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Packagehl7.fhir.us.mcode.r4
Resource TypeObservation
IdObservation-gx-genomic-therapeutic-implication-alectinib.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation gx-genomic-therapeutic-implication-alectinib

status: Final

category: Laboratory

code: Therapeutic Implication

subject: Adam Anyperson Male, DoB: 1990-01-01 ( Medical Record Number: 123456789)

effective: 2019-04-01

performer: Practitioner Owen Oncologist

derivedFrom: Observation Genetic variant assessment

component

code: Medication assessed [ID]

value: alectinib

component

code: Predicted Therapeutic Implication

value: Presumed responsive


Source1

{
  "resourceType": "Observation",
  "id": "gx-genomic-therapeutic-implication-alectinib",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "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": "therapeutic-implication"
      }
    ]
  },
  "subject": {
    "reference": "Patient/gx-cancer-patient-adam-anyperson"
  },
  "effectiveDateTime": "2019-04-01",
  "performer": [
    {
      "reference": "Practitioner/us-core-practitioner-owen-oncologist"
    }
  ],
  "derivedFrom": [
    {
      "reference": "Observation/gx-genomic-variant-fusion-met-alk"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "51963-7"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1727455",
            "display": "alectinib"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
            "code": "predicted-therapeutic-implication"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA9661-5",
            "display": "Presumed responsive"
          }
        ]
      }
    }
  ]
}