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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "a954a98c-f427-4968-9022-8b760de66628",
  "meta": {
    "profile": [
      "https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticImplication"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "value": "a954a98c-f427-4968-9022-8b760de66628"
    }
  ],
  "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://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
        "code": "diagnostic-implication",
        "display": "Diagnostic Implication"
      }
    ]
  },
  "subject": {
    "reference": "Patient/Patient-Lancaster",
    "display": "Jaime LANCASTER"
  },
  "effectiveDateTime": "2025-10-23T10:37:26+00:00",
  "performer": [
    {
      "reference": "PractitionerRole/59577028-8fcc-4554-8b43-988561d41d9c"
    }
  ],
  "derivedFrom": [
    {
      "reference": "Observation/bca547c1-78a5-41be-8cfc-03c05805ac85"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "53037-8",
            "display": "Genetic variation clinical significance [Imp]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6668-3",
            "display": "Pathogenic"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81259-4"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
            "code": "R185",
            "display": "Cystic fibrosis carrier testing"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "441520002",
            "display": "Carrier of cystic fibrosis gene mutation"
          }
        ],
        "text": "Cystic fibrosis carrier testing"
      }
    }
  ]
}