Genomics Reporting Implementation Guide, published by HL7 International / Clinical Genomics. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/genomics-reporting/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant | Version: 3.0.0 | |||
Active as of 2024-11-24 | Computable Name: Variant | |||
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Details about a set of changes in the tested sample compared to a reference sequence.
Contents:
This profile allows a full description of the variant found using properties from a variety of testing approaches and allowing for a variety of descriptive mechanisms. Labs are encouraged to populate what properties they know. In future versions of this implementation guide, HL7 may provide additional guidance on what properties should be sent in which situations and may subdivide Variant into multiple sub-profiles with more specific purpose.
See Variant Reporting for details on use.
A variety of annotations (see variant implications) can be applied to identified variants, such as: (1) predicted molecular consequences (e.g. a prediction that a variant leads to loss of gene function); (2) diagnostic implications (e.g. presence of a variant indicates increased risk for breast cancer); (3) therapeutic implications (e.g. presence of a somatic variant is associated with sensitivity to a particular drug or eligibility into a clinical trial).
Most human genes are transcribed into multiple transcripts. The molecular consequences profile can be used to indicate transcript-specific predicted consequences, for one or more transcripts. In the Variant instance itself, one can also indicate a representative transcript-level HGVS and/or protein HGVS.
If implementers have additional variant annotations, the Variant profile is defined to allow flexibility. See the section on flexibility for additional guidancem, especially the guidance for the Open Slicing allowed on Observation.component
.
The STU2 Variant profile contained the component slice molecular-consequence
, which is no longer present in this profile. The functionality to communicate predicted molecular consequences has been moved to the Molecular Consequence profile. For those that have already implemented the STU2 solution and are in a transition, open slicing allows components above and beyond those specified in the Implementation Guide and therefore the STU2 method of communicating molecular consequence will not cause conformance errors. This approach should be used carefully and only during a transition period to ensure full compatibility with other systems that implement the full features of this guide.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from GenomicFinding
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 0..* | GenomicFinding | Variant | |
code | 1..1 | CodeableConcept | 69548-6 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69548-6 | |
Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | |
value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Indeterminate | No call | Present | Absent. Binding: LOINC Answer List LL1971-2 (required) | |
method | 0..1 | CodeableConcept | Sequencing | SNP array | PCR | Computational analysis | ... Binding: LOINC Answer List LL4048-6 (extensible) | |
Slices for component | Content/Rules for all slices | |||
component:representative-coding-hgvs | 0..1 | BackboneElement | DNA change (c.HGVS) | |
code | 1..1 | CodeableConcept | 48004-6 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48004-6 | |
value[x] | 1..1 | CodeableConcept | A valid HGVS-formatted 'c.' string, e.g. NM_005228.5:c.2369C>T. Binding: Human Genome Variation Society (HGVS) Nomenclature (required) | |
component:genomic-hgvs | 0..1 | BackboneElement | Genomic (gDNA) Change - gHGVS | |
code | 1..1 | CodeableConcept | 81290-9 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81290-9 | |
value[x] | 1..1 | CodeableConcept | A valid HGVS-formatted 'g.' string, e.g. NC_000016.9:g.2124200_2138612dup Binding: Human Genome Variation Society (HGVS) Nomenclature (required) | |
component:cytogenomic-nomenclature | 0..1 | BackboneElement | Cytogenomic Nomenclature (ISCN) | |
code | 1..1 | CodeableConcept | 81291-7 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81291-7 | |
value[x] | 1..1 | CodeableConcept | Actual component result Binding Description (No ValueSet): (example): Binding not yet defined | |
component:genomic-ref-seq | 0..1 | BackboneElement | Genomic Reference Sequence | |
code | 1..1 | CodeableConcept | 48013-7 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48013-7 | |
value[x] | 1..1 | CodeableConcept | Versioned genomic reference sequence identifier Binding Description (No ValueSet): (example): Multiple bindings acceptable (NCBI or LRG) | |
component:representative-protein-ref-seq | 0..1 | BackboneElement | Protein Reference Sequence | |
code | 1..1 | CodeableConcept | protein-ref-seq Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: protein-ref-seq | |
value[x] | 1..1 | CodeableConcept | Versioned protein reference sequence identifier Binding Description (No ValueSet): (example): Multiple bindings acceptable (NCBI or LRG) | |
component:representative-transcript-ref-seq | 0..1 | BackboneElement | Reference Transcript | |
code | 1..1 | CodeableConcept | 51958-7 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 51958-7 | |
value[x] | 1..1 | CodeableConcept | Versioned transcript reference sequence identifier Binding Description (No ValueSet): (example): Multiple bindings acceptable (NCBI or LRG) | |
component:exact-start-end | 0..1 | BackboneElement | Exact Start-End | |
code | 1..1 | CodeableConcept | 81254-5 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81254-5 | |
value[x] | 0..1 | Range | Range in question. 'High' can be omitted for single nucleotide variants. | |
component:inner-start-end | 0..1 | BackboneElement | Inner Start-End | |
code | 1..1 | CodeableConcept | 81302-2 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81302-2 | |
value[x] | 0..1 | Range | Imprecise variant inner-bounding range | |
component:outer-start-end | 0..1 | BackboneElement | Outer Start-End | |
code | 1..1 | CodeableConcept | 81301-4 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81301-4 | |
value[x] | 0..1 | Range | Imprecise variant outer-bounding range | |
component:coordinate-system | 0..1 | BackboneElement | Coordinate System | |
code | 1..1 | CodeableConcept | 92822-6 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92822-6 | |
value[x] | 1..1 | CodeableConcept | 0-based interval counting | 0-based character counting | 1-based character counting Binding: LOINC Answer List LL5323-2 (extensible) | |
component:ref-allele | 0..1 | BackboneElement | Genomic Ref Allele | |
code | 1..1 | CodeableConcept | 69547-8 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69547-8 | |
value[x] | 0..1 | string | Normalized string per the VCF format. | |
component:alt-allele | 0..1 | BackboneElement | Genomic Alt Allele | |
code | 1..1 | CodeableConcept | 69551-0 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69551-0 | |
value[x] | 0..1 | string | Normalized string per the VCF format. | |
component:coding-change-type | 0..1 | BackboneElement | Coding DNA Change Type | |
code | 1..1 | CodeableConcept | 48019-4 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48019-4 | |
value[x] | 1..1 | CodeableConcept | deletion | insertion | delins | SNV | copy_number_gain | copy_number_loss | ... (many) Binding: DNA Change Type (extensible): Concepts in sequence ontology under SO:0002072 | |
component:genomic-source-class | 0..1 | BackboneElement | Genomic Source Class | |
code | 1..1 | CodeableConcept | 48002-0 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48002-0 | |
value[x] | 1..1 | CodeableConcept | Germline | Somatic | Fetal | Likely germline | Likely somatic | Likely fetal | Unknown genomic origin | De novo Binding: LOINC Answer List LL378-1 (extensible) | |
component:sample-allelic-frequency | 0..1 | BackboneElement | Sample Allelic Frequency | |
code | 1..1 | CodeableConcept | 81258-6 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81258-6 | |
value[x] | 0..1 | Quantity | Relative frequency in the sample | |
system | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
component:allelic-read-depth | 0..1 | BackboneElement | Allelic Read Depth | |
code | 1..1 | CodeableConcept | 82121-5 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 82121-5 | |
value[x] | 0..1 | Quantity | Unfiltered count of supporting reads | |
component:allelic-state | 0..1 | BackboneElement | Allelic State | |
code | 1..1 | CodeableConcept | 53034-5 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 53034-5 | |
value[x] | 1..1 | CodeableConcept | Heteroplasmic | Homoplasmic | Homozygous | Heterozygous | Hemizygous Binding: LOINC Answer List LL381-5 (extensible) | |
component:variant-inheritance | 0..1 | BackboneElement | Origin of germline genetic variant | |
code | 1..1 | CodeableConcept | 94186-4 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 94186-4 | |
value[x] | 1..1 | CodeableConcept | Maternal | Paternal | Unknown Binding: LOINC Answer List LL5489-1 (extensible) | |
component:variant-inheritance-basis | 0..1 | BackboneElement | Evidential basis for variant inheritance | |
code | 1..1 | CodeableConcept | Basis for allelic phase Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 82309-6 | |
value[x] | 1..1 | CodeableConcept | Directly measured | Family DNA | Family history | Inferred from population data Binding: LOINC Answer List LL4050-2 (extensible) | |
component:variation-code | 0..* | BackboneElement | Variation Code | |
code | 1..1 | CodeableConcept | 81252-9 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81252-9 | |
value[x] | 1..1 | CodeableConcept | ClinVar ID or similar Binding Description (No ValueSet): (example): Multiple bindings acceptable | |
component:representative-protein-hgvs | 0..1 | BackboneElement | Protein (Amino Acid) Change - pHGVS | |
code | 1..1 | CodeableConcept | 48005-3 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48005-3 | |
value[x] | 1..1 | CodeableConcept | A valid HGVS-formatted 'p.' string, e.g. NP_000050.2:p.(Asn1836Lys) Binding: Human Genome Variation Society (HGVS) Nomenclature (required) | |
component:copy-number | 0..1 | BackboneElement | Genomic Structural Variant Copy Number | |
code | 1..1 | CodeableConcept | 82155-3 Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 82155-3 | |
value[x] | 0..1 | Actual component result | ||
valueQuantity | Quantity | |||
valueRange | Range | |||
component:variant-confidence-status | 0..1 | BackboneElement | Variant Confidence Status | |
code | 1..1 | CodeableConcept | variant-confidence-status Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variant-confidence-status | |
value[x] | 1..1 | CodeableConcept | High | Intermediate | Low Binding: Variant Confidence Status (required) | |
component:repeat-motif | 0..* | BackboneElement | Repeat Motif | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
repeat-motif-order | 0..1 | positiveInt | Repeat Motif Order URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/repeat-motif-order | |
code | 1..1 | CodeableConcept | repeat-motif Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: repeat-motif | |
value[x] | 1..1 | string | CAG | |
component:repeat-number | 0..* | BackboneElement | Repeat Number | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
repeat-motif-order | 0..1 | positiveInt | Repeat Motif Order URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/repeat-motif-order | |
code | 1..1 | CodeableConcept | repeat-number Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: repeat-number | |
value[x] | 1..1 | Quantity | 40 | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.value[x]:valueCodeableConcept | required | LOINC LL1971-2http://loinc.org/vs/LL1971-2 | |
Observation.method | extensible | LOINC LL4048-6http://loinc.org/vs/LL4048-6 | |
Observation.component:representative-coding-hgvs.value[x] | required | HGVSVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs from this IG | |
Observation.component:genomic-hgvs.value[x] | required | HGVSVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs from this IG | |
Observation.component:cytogenomic-nomenclature.value[x] | example |
| |
Observation.component:genomic-ref-seq.value[x] | example |
| |
Observation.component:representative-protein-ref-seq.value[x] | example |
| |
Observation.component:representative-transcript-ref-seq.value[x] | example |
| |
Observation.component:coordinate-system.value[x] | extensible | LOINC LL5323-2http://loinc.org/vs/LL5323-2 | |
Observation.component:coding-change-type.value[x] | extensible | DNAChangeTypeVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/dna-change-type-vs from this IG | |
Observation.component:genomic-source-class.value[x] | extensible | LOINC LL378-1http://loinc.org/vs/LL378-1 | |
Observation.component:allelic-state.value[x] | extensible | LOINC LL381-5http://loinc.org/vs/LL381-5 | |
Observation.component:variant-inheritance.value[x] | extensible | LOINC LL5489-1http://loinc.org/vs/LL5489-1 | |
Observation.component:variant-inheritance-basis.value[x] | extensible | LOINC LL4050-2http://loinc.org/vs/LL4050-2 | |
Observation.component:variation-code.value[x] | example |
| |
Observation.component:representative-protein-hgvs.value[x] | required | HGVSVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs from this IG | |
Observation.component:variant-confidence-status.value[x] | required | VariantConfidenceStatusVS (a valid code from Variant Confidence Status Codes)http://hl7.org/fhir/uv/genomics-reporting/ValueSet/variant-confidence-status-vs from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | GenomicFinding | Variant obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
secondary-finding | 0..1 | CodeableConcept | Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
For more detail, please see:
https://ghr.nlm.nih.gov/primer/testing/secondaryfindings URL: http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding Binding: GeneticObservationSecondaryFindings (extensible): Codes to denote a guideline or policy statement when a genetic test result is being shared as a secondary finding. | |
body-structure | 0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
Slices for category | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
category:labCategory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
category:geCategory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: GE | |
code | Σ | 1..1 | CodeableConcept | 69548-6 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69548-6 | |
Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
value[x]:valueCodeableConcept | ΣC | 0..1 | CodeableConcept | Indeterminate | No call | Present | Absent. Binding: LOINC Answer List LL1971-2 (required) |
method | 0..1 | CodeableConcept | Sequencing | SNP array | PCR | Computational analysis | ... Binding: LOINC Answer List LL4048-6 (extensible) | |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from Slice: Unordered, Open by profile:resolve() |
Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
component:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
component:conclusion-string | Σ | 0..1 | BackboneElement | Clinical Conclusion |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | conclusion-string Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: conclusion-string | |
component:gene-studied | Σ | 0..* | BackboneElement | Gene Studied |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48018-6 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48018-6 | |
value[x] | Σ | 1..1 | CodeableConcept | The HGNC gene symbol is to be used as display text and the HGNC gene ID used as the code. If no HGNC code issued for this gene yet, NCBI gene IDs SHALL be used. Binding: HUGO Gene Nomenclature Committee Gene Names (HGNC) (extensible) |
component:cytogenetic-location | Σ | 0..* | BackboneElement | Cytogenetic (Chromosome) Location |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48001-2 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48001-2 | |
value[x] | Σ | 1..1 | CodeableConcept | Example: 1q21.1 |
component:reference-sequence-assembly | Σ | 0..* | BackboneElement | Human Reference Sequence Assembly |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 62374-4 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 62374-4 | |
value[x] | Σ | 1..1 | CodeableConcept | GRCh37 | GRCh38 | ... Binding: LOINC Answer List LL1040-6 (extensible) |
component:chromosome-identifier | Σ | 0..* | BackboneElement | Chromosome Identifier |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48000-4 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48000-4 | |
value[x] | Σ | 1..1 | CodeableConcept | Chromosome 1 | Chromosome 2 | ... | Chromosome 22 | Chromosome X | Chromosome Y Binding: LOINC Answer List LL2938-0 (required) |
component:representative-coding-hgvs | Σ | 0..1 | BackboneElement | DNA change (c.HGVS) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48004-6 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48004-6 | |
value[x] | Σ | 1..1 | CodeableConcept | A valid HGVS-formatted 'c.' string, e.g. NM_005228.5:c.2369C>T. Binding: Human Genome Variation Society (HGVS) Nomenclature (required) |
component:genomic-hgvs | Σ | 0..1 | BackboneElement | Genomic (gDNA) Change - gHGVS |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 81290-9 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81290-9 | |
value[x] | Σ | 1..1 | CodeableConcept | A valid HGVS-formatted 'g.' string, e.g. NC_000016.9:g.2124200_2138612dup Binding: Human Genome Variation Society (HGVS) Nomenclature (required) |
component:cytogenomic-nomenclature | Σ | 0..1 | BackboneElement | Cytogenomic Nomenclature (ISCN) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 81291-7 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81291-7 | |
value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding Description (No ValueSet): (example): Binding not yet defined |
component:genomic-ref-seq | Σ | 0..1 | BackboneElement | Genomic Reference Sequence |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48013-7 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48013-7 | |
value[x] | Σ | 1..1 | CodeableConcept | Versioned genomic reference sequence identifier Binding Description (No ValueSet): (example): Multiple bindings acceptable (NCBI or LRG) |
component:representative-protein-ref-seq | Σ | 0..1 | BackboneElement | Protein Reference Sequence |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | protein-ref-seq Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: protein-ref-seq | |
value[x] | Σ | 1..1 | CodeableConcept | Versioned protein reference sequence identifier Binding Description (No ValueSet): (example): Multiple bindings acceptable (NCBI or LRG) |
component:representative-transcript-ref-seq | Σ | 0..1 | BackboneElement | Reference Transcript |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 51958-7 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 51958-7 | |
value[x] | Σ | 1..1 | CodeableConcept | Versioned transcript reference sequence identifier Binding Description (No ValueSet): (example): Multiple bindings acceptable (NCBI or LRG) |
component:exact-start-end | Σ | 0..1 | BackboneElement | Exact Start-End |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 81254-5 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81254-5 | |
value[x] | Σ | 0..1 | Range | Range in question. 'High' can be omitted for single nucleotide variants. |
component:inner-start-end | Σ | 0..1 | BackboneElement | Inner Start-End |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 81302-2 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81302-2 | |
value[x] | Σ | 0..1 | Range | Imprecise variant inner-bounding range |
component:outer-start-end | Σ | 0..1 | BackboneElement | Outer Start-End |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 81301-4 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81301-4 | |
value[x] | Σ | 0..1 | Range | Imprecise variant outer-bounding range |
component:coordinate-system | Σ | 0..1 | BackboneElement | Coordinate System |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 92822-6 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92822-6 | |
value[x] | Σ | 1..1 | CodeableConcept | 0-based interval counting | 0-based character counting | 1-based character counting Binding: LOINC Answer List LL5323-2 (extensible) |
component:ref-allele | Σ | 0..1 | BackboneElement | Genomic Ref Allele |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 69547-8 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69547-8 | |
value[x] | Σ | 0..1 | string | Normalized string per the VCF format. |
component:alt-allele | Σ | 0..1 | BackboneElement | Genomic Alt Allele |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 69551-0 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69551-0 | |
value[x] | Σ | 0..1 | string | Normalized string per the VCF format. |
component:coding-change-type | Σ | 0..1 | BackboneElement | Coding DNA Change Type |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48019-4 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48019-4 | |
value[x] | Σ | 1..1 | CodeableConcept | deletion | insertion | delins | SNV | copy_number_gain | copy_number_loss | ... (many) Binding: DNA Change Type (extensible): Concepts in sequence ontology under SO:0002072 |
component:genomic-source-class | Σ | 0..1 | BackboneElement | Genomic Source Class |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48002-0 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48002-0 | |
value[x] | Σ | 1..1 | CodeableConcept | Germline | Somatic | Fetal | Likely germline | Likely somatic | Likely fetal | Unknown genomic origin | De novo Binding: LOINC Answer List LL378-1 (extensible) |
component:sample-allelic-frequency | Σ | 0..1 | BackboneElement | Sample Allelic Frequency |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 81258-6 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81258-6 | |
value[x] | Σ | 0..1 | Quantity | Relative frequency in the sample |
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
component:allelic-read-depth | Σ | 0..1 | BackboneElement | Allelic Read Depth |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 82121-5 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 82121-5 | |
value[x] | Σ | 0..1 | Quantity | Unfiltered count of supporting reads |
component:allelic-state | Σ | 0..1 | BackboneElement | Allelic State |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 53034-5 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 53034-5 | |
value[x] | Σ | 1..1 | CodeableConcept | Heteroplasmic | Homoplasmic | Homozygous | Heterozygous | Hemizygous Binding: LOINC Answer List LL381-5 (extensible) |
component:variant-inheritance | Σ | 0..1 | BackboneElement | Origin of germline genetic variant |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 94186-4 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 94186-4 | |
value[x] | Σ | 1..1 | CodeableConcept | Maternal | Paternal | Unknown Binding: LOINC Answer List LL5489-1 (extensible) |
component:variant-inheritance-basis | Σ | 0..1 | BackboneElement | Evidential basis for variant inheritance |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Basis for allelic phase Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 82309-6 | |
value[x] | Σ | 1..1 | CodeableConcept | Directly measured | Family DNA | Family history | Inferred from population data Binding: LOINC Answer List LL4050-2 (extensible) |
component:variation-code | Σ | 0..* | BackboneElement | Variation Code |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 81252-9 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81252-9 | |
value[x] | Σ | 1..1 | CodeableConcept | ClinVar ID or similar Binding Description (No ValueSet): (example): Multiple bindings acceptable |
component:representative-protein-hgvs | Σ | 0..1 | BackboneElement | Protein (Amino Acid) Change - pHGVS |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 48005-3 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48005-3 | |
value[x] | Σ | 1..1 | CodeableConcept | A valid HGVS-formatted 'p.' string, e.g. NP_000050.2:p.(Asn1836Lys) Binding: Human Genome Variation Society (HGVS) Nomenclature (required) |
component:copy-number | Σ | 0..1 | BackboneElement | Genomic Structural Variant Copy Number |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | 82155-3 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 82155-3 | |
value[x] | Σ | 0..1 | Actual component result | |
valueQuantity | Quantity | |||
valueRange | Range | |||
component:variant-confidence-status | Σ | 0..1 | BackboneElement | Variant Confidence Status |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | variant-confidence-status Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: variant-confidence-status | |
value[x] | Σ | 1..1 | CodeableConcept | High | Intermediate | Low Binding: Variant Confidence Status (required) |
component:repeat-motif | Σ | 0..* | BackboneElement | Repeat Motif |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
repeat-motif-order | 0..1 | positiveInt | Repeat Motif Order URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/repeat-motif-order | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | repeat-motif Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: repeat-motif | |
value[x] | Σ | 1..1 | string | CAG |
component:repeat-number | Σ | 0..* | BackboneElement | Repeat Number |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
repeat-motif-order | 0..1 | positiveInt | Repeat Motif Order URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/repeat-motif-order | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | repeat-number Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: repeat-number | |
value[x] | Σ | 1..1 | Quantity | 40 |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:labCategory | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:geCategory | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.code | example | Pattern: LOINC Code 69548-6http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.value[x]:valueCodeableConcept | required | LOINC LL1971-2http://loinc.org/vs/LL1971-2 | |
Observation.method | extensible | LOINC LL4048-6http://loinc.org/vs/LL4048-6 | |
Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:conclusion-string.code | example | Pattern: conclusion-stringhttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:gene-studied.code | example | Pattern: LOINC Code 48018-6http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:gene-studied.value[x] | extensible | HGNCVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgnc-vs from this IG | |
Observation.component:cytogenetic-location.code | example | Pattern: LOINC Code 48001-2http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:reference-sequence-assembly.code | example | Pattern: LOINC Code 62374-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:reference-sequence-assembly.value[x] | extensible | LOINC LL1040-6http://loinc.org/vs/LL1040-6 | |
Observation.component:chromosome-identifier.code | example | Pattern: LOINC Code 48000-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:chromosome-identifier.value[x] | required | LOINC LL2938-0http://loinc.org/vs/LL2938-0 | |
Observation.component:representative-coding-hgvs.code | example | Pattern: LOINC Code 48004-6http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:representative-coding-hgvs.value[x] | required | HGVSVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs from this IG | |
Observation.component:genomic-hgvs.code | example | Pattern: LOINC Code 81290-9http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:genomic-hgvs.value[x] | required | HGVSVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs from this IG | |
Observation.component:cytogenomic-nomenclature.code | example | Pattern: LOINC Code 81291-7http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:cytogenomic-nomenclature.value[x] | example | ||
Observation.component:genomic-ref-seq.code | example | Pattern: LOINC Code 48013-7http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:genomic-ref-seq.value[x] | example | ||
Observation.component:representative-protein-ref-seq.code | example | Pattern: protein-ref-seqhttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:representative-protein-ref-seq.value[x] | example | ||
Observation.component:representative-transcript-ref-seq.code | example | Pattern: LOINC Code 51958-7http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:representative-transcript-ref-seq.value[x] | example | ||
Observation.component:exact-start-end.code | example | Pattern: LOINC Code 81254-5http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:inner-start-end.code | example | Pattern: LOINC Code 81302-2http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:outer-start-end.code | example | Pattern: LOINC Code 81301-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:coordinate-system.code | example | Pattern: LOINC Code 92822-6http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:coordinate-system.value[x] | extensible | LOINC LL5323-2http://loinc.org/vs/LL5323-2 | |
Observation.component:ref-allele.code | example | Pattern: LOINC Code 69547-8http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:alt-allele.code | example | Pattern: LOINC Code 69551-0http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:coding-change-type.code | example | Pattern: LOINC Code 48019-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:coding-change-type.value[x] | extensible | DNAChangeTypeVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/dna-change-type-vs from this IG | |
Observation.component:genomic-source-class.code | example | Pattern: LOINC Code 48002-0http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:genomic-source-class.value[x] | extensible | LOINC LL378-1http://loinc.org/vs/LL378-1 | |
Observation.component:sample-allelic-frequency.code | example | Pattern: LOINC Code 81258-6http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:sample-allelic-frequency.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard | |
Observation.component:allelic-read-depth.code | example | Pattern: LOINC Code 82121-5http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:allelic-state.code | example | Pattern: LOINC Code 53034-5http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:allelic-state.value[x] | extensible | LOINC LL381-5http://loinc.org/vs/LL381-5 | |
Observation.component:variant-inheritance.code | example | Pattern: LOINC Code 94186-4http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:variant-inheritance.value[x] | extensible | LOINC LL5489-1http://loinc.org/vs/LL5489-1 | |
Observation.component:variant-inheritance-basis.code | example | Pattern: LOINC Code 82309-6http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:variant-inheritance-basis.value[x] | extensible | LOINC LL4050-2http://loinc.org/vs/LL4050-2 | |
Observation.component:variation-code.code | example | Pattern: LOINC Code 81252-9http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:variation-code.value[x] | example | ||
Observation.component:representative-protein-hgvs.code | example | Pattern: LOINC Code 48005-3http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:representative-protein-hgvs.value[x] | required | HGVSVShttp://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs from this IG | |
Observation.component:copy-number.code | example | Pattern: LOINC Code 82155-3http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:variant-confidence-status.code | example | Pattern: variant-confidence-statushttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:variant-confidence-status.value[x] | required | VariantConfidenceStatusVS (a valid code from Variant Confidence Status Codes)http://hl7.org/fhir/uv/genomics-reporting/ValueSet/variant-confidence-status-vs from this IG | |
Observation.component:repeat-motif.code | example | Pattern: repeat-motifhttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | |
Observation.component:repeat-number.code | example | Pattern: repeat-numberhttp://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | GenomicFinding | Variant obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
secondary-finding | 0..1 | CodeableConcept | Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
For more detail, please see:
https://ghr.nlm.nih.gov/primer/testing/secondaryfindings URL: http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding Binding: GeneticObservationSecondaryFindings (extensible): Codes to denote a guideline or policy statement when a genetic test result is being shared as a secondary finding. | |||||
body-structure | 0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | Genomic Study) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
Slices for category | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
category:labCategory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
category:geCategory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: GE | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
code | Σ | 1..1 | CodeableConcept | 69548-6 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 69548-6 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
subject | Σ | 0..1 | Reference( |