<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="mii-exa-befund-bundle-befund-fgfr2-fusion"/>
  <type value="transaction"/>
  <timestamp value="2022-12-16T13:47:00+01:00"/>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-patient-fgfr2-fusion"/>
    <resource>
      <Patient>
        <id value="mii-exa-molgen-patient-fgfr2-fusion"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Patient_mii-exa-molgen-patient-fgfr2-fusion"> </a><p class="res-header-id"><b>Generated Narrative: Patient mii-exa-molgen-patient-fgfr2-fusion</b></p><a name="mii-exa-molgen-patient-fgfr2-fusion"> </a><a name="hcmii-exa-molgen-patient-fgfr2-fusion"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anonymous Patient Female, DoB: 1964-05 ( pseudonymized (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td colspan="3">false</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">10 DE </td></tr></table></div></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
              <code value="PSEUDED"/>
            </coding>
          </type>
          <system value="https://www.charite.de/fhir/sid/pseudonym"/>
          <value value="3337167192"/>
        </identifier>
        <gender value="female"/>
        <birthDate value="1964-05"/>
        <deceasedBoolean value="false"/>
        <address>
          <type value="both"/>
          <postalCode value="10"/>
          <country value="DE"/>
        </address>
      </Patient>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Patient/mii-exa-molgen-patient-fgfr2-fusion"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-practitioner-lab"/>
    <resource>
      <Practitioner>
        <id value="mii-exa-molgen-practitioner-lab"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Practitioner_mii-exa-molgen-practitioner-lab"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner mii-exa-molgen-practitioner-lab</b></p><a name="mii-exa-molgen-practitioner-lab"> </a><a name="hcmii-exa-molgen-practitioner-lab"> </a><p><b>active</b>: true</p><p><b>name</b>: Dr. Daniel Schmidt(Official)</p></div></div>
        </text>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Dr. Daniel Schmidt"/>
          <family value="Schmidt"/>
          <given value="Daniel"/>
          <prefix value="Dr."/>
        </name>
      </Practitioner>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Practitioner/mii-exa-molgen-practitioner-lab"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-practitioner-physician"/>
    <resource>
      <Practitioner>
        <id value="mii-exa-molgen-practitioner-physician"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Practitioner_mii-exa-molgen-practitioner-physician"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner mii-exa-molgen-practitioner-physician</b></p><a name="mii-exa-molgen-practitioner-physician"> </a><a name="hcmii-exa-molgen-practitioner-physician"> </a><p><b>active</b>: true</p><p><b>name</b>: Dr. Linda Rubens(Official)</p></div></div>
        </text>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Dr. Linda Rubens"/>
          <family value="Rubens"/>
          <given value="Linda"/>
          <prefix value="Dr."/>
        </name>
      </Practitioner>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Practitioner/mii-exa-molgen-practitioner-physician"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-befundbericht-fgfr2-fusion"/>
    <resource>
      <DiagnosticReport>
        <id value="mii-exa-molgen-befundbericht-fgfr2-fusion"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/molekulargenetischer-befundbericht|2027.0.0-ballot.1"/>
          <profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report|3.0.0"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="DiagnosticReport_mii-exa-molgen-befundbericht-fgfr2-fusion"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport mii-exa-molgen-befundbericht-fgfr2-fusion</b></p><a name="mii-exa-molgen-befundbericht-fgfr2-fusion"> </a><a name="hcmii-exa-molgen-befundbericht-fgfr2-fusion"> </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">Profiles: <a href="StructureDefinition-mii-pr-molgen-molekulargenetischer-befundbericht.html">MII PR MolGen Molekulargenetischer Befundbericht</a> version: 2027.0.0-ballot.1, <a href="http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-genomic-report.html">Genomic Report</a> version: 3.0.0</p></div><h2><span title="Codes:{http://loinc.org 51969-4}">Genetic analysis report</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span>) </h2><table class="grid"><tr><td>Subject</td><td>Anonymous Patient Female, DoB: 1964-05 ( pseudonymized (use: usual, ))</td></tr><tr><td>Performer</td><td> <a href="Practitioner-mii-exa-molgen-practitioner-lab.html">Practitioner Dr. Daniel Schmidt(official)</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>Relevant Time</b></td></tr><tr><td><a href="Observation-mii-exa-molgen-diagnostische-implikation-fgfr2-fusion.html"><span title="Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}">Diagnostic Implication</span></a></td><td/><td>Final</td><td>2022-11-30</td></tr><tr><td><a href="Observation-mii-exa-molgen-variante-fgfr2-fusion.html"><span title="Codes:{http://loinc.org 69548-6}">Genetic variant assessment</span></a></td><td><span title="Codes:{http://loinc.org LA9633-4}">Present</span></td><td>Final</td><td>2022-11-30</td></tr><tr><td><a href="Observation-mii-exa-molgen-therapeutische-implikation-fgfr2-fusion.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>2022-11-30</td></tr></table><p>Nachweis FGFR2-Fusion. Empfehlung: Hochselektive FGFR-Inhibitor-Therapie.</p></div></div>
        </text>
        <extension url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action">
          <valueReference>
            <reference value="Task/mii-exa-molgen-medikationsempfehlung-fgfr2-fusion"/>
          </valueReference>
        </extension>
        <basedOn>
          <reference value="ServiceRequest/mii-exa-molgen-anforderung-fgfr2-fusion"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="GE"/>
            <display value="Genetics"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="51969-4"/>
            <display value="Genetic analysis report"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-fgfr2-fusion"/>
        </subject>
        <performer>
          <reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
        </performer>
        <result>
          <reference value="Observation/mii-exa-molgen-diagnostische-implikation-fgfr2-fusion"/>
        </result>
        <result>
          <reference value="Observation/mii-exa-molgen-variante-fgfr2-fusion"/>
        </result>
        <result>
          <reference value="Observation/mii-exa-molgen-therapeutische-implikation-fgfr2-fusion"/>
        </result>
        <conclusion value="Nachweis FGFR2-Fusion. Empfehlung: Hochselektive FGFR-Inhibitor-Therapie."/>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="DiagnosticReport/mii-exa-molgen-befundbericht-fgfr2-fusion"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-anforderung-fgfr2-fusion"/>
    <resource>
      <ServiceRequest>
        <id value="mii-exa-molgen-anforderung-fgfr2-fusion"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/anforderung-genetischer-test|2027.0.0-ballot.1"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="ServiceRequest_mii-exa-molgen-anforderung-fgfr2-fusion"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest mii-exa-molgen-anforderung-fgfr2-fusion</b></p><a name="mii-exa-molgen-anforderung-fgfr2-fusion"> </a><a name="hcmii-exa-molgen-anforderung-fgfr2-fusion"> </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-mii-pr-molgen-anforderung-genetischer-test.html">MII PR MolGen Anforderung genetischer Test</a> version: 2027.0.0-ballot.1</p></div><p><b>identifier</b>: <code>https://www.charite.de/fhir/auftragsnummern</code>/PRK4QE59A</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory procedure (procedure)</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 405825005}">Therapierelevante genetische Veränderungen bei Intrahepatischem Gallengangskarzinom</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-fgfr2-fusion.html">Anonymous Patient Female, DoB: 1964-05 ( pseudonymized (use: usual, ))</a></p><p><b>authoredOn</b>: 2022-11-30</p><p><b>requester</b>: <a href="Practitioner-mii-exa-molgen-practitioner-physician.html">Practitioner Dr. Linda Rubens(official)</a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 109842005}, {http://fhir.de/CodeSystem/bfarm/icd-10-gm C22.1}">Intrahepatic bile duct carcinoma (disorder)</span></p></div></div>
        </text>
        <identifier>
          <system value="https://www.charite.de/fhir/auftragsnummern"/>
          <value value="PRK4QE59A"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure (procedure)"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="405825005"/>
            <display value="Molecular genetic test (procedure)"/>
          </coding>
          <text value="Therapierelevante genetische Veränderungen bei Intrahepatischem Gallengangskarzinom"/>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-fgfr2-fusion"/>
        </subject>
        <authoredOn value="2022-11-30"/>
        <requester>
          <reference value="Practitioner/mii-exa-molgen-practitioner-physician"/>
        </requester>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="109842005"/>
            <display value="Intrahepatic bile duct carcinoma (disorder)"/>
          </coding>
          <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
            <version value="2024"/>
            <code value="C22.1"/>
            <display value="Intrahepatisches Gallengangskarzinom"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ServiceRequest/mii-exa-molgen-anforderung-fgfr2-fusion"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-variante-fgfr2-fusion"/>
    <resource>
      <Observation>
        <id value="mii-exa-molgen-variante-fgfr2-fusion"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante|2027.0.0-ballot.1"/>
          <profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant|3.0.0"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-molgen-variante-fgfr2-fusion"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-molgen-variante-fgfr2-fusion</b></p><a name="mii-exa-molgen-variante-fgfr2-fusion"> </a><a name="hcmii-exa-molgen-variante-fgfr2-fusion"> </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">Profiles: <a href="StructureDefinition-mii-pr-molgen-variante.html">MII PR MolGen Variante</a> version: 2027.0.0-ballot.1, <a href="http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-variant.html">Variant</a> version: 3.0.0</p></div><p><b>basedOn</b>: <a href="ServiceRequest-mii-exa-molgen-anforderung-fgfr2-fusion.html">ServiceRequest Molecular genetic test (procedure)</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69548-6}">Genetic variant assessment</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-fgfr2-fusion.html">Anonymous Patient Female, DoB: 1964-05 ( pseudonymized (use: usual, ))</a></p><p><b>effective</b>: 2022-11-30</p><p><b>value</b>: <span title="Codes:{http://loinc.org LA9633-4}">Present</span></p><p><b>method</b>: <span title="Codes:{http://loinc.org LA26398-0}, {http://loinc.org 86206-0}">Sequencing</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 48018-6}">Gene studied [ID]</span></p><p><b>value</b>: <span title="Codes:{http://www.genenames.org/geneId HGNC:3689}">FGFR2</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 48019-4}">DNA change type</span></p><p><b>value</b>: <span title="Codes:{http://sequenceontology.org SO:0001565}">gene_fusion</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 95123-6}">Gene fusion transcript details in Blood or Tissue by Molecular genetics method Narrative</span></p><p><b>value</b>: <span title="Codes:{http://www.genenames.org/geneId HGNC:3689::HGNC:2697}">FGFR2::DBP</span></p></blockquote></div></div>
        </text>
        <basedOn>
          <reference value="ServiceRequest/mii-exa-molgen-anforderung-fgfr2-fusion"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <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="69548-6"/>
            <display value="Genetic variant assessment"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-fgfr2-fusion"/>
        </subject>
        <effectiveDateTime value="2022-11-30"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA9633-4"/>
            <display value="Present"/>
          </coding>
        </valueCodeableConcept>
        <method>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA26398-0"/>
            <display value="Sequencing"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="86206-0"/>
            <display value="Whole genome sequence analysis in Blood or Tissue by Molecular genetics method"/>
          </coding>
        </method>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48018-6"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org/geneId"/>
              <code value="HGNC:3689"/>
              <display value="FGFR2"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48019-4"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://sequenceontology.org"/>
              <code value="SO:0001565"/>
              <display value="gene_fusion"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="95123-6"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org/geneId"/>
              <code value="HGNC:3689::HGNC:2697"/>
              <display value="FGFR2::DBP"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/mii-exa-molgen-variante-fgfr2-fusion"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-diagnostische-implikation-fgfr2-fusion"/>
    <resource>
      <Observation>
        <id value="mii-exa-molgen-diagnostische-implikation-fgfr2-fusion"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/diagnostische-implikation|2027.0.0-ballot.1"/>
          <profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnostic-implication|3.0.0"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-molgen-diagnostische-implikation-fgfr2-fusion"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-molgen-diagnostische-implikation-fgfr2-fusion</b></p><a name="mii-exa-molgen-diagnostische-implikation-fgfr2-fusion"> </a><a name="hcmii-exa-molgen-diagnostische-implikation-fgfr2-fusion"> </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">Profiles: <a href="StructureDefinition-mii-pr-molgen-diagnostische-implikation.html">MII PR MolGen Diagnostische Implikation</a> version: 2027.0.0-ballot.1, <a href="http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-diagnostic-implication.html">Diagnostic Implication</a> version: 3.0.0</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</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-mii-exa-molgen-patient-fgfr2-fusion.html">Anonymous Patient Female, DoB: 1964-05 ( pseudonymized (use: usual, ))</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href="Practitioner-mii-exa-molgen-practitioner-lab.html">Practitioner Dr. Daniel Schmidt(official)</a></p><p><b>derivedFrom</b>: <a href="Observation-mii-exa-molgen-variante-fgfr2-fusion.html">Observation Genetic variant assessment</a></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs conclusion-string}">Conclusion Text</span></td><td>starke Überexpression (25-fach)</td></tr></table></div></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="GE"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs"/>
            <code value="diagnostic-implication"/>
            <display value="Diagnostic Implication"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-fgfr2-fusion"/>
        </subject>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
        </performer>
        <derivedFrom>
          <reference value="Observation/mii-exa-molgen-variante-fgfr2-fusion"/>
        </derivedFrom>
        <component>
          <code>
            <coding>
              <system value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs"/>
              <code value="conclusion-string"/>
            </coding>
          </code>
          <valueString value="starke Überexpression (25-fach)"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/mii-exa-molgen-diagnostische-implikation-fgfr2-fusion"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-therapeutische-implikation-fgfr2-fusion"/>
    <resource>
      <Observation>
        <id value="mii-exa-molgen-therapeutische-implikation-fgfr2-fusion"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/therapeutische-implikation|2027.0.0-ballot.1"/>
          <profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication|3.0.0"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-molgen-therapeutische-implikation-fgfr2-fusion"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-molgen-therapeutische-implikation-fgfr2-fusion</b></p><a name="mii-exa-molgen-therapeutische-implikation-fgfr2-fusion"> </a><a name="hcmii-exa-molgen-therapeutische-implikation-fgfr2-fusion"> </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">Profiles: <a href="StructureDefinition-mii-pr-molgen-therapeutische-implikation.html">MII PR MolGen Therapeutische Implikation</a> version: 2027.0.0-ballot.1, <a href="http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-therapeutic-implication.html">Therapeutic Implication</a> version: 3.0.0</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}">Genetics</span></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs therapeutic-implication}">Therapeutic Implication</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-fgfr2-fusion.html">Anonymous Patient Female, DoB: 1964-05 ( pseudonymized (use: usual, ))</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href="Practitioner-mii-exa-molgen-practitioner-lab.html">Practitioner Dr. Daniel Schmidt(official)</a></p><p><b>derivedFrom</b>: <a href="Observation-mii-exa-molgen-variante-fgfr2-fusion.html">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs conclusion-string}">Conclusion Text</span></p><p><b>value</b>: Hochselektiver FGFR2-Inhibitor RLY-4008 bei Patienten mit Cholangiokarzinomen und anderen soliden Tumoren, mit oder ohne FGFR- gerichtete Vortherapie.</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 51963-7}">Medication assessed [ID]</span></p><p><b>value</b>: <span title="Codes:{http://www.whocc.no/atc L01EN}, {http://snomed.info/sct 1162485005}">Fibroblasten-Wachstumsfaktor-Rezeptor (FGFR)-Tyrosinkinase-Inhibitoren</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 93044-6}">Level of evidence</span></p><p><b>value</b>: <span title="Codes:">m1c</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:{http://snomed.info/sct 109842005}, {http://fhir.de/CodeSystem/bfarm/icd-10-gm C22.1}">Intrahepatic bile duct carcinoma (disorder)</span></p></blockquote></div></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="GE"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs"/>
            <code value="therapeutic-implication"/>
            <display value="Therapeutic Implication"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-fgfr2-fusion"/>
        </subject>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
        </performer>
        <derivedFrom>
          <reference value="Observation/mii-exa-molgen-variante-fgfr2-fusion"/>
        </derivedFrom>
        <component>
          <code>
            <coding>
              <system value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs"/>
              <code value="conclusion-string"/>
            </coding>
          </code>
          <valueString value="Hochselektiver FGFR2-Inhibitor RLY-4008 bei Patienten mit Cholangiokarzinomen und anderen soliden Tumoren, mit oder ohne FGFR- gerichtete Vortherapie."/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="51963-7"/>
              <display value="Medication assessed [ID]"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.whocc.no/atc"/>
              <code value="L01EN"/>
              <display value="Fibroblasten-Wachstumsfaktor-Rezeptor (FGFR)-Tyrosinkinase-Inhibitoren"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1162485005"/>
              <display value="Substance with fibroblast growth factor receptor inhibitor mechanism of action (substance)"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="93044-6"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <text value="m1c"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="81259-4"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="109842005"/>
              <display value="Intrahepatic bile duct carcinoma (disorder)"/>
            </coding>
            <coding>
              <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
              <version value="2024"/>
              <code value="C22.1"/>
              <display value="Intrahepatisches Gallengangskarzinom"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/mii-exa-molgen-therapeutische-implikation-fgfr2-fusion"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-medikationsempfehlung-fgfr2-fusion"/>
    <resource>
      <Task>
        <id value="mii-exa-molgen-medikationsempfehlung-fgfr2-fusion"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/medikationsempfehlung|2027.0.0-ballot.1"/>
          <profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/medication-recommendation|3.0.0"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Task_mii-exa-molgen-medikationsempfehlung-fgfr2-fusion"> </a><p class="res-header-id"><b>Generated Narrative: Task mii-exa-molgen-medikationsempfehlung-fgfr2-fusion</b></p><a name="mii-exa-molgen-medikationsempfehlung-fgfr2-fusion"> </a><a name="hcmii-exa-molgen-medikationsempfehlung-fgfr2-fusion"> </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">Profiles: <a href="StructureDefinition-mii-pr-molgen-medikationsempfehlung.html">MII PR MolGen Medikationsempfehlung</a> version: 2027.0.0-ballot.1, <a href="http://hl7.org/fhir/uv/genomics-reporting/STU3/StructureDefinition-medication-recommendation.html">Medication Recommendation</a> version: 3.0.0</p></div><p><b>basedOn</b>: <a href="ServiceRequest-mii-exa-molgen-anforderung-fgfr2-fusion.html">ServiceRequest Molecular genetic test (procedure)</a></p><p><b>status</b>: Requested</p><p><b>intent</b>: proposal</p><p><b>code</b>: <span title="Codes:{http://loinc.org LA26421-0}">Hochselektive FGFR-Inhibitor-Therapie</span></p><p><b>for</b>: <a href="Patient-mii-exa-molgen-patient-fgfr2-fusion.html">Anonymous Patient Female, DoB: 1964-05 ( pseudonymized (use: usual, ))</a></p><p><b>reasonReference</b>: <a href="Observation-mii-exa-molgen-therapeutische-implikation-fgfr2-fusion.html">Observation Therapeutic Implication</a></p></div></div>
        </text>
        <basedOn>
          <reference value="ServiceRequest/mii-exa-molgen-anforderung-fgfr2-fusion"/>
        </basedOn>
        <status value="requested"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA26421-0"/>
            <display value="Consider alternative medication"/>
          </coding>
          <text value="Hochselektive FGFR-Inhibitor-Therapie"/>
        </code>
        <for>
          <reference value="Patient/mii-exa-molgen-patient-fgfr2-fusion"/>
        </for>
        <reasonReference>
          <reference value="Observation/mii-exa-molgen-therapeutische-implikation-fgfr2-fusion"/>
        </reasonReference>
      </Task>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Task/mii-exa-molgen-medikationsempfehlung-fgfr2-fusion"/>
    </request>
  </entry>
</Bundle>