Notice
- Important: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
- This Implementation Guide is currently in Draft and SHOULD NOT be used for development or active implementation without express direction from the NHS England Genomics Unit.
Bundle-WGSRoD-Example
Example of a consent resource with attached Record of Discussion form, as described in the Clinical Scenario: WGS Test Request - Rare Disease.
| Bundle |
| id : Bundle-WGSRoD-Example |
| type : transaction |
| entry |
| fullUrl : http://example.org/fhir/Consent/Consent-RoDToFollow-Example |
| resource |
| id : Consent-RoDToFollow-Example |
| status : active |
| scope |
| coding |
| system : http://terminology.hl7.org/CodeSystem/consentscope |
| code : research |
| display : Research |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/consentcategorycodes |
| code : research |
| display : Research Information Access |
| source |
| reference : QuestionnaireResponse/QuestionnaireResponse-RoD-Example |
| policy |
| authority : https://www.england.nhs.uk |
| uri : https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form |
| request |
| method : POST |
| url : Consent |
| entry |
| fullUrl : http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-RoD-Example |
| resource |
| id : QuestionnaireResponse-RoD-Example |
| questionnaire : https://fhir.nhs.uk/Questionnaire/NHSDigital-Questionnaire-Genomics-Example |
| status : completed |
| subject |
| reference : Patient/Patient-LindsaySorrell-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307946 |
| authored : 2023-08-21 |
| author |
| identifier |
| system : https://fhir.nhs.uk/Id/sds-role-profile-id |
| value : 9999999996 |
| display : Test AHP |
| source |
| reference : Patient/Patient-LindsaySorrell-Example |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9449307946 |
| item |
| linkId : patientDetails |
| text : Patient Details |
| item |
| linkId : givenName |
| text : First Name |
| answer |
| value : Lindsay |
| item |
| linkId : familyName |
| text : Last Name |
| answer |
| value : Sorrell |
| item |
| linkId : nhs_Number |
| text : NHS number (or postcode if not not known) |
| answer |
| value : 944 9307 946 |
| item |
| linkId : birthDate |
| text : Date of Birth |
| answer |
| value : 2011-04-12 |
| item |
| linkId : declaration4 |
| text : Confirmation of Your Genomic Test and Research Choices |
| item |
| linkId : confirmation |
| text : I confirm that I have had the opportunity to discuss information about genomic testing, I agree to the genomic test, and my research choice is indicated below. |
| item |
| linkId : researchConfirmation1 |
| text : I have discussed taking part in the National Genomic Research Library. If your answer to A is NO then please ignore B and sign directly below |
| answer |
| value : True |
| item |
| linkId : researchConfirmation2 |
| text : I agree that my data and remainder sample may contribute to the National Genomic Research Library |
| answer |
| value : True |
| item |
| linkId : isRespondentAttorney |
| text : Are you completing this form on behalf of someone? |
| answer |
| value : False |
| item |
| linkId : patientValidation |
| text : Patient Validation |
| item |
| linkId : patientNamecombined |
| text : Patient Name |
| answer |
| value : Mr. Lindsay Sorrell |
| item |
| linkId : patientSignature |
| text : Signature |
| answer |
| value : NA |
| item |
| linkId : datePatientCompletedForm |
| text : Date |
| answer |
| value : 2023-08-21 |
| item |
| linkId : declaration5 |
| text : Healthcare professional use only |
| item |
| linkId : healthcareProfessional |
| text : To be completed by the healthcare professional recording the patient’s choices. |
| item |
| linkId : patientCategory |
| text : Patient category |
| answer |
| value |
| system : https://fhir.nhs.uk/CodeSystem/patient-choice-category-genomics |
| code : AdultOwnChoice |
| display : Adult(made their own choice) |
| item |
| linkId : testType |
| text : Test type |
| answer |
| value |
| system : https://fhir.nhs.uk/CodeSystem/test-type-genomics |
| code : RID-WGS |
| display : Rare and Inherited Diseases - WGS |
| item |
| linkId : remoteConsent |
| text : Remote consent, recorded remotely by clinician, no patient signature |
| answer |
| value : True |
| item |
| linkId : responsibleClinician |
| text : Responsible clinician |
| answer |
| value : Dr Hazel Smith |
| item |
| linkId : patientMRN |
| text : Hospital number |
| answer |
| value : RWT14789 |
| item |
| linkId : healthcareProfessionalName |
| text : Healthcare professional name |
| answer |
| value : Test AHP |
| item |
| linkId : healthcareProfessionalSignature |
| text : Signature |
| answer |
| value : Dr. Hazel Smith |
| item |
| linkId : datehealthcareProfessionalCompletedForm |
| text : Date |
| answer |
| value : 2023-08-21 |
| request |
| method : POST |
| url : QuestionnaireResponse |
{ "resourceType": "Bundle", "id": "Bundle-WGSRoD-Example", "type": "transaction", "entry": [ { "fullUrl": "http://example.org/fhir/Consent/Consent-RoDToFollow-Example", "resource": { "resourceType": "Consent", "id": "Consent-RoDToFollow-Example", "status": "active", "scope": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/consentscope", "code": "research", "display": "Research" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "code": "research", "display": "Research Information Access" } ] } ], "sourceReference": { "reference": "QuestionnaireResponse/QuestionnaireResponse-RoD-Example" }, "policy": [ { "authority": "https://www.england.nhs.uk", "uri": "https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form" } ] }, "request": { "method": "POST", "url": "Consent" } }, { "fullUrl": "http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-RoD-Example", "resource": { "resourceType": "QuestionnaireResponse", "id": "QuestionnaireResponse-RoD-Example", "questionnaire": "https://fhir.nhs.uk/Questionnaire/NHSDigital-Questionnaire-Genomics-Example", "status": "completed", "subject": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "authored": "2023-08-21", "author": { "identifier": { "system": "https://fhir.nhs.uk/Id/sds-role-profile-id", "value": "9999999996" }, "display": "Test AHP" }, "source": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "item": [ { "linkId": "patientDetails", "text": "Patient Details", "item": [ { "linkId": "givenName", "text": "First Name", "answer": [ { "valueString": "Lindsay" } ] }, { "linkId": "familyName", "text": "Last Name", "answer": [ { "valueString": "Sorrell" } ] }, { "linkId": "nhs_Number", "text": "NHS number (or postcode if not not known)", "answer": [ { "valueString": "944 9307 946" } ] }, { "linkId": "birthDate", "text": "Date of Birth", "answer": [ { "valueDate": "2011-04-12" } ] } ] }, { "linkId": "declaration4", "text": "Confirmation of Your Genomic Test and Research Choices", "item": [ { "linkId": "confirmation", "text": "I confirm that I have had the opportunity to discuss information about genomic testing, I agree to the genomic test, and my research choice is indicated below.", "item": [ { "linkId": "researchConfirmation1", "text": "I have discussed taking part in the National Genomic Research Library. If your answer to A is NO then please ignore B and sign directly below", "answer": [ { "valueBoolean": true } ] }, { "linkId": "researchConfirmation2", "text": "I agree that my data and remainder sample may contribute to the National Genomic Research Library", "answer": [ { "valueBoolean": true } ] } ] } ] }, { "linkId": "isRespondentAttorney", "text": "Are you completing this form on behalf of someone?", "answer": [ { "valueBoolean": false } ] }, { "linkId": "patientValidation", "text": "Patient Validation", "item": [ { "linkId": "patientNamecombined", "text": "Patient Name", "answer": [ { "valueString": "Mr. Lindsay Sorrell" } ] }, { "linkId": "patientSignature", "text": "Signature", "answer": [ { "valueString": "NA" } ] }, { "linkId": "datePatientCompletedForm", "text": "Date", "answer": [ { "valueDateTime": "2023-08-21" } ] } ] }, { "linkId": "declaration5", "text": "Healthcare professional use only", "item": [ { "linkId": "healthcareProfessional", "text": "To be completed by the healthcare professional recording the patient’s choices.", "item": [ { "linkId": "patientCategory", "text": "Patient category", "answer": [ { "valueCoding": { "system": "https://fhir.nhs.uk/CodeSystem/patient-choice-category-genomics", "code": "AdultOwnChoice", "display": "Adult(made their own choice)" } } ] }, { "linkId": "testType", "text": "Test type", "answer": [ { "valueCoding": { "system": "https://fhir.nhs.uk/CodeSystem/test-type-genomics", "code": "RID-WGS", "display": "Rare and Inherited Diseases - WGS" } } ] }, { "linkId": "remoteConsent", "text": "Remote consent, recorded remotely by clinician, no patient signature", "answer": [ { "valueBoolean": true } ] }, { "linkId": "responsibleClinician", "text": "Responsible clinician", "answer": [ { "valueString": "Dr Hazel Smith" } ] }, { "linkId": "patientMRN", "text": "Hospital number", "answer": [ { "valueString": "RWT14789" } ] }, { "linkId": "healthcareProfessionalName", "text": "Healthcare professional name", "answer": [ { "valueString": "Test AHP" } ] }, { "linkId": "healthcareProfessionalSignature", "text": "Signature", "answer": [ { "valueString": "Dr. Hazel Smith" } ] }, { "linkId": "datehealthcareProfessionalCompletedForm", "text": "Date", "answer": [ { "valueDateTime": "2023-08-21" } ] } ] } ] } ] }, "request": { "method": "POST", "url": "QuestionnaireResponse" } } ] }
<Bundle xmlns="http://hl7.org/fhir"> <id value="Bundle-WGSRoD-Example" /> <type value="transaction" /> <entry> <fullUrl value="http://example.org/fhir/Consent/Consent-RoDToFollow-Example" /> <resource> <Consent> <id value="Consent-RoDToFollow-Example" /> <status value="active" /> <scope> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentscope" /> <code value="research" /> <display value="Research" /> </coding> </scope> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes" /> <code value="research" /> <display value="Research Information Access" /> </coding> </category> <sourceReference> <reference value="QuestionnaireResponse/QuestionnaireResponse-RoD-Example" /> </sourceReference> <policy> <authority value="https://www.england.nhs.uk" /> <uri value="https://www.england.nhs.uk/publication/nhs-genomic-medicine-service-record-of-discussion-form" /> </policy> </Consent> </resource> <request> <method value="POST" /> <url value="Consent" /> </request> </entry> <entry> <fullUrl value="http://example.org/fhir/QuestionnaireResponse/QuestionnaireResponse-RoD-Example" /> <resource> <QuestionnaireResponse> <id value="QuestionnaireResponse-RoD-Example" /> <questionnaire value="https://fhir.nhs.uk/Questionnaire/NHSDigital-Questionnaire-Genomics-Example" /> <status value="completed" /> <subject> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </subject> <authored value="2023-08-21" /> <author> <identifier> <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" /> <value value="9999999996" /> </identifier> <display value="Test AHP" /> </author> <source> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </source> <item> <linkId value="patientDetails" /> <text value="Patient Details" /> <item> <linkId value="givenName" /> <text value="First Name" /> <answer> <valueString value="Lindsay" /> </answer> </item> <item> <linkId value="familyName" /> <text value="Last Name" /> <answer> <valueString value="Sorrell" /> </answer> </item> <item> <linkId value="nhs_Number" /> <text value="NHS number (or postcode if not not known)" /> <answer> <valueString value="944 9307 946" /> </answer> </item> <item> <linkId value="birthDate" /> <text value="Date of Birth" /> <answer> <valueDate value="2011-04-12" /> </answer> </item> </item> <item> <linkId value="declaration4" /> <text value="Confirmation of Your Genomic Test and Research Choices" /> <item> <linkId value="confirmation" /> <text value="I confirm that I have had the opportunity to discuss information about genomic testing, I agree to the genomic test, and my research choice is indicated below." /> <item> <linkId value="researchConfirmation1" /> <text value="I have discussed taking part in the National Genomic Research Library. If your answer to A is NO then please ignore B and sign directly below" /> <answer> <valueBoolean value="true" /> </answer> </item> <item> <linkId value="researchConfirmation2" /> <text value="I agree that my data and remainder sample may contribute to the National Genomic Research Library" /> <answer> <valueBoolean value="true" /> </answer> </item> </item> </item> <item> <linkId value="isRespondentAttorney" /> <text value="Are you completing this form on behalf of someone?" /> <answer> <valueBoolean value="false" /> </answer> </item> <item> <linkId value="patientValidation" /> <text value="Patient Validation" /> <item> <linkId value="patientNamecombined" /> <text value="Patient Name" /> <answer> <valueString value="Mr. Lindsay Sorrell" /> </answer> </item> <item> <linkId value="patientSignature" /> <text value="Signature" /> <answer> <valueString value="NA" /> </answer> </item> <item> <linkId value="datePatientCompletedForm" /> <text value="Date" /> <answer> <valueDateTime value="2023-08-21" /> </answer> </item> </item> <item> <linkId value="declaration5" /> <text value="Healthcare professional use only" /> <item> <linkId value="healthcareProfessional" /> <text value="To be completed by the healthcare professional recording the patient’s choices." /> <item> <linkId value="patientCategory" /> <text value="Patient category" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/patient-choice-category-genomics" /> <code value="AdultOwnChoice" /> <display value="Adult(made their own choice)" /> </valueCoding> </answer> </item> <item> <linkId value="testType" /> <text value="Test type" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/test-type-genomics" /> <code value="RID-WGS" /> <display value="Rare and Inherited Diseases - WGS" /> </valueCoding> </answer> </item> <item> <linkId value="remoteConsent" /> <text value="Remote consent, recorded remotely by clinician, no patient signature" /> <answer> <valueBoolean value="true" /> </answer> </item> <item> <linkId value="responsibleClinician" /> <text value="Responsible clinician" /> <answer> <valueString value="Dr Hazel Smith" /> </answer> </item> <item> <linkId value="patientMRN" /> <text value="Hospital number" /> <answer> <valueString value="RWT14789" /> </answer> </item> <item> <linkId value="healthcareProfessionalName" /> <text value="Healthcare professional name" /> <answer> <valueString value="Test AHP" /> </answer> </item> <item> <linkId value="healthcareProfessionalSignature" /> <text value="Signature" /> <answer> <valueString value="Dr. Hazel Smith" /> </answer> </item> <item> <linkId value="datehealthcareProfessionalCompletedForm" /> <text value="Date" /> <answer> <valueDateTime value="2023-08-21" /> </answer> </item> </item> </item> </QuestionnaireResponse> </resource> <request> <method value="POST" /> <url value="QuestionnaireResponse" /> </request> </entry> </Bundle>