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Packagede.medizininformatikinitiative.kerndatensatz.molgen
Resource TypeBundle
IdBundle-mii-exa-befund-bundle-befund-srcc.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "mii-exa-befund-bundle-befund-srcc",
  "type": "transaction",
  "timestamp": "2022-12-16T10:09:00+01:00",
  "entry": [
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-patient-srcc",
      "resource": {
        "resourceType": "Patient",
        "id": "mii-exa-molgen-patient-srcc",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Patient_mii-exa-molgen-patient-srcc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient mii-exa-molgen-patient-srcc</b></p><a name=\"mii-exa-molgen-patient-srcc\"> </a><a name=\"hcmii-exa-molgen-patient-srcc\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">10 DE </td></tr></table></div></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
                  "code": "PSEUDED"
                }
              ]
            },
            "system": "https://www.charite.de/fhir/sid/pseudonym",
            "value": "66036015"
          }
        ],
        "gender": "male",
        "birthDate": "1986-01",
        "deceasedBoolean": false,
        "address": [
          {
            "type": "both",
            "postalCode": "10",
            "country": "DE"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Patient/mii-exa-molgen-patient-srcc"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-practitioner-lab",
      "resource": {
        "resourceType": "Practitioner",
        "id": "mii-exa-molgen-practitioner-lab",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Practitioner_mii-exa-molgen-practitioner-lab\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner mii-exa-molgen-practitioner-lab</b></p><a name=\"mii-exa-molgen-practitioner-lab\"> </a><a name=\"hcmii-exa-molgen-practitioner-lab\"> </a><p><b>active</b>: true</p><p><b>name</b>: Dr. Daniel Schmidt(Official)</p></div></div>"
        },
        "active": true,
        "name": [
          {
            "use": "official",
            "text": "Dr. Daniel Schmidt",
            "family": "Schmidt",
            "given": [
              "Daniel"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Practitioner/mii-exa-molgen-practitioner-lab"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-practitioner-physician",
      "resource": {
        "resourceType": "Practitioner",
        "id": "mii-exa-molgen-practitioner-physician",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Practitioner_mii-exa-molgen-practitioner-physician\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner mii-exa-molgen-practitioner-physician</b></p><a name=\"mii-exa-molgen-practitioner-physician\"> </a><a name=\"hcmii-exa-molgen-practitioner-physician\"> </a><p><b>active</b>: true</p><p><b>name</b>: Dr. Linda Rubens(Official)</p></div></div>"
        },
        "active": true,
        "name": [
          {
            "use": "official",
            "text": "Dr. Linda Rubens",
            "family": "Rubens",
            "given": [
              "Linda"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Practitioner/mii-exa-molgen-practitioner-physician"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-specimen-srcc",
      "resource": {
        "resourceType": "Specimen",
        "id": "mii-exa-molgen-specimen-srcc",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Specimen_mii-exa-molgen-specimen-srcc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen mii-exa-molgen-specimen-srcc</b></p><a name=\"mii-exa-molgen-specimen-srcc\"> </a><a name=\"hcmii-exa-molgen-specimen-srcc\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"file:///home/runner/work/kerndatensatzmodul-biobank/kerndatensatzmodul-biobank/output/StructureDefinition-mii-pr-biobank-specimen-core.html\">MII PR Biobank Specimen Bioprobe Core</a></p></div><p><b>identifier</b>: <code>https://www.charite.de/fhir/sid/bioproben</code>/00070024</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 445295009}\">Blood specimen with edetic acid (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-molgen-patient-srcc.html\">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</a></p><p><b>receivedTime</b>: 2022-11-30</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-11-30</td></tr></table></div></div>"
        },
        "identifier": [
          {
            "system": "https://www.charite.de/fhir/sid/bioproben",
            "value": "00070024"
          }
        ],
        "status": "available",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "445295009",
              "display": "Blood specimen with edetic acid (specimen)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-molgen-patient-srcc"
        },
        "receivedTime": "2022-11-30",
        "collection": {
          "collectedDateTime": "2022-11-30"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Specimen/mii-exa-molgen-specimen-srcc"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-specimen-srcc-2",
      "resource": {
        "resourceType": "Specimen",
        "id": "mii-exa-molgen-specimen-srcc-2",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Specimen_mii-exa-molgen-specimen-srcc-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen mii-exa-molgen-specimen-srcc-2</b></p><a name=\"mii-exa-molgen-specimen-srcc-2\"> </a><a name=\"hcmii-exa-molgen-specimen-srcc-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"file:///home/runner/work/kerndatensatzmodul-biobank/kerndatensatzmodul-biobank/output/StructureDefinition-mii-pr-biobank-specimen-core.html\">MII PR Biobank Specimen Bioprobe Core</a></p></div><p><b>identifier</b>: <code>https://www.charite.de/fhir/sid/bioproben</code>/00070025</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 445295009}\">Blood specimen with edetic acid (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-molgen-patient-srcc.html\">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</a></p><p><b>receivedTime</b>: 2022-11-30</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-11-30</td></tr></table></div></div>"
        },
        "identifier": [
          {
            "system": "https://www.charite.de/fhir/sid/bioproben",
            "value": "00070025"
          }
        ],
        "status": "available",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "445295009",
              "display": "Blood specimen with edetic acid (specimen)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-molgen-patient-srcc"
        },
        "receivedTime": "2022-11-30",
        "collection": {
          "collectedDateTime": "2022-11-30"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Specimen/mii-exa-molgen-specimen-srcc-2"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-befundbericht-srcc",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "mii-exa-molgen-befundbericht-srcc",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/molekulargenetischer-befundbericht|2027.0.0-ballot.1",
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report|3.0.0"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"DiagnosticReport_mii-exa-molgen-befundbericht-srcc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport mii-exa-molgen-befundbericht-srcc</b></p><a name=\"mii-exa-molgen-befundbericht-srcc\"> </a><a name=\"hcmii-exa-molgen-befundbericht-srcc\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-mii-pr-molgen-molekulargenetischer-befundbericht.html\">MII PR MolGen Molekulargenetischer Befundbericht</a> version: 2027.0.0-ballot.1, <a href=\"http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-genomic-report.html\">Genomic Report</a> version: 3.0.0</p></div><h2><span title=\"Codes:{http://loinc.org 51969-4}\">Genetic analysis report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-mii-exa-molgen-practitioner-lab.html\">Practitioner Dr. Daniel Schmidt(official)</a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Relevant Time</b></td></tr><tr><td><a href=\"Observation-mii-exa-molgen-diagnostische-implikation-srcc-ctnna1.html\"><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}\">Diagnostic Implication</span></a></td><td/><td>Final</td><td>2022-11-30</td></tr><tr><td><a href=\"Observation-mii-exa-molgen-variante-srcc-ctnna1.html\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td><span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></td><td>Final</td><td>2022-11-30</td></tr></table><p>Nachweis der pathogenen Variante im CTNNA1-Gen.</p></div></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
            "valueReference": {
              "reference": "FamilyMemberHistory/mii-exa-molgen-family-member-history-srcc"
            }
          }
        ],
        "basedOn": [
          {
            "reference": "ServiceRequest/mii-exa-molgen-anforderung-srcc"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "GE",
                "display": "Genetics"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "51969-4",
              "display": "Genetic analysis report"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-molgen-patient-srcc"
        },
        "performer": [
          {
            "reference": "Practitioner/mii-exa-molgen-practitioner-lab"
          }
        ],
        "specimen": [
          {
            "reference": "Specimen/mii-exa-molgen-specimen-srcc"
          },
          {
            "reference": "Specimen/mii-exa-molgen-specimen-srcc-2"
          }
        ],
        "result": [
          {
            "reference": "Observation/mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"
          },
          {
            "reference": "Observation/mii-exa-molgen-variante-srcc-ctnna1"
          }
        ],
        "conclusion": "Nachweis der pathogenen Variante im CTNNA1-Gen."
      },
      "request": {
        "method": "PUT",
        "url": "DiagnosticReport/mii-exa-molgen-befundbericht-srcc"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-anforderung-srcc",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "mii-exa-molgen-anforderung-srcc",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/anforderung-genetischer-test|2027.0.0-ballot.1"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"ServiceRequest_mii-exa-molgen-anforderung-srcc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest mii-exa-molgen-anforderung-srcc</b></p><a name=\"mii-exa-molgen-anforderung-srcc\"> </a><a name=\"hcmii-exa-molgen-anforderung-srcc\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-molgen-anforderung-genetischer-test.html\">MII PR MolGen Anforderung genetischer Test</a> version: 2027.0.0-ballot.1</p></div><p><b>identifier</b>: <code>https://www.charite.de/fhir/auftragsnummern</code>/7B369EB0</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure (procedure)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 405825005}\">Molekulargenetische Untersuchung (Stufendiagnostik) der relevanten Gene</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-molgen-patient-srcc.html\">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</a></p><p><b>authoredOn</b>: 2022-11-30</p><p><b>requester</b>: <a href=\"Practitioner-mii-exa-molgen-practitioner-physician.html\">Practitioner Dr. Linda Rubens(official)</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 87737001}, {http://fhir.de/CodeSystem/bfarm/icd-10-gm C16.9}\">Eigenanamnese: Siegelringkarzinom des Magens, diffus wachsend</span>, <span title=\"Codes:{http://snomed.info/sct 429740004}\">Mutter an Brustkrebs verstorben</span></p><p><b>specimen</b>: <a href=\"Specimen-mii-exa-molgen-specimen-srcc.html\">Specimen: identifier = https://www.charite.de/fhir/sid/bioproben#00070024; status = available; type = Blood specimen with edetic acid (specimen); receivedTime = 2022-11-30</a></p></div></div>"
        },
        "identifier": [
          {
            "system": "https://www.charite.de/fhir/auftragsnummern",
            "value": "7B369EB0"
          }
        ],
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "108252007",
                "display": "Laboratory procedure (procedure)"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "405825005",
              "display": "Molecular genetic test (procedure)"
            }
          ],
          "text": "Molekulargenetische Untersuchung (Stufendiagnostik) der relevanten Gene"
        },
        "subject": {
          "reference": "Patient/mii-exa-molgen-patient-srcc"
        },
        "authoredOn": "2022-11-30",
        "requester": {
          "reference": "Practitioner/mii-exa-molgen-practitioner-physician"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "87737001",
                "display": "Signet ring cell carcinoma"
              },
              {
                "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
                "version": "2024",
                "code": "C16.9",
                "display": "Bösartige Neubildung: Magen, nicht näher bezeichnet"
              }
            ],
            "text": "Eigenanamnese: Siegelringkarzinom des Magens, diffus wachsend"
          },
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "429740004",
                "display": "Family history of malignant neoplasm of breast (situation)"
              }
            ],
            "text": "Mutter an Brustkrebs verstorben"
          }
        ],
        "specimen": [
          {
            "reference": "Specimen/mii-exa-molgen-specimen-srcc"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "ServiceRequest/mii-exa-molgen-anforderung-srcc"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-device-sequencer",
      "resource": {
        "resourceType": "Device",
        "id": "mii-exa-molgen-device-sequencer",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Device_mii-exa-molgen-device-sequencer\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device mii-exa-molgen-device-sequencer</b></p><a name=\"mii-exa-molgen-device-sequencer\"> </a><a name=\"hcmii-exa-molgen-device-sequencer\"> </a><p><b>status</b>: Active</p><p><b>manufacturer</b>: Illumina</p><h3>DeviceNames</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>MiSeq</td><td>Manufacturer name</td></tr></table></div></div>"
        },
        "status": "active",
        "manufacturer": "Illumina",
        "deviceName": [
          {
            "name": "MiSeq",
            "type": "manufacturer-name"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Device/mii-exa-molgen-device-sequencer"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-variante-srcc-ctnna1",
      "resource": {
        "resourceType": "Observation",
        "id": "mii-exa-molgen-variante-srcc-ctnna1",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante|2027.0.0-ballot.1",
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant|3.0.0"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-molgen-variante-srcc-ctnna1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-molgen-variante-srcc-ctnna1</b></p><a name=\"mii-exa-molgen-variante-srcc-ctnna1\"> </a><a name=\"hcmii-exa-molgen-variante-srcc-ctnna1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-mii-pr-molgen-variante.html\">MII PR MolGen Variante</a> version: 2027.0.0-ballot.1, <a href=\"http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-variant.html\">Variant</a> version: 3.0.0</p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-mii-exa-molgen-anforderung-srcc.html\">ServiceRequest Molecular genetic test (procedure)</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-molgen-patient-srcc.html\">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</a></p><p><b>effective</b>: 2022-11-30</p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26398-0}\">Sequencing</span></p><p><b>specimen</b>: <a href=\"Specimen-mii-exa-molgen-specimen-srcc.html\">Specimen: identifier = https://www.charite.de/fhir/sid/bioproben#00070024; status = available; type = Blood specimen with edetic acid (specimen); receivedTime = 2022-11-30</a></p><p><b>device</b>: <a href=\"Device-mii-exa-molgen-device-sequencer.html\">Device: status = active; manufacturer = Illumina</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org/geneId HGNC:2509}\">CTNNA1</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 51958-7}\">Transcript reference sequence [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.ncbi.nlm.nih.gov/refseq NM_001903.5}\">NM_001903.5</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48004-6}\">DNA change (c.HGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NM_001903.5:c.1030del}\">NM_001903.5:c.1030del</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NC_000005.9:g.138163372del}\">NC_000005.9:g.138163372del</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48013-7}\">Genomic reference sequence [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.ncbi.nlm.nih.gov/refseq NC_000005.9}\">NC_000005.9</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48005-3}\">Amino acid change (pHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org p.(Leu344CysfsTer25)}\">p.(Leu344CysfsTer25)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53034-5}\">Allelic state</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6706-1}\">Heterozygous</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48019-4}\">DNA change type</span></p><p><b>value</b>: <span title=\"Codes:{http://sequenceontology.org SO:0000159}\">Deletion</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48001-2}\">Cytogenetic (chromosome) location</span></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.335 5q31.2}\">5q31.2</span></p></blockquote></div></div>"
        },
        "basedOn": [
          {
            "reference": "ServiceRequest/mii-exa-molgen-anforderung-srcc"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "GE"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "69548-6",
              "display": "Genetic variant assessment"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-molgen-patient-srcc"
        },
        "effectiveDateTime": "2022-11-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA9633-4",
              "display": "Present"
            }
          ]
        },
        "method": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA26398-0",
              "display": "Sequencing"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/mii-exa-molgen-specimen-srcc"
        },
        "device": {
          "reference": "Device/mii-exa-molgen-device-sequencer"
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48018-6"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.genenames.org/geneId",
                  "code": "HGNC:2509",
                  "display": "CTNNA1"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "51958-7"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.ncbi.nlm.nih.gov/refseq",
                  "code": "NM_001903.5"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48004-6"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://varnomen.hgvs.org",
                  "code": "NM_001903.5:c.1030del"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "81290-9"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://varnomen.hgvs.org",
                  "code": "NC_000005.9:g.138163372del"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48013-7"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.ncbi.nlm.nih.gov/refseq",
                  "code": "NC_000005.9"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48005-3"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://varnomen.hgvs.org",
                  "code": "p.(Leu344CysfsTer25)"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "53034-5"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "LA6706-1",
                  "display": "Heterozygous"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48019-4"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://sequenceontology.org",
                  "code": "SO:0000159",
                  "display": "Deletion"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48001-2"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "urn:oid:2.16.840.1.113883.6.335",
                  "code": "5q31.2"
                }
              ]
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Observation/mii-exa-molgen-variante-srcc-ctnna1"
      }
    },
    {
      "fullUrl": "https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-diagnostische-implikation-srcc-ctnna1",
      "resource": {
        "resourceType": "Observation",
        "id": "mii-exa-molgen-diagnostische-implikation-srcc-ctnna1",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/diagnostische-implikation|2027.0.0-ballot.1",
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnostic-implication|3.0.0"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><a name=\"Observation_mii-exa-molgen-diagnostische-implikation-srcc-ctnna1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-molgen-diagnostische-implikation-srcc-ctnna1</b></p><a name=\"mii-exa-molgen-diagnostische-implikation-srcc-ctnna1\"> </a><a name=\"hcmii-exa-molgen-diagnostische-implikation-srcc-ctnna1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-mii-pr-molgen-diagnostische-implikation.html\">MII PR MolGen Diagnostische Implikation</a> version: 2027.0.0-ballot.1, <a href=\"http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-diagnostic-implication.html\">Diagnostic Implication</a> version: 3.0.0</p></div><p><b>Related artifact</b>: No display for RelatedArtifact  (type: citation; citation: ClinGen; url: https://search.clinicalgenome.org/kb/gene-dosage/HGNC:2509)</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}\">Diagnostic Implication</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-molgen-patient-srcc.html\">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-mii-exa-molgen-practitioner-lab.html\">Practitioner Dr. Daniel Schmidt(official)</a></p><p><b>derivedFrom</b>: <a href=\"Observation-mii-exa-molgen-variante-srcc-ctnna1.html\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs conclusion-string}\">Conclusion Text</span></p><p><b>value</b>: Diese Variante wird nach den ACMG/AMP-Kriterien zusammenfasssend als pathogen bewertet entsprechend IARC Class 5.</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53037-8}\">Genetic variation clinical significance [Imp]</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6668-3}\">Pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 716859000}\">Hereditary diffuse carcinoma of stomach (disorder)</span></p></blockquote></div></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact",
            "valueRelatedArtifact": {
              "type": "citation",
              "citation": "ClinGen",
              "url": "https://search.clinicalgenome.org/kb/gene-dosage/HGNC:2509"
            }
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "GE"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
              "code": "diagnostic-implication",
              "display": "Diagnostic Implication"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-molgen-patient-srcc"
        },
        "effectiveDateTime": "2022-11-30",
        "performer": [
          {
            "reference": "Practitioner/mii-exa-molgen-practitioner-lab"
          }
        ],
        "derivedFrom": [
          {
            "reference": "Observation/mii-exa-molgen-variante-srcc-ctnna1"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
                  "code": "conclusion-string"
                }
              ]
            },
            "valueString": "Diese Variante wird nach den ACMG/AMP-Kriterien zusammenfasssend als pathogen bewertet entsprechend IARC Class 5."
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "53037-8"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "LA6668-3",
                  "display": "Pathogenic"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
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                  "system": "http://loinc.org",
                  "code": "81259-4"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "716859000",
                  "display": "Hereditary diffuse carcinoma of stomach (disorder)"
                }
              ]
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Observation/mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"
      }
    }
  ]
}