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FHIR IG analytics

Packagehl7.fhir.uv.genomics-reporting.r4b
Resource TypeObservation
IdObservation-RepeatExpansion.json
FHIR VersionR4B

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Narrative

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

Generated Narrative: Observation RepeatExpansion

status: Final

category: Laboratory, Genetics

code: Genetic variant assessment

subject: Anonymous Patient (no stated gender), DoB Unknown

effective: 2023-06-01

performer: Organization Some lab

value: Present

component

code: Gene studied ID

value: PABPN1

component

code: Cytogenetic (chromosome) location

value: chr14

component

code: Transcript reference sequence [ID]

value: NM_004643.4

component

code: DNA change (c.HGVS)

value: NM_004643.3:c.3GGC[14]

component

code: Genomic allele start-end

value: 3-?

component

code: Discrete genetic variant

value: NM_004643.3(PABPN1):c.3GGC[11] (p.Ala11_Gly12insAlaAlaAlaAla)

component

Repeat Motif Order: 1

code: Repeat Expansion Motif

value: GGC

component

Repeat Motif Order: 1

code: Number of Repeat Expansions

value: 11


Source1

{
  "resourceType": "Observation",
  "id": "RepeatExpansion",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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://loinc.org",
        "code": "69548-6",
        "display": "Genetic variant assessment"
      }
    ]
  },
  "subject": {
    "reference": "Patient/ExamplePatient"
  },
  "effectiveDateTime": "2023-06-01",
  "performer": [
    {
      "reference": "Organization/ExampleLab"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "LA9633-4",
        "display": "Present"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48018-6",
            "display": "Gene studied ID"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.genenames.org",
            "code": "HGNC:8565",
            "display": "PABPN1"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48001-2",
            "display": "Cytogenetic (chromosome) location"
          }
        ]
      },
      "valueCodeableConcept": {
        "text": "chr14"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "51958-7",
            "display": "Transcript reference sequence [ID]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.ncbi.nlm.nih.gov/refseq",
            "code": "NM_004643.4",
            "display": "NM_004643.4"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48004-6",
            "display": "DNA change (c.HGVS)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://varnomen.hgvs.org",
            "code": "NM_004643.3:c.3GGC[14]",
            "display": "NM_004643.3:c.3GGC[14]"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81254-5",
            "display": "Genomic allele start-end"
          }
        ]
      },
      "valueRange": {
        "low": {
          "value": 3
        }
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81252-9",
            "display": "Discrete genetic variant"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.ncbi.nlm.nih.gov/clinvar",
            "code": "503634",
            "display": "NM_004643.3(PABPN1):c.3GGC[11] (p.Ala11_Gly12insAlaAlaAlaAla)"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/repeat-motif-order",
          "valuePositiveInt": 1
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
            "code": "repeat-motif",
            "display": "Repeat Expansion Motif"
          }
        ]
      },
      "valueString": "GGC"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/repeat-motif-order",
          "valuePositiveInt": 1
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
            "code": "repeat-number",
            "display": "Number of Repeat Expansions"
          }
        ]
      },
      "valueQuantity": {
        "value": 11
      }
    }
  ]
}