MII Implementierungsleitfaden Kerndatensatz-Modul Molekulargenetischer Befundbericht
2027.0.0-ballot.1 - Germany

MII IG Kerndatensatz-Modul Molekulargenetischer Befundbericht - Downloaded Version 2027.0.0-ballot.1 See the Directory of published versions

Beispiel Bundle: Comprehensive WES Bundle with Full Technical Documentation

Language: de

Bundle mii-exa-molgen-bundle-comprehensive-wes of type transaction


Entry 1 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Patient/mii-exa-molgen-patient-wes

Resource Patient:

Language: de

Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)


Request:

POST Patient

Entry 2 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Device/mii-exa-molgen-device-illumina-novaseq

Resource Device:

Language: de

identifier: https://www.medizininformatik-initiative.de/fhir/sid/lab-devices/NOVASEQ-6000-SN12345

status: Active

manufacturer: Illumina Inc.

serialNumber: SN12345

modelNumber: NovaSeq 6000

type: Medical laboratory analyzer

Request:

POST Device

Entry 3 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Device/mii-exa-molgen-device-thermofisher-ionchef

Resource Device:

Language: de

identifier: https://www.medizininformatik-initiative.de/fhir/sid/lab-devices/IONCHEF-IC12345

status: Active

manufacturer: Thermo Fisher Scientific

serialNumber: IC12345

modelNumber: Ion Chef

type: Template preparation system (Ion Chef)

Request:

POST Device

Entry 4 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Specimen/mii-exa-molgen-specimen-blood-edta-bundle

Resource Specimen:

Language: de

identifier: https://www.medizininformatik-initiative.de/fhir/sid/specimen-ids/EDTA-2024-001

type: Plasma specimen

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

Collections

-Collected[x]
*2024-01-15 09:30:00+0100

container

Request:

POST Specimen

Entry 5 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Specimen/mii-exa-molgen-specimen-dna-library-bundle

Resource Specimen:

Language: de

identifier: https://www.medizininformatik-initiative.de/fhir/sid/specimen-ids/LIB-2024-001

type: DNA Library

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

parent: Specimen: identifier = https://www.medizininformatik-initiative.de/fhir/sid/specimen-ids#EDTA-2024-001; type = Plasma specimen

Processings

-DescriptionTime[x]
*DNA extraction and library preparation using Agilent SureSelect2024-01-16 14:00:00+0100

Request:

POST Specimen

Entry 6 - fullUrl = https://www.medizininformatik-initiative.de/fhir/PlanDefinition/mii-exa-molgen-protocol-agilent-sureselect

Resource PlanDefinition:

Id: mii-exa-molgen-protocol-agilent-sureselect
Title: Agilent SureSelect Human All Exon V7 Kit Protocol
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: protocol

display: Protocol

Description: Target enrichment protocol for whole exome sequencing covering 35.8 Mb of the human exome
Actions:
DNA Fragmentation: Fragment genomic DNA to 150-200bp using Covaris
Library Preparation: End repair, A-tailing, adapter ligation
Hybridization: Hybridize with SureSelect baits for 24 hours at 65°C
Capture: Streptavidin bead capture and washing
Amplification: PCR amplification of captured library

Request:

POST PlanDefinition

Entry 7 - fullUrl = https://www.medizininformatik-initiative.de/fhir/DocumentReference/mii-exa-molgen-documentreference-bed-file-bundle

Resource DocumentReference:

Language: de

status: Current

type: BED file - Agilent SureSelect V7 target regions

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

content

Attachments

-ContentTypeUrlTitle
*text/plainhttps://www.medizininformatik-initiative.de/fhir/files/agilent_v7_targets.bedAgilent SureSelect Human All Exon V7 Target Regions

Request:

POST DocumentReference

Entry 8 - fullUrl = https://www.medizininformatik-initiative.de/fhir/DocumentReference/mii-exa-molgen-documentreference-fastq-bundle

Resource DocumentReference:

Language: de

status: Current

type: FASTQ files - paired-end sequencing data

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

content

Attachments

-ContentTypeUrlTitle
*application/gziphttps://www.medizininformatik-initiative.de/fhir/files/sample_R1.fastq.gzForward reads

content

Attachments

-ContentTypeUrlTitle
*application/gziphttps://www.medizininformatik-initiative.de/fhir/files/sample_R2.fastq.gzReverse reads

Request:

POST DocumentReference

Entry 9 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Procedure/mii-exa-molgen-genomic-study-comprehensive-wes-bundle

Resource Procedure:

Genomic Study Analysis Extension: Procedure: extension = ->Specimen: identifier = https://www.medizininformatik-initiative.de/fhir/sid/specimen-ids#EDTA-2024-001; type = Plasma specimen,,DNA hybridization; status = completed; category = Laboratory

Genomic Study Analysis Extension: Procedure: extension = ->Specimen: identifier = https://www.medizininformatik-initiative.de/fhir/sid/specimen-ids#LIB-2024-001; type = Saliva specimen,,Sequencing,,; status = completed; category = Laboratory

Genomic Study Analysis Extension: Procedure: extension = ,Computational analysis,; status = completed; category = Laboratory

status: Completed

category: Laboratory

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

Request:

POST Procedure

Entry 10 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Procedure/mii-exa-molgen-genomic-study-analysis-wes-library-prep-bundle

Resource Procedure:

Genomic Study Analysis Specimen: Specimen: identifier = https://www.medizininformatik-initiative.de/fhir/sid/specimen-ids#EDTA-2024-001; type = Plasma specimen

Genomic Study Analysis Device

Genomic Study Analysis Method Type: DNA hybridization

status: Completed

category: Laboratory

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

Request:

POST Procedure

Entry 11 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Procedure/mii-exa-molgen-genomic-study-analysis-wes-sequencing-bundle

Resource Procedure:

Genomic Study Analysis Specimen: Specimen: identifier = https://www.medizininformatik-initiative.de/fhir/sid/specimen-ids#LIB-2024-001; type = Saliva specimen

Genomic Study Analysis Device

Genomic Study Analysis Method Type: Sequencing

status: Completed

category: Laboratory

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

Request:

POST Procedure

Entry 12 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Procedure/mii-exa-molgen-genomic-study-analysis-wes-bioinformatics-bundle

Resource Procedure:

Genomic Study Analysis Method Type: Computational analysis

status: Completed

category: Laboratory

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

Request:

POST Procedure

Entry 13 - fullUrl = https://www.medizininformatik-initiative.de/fhir/ServiceRequest/mii-exa-molgen-anforderung-wes-bundle

Resource ServiceRequest:

Language: de

Profile: MII PR MolGen Anforderung genetischer Test version: 2027.0.0-ballot.1

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: Whole exome sequence analysis in Blood or Tissue by Molecular genetics method)

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

authoredOn: 2024-01-10

requester: Practitioner Anna Schmidt

Request:

POST ServiceRequest

Entry 14 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Observation/mii-exa-molgen-variante-comprehensive-pathogenic-bundle

Resource Observation:

Language: de

Profile: MII PR MolGen Variante version: 2027.0.0-ballot.1

status: Final

category: Laboratory, Genetics

code: Genetic variant assessment

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

effective: 2024-01-10

value: Present

component

code: Gene studied [ID]

value: KMT2A

component

code: DNA change (c.HGVS)

value: NM_005933.3:c.3463C>T

component

code: Amino acid change (pHGVS)

value: p.(Arg1155Ter)

Request:

POST Observation

Entry 15 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Observation/mii-exa-molgen-diagnostische-implikation-comprehensive-bundle

Resource Observation:

Language: de

Profile: MII PR MolGen Diagnostische Implikation version: 2027.0.0-ballot.1

status: Final

category: Laboratory, Genetics

code: Diagnostic Implication

subject: Max Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)

effective: 2024-01-10

derivedFrom: Observation Genetic variant assessment

Components

-CodeValue[x]
*Genetic variation clinical significance [Imp]Pathogenic

Request:

POST Observation

Entry 16 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Media/mii-exa-molgen-media-coverage-plot

Resource DocumentReference:

Language: de

Request:

POST Media

Entry 17 - fullUrl = https://www.medizininformatik-initiative.de/fhir/DiagnosticReport/mii-exa-molgen-befundbericht-comprehensive-wes-bundle

Resource DiagnosticReport:

Language: de

Profiles: MII PR MolGen Molekulargenetischer Befundbericht version: 2027.0.0-ballot.1, Genomic Report version: 3.0.0

Genetic analysis report (Genetics)

SubjectMax Mustermann Male, DoB: 1970-01-01 ( https://www.medizininformatik-initiative.de/fhir/patient-ids#WES2024001)
Performer Practitioner Dr. Daniel Schmidt(official)

Report Details

CodeValueFlagsRelevant Time
Genetic variant assessmentPresentFinal2024-01-10
Diagnostic ImplicationFinal2024-01-10

Whole exome sequencing identified a pathogenic de novo variant in the KMT2A gene, consistent with Wiedemann-Steiner syndrome. Technical quality metrics met all acceptance criteria.

Coded Conclusions:

  • Positive

Request:

POST DiagnosticReport

Entry 18 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Practitioner/mii-exa-molgen-practitioner-bundle

Resource Practitioner:

Language: de

identifier: https://www.medizininformatik-initiative.de/fhir/sid/practitioner-ids/12345

name: Anna Schmidt

Request:

POST Practitioner

Entry 19 - fullUrl = https://www.medizininformatik-initiative.de/fhir/Practitioner/mii-exa-molgen-practitioner-lab-bundle

Resource Practitioner:

Language: de

identifier: https://www.medizininformatik-initiative.de/fhir/sid/practitioner-ids/67890

name: Thomas Weber

Request:

POST Practitioner