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Packagetw.gov.mohw.nhi.ngs
Resource TypeObservation
IdObservation-obs-diagnostic-min.json
FHIR VersionR4

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Narrative

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

狀態:final

流水號:11450100101120250601220251212

類型:Laboratory (Observation Category Codes#laboratory)

項目:Genetic variant assessment (LOINC#69548-6)

病人Patient/pat-min

基因檢測機構Organization 2023LDTB0002

基因臨床判讀結果:Positive (ObservationInterpretationCodes #POS)

基因檢測方法:Sequencing (LOINC Answer List LL4048-6 #LA26398-0)

基因檢測檢體類型Specimen/spe-min

基因報告DocumentReference/doc-gene-min

基因定序儀型號Device/dev-min

基因檢測日期:2024-01-01

基因檢測項目:BRCA1 gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal (LOINC#21636-6)

基因檢測列表:EGFR (HGNC Gene ID#HGNC:3236)

基因檢測分析結果:Present (LOINC Answer List LL1971-2 #LA9633-4)

基因突變類型:Deletion LOINC-基因突變類型值集#LA6692-3)

DNA變異 (c.HGVS):NM_005228.4:c.2573T>G (HGVS Gene Code)

基因組DNA變異 (gHGVS):NC_000007.13:g.55259515T>G (HGVS Gene Code)

基因變異的精確起始與終止位置:96521657-96521657


Source1

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  "id": "obs-diagnostic-min",
  "meta": {
    "profile": [
      "https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "value": "11450100101120250601220251212"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
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  ],
  "code": {
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        "code": "69548-6"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat-min"
  },
  "effectiveDateTime": "2024-01-01",
  "performer": [
    {
      "reference": "Organization/org-gene-min"
    }
  ],
  "valueCodeableConcept": {
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        "code": "LA9633-4",
        "display": "Present"
      }
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  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "POS",
          "display": "Positive"
        }
      ]
    }
  ],
  "method": {
    "coding": [
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        "system": "http://loinc.org",
        "code": "LA26398-0",
        "display": "Sequencing"
      }
    ]
  },
  "specimen": {
    "reference": "Specimen/spe-min"
  },
  "device": {
    "reference": "Device/dev-min"
  },
  "derivedFrom": [
    {
      "reference": "DocumentReference/doc-gene-min"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81247-9",
            "display": "Master HL7 genetic variant reporting panel"
          }
        ]
      },
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        "coding": [
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            "code": "21636-6",
            "display": "BRCA1 gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal"
          }
        ]
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA6692-3"
            }
          ]
        }
      ]
    },
    {
      "code": {
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            "system": "http://loinc.org",
            "code": "48004-6",
            "display": "DNA change (c.HGVS)"
          }
        ]
      },
      "valueCodeableConcept": {
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            "code": "NM_005228.4:c.2573T>G"
          }
        ]
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "LA6692-3"
            }
          ]
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48018-6",
            "display": "Gene studied [ID]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.genenames.org",
            "code": "HGNC:3236",
            "display": "EGFR"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48018-6",
            "display": "Gene studied [ID]"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://www.genenames.org",
            "code": "#HGNC:1100",
            "display": "BRCA1"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81290-9",
            "display": "Genomic DNA change (gHGVS)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://varnomen.hgvs.org",
            "code": "NC_000007.13:g.55259515T>G"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "81254-5",
            "display": "Genomic allele start-end"
          }
        ]
      },
      "valueRange": {
        "low": {
          "value": 96521657
        },
        "high": {
          "value": 96521657
        }
      }
    }
  ]
}