Record of Discussion

Purpose

For recording consent of patient data for research, based off the paper form available from the Genomics GitHub repository

Notes

WGS Only RoD forms will be stored as QuestionnaireResponse resources following the structure of the RoD Questionnaire resource, Questionnaire-Genomic Testing. Answers are not currently linked to structured identifiers, e.g. for patient and responsible clinician, this will be reviewed in a future release.

Mapping

Source Data item Target FHIR Element HL7v2.5.1 Mapping Description
RoD - Included N/A - Inferred through inclusion of RoD Questionnaire Response N/A - Inferred through inclusion of CON segment Has RoD been included with request.
RoD - Patient category Answer to RoD question with linkId patientCategory CON-16 Confirmation of who made the RoD decisions.
Test type Answer to RoD question with linkId testType CON-2 If the test is WGS Cancer or WGS rare disease.
RoD - Research opt out reason Answer to RoD question with linkId reasonsforChoiceA CON-22 Why patient has opted out of research.
RoD - Remote consent Answer to RoD question with linkId remoteConsent CON-10 Where consent has been recorded on behalf of the patient via remote confirmation.
RoD - Recording clinician Answer to RoD question with linkId healthcareProfessionalName STF segment attached to CON Name of the clinician who recorded the RoD details.
RoD - Responsible clinician Answer to RoD question with linkId responsibleClinician STF segment attached to CON Name of the clinician who is responsible for the patient's genomic test request.
RoD - Record of discussion form - copy attached Consent.sourceAttachment (or QuestionnaireResponse attached directly to message, TBC) CON-19 Marker to confirm on a test request form that an RoD has been included.
RoD - Patient conversation taken place, ROD form to follow Consent.status (TBC) Inferred through CON-19 value Marker to confirm RoD conversation has taken place but will be sent separately.
RoD - Patient choice status Answer to RoD question with linkId researchConfirmation2 CON-11 Indication of the patient consenting to the genomic test request.
RoD - Has research participation been discussed Answer to RoD question with linkId researchConfirmation1 Inferred through CON-12 Marker to confirm RoD conversation has taken place.
RoD - Signature Answer to RoD question with linkId patientSignature N/A not in scope for HL7v2 Copy of wet signature or valid e-signature.
RoD - Document/Link N/A - Presence of DiagnosticReport in message N/A not in scope for HL7v2 A copy of/or link to the previous genomic or non genomic report.