Profile: MII_PR_MTB_IMMUNOHISTOCHEMISTRY_HER2 Parent: MII_PR_MTB_Immunohistochemistry // Id: mii-pr-mtb-immunohistochemistry-her2 Title: "MII PR MTB Immunohistochemistry" Description: "Immunhistrchemistry report" * insert PR_Header * code.coding ^slicing.discriminator.type = #value * code.coding ^slicing.discriminator.path = "system" * code.coding ^slicing.rules = #open * code.coding ^slicing.description = "Slices for the coding" * code.coding ^slicing.ordered = false * code.coding contains LNC 1..1 MS * code.coding[LNC] = $LNC#18474-7 "HER2 Ag [Presence] in Tissue by Immune stain" * valueCodeableConcept.coding.system = $LNC * valueCodeableConcept.coding.code from http://loinc.org/vs/LL4396-9 // * valueCodeableConcept.coding ^short = "0|1+|2+|3+|Indeterminate" * component[gene-studied].valueCodeableConcept = $HGNC#HGNC:2064 "ERBB2" //* component[protein-studied].valueCodeableConcept = $UNIPROT#P04626 "Receptor tyrosine-protein kinase erbB-2" * component[biomarker-category].valueCodeableConcept.coding = #immuneStain // alternative: protein Profile: MII_PR_MTB_INSITUHYBRIDIZATION_HER2 Parent: MII_PR_MTB_Molekularer_Biomarker // copy of CG STU3profile Id: mii-pr-mtb-insituhybridization-her2 Title: "MII PR MTB In Situ Hybridization" Description: "In Situ Hybridization report" * insert PR_Header * code.coding = $LNC#31150-6 "ERBB2 gene duplication [Presence] in Tissue by FISH" * valueCodeableConcept.coding.system = $LNC * valueCodeableConcept.coding.code from http://loinc.org/vs/LL360-9-9 // * component[gene-studied].valueCodeableConcept = $HGNC#HGNC:2064 "ERBB2" //* component[protein-studied].valueCodeableConcept = $UNIPROT#P04626 "Receptor tyrosine-protein kinase erbB-2" * component[biomarker-category].valueCodeableConcept.coding.code = #inSituHybridization //new code for method, otherwise /* additional optional components from (LOINC Panel) 74885-5 ERBB2 gene (HER2) duplication associated observations panel - Tissue by FISH 31150-6 ERBB2 gene duplication [Presence] in Tissue by FISH --> this is already valueCodeableConcept 49683-6 ERBB2 gene copy number/Chromosome 17 copy number in Tissue by FISH e.g. valueRatio ( valueQuantitiy 6.0 74860-8 ERBB2 gene copy number/nucleus in Tissue by FISH {#} 74861-6 Chromosome 17 copy number/nucleus in Tissue by FISH {#} 62361-1 Cells counted [#] {#} 19147-8 Referral lab test reference range */ Profile: MII_PR_MTB_BIOMARKER_HER2_STATUS Parent: MII_PR_MTB_Molekularer_Biomarker // copy of CG STU3profile --> or is this a diagnostic / therapeutic implication? Id: mii-pr-mtb-biomarker-her2-status Title: "MII PR Biomarker Her2 Status" Description: "..." * insert PR_Header * code.coding = $LNC#48676-1 "HER2 [Interpretation] in Tissue" * valueCodeableConcept.coding.system = $LNC * valueCodeableConcept.coding.code from http://loinc.org/vs/LL3593-2 //Pos|Weak pos|Neg -> maybe also Her2low as explicit response option in self-defined value set * component[gene-studied].valueCodeableConcept = $HGNC#HGNC:2064 "ERBB2" //* component[protein-studied].valueCodeableConcept = $UNIPROT#P04626 "Receptor tyrosine-protein kinase erbB-2" * component[biomarker-category].valueCodeableConcept.coding.code = #molgen //derived Biomarker or implication?