FHIR IG analytics| Package | hl7.fhir.uv.genomics-reporting |
| Resource Type | Bundle |
| Id | Bundle-bundle-oncologyexamples-r4-withGrouping.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
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"type": "transaction",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Inline-Instance-for-oncologyexamples-r4-withGrouping-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Inline-Instance-for-oncologyexamples-r4-withGrouping-1</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-1\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-1\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></li></ul></td></tr></table></div>"
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"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-2",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_Inline-Instance-for-oncologyexamples-r4-withGrouping-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner Inline-Instance-for-oncologyexamples-r4-withGrouping-2</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-2\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-2\"> </a><p><b>identifier</b>: 4654765876</p><p><b>name</b>: Akerman Philip Prof </p><p><b>address</b>: Castro Valley CA </p></div>"
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{
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"resource": {
"resourceType": "Specimen",
"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-3",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_Inline-Instance-for-oncologyexamples-r4-withGrouping-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen Inline-Instance-for-oncologyexamples-r4-withGrouping-3</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-3\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-3\"> </a><p><b>identifier</b>: 076e1948-2217-11e9-94d8-12e241dc1f66</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collector</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></td></tr></table></div>"
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"request": {
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"url": "Specimen"
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{
"fullUrl": "urn:uuid:40e85eda-4d31-4bd2-a5a0-c39d63f9824f",
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"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-4",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/molecular-biomarker"
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-4</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-4\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-4\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-molecular-biomarker.html\">Molecular Biomarker</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs biomarker-category}\">Biomarker Category</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 94076-7}\">Mutations/Megabase [# Ratio] in Tumor</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>value</b>: 25 somatic variants per megabase of sequenced DNA<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1/1000000 = '1/1000000')</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs biomarker-category}\">Biomarker Category</span></td><td><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/molecular-biomarker-ontology-cs molgen}\">molecular sequence adjacent category</span></td></tr></table></div>"
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"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
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"value": 25,
"unit": "somatic variants per megabase of sequenced DNA",
"system": "http://unitsofmeasure.org",
"code": "1/1000000"
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"reference": "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
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"component": [
{
"code": {
"coding": [
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"code": "biomarker-category"
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"valueCodeableConcept": {
"coding": [
{
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"code": "molgen",
"display": "molecular sequence adjacent category"
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{
"fullUrl": "urn:uuid:64b91716-6431-41bd-8fd4-7ac99bebdee9",
"resource": {
"resourceType": "Observation",
"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-5",
"meta": {
"profile": [
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-5</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-5\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-5\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-molecular-biomarker.html\">Molecular Biomarker</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs biomarker-category}\">Biomarker Category</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81695-9}\">Microsatellite instability [Interpretation] in Cancer specimen Qualitative</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA14122-8}\">Stable</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs biomarker-category}\">Biomarker Category</span></td><td><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/molecular-biomarker-ontology-cs molgen}\">molecular sequence adjacent category</span></td></tr></table></div>"
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"status": "final",
"category": [
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"coding": [
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{
"coding": [
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"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
"code": "biomarker-category"
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{
"coding": [
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"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
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],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "81695-9",
"display": "Microsatellite instability [Interpretation] in Cancer specimen Qualitative"
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},
"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
},
"effectiveDateTime": "2023-05-01",
"performer": [
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"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
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"valueCodeableConcept": {
"coding": [
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"code": "LA14122-8",
"display": "Stable"
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"specimen": {
"reference": "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
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"component": [
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
"code": "biomarker-category"
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"coding": [
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"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/molecular-biomarker-ontology-cs",
"code": "molgen",
"display": "molecular sequence adjacent category"
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"request": {
"method": "POST",
"url": "Observation"
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{
"fullUrl": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d",
"resource": {
"resourceType": "Observation",
"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-6",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant"
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},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-6</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-6\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-6\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-variant.html\">Variant</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26398-0}\">Sequencing</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NC_000009.12:g.5073770G>T}\">NC_000009.12:g.5073770G>T</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48005-3}\">Amino acid change (pHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NP_004963.1:p.Val617Phe}\">NP_004963.1:p.Val617Phe</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48002-0}\">Genomic source class</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6683-2}\">Germline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied ID</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org JAK2}\">JAK2</span></p></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
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"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
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"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
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],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "69548-6",
"display": "Genetic variant assessment"
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"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
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"effectiveDateTime": "2023-05-01",
"performer": [
{
"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
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"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA9633-4",
"display": "Present"
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},
"method": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA26398-0",
"display": "Sequencing"
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"specimen": {
"reference": "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
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"component": [
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"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "81290-9",
"display": "Genomic DNA change (gHGVS)"
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"valueCodeableConcept": {
"coding": [
{
"system": "http://varnomen.hgvs.org",
"code": "NC_000009.12:g.5073770G>T",
"display": "NC_000009.12:g.5073770G>T"
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}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48005-3",
"display": "Amino acid change (pHGVS)"
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"valueCodeableConcept": {
"coding": [
{
"system": "http://varnomen.hgvs.org",
"code": "NP_004963.1:p.Val617Phe",
"display": "NP_004963.1:p.Val617Phe"
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},
{
"code": {
"coding": [
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"system": "http://loinc.org",
"code": "48002-0",
"display": "Genomic source class"
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"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6683-2",
"display": "Germline"
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},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48018-6",
"display": "Gene studied ID"
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"valueCodeableConcept": {
"coding": [
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{
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"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-7",
"meta": {
"profile": [
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-7</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-7\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-7\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-variant.html\">Variant</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26398-0}\">Sequencing</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NC_000004.11:g.55972974T>A}\">NC_000004.11:g.55972974T>A</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48005-3}\">Amino acid change (pHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NP_002244.1:p.Gln472His}\">NP_002244.1:p.Gln472His</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48002-0}\">Genomic source class</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6683-2}\">Germline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied ID</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org KDR}\">KDR</span></p></blockquote></div>"
},
"status": "final",
"category": [
{
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{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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{
"coding": [
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}
],
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"coding": [
{
"system": "http://loinc.org",
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},
"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
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"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
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"coding": [
{
"system": "http://loinc.org",
"code": "LA9633-4",
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},
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"coding": [
{
"system": "http://loinc.org",
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"coding": [
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},
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"coding": [
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},
{
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},
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"coding": [
{
"system": "http://varnomen.hgvs.org",
"code": "NP_002244.1:p.Gln472His",
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},
{
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},
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"coding": [
{
"system": "http://loinc.org",
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},
{
"code": {
"coding": [
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},
"valueCodeableConcept": {
"coding": [
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},
{
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"meta": {
"profile": [
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-8</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-8\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-8\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-variant.html\">Variant</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26398-0}\">Sequencing</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NC_000002.12:g.211713666_211713668del}\">NC_000002.12:g.211713666_211713668del</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48002-0}\">Genomic source class</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6683-2}\">Germline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied ID</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org ERBB4}\">ERBB4</span></p></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
{
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"code": "laboratory"
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]
},
{
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"code": "GE"
}
]
}
],
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{
"system": "http://loinc.org",
"code": "69548-6",
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]
},
"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
},
"effectiveDateTime": "2023-05-01",
"performer": [
{
"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA9633-4",
"display": "Present"
}
]
},
"method": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA26398-0",
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},
"specimen": {
"reference": "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "81290-9",
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},
"valueCodeableConcept": {
"coding": [
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]
}
},
{
"code": {
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"code": "48002-0",
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},
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"coding": [
{
"system": "http://loinc.org",
"code": "LA6683-2",
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]
}
},
{
"code": {
"coding": [
{
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"code": "48018-6",
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}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://www.genenames.org",
"code": "ERBB4",
"display": "ERBB4"
}
]
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:1bf9642d-fd1c-4819-8c5d-44fae4bad524",
"resource": {
"resourceType": "Observation",
"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-9",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-9</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-9\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-9\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-therapeutic-implication.html\">Therapeutic Implication</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><p><b>derivedFrom</b>: <a href=\"Bundle-bundle-complexVariant-nonHGVS.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12d\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 93044-6}\">Level of evidence</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:\">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Medication Assessed reference to a FHIR resource</b>: <a href=\"#hcInline-Instance-for-oncologyexamples-r4-withGrouping-9/Inline-MedicationKnowledgeRuxolitinib\">MedicationKnowledge Ruxolitinib</a></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 51963-7}\">Medication assessed [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1193326}\">Ruxolitinib</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: MedicationKnowledge #Inline-MedicationKnowledgeRuxolitinib</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-9/Inline-MedicationKnowledgeRuxolitinib\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-9/Inline-MedicationKnowledgeRuxolitinib\"> </a><p><b>code</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1193326}\">Ruxolitinib</span></p><p><b>status</b>: Active</p></blockquote></div>"
},
"contained": [
{
"resourceType": "MedicationKnowledge",
"id": "Inline-MedicationKnowledgeRuxolitinib",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1193326",
"display": "Ruxolitinib"
}
]
},
"status": "active"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
"code": "therapeutic-implication",
"display": "Therapeutic Implication"
}
]
},
"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
},
"effectiveDateTime": "2023-05-01",
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{
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}
],
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"coding": [
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"code": "LA26811-2",
"display": "Computational analysis"
}
]
},
"specimen": {
"reference": "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
},
"derivedFrom": [
{
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}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
"code": "therapeutic-implication"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6677-4",
"display": "Responsive"
}
]
}
},
{
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"coding": [
{
"system": "http://loinc.org",
"code": "93044-6"
}
]
},
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"code": "LA30200-2",
"display": "Very strong evidence pathogenic"
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]
}
},
{
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"coding": [
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"code": "81259-4"
}
]
},
"valueCodeableConcept": {
"text": "Polycythemia vera (PV)"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/medication-assessed-reference",
"valueReference": {
"reference": "#Inline-MedicationKnowledgeRuxolitinib"
}
}
],
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},
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]
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}
]
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{
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"resource": {
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"meta": {
"profile": [
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]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-10\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-10</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-10\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-10\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-therapeutic-implication.html\">Therapeutic Implication</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><p><b>derivedFrom</b>: <a href=\"Bundle-bundle-complexVariant-nonHGVS.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12d\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 93044-6}\">Level of Evidence</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:\">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 51963-7}\">Medication assessed</span></p><p><b>value</b>: <span title=\"Codes:\">AT9283</span></p></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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{
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}
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}
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"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
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}
]
},
"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
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"performer": [
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"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
}
],
"method": {
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{
"system": "http://loinc.org",
"code": "LA26811-2",
"display": "Computational analysis"
}
]
},
"specimen": {
"reference": "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
},
"derivedFrom": [
{
"reference": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
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}
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},
"valueCodeableConcept": {
"coding": [
{
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}
},
{
"code": {
"coding": [
{
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}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA30200-2",
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}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
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}
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},
"valueCodeableConcept": {
"text": "Polycythemia vera (PV)"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51963-7",
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},
"valueCodeableConcept": {
"text": "AT9283"
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}
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},
"request": {
"method": "POST",
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}
},
{
"fullUrl": "urn:uuid:05713d1c-0df5-46d5-a5a9-2085eef56c20",
"resource": {
"resourceType": "Observation",
"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-11",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-11\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-11</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-11\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-11\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-therapeutic-implication.html\">Therapeutic Implication</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><p><b>derivedFrom</b>: <a href=\"Bundle-bundle-complexVariant-nonHGVS.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12d\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 93044-6}\">Level of Evidence</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:\">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 51963-7}\">Medication assessed</span></p><p><b>value</b>: <span title=\"Codes:\">SNX-5422</span></p></blockquote></div>"
},
"status": "final",
"category": [
{
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{
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"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
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"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
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],
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"code": "LA26811-2",
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{
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],
"component": [
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
"code": "therapeutic-implication"
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},
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"coding": [
{
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"code": "LA6677-4",
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{
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{
"code": {
"coding": [
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"system": "http://loinc.org",
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},
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"text": "Polycythemia vera (PV)"
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},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51963-7",
"display": "Medication assessed"
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"request": {
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{
"fullUrl": "urn:uuid:294f1401-e2eb-4df1-b6d2-09e1b7a6eca4",
"resource": {
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"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-12\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-12</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-12\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-12\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-therapeutic-implication.html\">Therapeutic Implication</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a5d6a6a9-4859-480e-85b2-56974fef3b9d\">Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available</a></p><p><b>derivedFrom</b>: <a href=\"Bundle-bundle-complexVariant-nonHGVS.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12d\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 93044-6}\">Level of Evidence</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:\">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 51963-7}\">Medication assessed</span></p><p><b>value</b>: <span title=\"Codes:\">TG02</span></p></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
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{
"coding": [
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"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
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"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
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{
"reference": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d"
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],
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{
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"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
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},
"valueCodeableConcept": {
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},
{
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{
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{
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},
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{
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"coding": [
{
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},
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{
"fullUrl": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12f",
"resource": {
"resourceType": "Observation",
"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-13",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-13\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-13</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-13\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-13\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C43359}\">Group</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-bundle-complexVariant-nonHGVS.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12d\">SNV analysis for JAK2 variant</a></li><li><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-772de7d7-e1bd-4183-bdb5-cea8eda317cd\">SNV analysis for KDR variant</a></li><li><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-b33eb7ec-d83e-49d2-b0f3-729d024ebe01\">SNV analysis for ERBB4 variant</a></li><li><a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-40e85eda-4d31-4bd2-a5a0-c39d63f9824f\">TMB value analysis</a></li><li><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-64b91716-6431-41bd-8fd4-7ac99bebdee9\">MSI status analysis</a></li></ul></div>"
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"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
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{
"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
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],
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"reference": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d",
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{
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},
{
"reference": "urn:uuid:b33eb7ec-d83e-49d2-b0f3-729d024ebe01",
"display": "SNV analysis for ERBB4 variant"
},
{
"reference": "urn:uuid:40e85eda-4d31-4bd2-a5a0-c39d63f9824f",
"display": "TMB value analysis"
},
{
"reference": "urn:uuid:64b91716-6431-41bd-8fd4-7ac99bebdee9",
"display": "MSI status analysis"
}
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"resource": {
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"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-14",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Inline-Instance-for-oncologyexamples-r4-withGrouping-14\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-withGrouping-14</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-14\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-14\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C43359}\">Group</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-d0b4affa-91d6-46d1-af01-b30d9f16ef6d\">Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</a></p><p><b>effective</b>: 2023-05-01</p><p><b>performer</b>: <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-1bf9642d-fd1c-4819-8c5d-44fae4bad524\">Therapy match result 1</a></li><li><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-1301943b-55db-4adf-8355-3635f7268a1b\">Therapy match result 2</a></li><li><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-05713d1c-0df5-46d5-a5a9-2085eef56c20\">Therapy match result 3</a></li><li><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-294f1401-e2eb-4df1-b6d2-09e1b7a6eca4\">Therapy match result 4</a></li></ul></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C43359",
"display": "Group"
}
]
},
"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
},
"effectiveDateTime": "2023-05-01",
"performer": [
{
"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
}
],
"hasMember": [
{
"reference": "urn:uuid:1bf9642d-fd1c-4819-8c5d-44fae4bad524",
"display": "Therapy match result 1"
},
{
"reference": "urn:uuid:1301943b-55db-4adf-8355-3635f7268a1b",
"display": "Therapy match result 2"
},
{
"reference": "urn:uuid:05713d1c-0df5-46d5-a5a9-2085eef56c20",
"display": "Therapy match result 3"
},
{
"reference": "urn:uuid:294f1401-e2eb-4df1-b6d2-09e1b7a6eca4",
"display": "Therapy match result 4"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:ad7a499b-a43b-4cc8-bf46-cac62d9ecae5",
"resource": {
"resourceType": "DiagnosticReport",
"id": "Inline-Instance-for-oncologyexamples-r4-withGrouping-15",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_Inline-Instance-for-oncologyexamples-r4-withGrouping-15\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport Inline-Instance-for-oncologyexamples-r4-withGrouping-15</b></p><a name=\"Inline-Instance-for-oncologyexamples-r4-withGrouping-15\"> </a><a name=\"hcInline-Instance-for-oncologyexamples-r4-withGrouping-15\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-genomic-report.html\">Genomic Report</a></p></div><h2><span title=\"Codes:{http://loinc.org 51969-4}\">Genetic analysis report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Carrot John Mr Male, DoB: 1962-12-31 ( 1007)</td></tr><tr><td>Performer</td><td> <a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-a48256f8-db37-44e0-a0f6-d7af16c7c9ef\">Practitioner Akerman Philip Prof </a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12f\"><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C43359}\">Group</span></a></td><td/><td>Final</td><td>2023-05-01</td><td/></tr><tr><td><a href=\"Bundle-bundle-complexVariant-nonHGVS.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12d\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td><span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></td><td>Final</td><td>2019-03-05</td><td>2019-03-05 16:04:44+0000</td></tr><tr><td><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-772de7d7-e1bd-4183-bdb5-cea8eda317cd\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td><span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></td><td>Final</td><td>2023-05-01</td><td/></tr><tr><td><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-b33eb7ec-d83e-49d2-b0f3-729d024ebe01\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td><span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></td><td>Final</td><td>2023-05-01</td><td/></tr><tr><td><a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-40e85eda-4d31-4bd2-a5a0-c39d63f9824f\"><span title=\"Codes:{http://loinc.org 94076-7}\">Mutations/Megabase [# Ratio] in Tumor</span></a></td><td>25 Mutations/Megabase<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1/1000000 = '1/1000000')</span></td><td>Final</td><td>2019-03-05</td><td/></tr><tr><td><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-64b91716-6431-41bd-8fd4-7ac99bebdee9\"><span title=\"Codes:{http://loinc.org 81695-9}\">Microsatellite instability [Interpretation] in Cancer specimen Qualitative</span></a></td><td><span title=\"Codes:{http://loinc.org LA14122-8}\">Stable</span></td><td>Final</td><td>2023-05-01</td><td/></tr><tr><td><a href=\"Bundle-bundle-complexVariant-nonHGVS.html#urn-uuid-16fdd5fc-e665-48af-99e4-48d603f3e12e\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td><span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></td><td>Final</td><td>2019-03-05</td><td>2019-03-05 16:04:44+0000</td></tr><tr><td><a href=\"Bundle-bundle-oncology-diagnostic.html#urn-uuid-1bf9642d-fd1c-4819-8c5d-44fae4bad524\"><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}\">Diagnostic Implication</span></a></td><td/><td>Final</td><td>2019-03-05</td><td/></tr><tr><td><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-1301943b-55db-4adf-8355-3635f7268a1b\"><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></a></td><td/><td>Final</td><td>2023-05-01</td><td/></tr><tr><td><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-05713d1c-0df5-46d5-a5a9-2085eef56c20\"><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></a></td><td/><td>Final</td><td>2023-05-01</td><td/></tr><tr><td><a href=\"Bundle-bundle-oncologyexamples-r4-withGrouping.html#urn-uuid-294f1401-e2eb-4df1-b6d2-09e1b7a6eca4\"><span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}\">Therapeutic Implication</span></a></td><td/><td>Final</td><td>2023-05-01</td><td/></tr></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51969-4"
}
],
"text": "Genetic analysis report"
},
"subject": {
"reference": "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
},
"performer": [
{
"reference": "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
}
],
"specimen": [
{
"reference": "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
}
],
"result": [
{
"reference": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12f",
"display": "Variants and other biomarker tests"
},
{
"reference": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d",
"display": "SNV analysis for JAK2 variant"
},
{
"reference": "urn:uuid:772de7d7-e1bd-4183-bdb5-cea8eda317cd",
"display": "SNV analysis for KDR variant"
},
{
"reference": "urn:uuid:b33eb7ec-d83e-49d2-b0f3-729d024ebe01",
"display": "SNV analysis for ERBB4 variant"
},
{
"reference": "urn:uuid:40e85eda-4d31-4bd2-a5a0-c39d63f9824f",
"display": "TMB value analysis"
},
{
"reference": "urn:uuid:64b91716-6431-41bd-8fd4-7ac99bebdee9",
"display": "MSI status analysis"
},
{
"reference": "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12e",
"display": "Therapy Match Results"
},
{
"reference": "urn:uuid:1bf9642d-fd1c-4819-8c5d-44fae4bad524",
"display": "Therapy match result 1"
},
{
"reference": "urn:uuid:1301943b-55db-4adf-8355-3635f7268a1b",
"display": "Therapy match result 2"
},
{
"reference": "urn:uuid:05713d1c-0df5-46d5-a5a9-2085eef56c20",
"display": "Therapy match result 3"
},
{
"reference": "urn:uuid:294f1401-e2eb-4df1-b6d2-09e1b7a6eca4",
"display": "Therapy match result 4"
}
]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}
]
}