Genomics Reporting Implementation Guide
4.0.0-cibuild - CI Build 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 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

Table of Contents

Page standards status: Informative
0 Table of Contents
1 Home Page
2 Genomic Background
3 General Genomic Reporting
4 Variant Reporting
5 Cytogenomic Reporting
6 Pharmacogenomic Reporting
7 Somatic Reporting
8 Histocompatibility and Immunogenetic Reporting
9 Genomic Operations
10 Useful Downloads
11 Appendix A: Relation to v2 reporting
12 Appendix B: Clinical Genomic Apps
13 Appendix C: HL7 Domain Analysis Model
14 Appendix D: Query Guidance
15 Appendix E: External Coding Systems
16 Appendix F: Conversion from FHIR Core STU3
17 Appendix G: Molecular Sequence
18 Appendix H: Grouping Guidance
19 Appendix I: Glossary
20 Change Log
21 Artifact List
21.1 Find Population Diagnostic Implications
21.2 Find Population Molecular Consequences
21.3 Find Population Specific Haplotypes
21.4 Find Population Specific Variants
21.5 Find Population Structural Intersecting Variants
21.6 Find Population Structural Subsuming Variants
21.7 Find Population Treatment Implications
21.8 Find Study Metadata
21.9 Find Subject Diagnostic Implications
21.10 Find Subject Haplotypes
21.11 Find Subject Molecular Consequences
21.12 Find Subject Specific Haplotypes
21.13 Find Subject Specific Variants
21.14 Find Subject Structural Intersecting Variants
21.15 Find Subject Structural Subsuming Variants
21.16 Find Subject Treatment Implications
21.17 Find Subject Variants
21.18 Genomic Base
21.19 Genomic Finding
21.20 Genomic Implication
21.21 Diagnostic Implication
21.22 Followup Recommendation
21.23 Genomic Annotation
21.24 Genomic Data File
21.25 Genomic Report
21.26 Genomic Study
21.27 Genomic Study Analysis
21.28 Genotype
21.29 Haplotype
21.30 Medication Recommendation
21.31 Molecular Biomarker
21.32 Molecular Consequence
21.33 Sequence Phase Relationship
21.34 Therapeutic Implication
21.35 Variant
21.36 Coded Annotation
21.37 Annotation Code
21.38 Genomic Report Note
21.39 Genomic Risk Assessment
21.40 Genomic Study Analysis Change Type
21.41 Genomic Study Analysis Device
21.42 Genomic Study Analysis Extension
21.43 Genomic Study Analysis Focus
21.44 Genomic Study Analysis Genome Build
21.45 Genomic Study Analysis Input
21.46 Genomic Study Analysis Method Type
21.47 Genomic Study Analysis Metrics
21.48 Genomic Study Analysis Output
21.49 Genomic Study Analysis Protocol Performed
21.50 Genomic Study Analysis Regions
21.51 Genomic Study Analysis Source Class
21.52 Genomic Study Analysis Specimen
21.53 Genomic Study Analysis Title
21.54 Genomic Study Reference
21.55 Genomic Study Referrer Extension
21.56 Knowledgebase Ancestry Group
21.57 Medication Assessed reference to a FHIR resource
21.58 Recommended Action
21.59 Repeat Motif Order
21.60 Therapy Assessed reference to a FHIR resource
21.61 Coded Annotation Types
21.62 Condition Inheritance Patterns
21.63 DNA Change Type
21.64 Evidence Level Examples
21.65 Functional Effect Value Set
21.66 Genetic Therapeutic Implications
21.67 Genomic Study Change Type ValueSet
21.68 Genomic Study Data Format ValueSet
21.69 Genomic Study Method Type ValueSet
21.70 Genomic Study Status ValueSet
21.71 Genomic Study Type ValueSet
21.72 HUGO Gene Nomenclature Committee Gene Names (HGNC)
21.73 Human Genome Variation Society (HGVS) Nomenclature
21.74 Knowledge Base Version Codes
21.75 Molecular Biomarker Categories
21.76 Molecular Biomarker Codes
21.77 Molecular Consequence Value Set
21.78 Sequence Phase Relationships
21.79 To Be Determined Value Set
21.80 Variant Confidence Status
21.81 ClinVar Evidence Level Example Codes
21.82 Coded Annotation Type Codes
21.83 Genomic Study Change Type CodeSystem
21.84 Genomic Study Data Format CodeSystem
21.85 Genomic Study Method Type CodeSystem
21.86 Genomic Study Status CodeSystem
21.87 Genomic Study Type CodeSystem
21.88 Knowledge Base Codes
21.89 Molecular Biomarker Ontology Codes
21.90 PharmGKB Evidence Level Example Codes
21.91 Sequence Phase Relationship Codes
21.92 To Be Determined Codes
21.93 Variant Confidence Status Codes
21.94 DNA Change Type Map
21.95 Genomic Study Status Map
21.96 analysisTumorNormalDNA
21.97 analysisTumorRNA
21.98 AnnotationExample
21.99 ATR-insertion-molc
21.100 ATR-insertion-significance
21.101 ATR-insertion-var
21.102 bundle-CG-IG-HLA-FullBundle-01
21.103 bundle-cgexample
21.104 bundle-cgexample-withGrouping
21.105 bundle-complexVariant-nonHGVS
21.106 bundle-compound-heterozygote
21.107 bundle-CYP2C19
21.108 bundle-oncology-diagnostic
21.109 bundle-oncology-report-example
21.110 bundle-oncologyexamples-r4
21.111 bundle-oncologyexamples-r4-withGrouping
21.112 bundle-pgxexample
21.113 bundle-sequence-phase-relation-CYP2C19
21.114 CGPatientExample01
21.115 CNVAnalysis-called
21.116 denovoChild
21.117 denovoFather
21.118 denovoMother
21.119 diagnosticImplication-interact-smn1-smn2
21.120 diagnosticreport-hla-glstring-r4
21.121 EGFR-L858R-molc
21.122 EGFR-L858R-significance
21.123 EGFR-L858R-therapuDrug1
21.124 EGFR-L858R-therapuDrug2
21.125 EGFR-L858R-var
21.126 eMERGEServiceRequest
21.127 ExampleGermlineCNV
21.128 ExampleGermlineDEL
21.129 ExampleGermlineINV
21.130 ExampleLab
21.131 ExampleOrg
21.132 ExamplePatient
21.133 ExampleServiceRequest
21.134 ExampleSomaticCNV
21.135 ExampleSomaticDEL
21.136 ExampleSomaticINV
21.137 ExampleSpecimen
21.138 FindALLPopulationSpecificVariantsOutput
21.139 FindANYPopulationSpecificVariantsOutput
21.140 FindPopulationDxImplicationsOutput
21.141 FindPopulationMolecConseqOutput
21.142 FindPopulationSpecificHaplotypesOutput
21.143 FindPopulationSpecificVariantsGroupOutput
21.144 FindPopulationStructuralIntersectingVariantsOutput
21.145 FindPopulationStructuralSubsumingVariantsOutput
21.146 FindPopulationTxImplicationsOutput
21.147 FindStudyMetadataOutput
21.148 FindSubjectDxImplicationsOutput
21.149 FindSubjectHaplotypesOutput
21.150 FindSubjectMolecConseqOutput
21.151 FindSubjectSpecificHaplotypesOutput
21.152 FindSubjectSpecificVariantsOutput
21.153 FindSubjectStructuralIntersectingVariantsOutput
21.154 FindSubjectStructuralSubsumingVariantsOutput
21.155 FindSubjectTxImplicationsOutput
21.156 FindSubjectVariantsOutput
21.157 FullGenome-GRCh38
21.158 genomicFileFatherBAM
21.159 genomicFileMotherBAM
21.160 genomicFileProbandBAM
21.161 genomicFileProbandVCF
21.162 genomicPatient
21.163 GenomicReportExample01
21.164 genomicServiceRequest
21.165 GenomicServiceRequestExample01
21.166 genomicSpecimen
21.167 GenomicSpecimenExample01
21.168 GenomicSpecimenExample02
21.169 genomicstudy-trio2
21.170 genomicstudyanalysis-trio2
21.171 genomicVCFfile-cnv
21.172 genomicVCFfile-simple
21.173 Genotype-Clinical-Trial-Example-using-haplotypes
21.174 genotype-hla-a-glstring-r4
21.175 GenotypeExample1
21.176 GenotypeExamplePharmVar
21.177 GenRiskDiabetesT2
21.178 GrouperEx01
21.179 GrouperEx02
21.180 GrouperEx03
21.181 haplotype-hla-a-1-r4
21.182 HaplotypeExamplePharmVar01
21.183 HaplotypeExamplePharmVar02
21.184 HaplotypeSet-Clinical-Trial-Example-1of2
21.185 HaplotypeSet-Clinical-Trial-Example-2of2
21.186 HER2byImmuneStainExample
21.187 HER2byImmunoassayExample
21.188 HG00403
21.189 HLA-A-haplotype1
21.190 HLA-A-haplotype2
21.191 HLA-B-haplotype1
21.192 HLA-B-haplotype2
21.193 HLA-C-haplotype1
21.194 HLA-C-haplotype2
21.195 ISCN-CMLExample
21.196 ISCN-CMLImplication
21.197 ISCN-NormalExample
21.198 lungMass
21.199 lungMass-analysis1
21.200 lungMass-analysis2
21.201 MedicationRecommendationExample1
21.202 MedicationStatementWarfarin
21.203 MicrosatelliteInstabilityExample01
21.204 molec-conseq1
21.205 molec-conseq2
21.206 molec-conseq3
21.207 molec-conseq4
21.208 MSH2-del-disease
21.209 MSH2-del-molc
21.210 MSH2-del-var
21.211 MSIExample
21.212 MultipleRepeatExpansions
21.213 normalSpecimen
21.214 NOTCH1-significance
21.215 NOTCH1-uncertain-molc
21.216 NOTCH1-uncertain-var
21.217 NTHL1-snv-disease
21.218 NTHL1-snv-molc
21.219 NTHL1-snv-var
21.220 obs-idh-ex
21.221 obs1-interact-smn1-smn2
21.222 obs2-interact-smn1-smn2
21.223 orderingPractitioner
21.224 pathologistPractitioner
21.225 PDL1Example
21.226 performingOrganization
21.227 Pgx-geno-1001
21.228 Pgx-geno-1002
21.229 Pgx-geno-1003
21.230 Pgx-var-1011
21.231 Pgx-var-1012
21.232 Pgx-var-1013
21.233 Pgx-var-1014
21.234 Pgx-var-1015
21.235 Pgx-var-1016
21.236 Pgx-var-1017
21.237 Pgx-var-1018
21.238 Pgx-var-1019
21.239 Pgx-var-1020
21.240 Pgx-var-1021
21.241 PGxGenomicReportEMERGE
21.242 PGxGenomicReportEMERGE-withGrouping
21.243 PGXGenomicStudy
21.244 PGXGenomicStudyAnalysis
21.245 PGxRecEx01
21.246 PGxRecEx02
21.247 PGxRecEx03
21.248 PGxRecEx04
21.249 PGxRecEx05
21.250 PolyGenicDiagnosticImpExample
21.251 pop-allele-freq
21.252 practitioner02
21.253 RepeatExpansion
21.254 ROS1-Fusion
21.255 ROS1-Fusion-disease
21.256 ROS1-Fusion-therapuDrug
21.257 ROS1-Fusion-therapuTrial
21.258 ROS1-Fusion-var
21.259 SequencePhaseRelationExample1
21.260 SequencingProcedure
21.261 servicerequest-hla-a-r4
21.262 SimpleVariantAnalysis-called
21.263 SNVexample
21.264 somaticPatient
21.265 somaticReport
21.266 somaticServiceRequest
21.267 somaticStudy
21.268 somaticVCFfile
21.269 specimen-hla-r4
21.270 STAG2-insertion-molc
21.271 STAG2-insertion-significance
21.272 STAG2-insertion-var
21.273 supervisorPractitioner
21.274 Therapeutic-Implication-Clinical-Trial-2
21.275 Therapeutic-Implication-Clinical-Trial-Somatic
21.276 TherapeuticImplicationExample1
21.277 therapuDrug1-interact-smn1-smn2
21.278 therapuDrug2-interact-smn1-smn2
21.279 therapuDrug3-interact-smn1-smn2
21.280 TMB-therapuDrug
21.281 TMBExample
21.282 triodenovo-software
21.283 TumorMutationBurdenExample01
21.284 tumorSpecimen
21.285 TxImp01
21.286 TxImp02
21.287 TxImp03
21.288 TxImp04
21.289 TxImp05
21.290 TxImp06
21.291 UncallableRegions
21.292 Variant-Somatic-Clinical-Trial
21.293 variant-with-molec-consequences
21.294 VariantExample
21.295 VariantExample1
21.296 VariantExample2
21.297 WES-FullSequencedRegion-GRCh38
21.298 WES-UncallableRegions-GRCh38
21.299 ZFHX3-significance
21.300 ZFHX3-uncertain-molc
21.301 ZFHX3-uncertain-var