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Packagefhir.nwgenomics.nhs.uk
Resource TypeObservation
IdObservation-8385c2fd-313d-4fd5-b98e-d5ea4bae6f99.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Observation 8385c2fd-313d-4fd5-b98e-d5ea4bae6f99

identifier: 8385c2fd-313d-4fd5-b98e-d5ea4bae6f99

status: Final

category: Genetics, Laboratory

code: Genetic variant assessment

subject: Ned LIVERPOOL

effective: 2025-10-23 10:37:26+0000

performer: PractitionerRole

method: Sequencing

component

code: Gene studied [ID]

value: NTHL1

component

code: Transcript reference sequence [ID]

value: NM_000249

component

code: Genomic DNA change (gHGVS)

value: NC_000003.11

component

code: Genomic reference sequence [ID]

value: NG_007109.2:g.40514dupC

component

code: DNA change type

value: Duplication

component

code: Genomic source class

value: Germline

component

code: Allelic state

value: Heterozygous

component

code: Genomic ref allele

value: C


Source1

{
  "resourceType": "Observation",
  "id": "8385c2fd-313d-4fd5-b98e-d5ea4bae6f99",
  "meta": {
    "profile": [
      "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Variant"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "value": "8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "GE",
          "display": "Genetics"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "69548-6",
        "display": "Genetic variant assessment"
      }
    ]
  },
  "subject": {
    "reference": "Patient/Patient-Liverpool",
    "display": "Ned LIVERPOOL"
  },
  "effectiveDateTime": "2025-10-23T10:37:26+00:00",
  "performer": [
    {
      "reference": "PractitionerRole/59577028-8fcc-4554-8b43-988561d41d9c"
    }
  ],
  "method": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "LA26398",
        "display": "Sequencing"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48018-6",
            "display": "Gene studied [ID]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.genenames.org",
            "code": "HGNC:89753",
            "display": "NTHL1"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "51958-7",
            "display": "Transcript reference sequence [ID]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.ncbi.nlm.nih.gov/refseq",
            "code": "NM_000249"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81290-9",
            "display": "Genomic DNA change (gHGVS)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://varnomen.hgvs.org",
            "code": "NC_000003.11"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48013-7",
            "display": "Genomic reference sequence [ID]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.ncbi.nlm.nih.gov/refseq",
            "code": "NG_007109.2:g.40514dupC"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48019-4",
            "display": "DNA change type"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6686-5",
            "display": "Duplication"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48002-0",
            "display": "Genomic source class"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6683-2",
            "display": "Germline"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "53034-5",
            "display": "Allelic state"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6706-1",
            "display": "Heterozygous"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "69547-8",
            "display": "Genomic ref allele"
          }
        ]
      },
      "valueString": "C"
    }
  ]
}