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Packagehl7.fhir.uv.genomics-reporting.r4
Resource TypeDiagnosticReport
IdDiagnosticReport-GenomicReportExample01.json
FHIR VersionR4

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Narrative

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

Generated Narrative: DiagnosticReport GenomicReportExample01

HLA-B*15:02 [Presence] (Genetics)

SubjectAdam B. Everyman Male, DoB: 1951-01-20 ( Medical Record Number: m123 (use: usual, ))
When For2016
Reported2018-03-06 00:00:00-0500
Performer Organization some lab

Report Details

CodeValueFlagsWhen For
Therapeutic ImplicationFinal2019-04-01
Genotype display nameHLA-B*15:02Final2019-04-01

Patient is positive for high risk allele HLA-B*15:02 and should not be treated with CBZ.

Coded Conclusions:

  • Positive

Source1

{
  "resourceType": "DiagnosticReport",
  "id": "GenomicReportExample01",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action",
      "valueReference": {
        "reference": "Task/MedicationRecommendationExample1"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact",
      "valueRelatedArtifact": {
        "type": "citation",
        "url": "https://cpicpgx.org/guidelines/guideline-for-clopidogrel-and-cyp2c19)"
      }
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/GenomicServiceRequestExample01"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "GE"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "51969-4"
      },
      {
        "system": "http://loinc.org",
        "code": "57979-7",
        "display": "HLA-B*15:02 [Presence]"
      }
    ]
  },
  "subject": {
    "reference": "Patient/CGPatientExample01"
  },
  "effectiveDateTime": "2016",
  "issued": "2018-03-06T00:00:00-05:00",
  "performer": [
    {
      "reference": "Organization/ExampleOrg"
    }
  ],
  "result": [
    {
      "reference": "Observation/TherapeuticImplicationExample1",
      "display": "impact for high risk allele"
    },
    {
      "reference": "Observation/GenotypeExample1"
    }
  ],
  "conclusion": "Patient is positive for high risk allele HLA-B*15:02 and should not be treated with CBZ.",
  "conclusionCode": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "LA6576-8",
          "display": "Positive"
        }
      ]
    }
  ]
}