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FHIR IG analytics

Packagehl7.fhir.us.mcode.r4
Resource TypeObservation
IdObservation-gx-genomic-variant-somatic-bap1-indel.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation gx-genomic-variant-somatic-bap1-indel

status: Final

category: Laboratory

code: Genetic variant assessment

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

effective: 2019-04-01

performer: Practitioner Owen Oncologist

value: Present

method: Sequencing

component

code: Gene studied [ID]

value: BAP1

component

code: Transcript reference sequence [ID]

value: NM_004656.4

component

code: DNA change (c.HGVS)

value: NM_004656.4:c.1768C>T

component

code: Amino acid change (pHGVS)

value: NP_004647.1:p.(Gln590Ter)

component

code: Genomic source class [Type]

value: Somatic

component

code: Sample variant allelic frequency [NFr]

value: 57.4 % (Details: UCUM code% = '%')

component

code: Molecular Consequence

value: stop_gained

component

code: Human reference sequence assembly version

value: GRCh37


Source1

{
  "resourceType": "Observation",
  "id": "gx-genomic-variant-somatic-bap1-indel",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant"
    ]
  },
  "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://loinc.org",
        "code": "69548-6"
      }
    ]
  },
  "subject": {
    "reference": "Patient/gx-cancer-patient-adam-anyperson"
  },
  "effectiveDateTime": "2019-04-01",
  "performer": [
    {
      "reference": "Practitioner/us-core-practitioner-owen-oncologist"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "LA9633-4",
        "display": "Present"
      }
    ]
  },
  "method": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "LA26398-0",
        "display": "Sequencing"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48018-6"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.genenames.org",
            "code": "HGNC:950",
            "display": "BAP1"
          },
          {
            "system": "https://www.ncbi.nlm.nih.gov/gene",
            "code": "3815",
            "display": "BAP1"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "51958-7"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.ncbi.nlm.nih.gov/refseq",
            "code": "NM_004656",
            "display": "NM_004656.4"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48004-6"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://varnomen.hgvs.org",
            "code": "NM_004656.4:c.1768C>T",
            "display": "NM_004656.4:c.1768C>T"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48005-3"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://varnomen.hgvs.org",
            "code": "NP_004647.1:p.(Gln590Ter)",
            "display": "NP_004647.1:p.(Gln590Ter)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48002-0"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6684-0",
            "display": "Somatic"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81258-6"
          }
        ]
      },
      "valueQuantity": {
        "value": 57.4,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
            "code": "molecular-consequence"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.sequenceontology.org/",
            "code": "SO:0001587",
            "display": "stop_gained"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "62374-4"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA14029-5",
            "display": "GRCh37"
          }
        ]
      }
    }
  ]
}