NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: Bundle - Genomic Diagnostic Implication for a Patient QEDm - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "92a0a6c6-404f-4347-8de4-fa1c457a037e",
  "type" : "searchset",
  "total" : 1,
  "link" : [
    {
      "relation" : "self",
      "url" : "https://example.nhs.uk/FHIR/R4/Observation?code=diagnostic-implication&patient=Patient-Liverpool"
    }
  ],
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Observation/6beb613f-d303-42af-b025-86e8e0872061",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "6beb613f-d303-42af-b025-86e8e0872061",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation-DiagnosticImplication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_6beb613f-d303-42af-b025-86e8e0872061\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 6beb613f-d303-42af-b025-86e8e0872061</b></p><a name=\"6beb613f-d303-42af-b025-86e8e0872061\"> </a><a name=\"hc6beb613f-d303-42af-b025-86e8e0872061\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-DiagnosticImplication.html\">Observation Diagnostic Implication</a></p></div><p><b>identifier</b>: 6beb613f-d303-42af-b025-86e8e0872061</p><p><b>status</b>: Final</p><p><b>category</b>: <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></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=\"Patient-Patient-Liverpool.html\">Paul LIVERPOOL</a></p><p><b>effective</b>: 2025-10-23 10:37:26+0000</p><p><b>performer</b>: <a href=\"PractitionerRole-59577028-8fcc-4554-8b43-988561d41d9c.html\">PractitionerRole</a></p><p><b>derivedFrom</b>: <a href=\"Observation-8385c2fd-313d-4fd5-b98e-d5ea4bae6f99.html\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53037-8}\">Genetic variation clinical significance [Imp]</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6668-3}\">Pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication R210}, {http://snomed.info/sct 1365861003}\">Inherited MMR deficiency (Lynch syndrome)</span></p></blockquote></div>"
        },
        "identifier" : [
          {
            "value" : "6beb613f-d303-42af-b025-86e8e0872061"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "GE",
                "display" : "Genetics"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
              "code" : "diagnostic-implication",
              "display" : "Diagnostic Implication"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Patient-Liverpool",
          "display" : "Paul LIVERPOOL"
        },
        "effectiveDateTime" : "2025-10-23T10:37:26+00:00",
        "performer" : [
          {
            🔗 "reference" : "PractitionerRole/59577028-8fcc-4554-8b43-988561d41d9c"
          }
        ],
        "derivedFrom" : [
          {
            🔗 "reference" : "Observation/8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "53037-8",
                  "display" : "Genetic variation clinical significance [Imp]"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6668-3",
                  "display" : "Pathogenic"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "81259-4"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                  "code" : "R210",
                  "display" : "Inherited MMR deficiency (Lynch syndrome)"
                },
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1365861003",
                  "display" : "Lynch syndrome gene mutation detected"
                }
              ],
              "text" : "Inherited MMR deficiency (Lynch syndrome)"
            }
          }
        ]
      },
      "search" : {
        "mode" : "match"
      }
    }
  ]
}