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Source1

{
  "resourceType": "Observation",
  "id": "obs-idh-ex",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnostic-implication"
    ]
  },
  "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://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
        "code": "diagnostic-implication",
        "display": "Diagnostic Implication"
      }
    ]
  },
  "subject": {
    "reference": "Patient/HG00403"
  },
  "effectiveDateTime": "2023-06-01",
  "performer": [
    {
      "reference": "Organization/ExampleLab"
    }
  ],
  "derivedFrom": [
    {
      "reference": "Observation/SNVexample"
    }
  ],
  "component": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/workflow-relatedArtifactComponent",
          "valueRelatedArtifact": {
            "type": "citation",
            "url": "https://www.ncbi.nlm.nih.gov/clinvar/variation/53685/#clinical-assertions"
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "53037-8",
            "display": "Genetic variation clinical significance [Imp]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6668-3",
            "display": "Pathogenic"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81259-4"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://purl.obolibrary.org/obo/mondo.owl",
            "code": "MONDO:0009061",
            "display": "cystic fibrosis"
          }
        ],
        "text": "Cystic fibrosis"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
            "code": "condition-inheritance"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://human-phenotype-ontology.org",
            "code": "HP:0000007",
            "display": "Autosomal recessive inheritance"
          }
        ]
      }
    }
  ]
}