Genomics Reporting Implementation Guide
3.0.1-SNAPSHOT - Ballot International flag

Genomics Reporting Implementation Guide, published by HL7 International / Clinical Genomics. This guide is not an authorized publication; it is the continuous build for version 3.0.1-SNAPSHOT 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

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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><a name="hcGenomicReportExample01-en-US"> </a><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>No display for Patient </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>