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Packagehl7.fhir.uv.genomics-reporting.r4b
Resource TypeObservation
IdObservation-variant-with-molec-consequences.json
FHIR VersionR4B

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Narrative

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

Generated Narrative: Observation variant-with-molec-consequences

status: Final

category: Laboratory, Genetics

code: Genetic variant assessment

subject: Alanine B. Everyone Unknown, DoB: 1951-01-20 ( Medical Record Number: m234 (use: usual, ))

effective: 2023-06-01

performer: Organization Some lab

value: Present

component

code: Genomic source class

value: Germline

component

code: Genomic reference sequence ID

value: NC_000001.10

component

code: Allelic state

value: Heterozygous

component

code: Discrete genetic variant

value: NC_000001.10:g.86852621A>G

component

code: Sample VAF

value: 0.6 relative frequency of a particular allele in the specimen (Details: UCUM code1 = '1')

component

code: Genomic Ref allele [ID]

value: A

component

code: Genomic Alt allele [ID]

value: G

component

code: Genomic coord system

value: 0-based interval counting

component

code: Variant exact start-end

value: 86852620-?

component

code: Population allele frequency

value: 0.327084 1 (Details: UCUM code1 = '1')


Source1

{
  "resourceType": "Observation",
  "id": "variant-with-molec-consequences",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant"
    ]
  },
  "text": {
    "status": "generated",
    "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/HG00403"
  },
  "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": "48002-0",
            "display": "Genomic source class"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6683-2",
            "display": "Germline"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48013-7",
            "display": "Genomic reference sequence ID"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.ncbi.nlm.nih.gov/refseq",
            "code": "NC_000001.10"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "53034-5",
            "display": "Allelic state"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA6706-1",
            "display": "Heterozygous"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81252-9",
            "display": "Discrete genetic variant"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://varnomen.hgvs.org",
            "code": "NC_000001.10:g.86852621A>G",
            "display": "NC_000001.10:g.86852621A>G"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81258-6",
            "display": "Sample VAF"
          }
        ]
      },
      "valueQuantity": {
        "value": 0.6,
        "unit": "relative frequency of a particular allele in the specimen",
        "system": "http://unitsofmeasure.org",
        "code": "1"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "69547-8",
            "display": "Genomic Ref allele [ID]"
          }
        ]
      },
      "valueString": "A"
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "69551-0",
            "display": "Genomic Alt allele [ID]"
          }
        ]
      },
      "valueString": "G"
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "92822-6",
            "display": "Genomic coord system"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA30100-4",
            "display": "0-based interval counting"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81254-5"
          }
        ],
        "text": "Variant exact start-end"
      },
      "valueRange": {
        "low": {
          "value": 86852620
        }
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "92821-8"
          }
        ],
        "text": "Population allele frequency"
      },
      "valueQuantity": {
        "value": 0.327084,
        "system": "http://unitsofmeasure.org",
        "code": "1"
      }
    }
  ]
}