},
{
"identity" : "questionnaire",
"map" : "HealthcareProfessional"
}
]
},
{
"id" : "GenomicTestOrder.requester.id",
"path" : "GenomicTestOrder.requester.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.requester.extension",
"path" : "GenomicTestOrder.requester.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "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" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.requester.modifierExtension",
"path" : "GenomicTestOrder.requester.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "GenomicTestOrder.requester.name",
"path" : "GenomicTestOrder.requester.name",
"short" : "Referring Clinician Name",
"definition" : "Referring clinician name",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.requester.name",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-12"
},
{
"identity" : "fhir",
"map" : "PractitionerRole.practitioner.display"
},
{
"identity" : "questionnaire",
"map" : "LN/18705-4"
}
]
},
{
"id" : "GenomicTestOrder.requester.specialty",
"path" : "GenomicTestOrder.requester.specialty",
"short" : "Referring Clinician Current Speciality",
"definition" : "Referring clinician specialty",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.requester.specialty",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "PractitionerRole.specialty"
},
{
"identity" : "questionnaire",
"map" : "LN/18707-0"
}
]
},
{
"id" : "GenomicTestOrder.requester.professionalIdentifier",
"path" : "GenomicTestOrder.requester.professionalIdentifier",
"short" : "Referring Clinician Professional Identifier",
"definition" : "e.g. GMC/GMP number",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.requester.professionalIdentifier",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-12"
},
{
"identity" : "fhir",
"map" : "PractitionerRole.practitioner.identifier"
},
{
"identity" : "questionnaire",
"map" : "LN/46608-6"
}
]
},
{
"id" : "GenomicTestOrder.requester.email",
"path" : "GenomicTestOrder.requester.email",
"short" : "Email",
"definition" : "Referring (and secondary) clinician email",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.requester.email",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "PractitionerRole.telecom"
},
{
"identity" : "questionnaire",
"map" : "LN/89058-2"
}
]
},
{
"id" : "GenomicTestOrder.requester.phone",
"path" : "GenomicTestOrder.requester.phone",
"short" : "Phone",
"definition" : "Referring clinician telephone",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.requester.phone",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "PractitionerRole.telecom"
},
{
"identity" : "questionnaire",
"map" : "LN/81230-5"
}
]
},
{
"id" : "GenomicTestOrder.requester.orderingFacility",
"path" : "GenomicTestOrder.requester.orderingFacility",
"short" : "Referring Organisation / Ordering Facility",
"definition" : "ODS code of the organisation placing the order",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.requester.orderingFacility",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-21"
},
{
"identity" : "fhir",
"map" : "PractitionerRole.organization; ServiceRequest.requester (Organization) if there is no requesting practitioner"
},
{
"identity" : "questionnaire",
"map" : "HL7/ORC-21"
}
]
},
{
"id" : "GenomicTestOrder.orderIdentifier",
"path" : "GenomicTestOrder.orderIdentifier",
"short" : "Order Identifier (Placer)",
"definition" : "Test request ID / Order ID, assigned by the Order Placer",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.orderIdentifier",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-2"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.identifier[OrderIdentifier]"
},
{
"identity" : "questionnaire",
"map" : "LN/106194-4"
}
]
},
{
"id" : "GenomicTestOrder.fillerOrderNumber",
"path" : "GenomicTestOrder.fillerOrderNumber",
"short" : "Filler Order Number",
"definition" : "Order number assigned by the Order Filler (LIMS)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.fillerOrderNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-3"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.identifier[OrderFillerNumber]"
}
]
},
{
"id" : "GenomicTestOrder.orderGroupNumber",
"path" : "GenomicTestOrder.orderGroupNumber",
"short" : "(Placer) Order Group Number",
"definition" : "Groups related orders together",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.orderGroupNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderGroupNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-4"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.requisition"
}
]
},
{
"id" : "GenomicTestOrder.category",
"path" : "GenomicTestOrder.category",
"short" : "Test Category",
"definition" : "e.g. Rare and inherited disease, Cancer, Haemoglobinopathy",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.category",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/order-category"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "ServiceRequest.category"
},
{
"identity" : "questionnaire",
"map" : "SNM/15220000"
}
]
},
{
"id" : "GenomicTestOrder.testCode",
"path" : "GenomicTestOrder.testCode",
"short" : "Test Code",
"definition" : "(Order) Procedure Code - the National Genomic Test Directory code. Which codes apply\ndepends on the test category (Rare and Inherited Disease, Haemoglobinopathy, Cancer).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.testCode",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-4"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.code"
},
{
"identity" : "questionnaire",
"map" : "HL7/OBR-4-r, HL7/OBR-4-h, HL7/OBR-4-c"
}
]
},
{
"id" : "GenomicTestOrder.orderDate",
"path" : "GenomicTestOrder.orderDate",
"short" : "Order date",
"definition" : "When the order was placed",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.orderDate",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-9"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.authoredOn"
}
]
},
{
"id" : "GenomicTestOrder.priority",
"path" : "GenomicTestOrder.priority",
"short" : "Priority",
"definition" : "Urgency of the order",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.priority",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/RequestPriority"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "ServiceRequest.priority"
},
{
"identity" : "questionnaire",
"map" : "LN/82768-3"
}
]
},
{
"id" : "GenomicTestOrder.performer",
"path" : "GenomicTestOrder.performer",
"short" : "Performer",
"definition" : "The laboratory the order is sent to",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.performer",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "Implied by the destination of the message"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.performer"
}
]
},
{
"id" : "GenomicTestOrder.reasonCode",
"path" : "GenomicTestOrder.reasonCode",
"short" : "Specific disease suspected / reason for testing",
"definition" : "Clinical indication (CITT code), generally a SNOMED CT condition",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.reasonCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "DG1-3"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.reasonCode"
},
{
"identity" : "questionnaire",
"map" : "LN/51967-8"
}
]
},
{
"id" : "GenomicTestOrder.clinicalInformation",
"path" : "GenomicTestOrder.clinicalInformation",
"short" : "Relevant clinical information and family history",
"definition" : "Free-text clinical details",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.clinicalInformation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "NTE"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.note"
},
{
"identity" : "questionnaire",
"map" : "HL7/NTE-1"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist",
"path" : "GenomicTestOrder.clinicalGeneticist",
"short" : "Clinical Geneticist",
"definition" : "Clinical geneticist contact details",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.clinicalGeneticist",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (Observation)"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist.id",
"path" : "GenomicTestOrder.clinicalGeneticist.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist.extension",
"path" : "GenomicTestOrder.clinicalGeneticist.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "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" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist.modifierExtension",
"path" : "GenomicTestOrder.clinicalGeneticist.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist.email",
"path" : "GenomicTestOrder.clinicalGeneticist.email",
"short" : "Clinical Geneticist email",
"definition" : "Clinical geneticist email",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.clinicalGeneticist.email",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/GeneticistEmail"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist.departmentEmail",
"path" : "GenomicTestOrder.clinicalGeneticist.departmentEmail",
"short" : "Clinical Geneticist department email",
"definition" : "Clinical geneticist department email",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.clinicalGeneticist.departmentEmail",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/GeneticistDepartmentEmail"
}
]
},
{
"id" : "GenomicTestOrder.forms",
"path" : "GenomicTestOrder.forms",
"short" : "Order forms (Ask At Order Entry)",
"definition" : "Also known as **Ask At Order Entry** questions. Questions that vary by order/test type,\ndefined by a separate Ask At Order Entry Questionnaire and completed as a\nQuestionnaireResponse. For exchange the answers are carried as Observation (OBX) or\nRelatedPerson (NK1). See Order Entry Questions.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.forms",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/QuestionnaireResponse"🔗 ,
"https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"🔗 ,
"https://fhir.nwgenomics.nhs.uk/StructureDefinition/RelatedPerson"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX / NK1"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (QuestionnaireResponse; answers as Observation / RelatedPerson)"
}
]
},
{
"id" : "GenomicTestOrder.pathologyReport",
"path" : "GenomicTestOrder.pathologyReport",
"short" : "Pathology report",
"definition" : "Pathology studies supporting the order, e.g. a Cancer Pathology Report held by NHS\nEngland NDRS, or a pathology report shared by the NHS England Single Patient Record.\nReferenced as a clinical document, or in the interim an attached PDF.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.pathologyReport",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Bundle"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX (type = RP reference pointer, or ED for an attached PDF)"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"
}
]
},
{
"id" : "GenomicTestOrder.patientSummary",
"path" : "GenomicTestOrder.patientSummary",
"short" : "Patient summary",
"definition" : "The patient summary, as a clinical document. **Not** part of the NHS England Genomics\nServiceRequest specification.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.patientSummary",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Bundle"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX (type = RP reference pointer, or ED for an attached PDF)"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"
}
]
},
{
"id" : "GenomicTestOrder.specimen",
"path" : "GenomicTestOrder.specimen",
"short" : "Specimen/Biopsy",
"definition" : "The sample(s) sent for testing",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.specimen",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.specimen (Specimen)"
},
{
"identity" : "questionnaire",
"map" : "Specimen"
}
]
},
{
"id" : "GenomicTestOrder.specimen.id",
"path" : "GenomicTestOrder.specimen.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.specimen.extension",
"path" : "GenomicTestOrder.specimen.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "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" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.specimen.modifierExtension",
"path" : "GenomicTestOrder.specimen.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "GenomicTestOrder.specimen.status",
"path" : "GenomicTestOrder.specimen.status",
"short" : "Sample collection status",
"definition" : "e.g. available, unavailable",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.status",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/ValueSet/specimen-status"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "Specimen.status"
},
{
"identity" : "questionnaire",
"map" : "HL7/SPM"
}
]
},
{
"id" : "GenomicTestOrder.specimen.identifier",
"path" : "GenomicTestOrder.specimen.identifier",
"short" : "Specimen ID Number",
"definition" : "Placer specimen number (LOINC 80398-1)",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.specimen.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-2"
},
{
"identity" : "fhir",
"map" : "Specimen.identifier"
},
{
"identity" : "questionnaire",
"map" : "LN/80398-1"
}
]
},
{
"id" : "GenomicTestOrder.specimen.accessionIdentifier",
"path" : "GenomicTestOrder.specimen.accessionIdentifier",
"short" : "Lab DNA Number (if known)",
"definition" : "Identifier assigned by the laboratory that holds the sample/stored DNA",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.specimen.accessionIdentifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/SpecimenAccessionNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-30"
},
{
"identity" : "fhir",
"map" : "Specimen.accessionIdentifier"
},
{
"identity" : "questionnaire",
"map" : "Specimen/accessionIdentifier"
}
]
},
{
"id" : "GenomicTestOrder.specimen.accessionAssigner",
"path" : "GenomicTestOrder.specimen.accessionAssigner",
"short" : "Pathology Laboratory Hospital/Trust ID",
"definition" : "For a pathology lab sample or stored DNA",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.accessionAssigner",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "Specimen.accessionIdentifier.assigner"
},
{
"identity" : "questionnaire",
"map" : "LN/80398-1-ODS"
}
]
},
{
"id" : "GenomicTestOrder.specimen.type",
"path" : "GenomicTestOrder.specimen.type",
"short" : "Specimen Type",
"definition" : "Specimen type",
"min" : 1,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.type",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/specimen-type"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-4"
},
{
"identity" : "fhir",
"map" : "Specimen.type"
},
{
"identity" : "questionnaire",
"map" : "LN/66746-9"
}
]
},
{
"id" : "GenomicTestOrder.specimen.bodySite",
"path" : "GenomicTestOrder.specimen.bodySite",
"short" : "Tissue source/organ of origin",
"definition" : "Specimen source site",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.bodySite",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/specimen-bodysite"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-8"
},
{
"identity" : "fhir",
"map" : "Specimen.collection.bodySite"
},
{
"identity" : "questionnaire",
"map" : "LN/39111-0"
}
]
},
{
"id" : "GenomicTestOrder.specimen.quantity",
"path" : "GenomicTestOrder.specimen.quantity",
"short" : "Specimen Volume/number of slides or scrolls",
"definition" : "Volume, or number of slides or scrolls",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.quantity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "Specimen.collection.quantity"
},
{
"identity" : "questionnaire",
"map" : "LN/3169-0"
}
]
},
{
"id" : "GenomicTestOrder.specimen.additive",
"path" : "GenomicTestOrder.specimen.additive",
"short" : "Anticoagulant/preservative?",
"definition" : "Whether an anticoagulant/preservative was used",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.additive",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX (LOINC 74384-9)"
},
{
"identity" : "fhir",
"map" : "Observation (LOINC 74384-9) via ServiceRequest.supportingInfo"
},
{
"identity" : "questionnaire",
"map" : "LN/74384-9"
}
]
},
{
"id" : "GenomicTestOrder.specimen.collectedDateTime",
"path" : "GenomicTestOrder.specimen.collectedDateTime",
"short" : "Specimen Collection Date",
"definition" : "When the specimen was collected",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.collectedDateTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-17"
},
{
"identity" : "fhir",
"map" : "Specimen.collection.collectedDateTime"
},
{
"identity" : "questionnaire",
"map" : "LN/33882-2"
}
]
},
{
"id" : "GenomicTestOrder.specimen.receivedTime",
"path" : "GenomicTestOrder.specimen.receivedTime",
"short" : "Date and time sample received in lab",
"definition" : "When the laboratory received the specimen",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.receivedTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-18"
},
{
"identity" : "fhir",
"map" : "Specimen.receivedTime"
},
{
"identity" : "questionnaire",
"map" : "NOS/SampleReceived"
}
]
},
{
"id" : "GenomicTestOrder.specimen.shipmentTrackingNumber",
"path" : "GenomicTestOrder.specimen.shipmentTrackingNumber",
"short" : "Tracking number",
"definition" : "Shipment tracking number",
"min" : 0,
"max" : "*",
"base" : {
"path" : "GenomicTestOrder.specimen.shipmentTrackingNumber",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/ShipmentTrackingNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-32"
},
{
"identity" : "fhir",
"map" : "Specimen.identifier[ShipmentTrackingNumber]"
},
{
"identity" : "questionnaire",
"map" : "LN/97209-1"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking",
"path" : "GenomicTestOrder.specimen.tracking",
"short" : "Audit (Specimen Tracking)",
"definition" : "How the specimen was sent",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.tracking",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX"
},
{
"identity" : "fhir",
"map" : "Observation via ServiceRequest.supportingInfo"
},
{
"identity" : "questionnaire",
"map" : "OrderTracking"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.id",
"path" : "GenomicTestOrder.specimen.tracking.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.extension",
"path" : "GenomicTestOrder.specimen.tracking.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "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" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.modifierExtension",
"path" : "GenomicTestOrder.specimen.tracking.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.sentDateTime",
"path" : "GenomicTestOrder.specimen.tracking.sentDateTime",
"short" : "Date and time sample sent",
"definition" : "When the specimen was sent",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.tracking.sentDateTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/SampleSent"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.transportUsed",
"path" : "GenomicTestOrder.specimen.tracking.transportUsed",
"short" : "Transport used",
"definition" : "e.g. courier",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.tracking.transportUsed",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/TransportUsed"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.sentTo",
"path" : "GenomicTestOrder.specimen.tracking.sentTo",
"short" : "Sample sent to",
"definition" : "Destination of the specimen",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.tracking.sentTo",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/SampleSentTo"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.sentBy",
"path" : "GenomicTestOrder.specimen.tracking.sentBy",
"short" : "Name of person who sent sample",
"definition" : "Who sent the specimen",
"min" : 0,
"max" : "1",
"base" : {
"path" : "GenomicTestOrder.specimen.tracking.sentBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/SampleSentToName"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "GenomicTestOrder",
"path" : "GenomicTestOrder",
"short" : "Genomic Test Order",
"definition" : "The common core of a Genomic Test Order: the Patient, Healthcare Professional, Test\nRequest and Specimen shared by every order, regardless of test type. Ask At Order Entry\nquestions, which vary by order/test type, are **not** part of this core - they are\ncarried alongside it (see Order Entry Questions below).\n\nThis is a logical model - it is not exchanged as is. It breaks down into `ServiceRequest`,\n`Patient`, `Encounter`, `PractitionerRole`, `Organization`, `Specimen`, `Observation` and\n`RelatedPerson` for exchange via [HL7 v2 OML_O21](hl7v2.html#oml_o21-laboratory-order)\nor the [FHIR Message O21](MessageDefinition-laboratory-order.html)."
},
{
"id" : "GenomicTestOrder.patient",
"path" : "GenomicTestOrder.patient",
"short" : "Patient",
"definition" : "Patient (proband) identification and demographics",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.subject (Patient)"
},
{
"identity" : "questionnaire",
"map" : "Patient"
}
]
},
{
"id" : "GenomicTestOrder.patient.nhsNumber",
"path" : "GenomicTestOrder.patient.nhsNumber",
"short" : "NHS Number",
"definition" : "NHS Number of the patient",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-3"
},
{
"identity" : "fhir",
"map" : "Patient.identifier[nhsNumber]"
},
{
"identity" : "questionnaire",
"map" : "LN/89061-6"
}
]
},
{
"id" : "GenomicTestOrder.patient.medicalRecordNumber",
"path" : "GenomicTestOrder.patient.medicalRecordNumber",
"short" : "Hospital Number (Medical Record Number)",
"definition" : "Local hospital number of the patient. Used as the subject identifier if NHS Number is not present.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/MedicalRecordNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-3"
},
{
"identity" : "fhir",
"map" : "Patient.identifier[MedicalRecordNumber]"
},
{
"identity" : "questionnaire",
"map" : "LN/76435-7"
}
]
},
{
"id" : "GenomicTestOrder.patient.familyName",
"path" : "GenomicTestOrder.patient.familyName",
"short" : "Patient surname",
"definition" : "Patient surname",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-5.1"
},
{
"identity" : "fhir",
"map" : "Patient.name.family"
},
{
"identity" : "questionnaire",
"map" : "LN/45394-4"
}
]
},
{
"id" : "GenomicTestOrder.patient.givenName",
"path" : "GenomicTestOrder.patient.givenName",
"short" : "Patient first name",
"definition" : "Patient first name",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-5.2"
},
{
"identity" : "fhir",
"map" : "Patient.name.given"
},
{
"identity" : "questionnaire",
"map" : "LN/45392-8"
}
]
},
{
"id" : "GenomicTestOrder.patient.birthDate",
"path" : "GenomicTestOrder.patient.birthDate",
"short" : "Date of birth",
"definition" : "Patient date of birth",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-7"
},
{
"identity" : "fhir",
"map" : "Patient.birthDate"
},
{
"identity" : "questionnaire",
"map" : "LN/21112-8"
}
]
},
{
"id" : "GenomicTestOrder.patient.deceasedDateTime",
"path" : "GenomicTestOrder.patient.deceasedDateTime",
"short" : "Date of death",
"definition" : "Patient date of death",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-29"
},
{
"identity" : "fhir",
"map" : "Patient.deceasedDateTime"
},
{
"identity" : "questionnaire",
"map" : "LN/81954-0"
}
]
},
{
"id" : "GenomicTestOrder.patient.address",
"path" : "GenomicTestOrder.patient.address",
"short" : "Address",
"definition" : "Address line(s), city and postcode",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Address"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-11"
},
{
"identity" : "fhir",
"map" : "Patient.address"
},
{
"identity" : "questionnaire",
"map" : "LN/56799-0"
}
]
},
{
"id" : "GenomicTestOrder.patient.sexRegisteredAtBirth",
"path" : "GenomicTestOrder.patient.sexRegisteredAtBirth",
"short" : "Sex registered at birth",
"definition" : "Administrative gender",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-8"
},
{
"identity" : "fhir",
"map" : "Patient.gender"
},
{
"identity" : "questionnaire",
"map" : "LN/46098-0"
}
]
},
{
"id" : "GenomicTestOrder.patient.ethnicCategory",
"path" : "GenomicTestOrder.patient.ethnicCategory",
"short" : "Ethnic Category",
"definition" : "Patient ethnic category",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/ethnicity"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-22"
},
{
"identity" : "fhir",
"map" : "Patient.extension:ethnicCategory"
},
{
"identity" : "questionnaire",
"map" : "LN/32624-9"
}
]
},
{
"id" : "GenomicTestOrder.patient.generalPractice",
"path" : "GenomicTestOrder.patient.generalPractice",
"short" : "GP Surgery (ODS Code)",
"definition" : "Patient's registered GP practice",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PD1-3"
},
{
"identity" : "fhir",
"map" : "Patient.generalPractitioner"
},
{
"identity" : "questionnaire",
"map" : "HL7/PD1-3"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell",
"path" : "GenomicTestOrder.hospitalSpell",
"short" : "Hospital Spell",
"definition" : "Treat as mandatory for reflex or subcontracted orders.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.encounter (Encounter - HospitalSpell)"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.accountNumber",
"path" : "GenomicTestOrder.hospitalSpell.accountNumber",
"short" : "Account Number (Episode or Stay Number)",
"definition" : "Case identification or account number. Assigned by the Order Placer, where it is known\nas spell or episode id. Also known as stay number.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-19"
},
{
"identity" : "fhir",
"map" : "Encounter.identifier"
},
{
"identity" : "questionnaire",
"map" : "LN/56797-4"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.hospitalService",
"path" : "GenomicTestOrder.hospitalSpell.hospitalService",
"short" : "Hospital Service",
"definition" : "Hospital service the patient is under",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/service"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-10"
},
{
"identity" : "fhir",
"map" : "Encounter.serviceType"
}
]
},
{
"id" : "GenomicTestOrder.hospitalSpell.location",
"path" : "GenomicTestOrder.hospitalSpell.location",
"short" : "Location",
"definition" : "Where the patient is (ward/clinic)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-3"
},
{
"identity" : "fhir",
"map" : "Encounter.location"
},
{
"identity" : "questionnaire",
"map" : "LN/89009-5"
}
]
},
{
"id" : "GenomicTestOrder.requester",
"path" : "GenomicTestOrder.requester",
"short" : "Healthcare Professional (Ordering Practitioner)",
"definition" : "The referring clinician and their organisation",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-12"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.requester (PractitionerRole)"
},
{
"identity" : "questionnaire",
"map" : "HealthcareProfessional"
}
]
},
{
"id" : "GenomicTestOrder.requester.name",
"path" : "GenomicTestOrder.requester.name",
"short" : "Referring Clinician Name",
"definition" : "Referring clinician name",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-12"
},
{
"identity" : "fhir",
"map" : "PractitionerRole.practitioner.display"
},
{
"identity" : "questionnaire",
"map" : "LN/18705-4"
}
]
},
{
"id" : "GenomicTestOrder.requester.specialty",
"path" : "GenomicTestOrder.requester.specialty",
"short" : "Referring Clinician Current Speciality",
"definition" : "Referring clinician specialty",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "PractitionerRole.specialty"
},
{
"identity" : "questionnaire",
"map" : "LN/18707-0"
}
]
},
{
"id" : "GenomicTestOrder.requester.professionalIdentifier",
"path" : "GenomicTestOrder.requester.professionalIdentifier",
"short" : "Referring Clinician Professional Identifier",
"definition" : "e.g. GMC/GMP number",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-12"
},
{
"identity" : "fhir",
"map" : "PractitionerRole.practitioner.identifier"
},
{
"identity" : "questionnaire",
"map" : "LN/46608-6"
}
]
},
{
"id" : "GenomicTestOrder.requester.email",
"path" : "GenomicTestOrder.requester.email",
"short" : "Email",
"definition" : "Referring (and secondary) clinician email",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "PractitionerRole.telecom"
},
{
"identity" : "questionnaire",
"map" : "LN/89058-2"
}
]
},
{
"id" : "GenomicTestOrder.requester.phone",
"path" : "GenomicTestOrder.requester.phone",
"short" : "Phone",
"definition" : "Referring clinician telephone",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "PractitionerRole.telecom"
},
{
"identity" : "questionnaire",
"map" : "LN/81230-5"
}
]
},
{
"id" : "GenomicTestOrder.requester.orderingFacility",
"path" : "GenomicTestOrder.requester.orderingFacility",
"short" : "Referring Organisation / Ordering Facility",
"definition" : "ODS code of the organisation placing the order",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-21"
},
{
"identity" : "fhir",
"map" : "PractitionerRole.organization; ServiceRequest.requester (Organization) if there is no requesting practitioner"
},
{
"identity" : "questionnaire",
"map" : "HL7/ORC-21"
}
]
},
{
"id" : "GenomicTestOrder.orderIdentifier",
"path" : "GenomicTestOrder.orderIdentifier",
"short" : "Order Identifier (Placer)",
"definition" : "Test request ID / Order ID, assigned by the Order Placer",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderIdentifier"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-2"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.identifier[OrderIdentifier]"
},
{
"identity" : "questionnaire",
"map" : "LN/106194-4"
}
]
},
{
"id" : "GenomicTestOrder.fillerOrderNumber",
"path" : "GenomicTestOrder.fillerOrderNumber",
"short" : "Filler Order Number",
"definition" : "Order number assigned by the Order Filler (LIMS)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-3"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.identifier[OrderFillerNumber]"
}
]
},
{
"id" : "GenomicTestOrder.orderGroupNumber",
"path" : "GenomicTestOrder.orderGroupNumber",
"short" : "(Placer) Order Group Number",
"definition" : "Groups related orders together",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderGroupNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-4"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.requisition"
}
]
},
{
"id" : "GenomicTestOrder.category",
"path" : "GenomicTestOrder.category",
"short" : "Test Category",
"definition" : "e.g. Rare and inherited disease, Cancer, Haemoglobinopathy",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/order-category"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "ServiceRequest.category"
},
{
"identity" : "questionnaire",
"map" : "SNM/15220000"
}
]
},
{
"id" : "GenomicTestOrder.testCode",
"path" : "GenomicTestOrder.testCode",
"short" : "Test Code",
"definition" : "(Order) Procedure Code - the National Genomic Test Directory code. Which codes apply\ndepends on the test category (Rare and Inherited Disease, Haemoglobinopathy, Cancer).",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-4"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.code"
},
{
"identity" : "questionnaire",
"map" : "HL7/OBR-4-r, HL7/OBR-4-h, HL7/OBR-4-c"
}
]
},
{
"id" : "GenomicTestOrder.orderDate",
"path" : "GenomicTestOrder.orderDate",
"short" : "Order date",
"definition" : "When the order was placed",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-9"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.authoredOn"
}
]
},
{
"id" : "GenomicTestOrder.priority",
"path" : "GenomicTestOrder.priority",
"short" : "Priority",
"definition" : "Urgency of the order",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/RequestPriority"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "ServiceRequest.priority"
},
{
"identity" : "questionnaire",
"map" : "LN/82768-3"
}
]
},
{
"id" : "GenomicTestOrder.performer",
"path" : "GenomicTestOrder.performer",
"short" : "Performer",
"definition" : "The laboratory the order is sent to",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "Implied by the destination of the message"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.performer"
}
]
},
{
"id" : "GenomicTestOrder.reasonCode",
"path" : "GenomicTestOrder.reasonCode",
"short" : "Specific disease suspected / reason for testing",
"definition" : "Clinical indication (CITT code), generally a SNOMED CT condition",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "DG1-3"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.reasonCode"
},
{
"identity" : "questionnaire",
"map" : "LN/51967-8"
}
]
},
{
"id" : "GenomicTestOrder.clinicalInformation",
"path" : "GenomicTestOrder.clinicalInformation",
"short" : "Relevant clinical information and family history",
"definition" : "Free-text clinical details",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "NTE"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.note"
},
{
"identity" : "questionnaire",
"map" : "HL7/NTE-1"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist",
"path" : "GenomicTestOrder.clinicalGeneticist",
"short" : "Clinical Geneticist",
"definition" : "Clinical geneticist contact details",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (Observation)"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist.email",
"path" : "GenomicTestOrder.clinicalGeneticist.email",
"short" : "Clinical Geneticist email",
"definition" : "Clinical geneticist email",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/GeneticistEmail"
}
]
},
{
"id" : "GenomicTestOrder.clinicalGeneticist.departmentEmail",
"path" : "GenomicTestOrder.clinicalGeneticist.departmentEmail",
"short" : "Clinical Geneticist department email",
"definition" : "Clinical geneticist department email",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/GeneticistDepartmentEmail"
}
]
},
{
"id" : "GenomicTestOrder.forms",
"path" : "GenomicTestOrder.forms",
"short" : "Order forms (Ask At Order Entry)",
"definition" : "Also known as **Ask At Order Entry** questions. Questions that vary by order/test type,\ndefined by a separate Ask At Order Entry Questionnaire and completed as a\nQuestionnaireResponse. For exchange the answers are carried as Observation (OBX) or\nRelatedPerson (NK1). See Order Entry Questions.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/QuestionnaireResponse"🔗 ,
"https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"🔗 ,
"https://fhir.nwgenomics.nhs.uk/StructureDefinition/RelatedPerson"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX / NK1"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (QuestionnaireResponse; answers as Observation / RelatedPerson)"
}
]
},
{
"id" : "GenomicTestOrder.pathologyReport",
"path" : "GenomicTestOrder.pathologyReport",
"short" : "Pathology report",
"definition" : "Pathology studies supporting the order, e.g. a Cancer Pathology Report held by NHS\nEngland NDRS, or a pathology report shared by the NHS England Single Patient Record.\nReferenced as a clinical document, or in the interim an attached PDF.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Bundle"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX (type = RP reference pointer, or ED for an attached PDF)"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"
}
]
},
{
"id" : "GenomicTestOrder.patientSummary",
"path" : "GenomicTestOrder.patientSummary",
"short" : "Patient summary",
"definition" : "The patient summary, as a clinical document. **Not** part of the NHS England Genomics\nServiceRequest specification.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/DocumentReference"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Bundle"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX (type = RP reference pointer, or ED for an attached PDF)"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.supportingInfo (DocumentReference, or Bundle type = document)"
}
]
},
{
"id" : "GenomicTestOrder.specimen",
"path" : "GenomicTestOrder.specimen",
"short" : "Specimen/Biopsy",
"definition" : "The sample(s) sent for testing",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.specimen (Specimen)"
},
{
"identity" : "questionnaire",
"map" : "Specimen"
}
]
},
{
"id" : "GenomicTestOrder.specimen.status",
"path" : "GenomicTestOrder.specimen.status",
"short" : "Sample collection status",
"definition" : "e.g. available, unavailable",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/ValueSet/specimen-status"
},
"mapping" : [
{
"identity" : "fhir",
"map" : "Specimen.status"
},
{
"identity" : "questionnaire",
"map" : "HL7/SPM"
}
]
},
{
"id" : "GenomicTestOrder.specimen.identifier",
"path" : "GenomicTestOrder.specimen.identifier",
"short" : "Specimen ID Number",
"definition" : "Placer specimen number (LOINC 80398-1)",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-2"
},
{
"identity" : "fhir",
"map" : "Specimen.identifier"
},
{
"identity" : "questionnaire",
"map" : "LN/80398-1"
}
]
},
{
"id" : "GenomicTestOrder.specimen.accessionIdentifier",
"path" : "GenomicTestOrder.specimen.accessionIdentifier",
"short" : "Lab DNA Number (if known)",
"definition" : "Identifier assigned by the laboratory that holds the sample/stored DNA",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/SpecimenAccessionNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-30"
},
{
"identity" : "fhir",
"map" : "Specimen.accessionIdentifier"
},
{
"identity" : "questionnaire",
"map" : "Specimen/accessionIdentifier"
}
]
},
{
"id" : "GenomicTestOrder.specimen.accessionAssigner",
"path" : "GenomicTestOrder.specimen.accessionAssigner",
"short" : "Pathology Laboratory Hospital/Trust ID",
"definition" : "For a pathology lab sample or stored DNA",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"
]
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "Specimen.accessionIdentifier.assigner"
},
{
"identity" : "questionnaire",
"map" : "LN/80398-1-ODS"
}
]
},
{
"id" : "GenomicTestOrder.specimen.type",
"path" : "GenomicTestOrder.specimen.type",
"short" : "Specimen Type",
"definition" : "Specimen type",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/specimen-type"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-4"
},
{
"identity" : "fhir",
"map" : "Specimen.type"
},
{
"identity" : "questionnaire",
"map" : "LN/66746-9"
}
]
},
{
"id" : "GenomicTestOrder.specimen.bodySite",
"path" : "GenomicTestOrder.specimen.bodySite",
"short" : "Tissue source/organ of origin",
"definition" : "Specimen source site",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "https://fhir.nwgenomics.nhs.uk/ValueSet/specimen-bodysite"
},
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-8"
},
{
"identity" : "fhir",
"map" : "Specimen.collection.bodySite"
},
{
"identity" : "questionnaire",
"map" : "LN/39111-0"
}
]
},
{
"id" : "GenomicTestOrder.specimen.quantity",
"path" : "GenomicTestOrder.specimen.quantity",
"short" : "Specimen Volume/number of slides or scrolls",
"definition" : "Volume, or number of slides or scrolls",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "Specimen.collection.quantity"
},
{
"identity" : "questionnaire",
"map" : "LN/3169-0"
}
]
},
{
"id" : "GenomicTestOrder.specimen.additive",
"path" : "GenomicTestOrder.specimen.additive",
"short" : "Anticoagulant/preservative?",
"definition" : "Whether an anticoagulant/preservative was used",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX (LOINC 74384-9)"
},
{
"identity" : "fhir",
"map" : "Observation (LOINC 74384-9) via ServiceRequest.supportingInfo"
},
{
"identity" : "questionnaire",
"map" : "LN/74384-9"
}
]
},
{
"id" : "GenomicTestOrder.specimen.collectedDateTime",
"path" : "GenomicTestOrder.specimen.collectedDateTime",
"short" : "Specimen Collection Date",
"definition" : "When the specimen was collected",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-17"
},
{
"identity" : "fhir",
"map" : "Specimen.collection.collectedDateTime"
},
{
"identity" : "questionnaire",
"map" : "LN/33882-2"
}
]
},
{
"id" : "GenomicTestOrder.specimen.receivedTime",
"path" : "GenomicTestOrder.specimen.receivedTime",
"short" : "Date and time sample received in lab",
"definition" : "When the laboratory received the specimen",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-18"
},
{
"identity" : "fhir",
"map" : "Specimen.receivedTime"
},
{
"identity" : "questionnaire",
"map" : "NOS/SampleReceived"
}
]
},
{
"id" : "GenomicTestOrder.specimen.shipmentTrackingNumber",
"path" : "GenomicTestOrder.specimen.shipmentTrackingNumber",
"short" : "Tracking number",
"definition" : "Shipment tracking number",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier",
"profile" : [
🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/ShipmentTrackingNumber"
]
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "SPM-32"
},
{
"identity" : "fhir",
"map" : "Specimen.identifier[ShipmentTrackingNumber]"
},
{
"identity" : "questionnaire",
"map" : "LN/97209-1"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking",
"path" : "GenomicTestOrder.specimen.tracking",
"short" : "Audit (Specimen Tracking)",
"definition" : "How the specimen was sent",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX"
},
{
"identity" : "fhir",
"map" : "Observation via ServiceRequest.supportingInfo"
},
{
"identity" : "questionnaire",
"map" : "OrderTracking"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.sentDateTime",
"path" : "GenomicTestOrder.specimen.tracking.sentDateTime",
"short" : "Date and time sample sent",
"definition" : "When the specimen was sent",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/SampleSent"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.transportUsed",
"path" : "GenomicTestOrder.specimen.tracking.transportUsed",
"short" : "Transport used",
"definition" : "e.g. courier",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/TransportUsed"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.sentTo",
"path" : "GenomicTestOrder.specimen.tracking.sentTo",
"short" : "Sample sent to",
"definition" : "Destination of the specimen",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/SampleSentTo"
}
]
},
{
"id" : "GenomicTestOrder.specimen.tracking.sentBy",
"path" : "GenomicTestOrder.specimen.tracking.sentBy",
"short" : "Name of person who sent sample",
"definition" : "Who sent the specimen",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "questionnaire",
"map" : "NOS/SampleSentToName"
}
]
}
]
}
}