Genomics Reporting Implementation Guide
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Genomics Reporting Implementation Guide, published by HL7 International / Clinical Genomics. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot 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

: lungMass - JSON Representation

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{
  "resourceType" : "GenomicStudy",
  "id" : "lungMass",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: GenomicStudy lungMass</b></p><a name=\"lungMass\"> </a><a name=\"hclungMass\"> </a><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:\">Solid tumor whole exome sequencing panel</span></p><p><b>subject</b>: <a href=\"Patient-genomicPatient.html\">John Junior Doe (official) Unknown, DoB: 2001-01-01 ( Medical record number: 11117\u00a0(use:\u00a0temp,\u00a0period:\u00a02021-01-01 --&gt; (ongoing)))</a></p><p><b>startDate</b>: 2019-03-01</p><p><b>basedOn</b>: <a href=\"ServiceRequest-genomicServiceRequest.html\">ServiceRequest Molecular genetic test (procedure)</a></p><p><b>interpreter</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner Jane Doel </a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 309529002}\">Lung mass (finding)</span></td></tr></table><p><b>note</b>: </p><blockquote><div><p>For technical reasons, PIK3CB was deemed uncallable.</p>\n</div></blockquote><blockquote><p><b>analysis</b></p><p><b>methodType</b>: <span title=\"Codes:{http://hl7.org/fhir/genomicstudy-methodtype sequence-analysis-of-the-entire-coding-region}\">Sequence analysis of the entire coding region</span></p><p><b>changeType</b>: <span title=\"Codes:{http://www.sequenceontology.org SO:0001483}\">SNV</span>, <span title=\"Codes:{http://www.sequenceontology.org SO:0002007}\">MNV</span>, <span title=\"Codes:{http://www.sequenceontology.org SO:1000032}\">delins</span></p><p><b>genomeBuild</b>: <span title=\"Codes:{http://loinc.org LA26806-2}\">GRCh38</span></p><p><b>instantiatesUri</b>: <a href=\"https://pubmed.ncbi.nlm.nih.gov/33927380/\">https://pubmed.ncbi.nlm.nih.gov/33927380/</a></p><p><b>focus</b>: <a href=\"Patient-genomicPatient.html\">John Junior Doe (official) Unknown, DoB: 2001-01-01 ( Medical record number: 11117\u00a0(use:\u00a0temp,\u00a0period:\u00a02021-01-01 --&gt; (ongoing)))</a></p><p><b>specimen</b>: <a href=\"Specimen-genomicSpecimen.html\">Specimen: identifier = http://example.org/identifiers/specimens#4; status = available; type = Specimen from lung obtained by biopsy (specimen); receivedTime = 2019-03-01 01:01:01+0000</a></p><p><b>date</b>: 2019-03-01 01:01:10-0600</p><p><b>note</b>: </p><blockquote><div><p>For technical reasons, PIK3CB was deemed uncallable using this method.</p>\n</div></blockquote><p><b>regionsStudied</b>: <a href=\"DocumentReference-WES-FullSequencedRegion-GRCh38.html\">DocumentReference: identifier = http://example.org/identifiers/files#11117; status = current; docStatus = preliminary; description = WES_FullSequencedRegion_GRCh38: A sample Document Reference instance representing a BED file that may be used as input or output of a genomic analysis pipeline.; securityLabel = Restricted</a></p><p><b>regionsCalled</b>: <a href=\"DocumentReference-SimpleVariantAnalysis-called.html\">DocumentReference: identifier = http://example.org/identifiers/files#11118; status = current; docStatus = preliminary; description = SimpleVariantAnalysis_called: A sample Document Reference instance representing a BED file that may be used as input or output of a genomic analysis pipeline.; securityLabel = Restricted</a></p><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>File</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"DocumentReference-genomicVCFfile-simple.html\">DocumentReference: identifier = http://example.org/identifiers/files#11119; status = current; docStatus = preliminary; description = genomicVCFfile_simple: A sample Document Reference instance representing a VCF file that may be used as input or output of a genomic analysis pipeline.; securityLabel = Restricted</a></td><td><span title=\"Codes:{http://hl7.org/fhir/genomicstudy-dataformat vcf}\">VCF</span></td></tr></table><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td><td><b>Role</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-practitioner02.html\">Practitioner Jane Doel </a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PRF}\">Performer</span></td></tr></table><h3>Devices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Device</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Device-triodenovo-software.html\">Device: identifier = http://example.org/identifiers/devices#11112; status = active; manufacturer = Vanderbilt Genetics Institute; type = Software (physical object)</a></td></tr></table></blockquote><blockquote><p><b>analysis</b></p><p><b>methodType</b>: <span title=\"Codes:{http://hl7.org/fhir/genomicstudy-methodtype deletion-duplication-analysis}\">Deletion/duplication analysis</span></p><p><b>changeType</b>: <span title=\"Codes:{http://www.sequenceontology.org SO:0001019}\">CNV</span></p><p><b>genomeBuild</b>: <span title=\"Codes:{http://loinc.org LA26806-2}\">GRCh38</span></p><p><b>instantiatesUri</b>: <a href=\"https://pubmed.ncbi.nlm.nih.gov/33927380/\">https://pubmed.ncbi.nlm.nih.gov/33927380/</a></p><p><b>focus</b>: <a href=\"Patient-genomicPatient.html\">John Junior Doe (official) Unknown, DoB: 2001-01-01 ( Medical record number: 11117\u00a0(use:\u00a0temp,\u00a0period:\u00a02021-01-01 --&gt; (ongoing)))</a></p><p><b>specimen</b>: <a href=\"Specimen-genomicSpecimen.html\">Specimen: identifier = http://example.org/identifiers/specimens#4; status = available; type = Specimen from lung obtained by biopsy (specimen); receivedTime = 2019-03-01 01:01:01+0000</a></p><p><b>date</b>: 2019-03-01 01:01:10-0600</p><p><b>note</b>: </p><blockquote><div><p>For technical reasons, PIK3CB was deemed uncallable using this method.</p>\n</div></blockquote><p><b>regionsStudied</b>: <a href=\"DocumentReference-WES-FullSequencedRegion-GRCh38.html\">DocumentReference: identifier = http://example.org/identifiers/files#11117; status = current; docStatus = preliminary; description = WES_FullSequencedRegion_GRCh38: A sample Document Reference instance representing a BED file that may be used as input or output of a genomic analysis pipeline.; securityLabel = Restricted</a></p><p><b>regionsCalled</b>: <a href=\"DocumentReference-CNVAnalysis-called.html\">DocumentReference: identifier = http://example.org/identifiers/files#11120; status = current; docStatus = preliminary; description = CNVAnalysis_called: A sample Document Reference instance representing a BED file that may be used as input or output of a genomic analysis pipeline.; securityLabel = Restricted</a></p><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>File</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"DocumentReference-genomicVCFfile-cnv.html\">DocumentReference: identifier = http://example.org/identifiers/files#11121; status = current; docStatus = preliminary; description = genomicVCFfile_cnv: A sample Document Reference instance representing a VCF file that may be used as input or output of a genomic analysis pipeline.; securityLabel = Restricted</a></td><td><span title=\"Codes:{http://hl7.org/fhir/genomicstudy-dataformat vcf}\">VCF</span></td></tr></table><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td><td><b>Role</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-practitioner02.html\">Practitioner Jane Doel </a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PRF}\">Performer</span></td></tr></table></blockquote></div>"
  },
  "status" : "available",
  "type" : [
    {
      "text" : "Solid tumor whole exome sequencing panel"
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/genomicPatient"
  },
  "startDate" : "2019-03-01",
  "basedOn" : [
    {
      🔗 "reference" : "ServiceRequest/genomicServiceRequest"
    }
  ],
  "interpreter" : [
    {
      🔗 "reference" : "Practitioner/practitioner02"
    }
  ],
  "reason" : [
    {
      "concept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "309529002",
            "display" : "Lung mass (finding)"
          }
        ]
      }
    }
  ],
  "note" : [
    {
      "text" : "For technical reasons, PIK3CB was deemed uncallable."
    }
  ],
  "analysis" : [
    {
      "methodType" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/genomicstudy-methodtype",
              "code" : "sequence-analysis-of-the-entire-coding-region",
              "display" : "Sequence analysis of the entire coding region"
            }
          ]
        }
      ],
      "changeType" : [
        {
          "coding" : [
            {
              "system" : "http://www.sequenceontology.org",
              "code" : "SO:0001483",
              "display" : "SNV"
            }
          ]
        },
        {
          "coding" : [
            {
              "system" : "http://www.sequenceontology.org",
              "code" : "SO:0002007",
              "display" : "MNV"
            }
          ]
        },
        {
          "coding" : [
            {
              "system" : "http://www.sequenceontology.org",
              "code" : "SO:1000032",
              "display" : "delins"
            }
          ]
        }
      ],
      "genomeBuild" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "LA26806-2",
            "display" : "GRCh38"
          }
        ]
      },
      "instantiatesUri" : "https://pubmed.ncbi.nlm.nih.gov/33927380/",
      "focus" : [
        {
          🔗 "reference" : "Patient/genomicPatient"
        }
      ],
      "specimen" : [
        {
          🔗 "reference" : "Specimen/genomicSpecimen"
        }
      ],
      "date" : "2019-03-01T01:01:10-06:00",
      "note" : [
        {
          "text" : "For technical reasons, PIK3CB was deemed uncallable using this method."
        }
      ],
      "regionsStudied" : [
        {
          🔗 "reference" : "DocumentReference/WES-FullSequencedRegion-GRCh38"
        }
      ],
      "regionsCalled" : [
        {
          🔗 "reference" : "DocumentReference/SimpleVariantAnalysis-called"
        }
      ],
      "output" : [
        {
          "file" : {
            🔗 "reference" : "DocumentReference/genomicVCFfile-simple"
          },
          "type" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/genomicstudy-dataformat",
                "code" : "vcf",
                "display" : "VCF"
              }
            ]
          }
        }
      ],
      "performer" : [
        {
          "actor" : {
            🔗 "reference" : "Practitioner/practitioner02"
          },
          "role" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code" : "PRF",
                "display" : "Performer"
              }
            ]
          }
        }
      ],
      "device" : [
        {
          "device" : {
            🔗 "reference" : "Device/triodenovo-software"
          }
        }
      ]
    },
    {
      "methodType" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/genomicstudy-methodtype",
              "code" : "deletion-duplication-analysis",
              "display" : "Deletion/duplication analysis"
            }
          ]
        }
      ],
      "changeType" : [
        {
          "coding" : [
            {
              "system" : "http://www.sequenceontology.org",
              "code" : "SO:0001019",
              "display" : "CNV"
            }
          ]
        }
      ],
      "genomeBuild" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "LA26806-2",
            "display" : "GRCh38"
          }
        ]
      },
      "instantiatesUri" : "https://pubmed.ncbi.nlm.nih.gov/33927380/",
      "focus" : [
        {
          🔗 "reference" : "Patient/genomicPatient"
        }
      ],
      "specimen" : [
        {
          🔗 "reference" : "Specimen/genomicSpecimen"
        }
      ],
      "date" : "2019-03-01T01:01:10-06:00",
      "note" : [
        {
          "text" : "For technical reasons, PIK3CB was deemed uncallable using this method."
        }
      ],
      "regionsStudied" : [
        {
          🔗 "reference" : "DocumentReference/WES-FullSequencedRegion-GRCh38"
        }
      ],
      "regionsCalled" : [
        {
          🔗 "reference" : "DocumentReference/CNVAnalysis-called"
        }
      ],
      "output" : [
        {
          "file" : {
            🔗 "reference" : "DocumentReference/genomicVCFfile-cnv"
          },
          "type" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/genomicstudy-dataformat",
                "code" : "vcf",
                "display" : "VCF"
              }
            ]
          }
        }
      ],
      "performer" : [
        {
          "actor" : {
            🔗 "reference" : "Practitioner/practitioner02"
          },
          "role" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code" : "PRF",
                "display" : "Performer"
              }
            ]
          }
        }
      ]
    }
  ]
}