GenomeX Data Exchange FHIR IG
0.2.0 - draft
GenomeX Data Exchange FHIR IG, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CodeX-HL7-FHIR-Accelerator/GenomeX-DataExchange/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ct-xG-bundle"/>
<meta>
<profile
value="http://mitre.org/gdx/StructureDefinition/gdx-genomics-somatic-bundle"/>
</meta>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
<resource>
<Patient>
<id value="ct-cancer-patient-C3PO"/>
<meta>
<profile
value="http://mitre.org/gdx/StructureDefinition/gdx-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_ct-cancer-patient-C3PO"> </a><p class="res-header-id"><b>Generated Narrative: Patient ct-cancer-patient-C3PO</b></p><a name="ct-cancer-patient-C3PO"> </a><a name="hcct-cancer-patient-C3PO"> </a><a name="ct-cancer-patient-C3PO-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">C3P0 Test Male, DoB: 1950-01-01 ( Medical Record Number: 123456789)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Patient external identifier/0754aeb3-dd9c-458a-9b06-2da7d62ejh7k (use: usual, )</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">987 Main St Anytown 12345 US </td></tr></table></div>
</text>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PT"/>
<display value="Patient external identifier"/>
</coding>
</type>
<system value="https://www.tempus.com"/>
<value value="0754aeb3-dd9c-458a-9b06-2da7d62ejh7k"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.example.org"/>
<value value="123456789"/>
</identifier>
<name>
<family value="Test"/>
<given value="C3P0"/>
</name>
<gender value="male"/>
<birthDate value="1950-01-01"/>
<address>
<line value="987 Main St"/>
<city value="Anytown"/>
<postalCode value="12345"/>
<country value="US"/>
</address>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:d90e9857-574a-4fc6-98c6-6d61d6e024cd"/>
<resource>
<DiagnosticReport>
<id value="gx-genomics-report-C3PO"/>
<meta>
<profile
value="http://mitre.org/gdx/StructureDefinition/gdx-genomic-report"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_gx-genomics-report-C3PO"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport gx-genomics-report-C3PO</b></p><a name="gx-genomics-report-C3PO"> </a><a name="hcgx-genomics-report-C3PO"> </a><a name="gx-genomics-report-C3PO-en-US"> </a><h2><span title="Codes:{http://loinc.org 51969-4}">Genetic analysis report</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span>, <span title="Codes:">DNA</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span>) </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2022-02-15 19:28:58+0500</td></tr><tr><td>Performer</td><td> <a href="Bundle-ct-xG-bundle.html#urn-uuid-aeea668a-a035-4963-9e56-249d735916a5">Bundle: type = transaction</a></td></tr><tr><td>Identifiers</td><td> Accession ID/TL-22-D3MTCAU4 Pipeline Version/3.9.3 Placer Identifier/d6eeedd1-92d3-45b9-bf33-6401e804425f</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td/><td/></tr><tr><td/><td/></tr><tr><td/><td/></tr><tr><td/><td/></tr><tr><td/><td/></tr><tr><td/><td/></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note">
<valueAnnotation>
<extension
url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/annotation-code">
<valueCodeableConcept>
<coding>
<code value="copyright"/>
</coding>
</valueCodeableConcept>
</extension>
<text value="(c) Copyright Tempus 2022. All Rights Reserved."/>
</valueAnnotation>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="ACSN"/>
<display value="Accession ID"/>
</coding>
</type>
<system value="https://www.tempus.com"/>
<value value="TL-22-D3MTCAU4"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="RI"/>
<display value="Pipeline Version"/>
</coding>
</type>
<system value="https://www.tempus.com"/>
<value value="3.9.3"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
<display value="Placer Identifier"/>
</coding>
</type>
<system value="https://www.tempus.com"/>
<value value="d6eeedd1-92d3-45b9-bf33-6401e804425f"/>
</identifier>
<basedOn>
<reference value="urn:uuid:150a3549-3114-4dea-bd1d-e24c036b2934"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<category>
<text value="DNA"/>
</category>
<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"/>
<display value="Genetic analysis report"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</subject>
<effectiveDateTime value="2022-02-15T19:28:58+05:00"/>
<performer>
<reference value="urn:uuid:aeea668a-a035-4963-9e56-249d735916a5"/>
</performer>
<resultsInterpreter>
<reference value="urn:uuid:26242dd9-b9c7-40cb-838c-7f5007fde86f"/>
</resultsInterpreter>
<specimen>
<reference value="urn:uuid:1a9edfe1-1620-4882-a81c-30c2f254f34f"/>
</specimen>
<result>
<reference value="urn:uuid:6320918e-f5da-41fa-9481-6b75c2a0d712"/>
</result>
<result>
<reference value="urn:uuid:92f37846-46db-41f2-b0f5-edd46b61880a"/>
</result>
<result>
<reference value="urn:uuid:5a506248-dad9-441e-b898-6fd4be77974b"/>
</result>
<result>
<reference value="urn:uuid:e44b5631-a39a-43c6-b189-de68720d66fa"/>
</result>
<result>
<reference value="urn:uuid:33a4f8bb-eae5-4927-b20b-5915cbd862ab"/>
</result>
<result>
<reference value="urn:uuid:82a8b9db-a68e-4e06-897e-77ed3ea5aced"/>
</result>
</DiagnosticReport>
</resource>
<request>
<method value="POST"/>
<url value="DiagnosticReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:150a3549-3114-4dea-bd1d-e24c036b2934"/>
<resource>
<ServiceRequest>
<id value="ct-xG-ServiceRequest"/>
<meta>
<profile
value="http://mitre.org/gdx/StructureDefinition/gdx-service-request"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_ct-xG-ServiceRequest"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest ct-xG-ServiceRequest</b></p><a name="ct-xG-ServiceRequest"> </a><a name="hcct-xG-ServiceRequest"> </a><a name="ct-xG-ServiceRequest-en-US"> </a><p><b>identifier</b>: Filler Identifier/22hosvx</p><p><b>requisition</b>: Accession ID/TL-24-D3MTCAH8</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{https://www.tempus.com xG.V4}">CancerNext</span></p><p><b>subject</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-43e09316-c616-4b23-81df-e546d2b95c41">Bundle: type = transaction</a></p><p><b>requester</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-775af36d-3c44-4647-b120-5d5a6b490a1e">Bundle: type = transaction</a></p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm C24.0}">^Malignant neoplasm of extrahepatic bile duct</span></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
</type>
<system value="https://www.tempus.com"/>
<value value="22hosvx"/>
</identifier>
<requisition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="ACSN"/>
<display value="Accession ID"/>
</coding>
</type>
<system value="https://www.tempus.com"/>
<value value="TL-24-D3MTCAH8"/>
</requisition>
<status value="completed"/>
<intent value="order"/>
<code>
<coding>
<system value="https://www.tempus.com"/>
<code value="xG.V4"/>
<display value="CancerNext"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</subject>
<requester>
<reference value="urn:uuid:775af36d-3c44-4647-b120-5d5a6b490a1e"/>
</requester>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="C24.0"/>
<display value="^Malignant neoplasm of extrahepatic bile duct"/>
</coding>
</reasonCode>
</ServiceRequest>
</resource>
<request>
<method value="POST"/>
<url value="ServiceRequest"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:775af36d-3c44-4647-b120-5d5a6b490a1e"/>
<resource>
<Practitioner>
<id value="ct-xG-practitioner"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_ct-xG-practitioner"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner ct-xG-practitioner</b></p><a name="ct-xG-practitioner"> </a><a name="hcct-xG-practitioner"> </a><a name="ct-xG-practitioner-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/9988776345</p><p><b>name</b>: Luke Skywalker </p><p><b>address</b>: 600 Chicago Drive Everywhere TX 16789 US (work)</p><p><b>gender</b>: Male</p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}">Doctor of Medicine</span></td></tr></table></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9988776345"/>
</identifier>
<name>
<family value="Skywalker"/>
<given value="Luke"/>
</name>
<address>
<use value="work"/>
<line value="600 Chicago Drive"/>
<city value="Everywhere"/>
<state value="TX"/>
<postalCode value="16789"/>
<country value="US"/>
</address>
<gender value="male"/>
<qualification>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
<version value="2.7"/>
<code value="MD"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:eb4e82bd-2162-4b01-bfd7-19bac0828abe"/>
<resource>
<PractitionerRole>
<id value="ct-genomic-practitionerRole"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_ct-genomic-practitionerRole"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole ct-genomic-practitionerRole</b></p><a name="ct-genomic-practitionerRole"> </a><a name="hcct-genomic-practitionerRole"> </a><a name="ct-genomic-practitionerRole-en-US"> </a><p><b>practitioner</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-775af36d-3c44-4647-b120-5d5a6b490a1e">Bundle: type = transaction</a></p><p><b>organization</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-19fc189e-7287-4a4b-bf1c-1ab222bbfe3d">Bundle: type = transaction</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:775af36d-3c44-4647-b120-5d5a6b490a1e"/>
</practitioner>
<organization>
<reference value="urn:uuid:19fc189e-7287-4a4b-bf1c-1ab222bbfe3d"/>
</organization>
</PractitionerRole>
</resource>
<request>
<method value="POST"/>
<url value="PractitionerRole"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:19fc189e-7287-4a4b-bf1c-1ab222bbfe3d"/>
<resource>
<Organization>
<id value="ct-ordering-organization"/>
<meta>
<profile
value="http://mitre.org/gdx/StructureDefinition/gdx-lab-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ct-ordering-organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization ct-ordering-organization</b></p><a name="ct-ordering-organization"> </a><a name="hcct-ordering-organization"> </a><a name="ct-ordering-organization-en-US"> </a><p><b>identifier</b>: <code>http://example.emr.com/organization</code>/12345</p><p><b>active</b>: true</p><p><b>name</b>: TriHealth Cancer Institute - Cincinnati</p><p><b>address</b>: 1234 Brooks River Cincinnati OH 11111-1111 (work)</p><p><b>partOf</b>: Identifier: Oncology Group</p><h3>Contacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td></tr><tr><td style="display: none">*</td><td>Steve Jobs </td></tr></table></div>
</text>
<identifier>
<system value="http://example.emr.com/organization"/>
<value value="12345"/>
</identifier>
<active value="true"/>
<name value="TriHealth Cancer Institute - Cincinnati"/>
<address>
<use value="work"/>
<line value="1234 Brooks River"/>
<city value="Cincinnati"/>
<state value="OH"/>
<postalCode value="11111-1111"/>
</address>
<partOf>
<identifier>
<value value="Oncology Group"/>
</identifier>
</partOf>
<contact>
<name>
<family value="Jobs"/>
<given value="Steve"/>
</name>
</contact>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aeea668a-a035-4963-9e56-249d735916a5"/>
<resource>
<Organization>
<id value="ct-organization-tempus-inc"/>
<meta>
<profile
value="http://mitre.org/gdx/StructureDefinition/gdx-lab-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ct-organization-tempus-inc"> </a><p class="res-header-id"><b>Generated Narrative: Organization ct-organization-tempus-inc</b></p><a name="ct-organization-tempus-inc"> </a><a name="hcct-organization-tempus-inc"> </a><a name="ct-organization-tempus-inc-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-CLIA.html" title=""The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 330,000 laboratory entities. The Division of Clinical Laboratory Improvement & Quality, within the Quality, Safety & Oversight Group, under the Center for Clinical Standards and Quality (CCSQ) has the responsibility for implementing the CLIA Program.
The objective of the CLIA program is to ensure quality laboratory testing. Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities."
CMS CLIA certified laboratories will be assigned a10-digit alphanumeric CLIA identification number, with the "D" in the third position identifying the provider/supplier as a laboratory certified under CLIA."
CLIA is maintained by CMS. It is in the public domain and free to use without restriction.
See http://cms.gov/regulations-and-guidance/legislation/clia.">Clinical Laboratory Improvement Amendments</a>/14D2114007</p><p><b>active</b>: true</p><p><b>name</b>: Tempus Labs, Inc</p><p><b>telecom</b>: <a href="mailto:support@tempus.com">support@tempus.com</a></p><p><b>address</b>: 600 W Chicago Avenue, Ste 510 Chicago IL 60654 USA </p><h3>Contacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td></tr><tr><td style="display: none">*</td><td>Nike Beaubier, M,FCAP,MGAP</td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.4.7"/>
<value value="14D2114007"/>
</identifier>
<active value="true"/>
<name value="Tempus Labs, Inc"/>
<telecom>
<system value="email"/>
<value value="support@tempus.com"/>
</telecom>
<address>
<line value="600 W Chicago Avenue, Ste 510"/>
<city value="Chicago"/>
<state value="IL"/>
<postalCode value="60654"/>
<country value="USA"/>
</address>
<contact>
<name>
<text value="Nike Beaubier, M,FCAP,MGAP"/>
</name>
</contact>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:26242dd9-b9c7-40cb-838c-7f5007fde86f"/>
<resource>
<Practitioner>
<id value="Inline-Instance-for-ct-xG-bundle-1"/>
<meta>
<lastUpdated value="2023-10-02T07:03:06.120689+00:00"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_Inline-Instance-for-ct-xG-bundle-1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner Inline-Instance-for-ct-xG-bundle-1</b></p><a name="Inline-Instance-for-ct-xG-bundle-1"> </a><a name="hcInline-Instance-for-ct-xG-bundle-1"> </a><a name="Inline-Instance-for-ct-xG-bundle-1-en-US"> </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">Last updated: 2023-10-02 07:03:06+0000</p><p style="margin-bottom: 0px">Profile: <code>http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner</code></p></div><p><b>identifier</b>: <code>http://www.acme.com/identifiers/patient</code>/123456</p><p><b>name</b>: Test Pathologist </p></div>
</text>
<identifier>
<system value="http://www.acme.com/identifiers/patient"/>
<value value="123456"/>
</identifier>
<name>
<family value="Pathologist"/>
<given value="Test"/>
</name>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:1a9edfe1-1620-4882-a81c-30c2f254f34f"/>
<resource>
<Specimen>
<id value="Inline-Instance-for-ct-xG-bundle-2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_Inline-Instance-for-ct-xG-bundle-2"> </a><p class="res-header-id"><b>Generated Narrative: Specimen Inline-Instance-for-ct-xG-bundle-2</b></p><a name="Inline-Instance-for-ct-xG-bundle-2"> </a><a name="hcInline-Instance-for-ct-xG-bundle-2"> </a><a name="Inline-Instance-for-ct-xG-bundle-2-en-US"> </a><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0487 Whole blood}">Whole blood</span></p><p><b>subject</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-43e09316-c616-4b23-81df-e546d2b95c41">Bundle: type = transaction</a></p><p><b>receivedTime</b>: 2022-02-11 11:00:00+0500</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2022-02-06 05:00:00+0500</td></tr></table></div>
</text>
<status value="available"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0487"/>
<code value="Whole blood"/>
<display value="Whole blood"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</subject>
<receivedTime value="2022-02-11T11:00:00+05:00"/>
<collection>
<collectedDateTime value="2022-02-06T05:00:00+05:00"/>
</collection>
</Specimen>
</resource>
<request>
<method value="POST"/>
<url value="Specimen"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:82a8b9db-a68e-4e06-897e-77ed3ea5aced"/>
<resource>
<Observation>
<id value="ct-xG-OverallInterpretation"/>
<text>
<status value="generated"/>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ct-diagnostic-implication-2"> </a><p class="res-header-id"><b>Generated Narrative: Observation ct-diagnostic-implication-2</b></p><a name="ct-diagnostic-implication-2"> </a><a name="hcct-diagnostic-implication-2"> </a><a name="ct-diagnostic-implication-2-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}">Diagnostic Implication</span></p><p><b>subject</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-43e09316-c616-4b23-81df-e546d2b95c41">Bundle: type = transaction</a></p><p><b>effective</b>: 2019-04-01</p><p><b>derivedFrom</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-92f37846-46db-41f2-b0f5-edd46b61880a">Bundle: type = transaction</a></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 53037-8}">Genetic variation clinical significance [Imp]</span></td><td><span title="Codes:{http://loinc.org LA26332-9}">Likely Pathogenic</span></td></tr></table></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs"/>
<code value="diagnostic-implication"/>
<display value="Diagnostic Implication"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</subject>
<effectiveDateTime value="2019-04-01"/>
<derivedFrom>
<reference value="urn:uuid:92f37846-46db-41f2-b0f5-edd46b61880a"/>
</derivedFrom>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="53037-8"/>
<display value="Genetic variation clinical significance [Imp]"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA26332-9"/>
<display value="Likely Pathogenic"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:33a4f8bb-eae5-4927-b20b-5915cbd862ab"/>
<resource>
<Observation>
<id value="ct-OverallInterp"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ct-OverallInterp"> </a><p class="res-header-id"><b>Generated Narrative: Observation ct-OverallInterp</b></p><a name="ct-OverallInterp"> </a><a name="hcct-OverallInterp"> </a><a name="ct-OverallInterp-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 51968-6}">Discrete variation analysis overall interpretation</span></p><p><b>subject</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-43e09316-c616-4b23-81df-e546d2b95c41">Bundle: type = transaction</a></p><p><b>effective</b>: 2019-04-01</p><p><b>performer</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-aeea668a-a035-4963-9e56-249d735916a5">Bundle: type = transaction</a></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6576-8}">Positive</span></p><p><b>specimen</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-1a9edfe1-1620-4882-a81c-30c2f254f34f">Bundle: type = transaction</a></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<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="51968-6"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</subject>
<effectiveDateTime value="2019-04-01"/>
<performer>
<reference value="urn:uuid:aeea668a-a035-4963-9e56-249d735916a5"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA6576-8"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
<specimen>
<reference value="urn:uuid:1a9edfe1-1620-4882-a81c-30c2f254f34f"/>
</specimen>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:c5s0f176-e402-4eaf-989c-959e80d91a11"/>
<resource>
<DocumentReference>
<id value="ct-xT-GeneList3"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-data-file"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_ct-xT-GeneList3"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference ct-xT-GeneList3</b></p><a name="ct-xT-GeneList3"> </a><a name="hcct-xT-GeneList3"> </a><a name="ct-xT-GeneList3-en-US"> </a><p><b>identifier</b>: <code>https://www.tempus.com</code>/11120</p><p><b>status</b>: Current</p><p><b>docStatus</b>: Preliminary</p><p><b>description</b>: Gene List</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td><a href="https://edge-api-demo.stagingtempus.com/fhir/R4/static/Gene_List_1.json">https://edge-api-demo.stagingtempus.com/fhir/R4/static/Gene_List_1.json</a></td><td>GeneList</td><td>2019-03-01 01:02:01+0100</td></tr></table></blockquote></div>
</text>
<identifier>
<system value="https://www.tempus.com"/>
<value value="11120"/>
</identifier>
<status value="current"/>
<docStatus value="preliminary"/>
<description value="Gene List"/>
<content>
<attachment>
<url
value="https://edge-api-demo.stagingtempus.com/fhir/R4/static/Gene_List_1.json"/>
<title value="GeneList"/>
<creation value="2019-03-01T01:02:01+01:00"/>
</attachment>
</content>
</DocumentReference>
</resource>
<request>
<method value="POST"/>
<url value="DocumentReference"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:22263097-6033-41af-9f6a-d7b012e27bbb"/>
<resource>
<Procedure>
<id value="ct-xT-genomicStudyAnalysis8"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_ct-xT-genomicStudyAnalysis8"> </a><p class="res-header-id"><b>Generated Narrative: Procedure ct-xT-genomicStudyAnalysis8</b></p><a name="ct-xT-genomicStudyAnalysis8"> </a><a name="hcct-xT-genomicStudyAnalysis8"> </a><a name="ct-xT-genomicStudyAnalysis8-en-US"> </a><blockquote><p><b>Genomic Study Analysis Regions</b></p><ul><li>studied: <a href="Bundle-ct-xG-bundle.html#urn-uuid-c5s0f176-e402-4eaf-989c-959e80d91a11">Bundle: type = transaction</a></li></ul></blockquote><p><b>Genomic Study Analysis Specimen</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-1a9edfe1-1620-4882-a81c-30c2f254f34f">Bundle: type = transaction</a></p><p><b>Genomic Study Analysis Focus</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-43e09316-c616-4b23-81df-e546d2b95c41">Bundle: type = transaction</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>subject</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-43e09316-c616-4b23-81df-e546d2b95c41">Bundle: type = transaction</a></p><p><b>performed</b>: 2023-02-02 01:01:10-0600</p></div>
</text>
<extension
url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-regions">
<extension url="studied">
<valueReference>
<reference
value="urn:uuid:c5s0f176-e402-4eaf-989c-959e80d91a11"/>
</valueReference>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-specimen">
<valueReference>
<reference value="urn:uuid:1a9edfe1-1620-4882-a81c-30c2f254f34f"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-focus">
<valueReference>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</valueReference>
</extension>
<status value="completed"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<subject>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</subject>
<performedDateTime value="2023-02-02T01:01:10-06:00"/>
</Procedure>
</resource>
<request>
<method value="POST"/>
<url value="Procedure"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:88f2715b-10ea-42ae-a3a2-185b14e6e666"/>
<resource>
<Procedure>
<id value="ct-xT-genomicStudy-9"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_ct-xT-genomicStudy-9"> </a><p class="res-header-id"><b>Generated Narrative: Procedure ct-xT-genomicStudy-9</b></p><a name="ct-xT-genomicStudy-9"> </a><a name="hcct-xT-genomicStudy-9"> </a><a name="ct-xT-genomicStudy-9-en-US"> </a><p><b>Genomic Study Analysis Extension</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-22263097-6033-41af-9f6a-d7b012e27bbb">Bundle: type = transaction</a></p><p><b>basedOn</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-150a3549-3114-4dea-bd1d-e24c036b2934">Bundle: type = transaction</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:">xT panel</span></p><p><b>subject</b>: <a href="Bundle-ct-xG-bundle.html#urn-uuid-43e09316-c616-4b23-81df-e546d2b95c41">Bundle: type = transaction</a></p><p><b>performed</b>: 2023-08-09</p></div>
</text>
<extension
url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-study-analysis-ext">
<valueReference>
<reference value="urn:uuid:22263097-6033-41af-9f6a-d7b012e27bbb"/>
</valueReference>
</extension>
<basedOn>
<reference value="urn:uuid:150a3549-3114-4dea-bd1d-e24c036b2934"/>
</basedOn>
<status value="completed"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<text value="xT panel"/>
</code>
<subject>
<reference value="urn:uuid:43e09316-c616-4b23-81df-e546d2b95c41"/>
</subject>
<performedDateTime value="2023-08-09"/>
</Procedure>
</resource>
<request>
<method value="POST"/>
<url value="Procedure"/>
</request>
</entry>
</Bundle>