Genomics Reporting Implementation Guide
4.0.0-cibuild - CI Build

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-cibuild 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

## : GenomicReportExample01 - XML Representation

Page standards status: Informative

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    <DiagnosticReport xmlns="http://hl7.org/fhir">
      <id value="GenomicReportExample01"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport GenomicReportExample01</b></p><a name="GenomicReportExample01"> </a><a name="hcGenomicReportExample01"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-genomic-report.html">Genomic Report</a></p></div><h2><span title="Codes:{http://loinc.org 51969-4}, {http://loinc.org 57979-7}">HLA-B*15:02 [Presence]</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span>) </h2><table class="grid"><tr><td>Subject</td><td>Adam B. Everyman  Male, DoB: 1951-01-20 ( Medical Record Number: m123 (use: usual, ))</td></tr><tr><td>When For</td><td>2016</td></tr><tr><td>Reported</td><td>2018-03-06 00:00:00-0500</td></tr><tr><td>Performer</td><td> <a href="Organization-ExampleOrg.html">Organization some lab</a></td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-TherapeuticImplicationExample1.html"><span title="Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}">Therapeutic Implication</span></a></td><td/><td>Final</td><td>2019-04-01</td></tr><tr><td><a href="Observation-GenotypeExample1.html"><span title="Codes:{http://loinc.org 84413-4}">Genotype display name</span></a></td><td><span title="Codes:{http://www.ncbi.nlm.nih.gov/clinvar 14909}">HLA-B*15:02</span></td><td>Final</td><td>2019-04-01</td></tr></table><p>Patient is positive for high risk allele HLA-B*15:02 and should not be treated with CBZ.</p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://loinc.org LA6576-8}">Positive</span></li></ul></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action">
        <valueReference>🔗
          <reference value="Task/MedicationRecommendationExample1"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact">
        <valueRelatedArtifact>
          <type value="citation"/>
          <url
               value="https://cpicpgx.org/guidelines/guideline-for-clopidogrel-and-cyp2c19"/>
        </valueRelatedArtifact>
      </extension>
      <basedOn>🔗
        <reference value="ServiceRequest/GenomicServiceRequestExample01"/>
      </basedOn>
      <status value="final"/>
      <category>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
          <code value="GE"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="51969-4"/>
        </coding>
        <coding>
          <system value="http://loinc.org"/>
          <code value="57979-7"/>
          <display value="HLA-B*15:02 [Presence]"/>
        </coding>
      </code>
      <subject>🔗
        <reference value="Patient/CGPatientExample01"/>
      </subject>
      <effectiveDateTime value="2016"/>
      <issued value="2018-03-06T00:00:00-05:00"/>
      <performer>🔗
        <reference value="Organization/ExampleOrg"/>
      </performer>
      <result>🔗
        <reference value="Observation/TherapeuticImplicationExample1"/>
        <display value="impact for high risk allele"/>
      </result>
      <result>🔗
        <reference value="Observation/GenotypeExample1"/>
      </result>
      <conclusion
                  value="Patient is positive for high risk allele HLA-B*15:02 and should not be treated with CBZ."/>
      <conclusionCode>
        <coding>
          <system value="http://loinc.org"/>
          <code value="LA6576-8"/>
          <display value="Positive"/>
        </coding>
      </conclusionCode>
    </DiagnosticReport>