Clinical Genomics Resource Incubator
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Clinical Genomics Resource Incubator, published by HL7 International / Clinical Genomics. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cg-incubator/ and changes regularly. See the Directory of published versions

: Genomic Study Example

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/GenomicStudy/example> a fhir:GenomicStudy ;
  fhir:resourceDefinition http://hl7.org/fhir/StructureDefinition/GenomicStudy|0.1.0-ci-build ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example"] ; # from Resource: id, meta, implicitRules, and language
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: GenomicStudy example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><p><b>identifier</b>: <code>http://example.org/identifiers/genomicstudies</code>/urn:uuid:1111-1111-1111-1111 (use: temp, )</p><p><b>status</b>: Unknown</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-type fam-var-segr}\">Familial variant segregation</span></p><p><b>subject</b>: <a href=\"Patient-denovoChild.html\">Child Junior Doe (official) Unknown, DoB: 2021-01-01 ( Medical record number: 11111 (use: temp, period: 2021-01-01 --&gt; (ongoing)))</a></p><p><b>encounter</b>: <a href=\"Encounter-denovoEncounter.html\">Encounter: status = in-progress; class = inpatient encounter</a></p><p><b>startDate</b>: 2021-01-01</p><p><b>basedOn</b>: <a href=\"ServiceRequest-genomicServiceRequest.html\">ServiceRequest Carrier detection, molecular genetics (procedure)</a></p><p><b>referrer</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner John Doel </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 267431006}\">Disorder of lipid metabolism (disorder)</span></td></tr></table><p><b>note</b>: </p><blockquote><div><p>This de novo mutation is urgent and important for establishing the treatment plan.</p>\n</div></blockquote><p><b>description</b>: </p><div><p>De novo mutation study of the patient.</p>\n</div><blockquote><p><b>analysis</b></p><p><b>identifier</b>: <code>http://example.org/identifiers/genomicAnalyses</code>/urn:uuid:1111-1111-1111-1111 (use: temp, )</p><p><b>genomicSourceClass</b>: <span title=\"Codes:{http://loinc.org LA6683-2}\">Germline</span></p><p><b>title</b>: Proband Sequence Variation Detection Using Next Generation Sequencing</p><p><b>specimen</b>: <a href=\"Specimen-denovo-1.html\">Specimen: identifier = http://example.org/identifiers/specimens#1; status = available; type = Venous blood specimen; receivedTime = 2021-01-01 01:01:01+0000</a></p><p><b>date</b>: 2021-01-01 01:01:10-0600</p><p><b>note</b>: </p><blockquote><div><p>This is a next generation sequencing analysis of a proband.</p>\n</div></blockquote><h3>Inputs</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-genomicFile1.html\">DocumentReference: identifier = http://example.org/identifiers/files#11111; status = current; docStatus = preliminary; description = A sample Document Reference instance representing a generic genomic file that may ber used as input or output of a genomic analysis pipeline.</a></td><td><span title=\"Codes:{http://hl7.org/fhir/uv/cg-incubator/CodeSystem/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><td><b>Function</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Device-NGS-device.html\">Device: identifier = http://example.org/identifiers/devices#11111; status = active; manufacturer = Illumina; type = Device (physical object)</a></td><td><span title=\"Codes:{http://loinc.org LA26398-0}\">Sequencing</span></td></tr></table></blockquote><blockquote><p><b>analysis</b></p><p><b>identifier</b>: <code>http://example.org/identifiers/genomicAnalyses</code>/urn:uuid:1111-1111-1111-1112 (use: temp, )</p><p><b>genomicSourceClass</b>: <span title=\"Codes:{http://loinc.org LA6683-2}\">Germline</span></p><p><b>title</b>: Maternal Sequence Variation Detection Using Next Generation Sequencing</p><p><b>focus</b>: <a href=\"Patient-denovoMother.html\">Jane Mother Doe (official) Female, DoB: 2000-01-01 ( Medical record number: 11112 (use: temp, period: 2021-01-01 --&gt; (ongoing)))</a></p><p><b>specimen</b>: <a href=\"Specimen-denovo-2.html\">Specimen: identifier = http://example.org/identifiers/specimens#2; status = available; type = Venous blood specimen; receivedTime = 2021-01-01 01:01:01+0000</a></p><p><b>date</b>: 2021-01-01 01:01:10-0600</p><p><b>note</b>: </p><blockquote><div><p>This is a next generation sequencing analysis of a mother of a proband.</p>\n</div></blockquote><h3>Inputs</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-genomicFile2.html\">DocumentReference: identifier = http://example.org/identifiers/files#11112; status = current; docStatus = preliminary; description = A sample Document Reference instance representing a generic genomic file that may ber used as input or output of a genomic analysis pipeline.</a></td><td><span title=\"Codes:{http://hl7.org/fhir/uv/cg-incubator/CodeSystem/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-NGS-device.html\">Device: identifier = http://example.org/identifiers/devices#11111; status = active; manufacturer = Illumina; type = Device (physical object)</a></td></tr></table></blockquote><blockquote><p><b>analysis</b></p><p><b>identifier</b>: <code>http://example.org/identifiers/genomicAnalyses</code>/urn:uuid:1111-1111-1111-1113 (use: temp, )</p><p><b>genomicSourceClass</b>: <span title=\"Codes:{http://loinc.org LA6683-2}\">Germline</span></p><p><b>title</b>: Paternal Sequence Variation Detection Using Next Generation Sequencing</p><p><b>focus</b>: <a href=\"Patient-denovoFather.html\">John Father Doe (official) Male, DoB: 2000-01-01 ( Medical record number: 11113 (use: temp, period: 2021-01-01 --&gt; (ongoing)))</a></p><p><b>specimen</b>: <a href=\"Specimen-denovo-3.html\">Specimen: identifier = http://example.org/identifiers/specimens#3; status = available; type = Venous blood specimen; receivedTime = 2021-01-01 01:01:01+0000</a></p><p><b>date</b>: 2021-01-01 01:01:10-0600</p><p><b>note</b>: </p><blockquote><div><p>This is a next generation sequencing analysis of a father of a proband.</p>\n</div></blockquote><h3>Inputs</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-genomicFile3.html\">DocumentReference: identifier = http://example.org/identifiers/files#11113; status = current; docStatus = preliminary; description = A sample Document Reference instance representing a generic genomic file that may ber used as input or output of a genomic analysis pipeline.</a></td><td><span title=\"Codes:{http://hl7.org/fhir/uv/cg-incubator/CodeSystem/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-NGS-device.html\">Device: identifier = http://example.org/identifiers/devices#11111; status = active; manufacturer = Illumina; type = Device (physical object)</a></td></tr></table></blockquote><blockquote><p><b>analysis</b></p><p><b>identifier</b>: <code>http://example.org/identifiers/genomicAnalyses</code>/urn:uuid:1111-1111-1111-1114 (use: temp, )</p><p><b>title</b>: De Novo Mutation Detection and Interpretation</p><p><b>date</b>: 2021-01-01 03:01:10-0600</p><p><b>note</b>: </p><blockquote><div><p>This is a next generation sequencing analysis of the comparison analysis of proband and parents sequences.</p>\n</div></blockquote><blockquote><p><b>input</b></p><p><b>file</b>: <a href=\"DocumentReference-genomicFile1.html\">DocumentReference: identifier = http://example.org/identifiers/files#11111; status = current; docStatus = preliminary; description = A sample Document Reference instance representing a generic genomic file that may ber used as input or output of a genomic analysis pipeline.</a></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat vcf}\">VCF</span></p></blockquote><blockquote><p><b>input</b></p><p><b>file</b>: <a href=\"DocumentReference-genomicFile2.html\">DocumentReference: identifier = http://example.org/identifiers/files#11112; status = current; docStatus = preliminary; description = A sample Document Reference instance representing a generic genomic file that may ber used as input or output of a genomic analysis pipeline.</a></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat vcf}\">VCF</span></p></blockquote><blockquote><p><b>input</b></p><p><b>file</b>: <a href=\"DocumentReference-genomicFile3.html\">DocumentReference: identifier = http://example.org/identifiers/files#11113; status = current; docStatus = preliminary; description = A sample Document Reference instance representing a generic genomic file that may ber used as input or output of a genomic analysis pipeline.</a></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat vcf}\">VCF</span></p></blockquote><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-SW.html\">Device: identifier = http://example.org/identifiers/devices#11112; status = active; manufacturer = Vanderbilt Genetics Institute; type = Software (physical object)</a></td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
     fhir:use [ fhir:v "temp" ] ;
     fhir:system [
       fhir:v "http://example.org/identifiers/genomicstudies"^^xsd:anyURI ;
       fhir:l <http://example.org/identifiers/genomicstudies>
     ] ;
     fhir:value [ fhir:v "urn:uuid:1111-1111-1111-1111" ]
  ] ) ; # from DomainResource: text, contained, extension, and modifierExtension
  fhir:status [ fhir:v "unknown"] ; # 
  fhir:type ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-type"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-type>
       ] ;
       fhir:code [ fhir:v "fam-var-segr" ] ;
       fhir:display [ fhir:v "Familial variant segregation" ]
     ] )
  ] ) ; # 
  fhir:subject [
     fhir:l <http://hl7.org/fhir/Patient/denovoChild> ;
     fhir:reference [ fhir:v "Patient/denovoChild" ]
  ] ; # 
  fhir:encounter [
     fhir:l <http://hl7.org/fhir/Encounter/denovoEncounter> ;
     fhir:reference [ fhir:v "Encounter/denovoEncounter" ]
  ] ; # 
  fhir:startDate [ fhir:v "2021-01-01"^^xsd:date] ; # 
  fhir:basedOn ( [
     fhir:l <http://hl7.org/fhir/ServiceRequest/genomicServiceRequest> ;
     fhir:reference [ fhir:v "ServiceRequest/genomicServiceRequest" ]
  ] ) ; # 
  fhir:referrer [
     fhir:l <http://hl7.org/fhir/Practitioner/practitioner01> ;
     fhir:reference [ fhir:v "Practitioner/practitioner01" ]
  ] ; # 
  fhir:interpreter ( [
     fhir:l <http://hl7.org/fhir/Practitioner/practitioner02> ;
     fhir:reference [ fhir:v "Practitioner/practitioner02" ]
  ] ) ; # 
  fhir:reason ( [
     fhir:concept [
       a sct:267431006 ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "267431006" ] ;
         fhir:display [ fhir:v "Disorder of lipid metabolism (disorder)" ]
       ] )
     ]
  ] ) ; # 
  fhir:note ( [
     fhir:text [ fhir:v "This de novo mutation is urgent and important for establishing the treatment plan." ]
  ] ) ; # 
  fhir:description [ fhir:v "De novo mutation study of the patient."] ; # 
  fhir:analysis ( [
     fhir:identifier ( [
       fhir:use [ fhir:v "temp" ] ;
       fhir:system [
         fhir:v "http://example.org/identifiers/genomicAnalyses"^^xsd:anyURI ;
         fhir:l <http://example.org/identifiers/genomicAnalyses>
       ] ;
       fhir:value [ fhir:v "urn:uuid:1111-1111-1111-1111" ]
     ] ) ; # 0..* Genomic Analysis Event of proband
     fhir:genomicSourceClass [
       a loinc:LA6683-2 ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6683-2" ] ;
         fhir:display [ fhir:v "Germline" ]
       ] )
     ] ; # <instantiatesCanonical>0..1 canonical(PlanDefinition) The defined protocol that describes the analysis<\/instantiatesCanonical>
     fhir:title [ fhir:v "Proband Sequence Variation Detection Using Next Generation Sequencing" ] ;
     fhir:specimen ( [
       fhir:l <http://hl7.org/fhir/Specimen/denovo-1> ;
       fhir:reference [ fhir:v "Specimen/denovo-1" ]
     ] ) ;
     fhir:date [ fhir:v "2021-01-01T01:01:10-06:00"^^xsd:dateTime ] ;
     fhir:note ( [
       fhir:text [ fhir:v "This is a next generation sequencing analysis of a proband." ]
     ] ) ; # 0..1 The date of the analysis event
     fhir:input ( [
       fhir:file [
         fhir:l <http://hl7.org/fhir/DocumentReference/genomicFile1> ;
         fhir:reference [ fhir:v "DocumentReference/genomicFile1" ]
       ] ; # 0..* Inputs for the analysis event of Child
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat>
           ] ;
           fhir:code [ fhir:v "vcf" ] ;
           fhir:display [ fhir:v "VCF" ]
         ] )
       ]
     ] ) ; # <protocolPerformed>0..1 Reference(Procedure|Task) The protocol that was performed for the analysis event<\/protocolPerformed>, <genomicRegion> 0..* Grouped genomic region sets by type (studied\/called\/uncalled)\n             Each repetition: <type> required code, <locus> 0..* CodeableReference(DocumentReference), <description> 0..1 string\n        <\/genomicRegion>, <generatedBy[x]>0..1 Identifier|Reference(GenomicStudy) The analysis event or other GenomicStudy that generated this input file<\/generatedBy[x]>
     fhir:performer ( [
       fhir:actor [
         fhir:l <http://hl7.org/fhir/Practitioner/practitioner02> ;
         fhir:reference [ fhir:v "Practitioner/practitioner02" ]
       ] ; # 0..* Performer for the analysis event
       fhir:role [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationType>
           ] ;
           fhir:code [ fhir:v "PRF" ] ;
           fhir:display [ fhir:v "Performer" ]
         ] )
       ]
     ] ) ;
     fhir:device ( [
       fhir:device [
         fhir:l <http://hl7.org/fhir/Device/NGS-device> ;
         fhir:reference [ fhir:v "Device/NGS-device" ]
       ] ; # 0..* Devices used for the analysis (e.g., instruments, software), with settings and parameters
       fhir:function [
         a loinc:LA26398-0 ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://loinc.org"^^xsd:anyURI ;
             fhir:l <http://loinc.org>
           ] ;
           fhir:code [ fhir:v "LA26398-0" ] ;
           fhir:display [ fhir:v "Sequencing" ]
         ] )
       ]
     ] )
  ] [
     fhir:identifier ( [
       fhir:use [ fhir:v "temp" ] ;
       fhir:system [
         fhir:v "http://example.org/identifiers/genomicAnalyses"^^xsd:anyURI ;
         fhir:l <http://example.org/identifiers/genomicAnalyses>
       ] ;
       fhir:value [ fhir:v "urn:uuid:1111-1111-1111-1112" ]
     ] ) ; # 0..* Genomic Analysis Event of mother
     fhir:genomicSourceClass [
       a loinc:LA6683-2 ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6683-2" ] ;
         fhir:display [ fhir:v "Germline" ]
       ] )
     ] ; # <instantiatesCanonical>0..1 canonical(PlanDefinition) The defined protocol that describes the analysis<\/instantiatesCanonical>
     fhir:title [ fhir:v "Maternal Sequence Variation Detection Using Next Generation Sequencing" ] ;
     fhir:focus ( [
       fhir:l <http://hl7.org/fhir/Patient/denovoMother> ;
       fhir:reference [ fhir:v "Patient/denovoMother" ]
     ] ) ; # 0..1 Name of the analysis event (human friendly)
     fhir:specimen ( [
       fhir:l <http://hl7.org/fhir/Specimen/denovo-2> ;
       fhir:reference [ fhir:v "Specimen/denovo-2" ]
     ] ) ;
     fhir:date [ fhir:v "2021-01-01T01:01:10-06:00"^^xsd:dateTime ] ;
     fhir:note ( [
       fhir:text [ fhir:v "This is a next generation sequencing analysis of a mother of a proband." ]
     ] ) ; # 0..1 The date of the analysis event
     fhir:input ( [
       fhir:file [
         fhir:l <http://hl7.org/fhir/DocumentReference/genomicFile2> ;
         fhir:reference [ fhir:v "DocumentReference/genomicFile2" ]
       ] ; # 0..* Inputs for the analysis event of Mother
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat>
           ] ;
           fhir:code [ fhir:v "vcf" ] ;
           fhir:display [ fhir:v "VCF" ]
         ] )
       ]
     ] ) ; # <generatedBy[x]>0..1 Identifier|Reference(GenomicStudy) The analysis event or other GenomicStudy that generated this input file<\/generatedBy[x]>
     fhir:performer ( [
       fhir:actor [
         fhir:l <http://hl7.org/fhir/Practitioner/practitioner02> ;
         fhir:reference [ fhir:v "Practitioner/practitioner02" ]
       ] ; # 0..* Performer for the analysis event
       fhir:role [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationType>
           ] ;
           fhir:code [ fhir:v "PRF" ] ;
           fhir:display [ fhir:v "Performer" ]
         ] )
       ]
     ] ) ;
     fhir:device ( [
       fhir:device [
         fhir:l <http://hl7.org/fhir/Device/NGS-device> ;
         fhir:reference [ fhir:v "Device/NGS-device" ]
       ] # 0..* Devices used for the analysis (e.g., instruments, software), with settings and parameters
     ] ) # <function>0..1 CodeableConcept Specific function for the device used for the analysis<\/function>
  ] [
     fhir:identifier ( [
       fhir:use [ fhir:v "temp" ] ;
       fhir:system [
         fhir:v "http://example.org/identifiers/genomicAnalyses"^^xsd:anyURI ;
         fhir:l <http://example.org/identifiers/genomicAnalyses>
       ] ;
       fhir:value [ fhir:v "urn:uuid:1111-1111-1111-1113" ]
     ] ) ; # 0..* Genomic Analysis Event of father
     fhir:genomicSourceClass [
       a loinc:LA6683-2 ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "LA6683-2" ] ;
         fhir:display [ fhir:v "Germline" ]
       ] )
     ] ; # <instantiatesCanonical>0..1 canonical(PlanDefinition) The defined protocol that describes the analysis<\/instantiatesCanonical>
     fhir:title [ fhir:v "Paternal Sequence Variation Detection Using Next Generation Sequencing" ] ;
     fhir:focus ( [
       fhir:l <http://hl7.org/fhir/Patient/denovoFather> ;
       fhir:reference [ fhir:v "Patient/denovoFather" ]
     ] ) ;
     fhir:specimen ( [
       fhir:l <http://hl7.org/fhir/Specimen/denovo-3> ;
       fhir:reference [ fhir:v "Specimen/denovo-3" ]
     ] ) ;
     fhir:date [ fhir:v "2021-01-01T01:01:10-06:00"^^xsd:dateTime ] ;
     fhir:note ( [
       fhir:text [ fhir:v "This is a next generation sequencing analysis of a father of a proband." ]
     ] ) ; # 0..1 The date of the analysis event
     fhir:input ( [
       fhir:file [
         fhir:l <http://hl7.org/fhir/DocumentReference/genomicFile3> ;
         fhir:reference [ fhir:v "DocumentReference/genomicFile3" ]
       ] ; # 0..* Inputs for the analysis event
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat>
           ] ;
           fhir:code [ fhir:v "vcf" ] ;
           fhir:display [ fhir:v "VCF" ]
         ] )
       ]
     ] ) ; # <generatedBy[x]>0..1 Identifier|Reference(GenomicStudy) The analysis event or other GenomicStudy that generated this input file<\/generatedBy[x]>
     fhir:performer ( [
       fhir:actor [
         fhir:l <http://hl7.org/fhir/Practitioner/practitioner02> ;
         fhir:reference [ fhir:v "Practitioner/practitioner02" ]
       ] ; # 0..* Performer for the analysis event
       fhir:role [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationType>
           ] ;
           fhir:code [ fhir:v "PRF" ] ;
           fhir:display [ fhir:v "Performer" ]
         ] )
       ]
     ] ) ;
     fhir:device ( [
       fhir:device [
         fhir:l <http://hl7.org/fhir/Device/NGS-device> ;
         fhir:reference [ fhir:v "Device/NGS-device" ]
       ] # 0..* Devices used for the analysis (e.g., instruments, software), with settings and parameters
     ] ) # <function>0..1 CodeableConcept Specific function for the device used for the analysis<\/function>
  ] [
     fhir:identifier ( [
       fhir:use [ fhir:v "temp" ] ;
       fhir:system [
         fhir:v "http://example.org/identifiers/genomicAnalyses"^^xsd:anyURI ;
         fhir:l <http://example.org/identifiers/genomicAnalyses>
       ] ;
       fhir:value [ fhir:v "urn:uuid:1111-1111-1111-1114" ]
     ] ) ; # 0..* De Novo Mutation Analysis
     fhir:title [ fhir:v "De Novo Mutation Detection and Interpretation" ] ; # <instantiatesCanonical>0..1 canonical(PlanDefinition) The defined protocol that describes the analysis<\/instantiatesCanonical>
     fhir:date [ fhir:v "2021-01-01T03:01:10-06:00"^^xsd:dateTime ] ; # <specimen> 0..1 Reference(Specimen) The specimen used in the analysis event<\/specimen>
     fhir:note ( [
       fhir:text [ fhir:v "This is a next generation sequencing analysis of the comparison analysis of proband and parents sequences." ]
     ] ) ; # 0..1 The date of the analysis event
     fhir:input ( [
       fhir:file [
         fhir:l <http://hl7.org/fhir/DocumentReference/genomicFile1> ;
         fhir:reference [ fhir:v "DocumentReference/genomicFile1" ]
       ] ; # 0..* Inputs for the analysis event of Child
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat>
           ] ;
           fhir:code [ fhir:v "vcf" ] ;
           fhir:display [ fhir:v "VCF" ]
         ] )
       ]
     ] [
       fhir:file [
         fhir:l <http://hl7.org/fhir/DocumentReference/genomicFile2> ;
         fhir:reference [ fhir:v "DocumentReference/genomicFile2" ]
       ] ; # 0..* Inputs for the analysis event of Mother
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat>
           ] ;
           fhir:code [ fhir:v "vcf" ] ;
           fhir:display [ fhir:v "VCF" ]
         ] )
       ]
     ] [
       fhir:file [
         fhir:l <http://hl7.org/fhir/DocumentReference/genomicFile3> ;
         fhir:reference [ fhir:v "DocumentReference/genomicFile3" ]
       ] ; # 0..* Inputs for the analysis event of Father
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/uv/cg-incubator/CodeSystem/genomicstudy-dataformat>
           ] ;
           fhir:code [ fhir:v "vcf" ] ;
           fhir:display [ fhir:v "VCF" ]
         ] )
       ]
     ] ) ; # <generatedBy[x]>0..1 Identifier|Reference(GenomicStudy) The analysis event or other GenomicStudy that generated this input file<\/generatedBy[x]>
     fhir:performer ( [
       fhir:actor [
         fhir:l <http://hl7.org/fhir/Practitioner/practitioner02> ;
         fhir:reference [ fhir:v "Practitioner/practitioner02" ]
       ] ; # 0..* Performer for the analysis event
       fhir:role [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationType>
           ] ;
           fhir:code [ fhir:v "PRF" ] ;
           fhir:display [ fhir:v "Performer" ]
         ] )
       ]
     ] ) ;
     fhir:device ( [
       fhir:device [
         fhir:l <http://hl7.org/fhir/Device/Triodenovo-SW> ;
         fhir:reference [ fhir:v "Device/Triodenovo-SW" ]
       ] # 0..* Devices used for the analysis (e.g., instruments, software), with settings and parameters
     ] ) # <function>0..1 CodeableConcept Specific function for the device used for the analysis<\/function>
  ] ) . # 

<http://hl7.org/fhir/Patient/denovoChild> a fhir:Patient .

<http://hl7.org/fhir/Encounter/denovoEncounter> a fhir:Encounter .

<http://hl7.org/fhir/ServiceRequest/genomicServiceRequest> a fhir:ServiceRequest .

<http://hl7.org/fhir/Practitioner/practitioner01> a fhir:Practitioner .

<http://hl7.org/fhir/Practitioner/practitioner02> a fhir:Practitioner .

<http://hl7.org/fhir/Specimen/denovo-1> a fhir:Specimen .

<http://hl7.org/fhir/DocumentReference/genomicFile1> a fhir:DocumentReference .

<http://hl7.org/fhir/Device/NGS-device> a fhir:Device .

<http://hl7.org/fhir/Patient/denovoMother> a fhir:Patient .

<http://hl7.org/fhir/Specimen/denovo-2> a fhir:Specimen .

<http://hl7.org/fhir/DocumentReference/genomicFile2> a fhir:DocumentReference .

<http://hl7.org/fhir/Patient/denovoFather> a fhir:Patient .

<http://hl7.org/fhir/Specimen/denovo-3> a fhir:Specimen .

<http://hl7.org/fhir/DocumentReference/genomicFile3> a fhir:DocumentReference .

<http://hl7.org/fhir/Device/Triodenovo-SW> a fhir:Device .