NHS North West Genomics
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NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Data Type Profile: NGIS Referral Id

Official URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/NGISReferralId Version: 2.2.5
Draft as of 2026-11-05 Computable Name: NGISReferralId

The referral_id returned by TOMS (Test Order Management System, Genomics England) for a Distributed WGS (dWGS) referral. It identifies the family tested together (Family Genetic Group) and can be used as the Order Group Number (ServiceRequest.requisition, HL7 v2 ORC-4 Placer Group Number). Assigned by Genomics England Limited (ODS 8J834).

NHS Data Dictionary and Model

No NHS Data Dictionary entry. The referral_id is returned by TOMS (Test Order Management System, Genomics England) for a Distributed WGS (dWGS) referral. Every participant tested together in that referral shares it, so it identifies the family (Family Genetic Group) and can be used as the Order Group Number. It is always assigned by Genomics England Limited (ODS 8J834).

Ubiquitous terms: NGIS Referral Id, referral_id, Referral ID.

Mapping

Ubiquitous Term HL7 FHIR HL7 v2 OID Notes
NGIS Referral Id FamilyGeneticGroup.identifier:ReferralId, ServiceRequest.requisition (type = PGN) Placer Group Number (ORC-4) none Shared by all participants in the referral. Assigner Genomics England Limited (ODS 8J834)

Examples

HL7 v2 EI

r26000000203^8J834

HL7 FHIR Identifier

{
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code": "PGN"
      }
    ]
  },
  "system": "https://fhir.nwgenomics.nhs.uk/Identifier/NGIS-ReferralIdentifier",
  "value": "r26000000203",
  "assigner": {
    "identifier": {
      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
      "value": "8J834"
    }
  }
}

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Identifier 0..* OrderGroupNumber An identifier intended for computation
Identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: NW IdentifierType (required)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code" : "PGN"
    }
  ]
}
Identifier.system This element must be supported. This element is included in summaries. 0..1 uri Recommended. This may be defined by a EPR/LIMS system.
Fixed Value: https://fhir.nwgenomics.nhs.uk/Identifier/NGIS-ReferralIdentifier (no extensions allowed)
Identifier.value This element must be supported. This element is included in summaries. 1..1 string The value MUST be unique to the organisation
Example General: 123456
Example dWGS Trio: r26000000203
Identifier.assigner This element must be supported. This element is included in summaries. 0..1 Reference(Organization) Genomics England Limited (TOMS)
Identifier.assigner.identifier This element must be supported. This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Identifier.assigner.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.assigner.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Identifier.assigner.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Required Pattern: 8J834 (extensions allowed)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Identifier.type Base required NW IdentifierType 📦2.2.5 This IG
Identifier.assigner.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from OrderGroupNumber

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Identifier OrderGroupNumber
Identifier.system 0..1 uri Recommended. This may be defined by a EPR/LIMS system.
Fixed Value: https://fhir.nwgenomics.nhs.uk/Identifier/NGIS-ReferralIdentifier (no extensions allowed)
Identifier.value 1..1 string The value MUST be unique to the organisation
Example dWGS Trio: r26000000203
Identifier.assigner 0..1 Reference(Organization) Genomics England Limited (TOMS)
Identifier.assigner.identifier
Identifier.assigner.identifier.value 1..1 string The value that is unique
Required Pattern: 8J834 (extensions allowed)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Identifier 0..* OrderGroupNumber An identifier intended for computation
Identifier.id 0..1 string Unique id for inter-element referencing
Identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: NW IdentifierType (required)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code" : "PGN"
    }
  ]
}
Identifier.system This element must be supported. This element is included in summaries. 0..1 uri Recommended. This may be defined by a EPR/LIMS system.
Fixed Value: https://fhir.nwgenomics.nhs.uk/Identifier/NGIS-ReferralIdentifier (no extensions allowed)
Identifier.value This element must be supported. This element is included in summaries. 1..1 string The value MUST be unique to the organisation
Example General: 123456
Example dWGS Trio: r26000000203
Identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Identifier.assigner This element must be supported. This element is included in summaries. 0..1 Reference(Organization) Genomics England Limited (TOMS)
Identifier.assigner.id 0..1 string Unique id for inter-element referencing
Identifier.assigner.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Identifier.assigner.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Identifier.assigner.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Identifier.assigner.identifier This element must be supported. This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Identifier.assigner.identifier.id 0..1 string Unique id for inter-element referencing
Identifier.assigner.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Identifier.assigner.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.assigner.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Identifier.assigner.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Identifier.assigner.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Required Pattern: 8J834 (extensions allowed)
Identifier.assigner.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Identifier.assigner.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Identifier.assigner.display This element is included in summaries. 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Identifier.type Base required NW IdentifierType 📦2.2.5 This IG
Identifier.assigner.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Identifier.assigner.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Identifier.assigner.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from OrderGroupNumber

Summary

Fixed: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Identifier 0..* OrderGroupNumber An identifier intended for computation
Identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: NW IdentifierType (required)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code" : "PGN"
    }
  ]
}
Identifier.system This element must be supported. This element is included in summaries. 0..1 uri Recommended. This may be defined by a EPR/LIMS system.
Fixed Value: https://fhir.nwgenomics.nhs.uk/Identifier/NGIS-ReferralIdentifier (no extensions allowed)
Identifier.value This element must be supported. This element is included in summaries. 1..1 string The value MUST be unique to the organisation
Example General: 123456
Example dWGS Trio: r26000000203
Identifier.assigner This element must be supported. This element is included in summaries. 0..1 Reference(Organization) Genomics England Limited (TOMS)
Identifier.assigner.identifier This element must be supported. This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Identifier.assigner.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.assigner.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Identifier.assigner.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Required Pattern: 8J834 (extensions allowed)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Identifier.type Base required NW IdentifierType 📦2.2.5 This IG
Identifier.assigner.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from OrderGroupNumber

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Identifier OrderGroupNumber
Identifier.system 0..1 uri Recommended. This may be defined by a EPR/LIMS system.
Fixed Value: https://fhir.nwgenomics.nhs.uk/Identifier/NGIS-ReferralIdentifier (no extensions allowed)
Identifier.value 1..1 string The value MUST be unique to the organisation
Example dWGS Trio: r26000000203
Identifier.assigner 0..1 Reference(Organization) Genomics England Limited (TOMS)
Identifier.assigner.identifier
Identifier.assigner.identifier.value 1..1 string The value that is unique
Required Pattern: 8J834 (extensions allowed)

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Identifier 0..* OrderGroupNumber An identifier intended for computation
Identifier.id 0..1 string Unique id for inter-element referencing
Identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.type This element must be supported. This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: NW IdentifierType (required)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code" : "PGN"
    }
  ]
}
Identifier.system This element must be supported. This element is included in summaries. 0..1 uri Recommended. This may be defined by a EPR/LIMS system.
Fixed Value: https://fhir.nwgenomics.nhs.uk/Identifier/NGIS-ReferralIdentifier (no extensions allowed)
Identifier.value This element must be supported. This element is included in summaries. 1..1 string The value MUST be unique to the organisation
Example General: 123456
Example dWGS Trio: r26000000203
Identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Identifier.assigner This element must be supported. This element is included in summaries. 0..1 Reference(Organization) Genomics England Limited (TOMS)
Identifier.assigner.id 0..1 string Unique id for inter-element referencing
Identifier.assigner.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Identifier.assigner.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL
Identifier.assigner.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Identifier.assigner.identifier This element must be supported. This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Identifier.assigner.identifier.id 0..1 string Unique id for inter-element referencing
Identifier.assigner.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Identifier.assigner.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Identifier.assigner.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Identifier.assigner.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Identifier.assigner.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Required Pattern: 8J834 (extensions allowed)
Identifier.assigner.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Identifier.assigner.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Identifier.assigner.display This element is included in summaries. 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Identifier.type Base required NW IdentifierType 📦2.2.5 This IG
Identifier.assigner.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Identifier.assigner.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Identifier.assigner.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from OrderGroupNumber

Summary

Fixed: 1 element

 

Other representations of profile: CSV, Excel, Schematron