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Diagnosticreport-genetics-example-2-familyhistory.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

An example of a genetics test report with Family member history (id = "dg2")

<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="dg2"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/dg2"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="dg2"/> 
        <text> 
          <status value="generated"/> 
          <div xmlns="http://www.w3.org/1999/xhtml">
            <h3> Genetic test Report for Marry Chalmers (MRN: 12345) </h3> 
            <pre> 
              Gene                DNAVariation       Status        Interpretation
              BRCA1                                 Negative
              BRCA2                 185delAG        Positive         Pathogenic
          </pre> 
            <p>  Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc </p> 
            <p>  Issued: 2015-05-26T15:30:10+01:00</p> 
            <p>  FamilyMemeberHistory: Mother </p> 
            <pre> 
              Gene                 DNAVariation      Status
              BRCA2                 185delAG        Positive
          </pre> 
            <p>  Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc </p> 
          </div> 
        </text> 
        <extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory">
          <valueReference> 
            <reference value="FamilyMemberHistory/f1-genetics"/> 
          </valueReference> 
        </extension> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="15220000"/> 
            <display value="Laboratory test"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="LAB"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="55233-1"/> 
            <display value="Genetic analysis master panel"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/example"/> 
          <display value="Peter James Chalmers(MRN: 12345)"/> 
        </subject> 
        <effectiveDateTime value="2015-05-26T15:30:10+01:00"/> 
        <issued value="2014-05-16T10:28:00+01:00"/> 
        <performer> 
          <reference value="Practitioner/genetics-example2"/> 
          <display value="Molecular Diagnostic Laboratory"/> 
        </performer> 
        <specimen> 
          <reference value="Specimen/genetics-example2"/> 
          <display value="Molecular Specimen ID: MLD45-Z4-1234"/> 
        </specimen> 
        <result> 
          <reference value="Observation/ob-genetics-3-1"/> 
          <display value="Genetic analysis for BRAC -1"/> 
        </result> 
        <result> 
          <reference value="Observation/ob-genetics-3-2"/> 
          <display value="Genetic analysis for BRAC -2"/> 
        </result> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/FamilyMemberHistory/f1-genetics"/> 
    <resource> 
      <FamilyMemberHistory> 
        <id value="f1-genetics"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : f1-genetics</p> <p> <b> status</b> : completed</p> <p> <b> patient</b> : <a> Patient/example</a> </p> <p> <b> relationship</b> : Mother <span> (Details : {http://terminology.hl7.org/CodeSystem/v3-RoleCode code 'MTH' = 'mother', given
                 as 'Mother'})</span> </p> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation">
          <valueReference> 
            <reference value="Observation/dgf1"/> 
          </valueReference> 
        </extension> 
        <status value="completed"/> 
        <patient> 
          <reference value="Patient/example"/> 
        </patient> 
        <relationship> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
            <code value="MTH"/> 
            <display value="Mother"/> 
          </coding> 
        </relationship> 
      </FamilyMemberHistory> 
    </resource> 
  </entry> 
</Bundle> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.