bundle-oncologyexamples-r4
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node role: treeRoot
id:
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type:
  v: transaction
entry:
  request:
    method:
      v: POST
    url:
      v: Patient
      l: Patient
entry:
  request:
    method:
      v: POST
    url:
      v: Practitioner
      l: Practitioner
entry:
  request:
    method:
      v: POST
    url:
      v: Specimen
      l: Specimen
entry:
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    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
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      v: Observation
      l: Observation
entry:
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entry:
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      v: POST
    url:
      v: DiagnosticReport
      l: DiagnosticReport

urn:…
type: Patient
id:
  v: Inline-Instance-for-oncologyexamples-r4-1
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient Inline-Instance-for-oncologyexamples-r4-1 Carrot John Mr Male, DoB: 1962-12-31 ( 1007) Links: General Practitioner: Practitioner Akerman Philip Prof
identifier:
  value:
    v: 1007
name:
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    v: Carrot
  given:
    v: John
  given:
    v: Mr
gender:
  v: male
birth date:
  v: 1962-12-31

urn:…
type: Practitioner
id:
  v: Inline-Instance-for-oncologyexamples-r4-2
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Inline-Instance-for-oncologyexamples-r4-2 identifier: 4654765876 name: Akerman Philip Prof address: Castro Valley CA
identifier:
  value:
    v: 4654765876
name:
  given:
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  given:
    v: Philip
  given:
    v: Prof
address:
  city:
    v: Castro Valley
  state:
    v: CA

urn:…
type: Specimen
id:
  v: Inline-Instance-for-oncologyexamples-r4-3
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Specimen Inline-Instance-for-oncologyexamples-r4-3 identifier: 076e1948-2217-11e9-94d8-12e241dc1f66 status: Available subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) Collections - Collector * Practitioner Akerman Philip Prof
status:
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urn:…
type: Observation
id:
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meta:
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    l: molecular-biomarker
text:
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    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-4 Profile: Molecular Biomarker status: Final category: Laboratory, Biomarker Category, Genetics code: Mutations/Megabase [# Ratio] in Tumor subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof value: 25 somatic variants per megabase of sequenced DNA (Details: UCUM code1/1000000 = '1/1000000') specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available Components - Code Value[x] * Biomarker Category molecular sequence adjacent category
status:
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category:
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      l: observation-category
    code:
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  coding:
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      l: tbd-codes-cs
    code:
      v: biomarker-category
category:
  coding:
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      l: v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/94076-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 94076-7
    display:
      v: Mutations/Megabase [# Ratio] in Tumor
effective: DateTime
  v: 2023-04-05
value: Quantity
  value:
    v: 25
  unit:
    v: somatic variants per megabase of sequenced DNA
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: 1/1000000
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    coding:
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        l: tbd-codes-cs
      code:
        v: biomarker-category
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/molecular-biomarker-ontology-cs
        l: molecular-biomarker-ontology-cs
      code:
        v: molgen
      display:
        v: molecular sequence adjacent category

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-5
meta:
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    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/molecular-biomarker
    l: molecular-biomarker
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-5 Profile: Molecular Biomarker status: Final category: Laboratory, Biomarker Category, Genetics code: Microsatellite instability [Interpretation] in Cancer specimen Qualitative subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof value: Stable specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available Components - Code Value[x] * Biomarker Category molecular sequence adjacent category
status:
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category:
  coding:
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      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
      l: tbd-codes-cs
    code:
      v: biomarker-category
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/81695-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 81695-9
    display:
      v: Microsatellite instability [Interpretation] in Cancer specimen Qualitative
effective: DateTime
  v: 2023-04-05
value: CodeableConcept
  coding: LA14122-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA14122-8
    display:
      v: Stable
component:
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    coding:
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        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
        l: tbd-codes-cs
      code:
        v: biomarker-category
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/molecular-biomarker-ontology-cs
        l: molecular-biomarker-ontology-cs
      code:
        v: molgen
      display:
        v: molecular sequence adjacent category

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-6
meta:
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    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant
    l: variant
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-6 Profile: Variant status: Final category: Laboratory, Genetics code: Genetic variant assessment subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof value: Present method: Sequencing specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available component code: Genomic DNA change (gHGVS) value: T}">NC_000009.12:g.5073770G>T component code: Amino acid change (pHGVS) value: NP_004963.1:p.Val617Phe component code: Genomic source class value: Germline component code: Gene studied ID value: JAK2
status:
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      l: observation-category
    code:
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  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
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code:
  coding: https://loinc.org/rdf/69548-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69548-6
    display:
      v: Genetic variant assessment
effective: DateTime
  v: 2023-04-05
value: CodeableConcept
  coding: LA9633-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA9633-4
    display:
      v: Present
method:
  coding: LA26398-0
    system:
      v: http://loinc.org
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    display:
      v: Sequencing
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    coding: https://loinc.org/rdf/81290-9
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 81290-9
      display:
        v: Genomic DNA change (gHGVS)
  value: CodeableConcept
    coding:
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        v: http://varnomen.hgvs.org
        l: varnomen.hgvs.org
      code:
        v: NC_000009.12:g.5073770G>T
      display:
        v: NC_000009.12:g.5073770G>T
component:
  code:
    coding: https://loinc.org/rdf/48005-3
      system:
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        l: loinc.org
      code:
        v: 48005-3
      display:
        v: Amino acid change (pHGVS)
  value: CodeableConcept
    coding:
      system:
        v: http://varnomen.hgvs.org
        l: varnomen.hgvs.org
      code:
        v: NP_004963.1:p.Val617Phe
      display:
        v: NP_004963.1:p.Val617Phe
component:
  code:
    coding: https://loinc.org/rdf/48002-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
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      display:
        v: Genomic source class
  value: CodeableConcept
    coding: LA6683-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
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      display:
        v: Germline
component:
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    coding: https://loinc.org/rdf/48018-6
      system:
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        l: loinc.org
      code:
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      display:
        v: Gene studied ID
  value: CodeableConcept
    coding:
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        v: http://www.genenames.org
        l: www.genenames.org
      code:
        v: JAK2
      display:
        v: JAK2

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-7
meta:
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    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant
    l: variant
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-7 Profile: Variant status: Final category: Laboratory, Genetics code: Genetic variant assessment subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof value: Present method: Sequencing specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available component code: Genomic DNA change (gHGVS) value: A}">NC_000004.11:g.55972974T>A component code: Amino acid change (pHGVS) value: NP_002244.1:p.Gln472His component code: Genomic source class value: Germline component code: Gene studied ID value: KDR
status:
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      l: v2-0074
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code:
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    system:
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      l: loinc.org
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effective: DateTime
  v: 2023-04-05
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        v: Genomic DNA change (gHGVS)
  value: CodeableConcept
    coding:
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        l: varnomen.hgvs.org
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        v: NC_000004.11:g.55972974T>A
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    coding: LA6683-2
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        l: loinc.org
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    coding:
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        l: www.genenames.org
      code:
        v: KDR
      display:
        v: KDR

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-8
meta:
  profile:
    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant
    l: variant
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-8 Profile: Variant status: Final category: Laboratory, Genetics code: Genetic variant assessment subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof value: Present method: Sequencing specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available component code: Genomic DNA change (gHGVS) value: NC_000002.12:g.211713666_211713668del component code: Genomic source class value: Germline component code: Gene studied ID value: ERBB4
status:
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      l: loinc.org
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effective: DateTime
  v: 2023-04-05
value: CodeableConcept
  coding: LA9633-4
    system:
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    coding: LA6683-2
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urn:…
type: Observation
id:
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meta:
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    l: therapeutic-implication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-9 Profile: Therapeutic Implication status: Final category: Laboratory, Genetics code: Therapeutic Implication subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof method: Computational analysis specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available derivedFrom: Observation Genetic variant assessment component code: Therapeutic Implication value: Responsive component code: Level of Evidence value: Very strong evidence pathogenic component code: Associated phenotype value: Polycythemia vera (PV) component code: Medication assessed value: Ruxolitinib
status:
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      l: v2-0074
    code:
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code:
  coding:
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      v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
      l: tbd-codes-cs
    code:
      v: therapeutic-implication
    display:
      v: Therapeutic Implication
effective: DateTime
  v: 2023-04-05
method:
  coding: LA26811-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA26811-2
    display:
      v: Computational analysis
component:
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    coding:
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        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
        l: tbd-codes-cs
      code:
        v: therapeutic-implication
  value: CodeableConcept
    coding: LA6677-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA6677-4
      display:
        v: Responsive
component:
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    coding: https://loinc.org/rdf/93044-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 93044-6
      display:
        v: Level of Evidence
  value: CodeableConcept
    coding: LA30200-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30200-2
      display:
        v: Very strong evidence pathogenic
component:
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    coding: https://loinc.org/rdf/81259-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 81259-4
  value: CodeableConcept
    text:
      v: Polycythemia vera (PV)
component:
  code:
    coding: https://loinc.org/rdf/51963-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
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      display:
        v: Medication assessed
  value: CodeableConcept
    text:
      v: Ruxolitinib

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-10
meta:
  profile:
    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication
    l: therapeutic-implication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-10 Profile: Therapeutic Implication status: Final category: Laboratory, Genetics code: Therapeutic Implication subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof method: Computational analysis specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available derivedFrom: Observation Genetic variant assessment component code: Therapeutic Implication value: Responsive component code: Level of Evidence value: Very strong evidence pathogenic component code: Associated phenotype value: Polycythemia vera (PV) component code: Medication assessed value: AT9283
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effective: DateTime
  v: 2023-04-05
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        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
        l: tbd-codes-cs
      code:
        v: therapeutic-implication
  value: CodeableConcept
    coding: LA6677-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA6677-4
      display:
        v: Responsive
component:
  code:
    coding: https://loinc.org/rdf/93044-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 93044-6
      display:
        v: Level of Evidence
  value: CodeableConcept
    coding: LA30200-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30200-2
      display:
        v: Very strong evidence pathogenic
component:
  code:
    coding: https://loinc.org/rdf/81259-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 81259-4
  value: CodeableConcept
    text:
      v: Polycythemia vera (PV)
component:
  code:
    coding: https://loinc.org/rdf/51963-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51963-7
      display:
        v: Medication assessed
  value: CodeableConcept
    text:
      v: AT9283

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-11
meta:
  profile:
    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication
    l: therapeutic-implication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-11 Profile: Therapeutic Implication status: Final category: Laboratory, Genetics code: Therapeutic Implication subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof method: Computational analysis specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available derivedFrom: Observation Genetic variant assessment component code: Therapeutic Implication value: Responsive component code: Level of Evidence value: Very strong evidence pathogenic component code: Associated phenotype value: Polycythemia vera (PV) component code: Medication assessed value: SNX-5422
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding:
    system:
      v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
      l: tbd-codes-cs
    code:
      v: therapeutic-implication
    display:
      v: Therapeutic Implication
effective: DateTime
  v: 2023-04-05
method:
  coding: LA26811-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA26811-2
    display:
      v: Computational analysis
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
        l: tbd-codes-cs
      code:
        v: therapeutic-implication
  value: CodeableConcept
    coding: LA6677-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA6677-4
      display:
        v: Responsive
component:
  code:
    coding: https://loinc.org/rdf/93044-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
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      display:
        v: Level of Evidence
  value: CodeableConcept
    coding: LA30200-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30200-2
      display:
        v: Very strong evidence pathogenic
component:
  code:
    coding: https://loinc.org/rdf/81259-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 81259-4
  value: CodeableConcept
    text:
      v: Polycythemia vera (PV)
component:
  code:
    coding: https://loinc.org/rdf/51963-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51963-7
      display:
        v: Medication assessed
  value: CodeableConcept
    text:
      v: SNX-5422

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-12
meta:
  profile:
    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication
    l: therapeutic-implication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-12 Profile: Therapeutic Implication status: Final category: Laboratory, Genetics code: Therapeutic Implication subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof method: Computational analysis specimen: Specimen: identifier = 076e1948-2217-11e9-94d8-12e241dc1f66; status = available derivedFrom: Observation Genetic variant assessment component code: Therapeutic Implication value: Responsive component code: Level of Evidence value: Very strong evidence pathogenic component code: Associated phenotype value: Polycythemia vera (PV) component code: Medication assessed value: TG02
status:
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category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding:
    system:
      v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
      l: tbd-codes-cs
    code:
      v: therapeutic-implication
    display:
      v: Therapeutic Implication
effective: DateTime
  v: 2023-04-05
method:
  coding: LA26811-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA26811-2
    display:
      v: Computational analysis
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
        l: tbd-codes-cs
      code:
        v: therapeutic-implication
  value: CodeableConcept
    coding: LA6677-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA6677-4
      display:
        v: Responsive
component:
  code:
    coding: https://loinc.org/rdf/93044-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 93044-6
      display:
        v: Level of Evidence
  value: CodeableConcept
    coding: LA30200-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30200-2
      display:
        v: Very strong evidence pathogenic
component:
  code:
    coding: https://loinc.org/rdf/81259-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 81259-4
  value: CodeableConcept
    text:
      v: Polycythemia vera (PV)
component:
  code:
    coding: https://loinc.org/rdf/51963-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51963-7
      display:
        v: Medication assessed
  value: CodeableConcept
    text:
      v: TG02

urn:…
type: Observation
id:
  v: Inline-Instance-for-oncologyexamples-r4-14
meta:
  profile:
    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication
    l: therapeutic-implication
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-14 Profile: Therapeutic Implication status: Final category: Laboratory, Genetics code: Therapeutic Implication subject: Carrot John Mr Male, DoB: 1962-12-31 ( 1007) effective: 2023-04-05 performer: Practitioner Akerman Philip Prof derivedFrom: Observation Genetic variant assessment Components - Extension Code Value[x] * Associated Therapy Ruxolitinib Exception generating Narrative: Error in template: Root element is not 'div'
contained: PlanDefinition
  id:
    v: PlanDefRuxolitinib
  name:
    v: RuxolitinibPlan
  status:
    v: draft
  description:
    v: This is not a fully defined resource, just here as a place holder to show how a PlanDefinition could be packaged.
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding:
    system:
      v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
      l: tbd-codes-cs
    code:
      v: therapeutic-implication
    display:
      v: Therapeutic Implication
effective: DateTime
  v: 2023-04-05
component:
  extension:
    url:
      v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapy-assessed-reference
      l: therapy-assessed-reference
    value: Reference
      l: PlanDefRuxolitinib
      reference:
        v: #PlanDefRuxolitinib
  code:
    coding:
      system:
        v: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs
        l: tbd-codes-cs
      code:
        v: associated-therapy
  value: CodeableConcept
    text:
      v: Ruxolitinib

urn:…
type: DiagnosticReport
id:
  v: Inline-Instance-for-oncologyexamples-r4-13
meta:
  profile:
    v: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report
    l: genomic-report
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DiagnosticReport Inline-Instance-for-oncologyexamples-r4-13 Profile: Genomic Report Genetic analysis report (Genetics) Subject Carrot John Mr Male, DoB: 1962-12-31 ( 1007) Performer Practitioner Akerman Philip Prof Report Details Code Value Flags When For Reported Genetic variant assessment Present Final 2019-03-05 2019-03-05 16:04:44+0000 Genetic variant assessment Present Final 2023-05-01 Genetic variant assessment Present Final 2023-05-01 Mutations/Megabase [# Ratio] in Tumor 25 Mutations/Megabase (Details: UCUM code1/1000000 = '1/1000000') Final 2019-03-05 Microsatellite instability [Interpretation] in Cancer specimen Qualitative Stable Final 2023-05-01 Diagnostic Implication Final 2019-03-05 Therapeutic Implication Final 2023-05-01 Therapeutic Implication Final 2023-05-01 Therapeutic Implication Final 2023-05-01
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/51969-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 51969-4
  text:
    v: Genetic analysis report
result:
  display:
    v: SNV analysis for JAK2 variant
result:
  display:
    v: SNV analysis for KDR variant
result:
  display:
    v: SNV analysis for ERBB4 variant
result:
  display:
    v: TMB value analysis
result:
  display:
    v: MSI status analysis
result:
  display:
    v: Therapy match result 1
result:
  display:
    v: Therapy match result 2
result:
  display:
    v: Therapy match result 3
result:
  display:
    v: Therapy match result 4