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Narrative

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Source1

{
  "resourceType": "DiagnosticReport",
  "id": "mii-exa-molgen-befundbericht-1",
  "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": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-reference",
      "valueReference": {
        "reference": "Procedure/mii-exa-molgen-genomic-study-1"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action",
      "valueReference": {
        "reference": "Task/mii-exa-molgen-medikationsempfehlung-1"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action",
      "valueReference": {
        "reference": "Task/mii-exa-molgen-folgemassnahme-1"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "FamilyMemberHistory/mii-exa-molgen-family-member-history-1"
      }
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/mii-exa-molgen-anforderung-1"
    }
  ],
  "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"
  },
  "performer": [
    {
      "reference": "Practitioner/mii-exa-molgen-practitioner-lab"
    }
  ],
  "specimen": [
    {
      "reference": "Specimen/mii-exa-molgen-specimen-1"
    }
  ],
  "result": [
    {
      "reference": "Observation/mii-exa-molgen-diagnostische-implikation-1"
    },
    {
      "reference": "Observation/mii-exa-molgen-therapeutische-implikation-1"
    },
    {
      "reference": "Observation/mii-exa-molgen-variante-1"
    },
    {
      "reference": "Observation/mii-exa-molgen-genotyp-1"
    },
    {
      "reference": "Observation/mii-exa-molgen-mutationslast-1"
    },
    {
      "reference": "Observation/mii-exa-molgen-mikrosatelliteninstabilitaet-1"
    }
  ],
  "conclusion": "BRAF p.V600E Mutation liegt vor. Bitte Therapieoption mit einem BRAF-Inhibitor prüfen."
}