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

Generated Narrative: StructureDefinition GenomicTestOrder

Name	Card.	Type	Description & Constraints
GenomicTestOrder	0..*	Base	Genomic Test Order Instances of this type can be the target of a Reference
GenomicTestOrder.patient	1..1	BackboneElement	Patient
GenomicTestOrder.patient.nhsNumber	0..1	NHSIdentifier	NHS Number
GenomicTestOrder.patient.medicalRecordNumber	1..1	MedicalRecordNumber	Hospital Number (Medical Record Number)
GenomicTestOrder.patient.familyName	1..1	string	Patient surname
GenomicTestOrder.patient.givenName	1..1	string	Patient first name
GenomicTestOrder.patient.birthDate	1..1	date	Date of birth
GenomicTestOrder.patient.deceasedDateTime	0..1	dateTime	Date of death
GenomicTestOrder.patient.address	0..1	Address	Address
GenomicTestOrder.patient.sexRegisteredAtBirth	0..1	code	Sex registered at birth Binding: AdministrativeGender (required)
GenomicTestOrder.patient.ethnicCategory	0..1	CodeableConcept	Ethnic Category Binding: Ethnicity (extensible)
GenomicTestOrder.patient.generalPractice	0..1	OrganisationCode	GP Surgery (ODS Code)
GenomicTestOrder.hospitalSpell	0..1	BackboneElement	Hospital Spell
GenomicTestOrder.hospitalSpell.accountNumber	0..1	HospitalProviderSpellIdentifier	Account Number (Episode or Stay Number)
GenomicTestOrder.hospitalSpell.hospitalService	0..1	CodeableConcept	Hospital Service Binding: Service (extensible)
GenomicTestOrder.hospitalSpell.location	0..1	string	Location
GenomicTestOrder.requester	1..1	BackboneElement	Healthcare Professional (Ordering Practitioner)
GenomicTestOrder.requester.name	1..1	string	Referring Clinician Name
GenomicTestOrder.requester.specialty	1..1	CodeableConcept	Referring Clinician Current Speciality Binding: UK Core Practice Setting Code (extensible)
GenomicTestOrder.requester.professionalIdentifier	1..1	PractitionerIdentifier	Referring Clinician Professional Identifier
GenomicTestOrder.requester.email	0..*	string	Email
GenomicTestOrder.requester.phone	0..1	string	Phone
GenomicTestOrder.requester.orderingFacility	1..1	OrganisationCode	Referring Organisation / Ordering Facility
GenomicTestOrder.orderIdentifier	1..1	OrderIdentifier	Order Identifier (Placer)
GenomicTestOrder.fillerOrderNumber	0..1	Identifier	Filler Order Number
GenomicTestOrder.orderGroupNumber	0..1	OrderGroupNumber	(Placer) Order Group Number
GenomicTestOrder.category	0..1	CodeableConcept	Test Category Binding: Order Category (extensible)
GenomicTestOrder.testCode	1..*	CodeableConcept	Test Code Binding: Genomic Test Codes (extensible)
GenomicTestOrder.orderDate	0..1	dateTime	Order date
GenomicTestOrder.priority	0..1	code	Priority Binding: Request Priority (required)
GenomicTestOrder.performer	0..1	OrganisationCode	Performer
GenomicTestOrder.reasonCode	0..*	CodeableConcept	Specific disease suspected / reason for testing Binding: Genomic Clinical Indication Codes (extensible)
GenomicTestOrder.clinicalInformation	0..*	string	Relevant clinical information and family history
GenomicTestOrder.clinicalGeneticist	0..1	BackboneElement	Clinical Geneticist
GenomicTestOrder.clinicalGeneticist.email	0..1	string	Clinical Geneticist email
GenomicTestOrder.clinicalGeneticist.departmentEmail	0..1	string	Clinical Geneticist department email
GenomicTestOrder.forms	0..*	Reference(QuestionnaireResponse \| Observation \| RelatedPerson)	Order forms (Ask At Order Entry)
GenomicTestOrder.pathologyReport	0..*	Reference(DocumentReference \| Bundle)	Pathology report
GenomicTestOrder.patientSummary	0..1	Reference(DocumentReference \| Bundle)	Patient summary
GenomicTestOrder.specimen	0..*	BackboneElement	Specimen/Biopsy
GenomicTestOrder.specimen.status	0..1	code	Sample collection status Binding: SpecimenStatus (required)
GenomicTestOrder.specimen.identifier	0..*	Identifier	Specimen ID Number
GenomicTestOrder.specimen.accessionIdentifier	0..*	SpecimenAccessionNumber	Lab DNA Number (if known)
GenomicTestOrder.specimen.accessionAssigner	0..1	OrganisationCode	Pathology Laboratory Hospital/Trust ID
GenomicTestOrder.specimen.type	1..1	CodeableConcept	Specimen Type Binding: Specimen Type (extensible)
GenomicTestOrder.specimen.bodySite	0..1	CodeableConcept	Tissue source/organ of origin Binding: Specimen Body Site (extensible)
GenomicTestOrder.specimen.quantity	0..1	string	Specimen Volume/number of slides or scrolls
GenomicTestOrder.specimen.additive	0..1	boolean	Anticoagulant/preservative?
GenomicTestOrder.specimen.collectedDateTime	0..1	dateTime	Specimen Collection Date
GenomicTestOrder.specimen.receivedTime	0..1	dateTime	Date and time sample received in lab
GenomicTestOrder.specimen.shipmentTrackingNumber	0..*	ShipmentTrackingNumber	Tracking number
GenomicTestOrder.specimen.tracking	0..1	BackboneElement	Audit (Specimen Tracking)
GenomicTestOrder.specimen.tracking.sentDateTime	0..1	dateTime	Date and time sample sent
GenomicTestOrder.specimen.tracking.transportUsed	0..1	string	Transport used
GenomicTestOrder.specimen.tracking.sentTo	0..1	string	Sample sent to
GenomicTestOrder.specimen.tracking.sentBy	0..1	string	Name of person who sent sample
Documentation for this format

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