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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="mii-exa-molgen-bundle-befund-2-nipbl"/>
  <type value="transaction"/>
  <timestamp value="2022-11-21T14:44:00+01:00"/>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-patient-2"/>
    <resource>
      <Patient>
        <id value="mii-exa-molgen-patient-2"/>
        <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-2"> </a><p class="res-header-id"><b>Generated Narrative: Patient mii-exa-molgen-patient-2</b></p><a name="mii-exa-molgen-patient-2"> </a><a name="hcmii-exa-molgen-patient-2"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (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="Other Id (see the one above)">Other Id:</td><td colspan="3">Gesetzliche Krankenversicherung/Z900211002 (use: official, )</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">Anna-Louisa-Karsch Str. 2 Berlin DE-BE 10178 DE </td></tr></table></div></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="https://www.charite.de/fhir/sid/patienten"/>
          <value value="146314909"/>
          <assigner>
            <identifier>
              <system value="https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier"/>
              <value value="Charité"/>
            </identifier>
            <display value="Charité - Universitätsmedizin Berlin"/>
          </assigner>
        </identifier>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://fhir.de/CodeSystem/identifier-type-de-basis"/>
              <code value="GKV"/>
            </coding>
          </type>
          <system value="http://fhir.de/sid/gkv/kvid-10"/>
          <value value="Z900211002"/>
          <assigner>
            <identifier>
              <use value="official"/>
              <system value="http://fhir.de/sid/arge-ik/iknr"/>
              <value value="109519005"/>
            </identifier>
          </assigner>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Müller">
            <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
              <valueString value="Müller"/>
            </extension>
          </family>
          <given value="Melanie"/>
          <given value="Marie"/>
        </name>
        <gender value="female"/>
        <birthDate value="2021-09-19"/>
        <deceasedBoolean value="false"/>
        <address>
          <type value="both"/>
          <line value="Anna-Louisa-Karsch Str. 2"/>
          <city value="Berlin"/>
          <state value="DE-BE"/>
          <postalCode value="10178"/>
          <country value="DE"/>
        </address>
      </Patient>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Patient/mii-exa-molgen-patient-2"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-befundbericht-2"/>
    <resource>
      <DiagnosticReport>
        <id value="mii-exa-molgen-befundbericht-2"/>
        <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-2"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport mii-exa-molgen-befundbericht-2</b></p><a name="mii-exa-molgen-befundbericht-2"> </a><a name="hcmii-exa-molgen-befundbericht-2"> </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>Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (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-2.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>2022-03-16</td></tr><tr><td><a href="Observation-mii-exa-molgen-variante-2.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>2022-03-16</td></tr></table><p>Nachweis der pathogenen Variante c.2207del p.(Pro736Glnfs*58) (heterozygot) im NIPBL-Gen.</p></div></div>
        </text>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact">
          <valueRelatedArtifact>
            <type value="citation"/>
            <citation value="Gillis LA, McCallum J, Kaur M, DeScipio C, Yaeger D, Mariani A, Kline AD, Li HH, Devoto M, Jackson LG, Krantz ID. NIPBL mutational analysis in 120 individuals with Cornelia de Lange syndrome and evaluation of genotype-phenotype correlations. Am J Hum Genet. 2004 Oct;75(4):610-23. doi: 10.1086/424698. Epub 2004 Aug 18. PMID: 15318302; PMCID: PMC1182048."/>
            <url value="https://pubmed.ncbi.nlm.nih.gov/15318302/"/>
          </valueRelatedArtifact>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact">
          <valueRelatedArtifact>
            <type value="citation"/>
            <citation value="Kawauchi S, Calof AL, Santos R, Lopez-Burks ME, Young CM, Hoang MP, Chua A, Lao T, Lechner MS, Daniel JA, Nussenzweig A, Kitzes L, Yokomori K, Hallgrimsson B, Lander AD. Multiple organ system defects and transcriptional dysregulation in the Nipbl(+/-) mouse, a model of Cornelia de Lange Syndrome. PLoS Genet. 2009 Sep;5(9):e1000650. doi: 10.1371/journal.pgen.1000650. Epub 2009 Sep 18. PMID: 19763162; PMCID: PMC2730539."/>
            <url value="https://pubmed.ncbi.nlm.nih.gov/19763162/"/>
          </valueRelatedArtifact>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact">
          <valueRelatedArtifact>
            <type value="citation"/>
            <citation value="Huisman SA, Redeker EJ, Maas SM, Mannens MM, Hennekam RC. High rate of mosaicism in individuals with Cornelia de Lange syndrome. J Med Genet. 2013 May;50(5):339-44. doi: 10.1136/jmedgenet-2012-101477. Epub 2013 Mar 15. PMID: 23505322."/>
            <url value="https://pubmed.ncbi.nlm.nih.gov/23505322/"/>
          </valueRelatedArtifact>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact">
          <valueRelatedArtifact>
            <type value="citation"/>
            <citation value="Kline AD, Moss JF, Selicorni A, Bisgaard AM, Deardorff MA, Gillett PM, Ishman SL, Kerr LM, Levin AV, Mulder PA, Ramos FJ, Wierzba J, Ajmone PF, Axtell D, Blagowidow N, Cereda A, Costantino A, Cormier-Daire V, FitzPatrick D, Grados M, Groves L, Guthrie W, Huisman S, Kaiser FJ, Koekkoek G, Levis M, Mariani M, McCleery JP, Menke LA, Metrena A, O'Connor J, Oliver C, Pie J, Piening S, Potter CJ, Quaglio AL, Redeker E, Richman D, Rigamonti C, Shi A, Tümer Z, Van Balkom IDC, Hennekam RC. Diagnosis and management of Cornelia de Lange syndrome: first international consensus statement. Nat Rev Genet. 2018 Oct;19(10):649-666. doi: 10.1038/s41576-018-0031-0. PMID: 29995837; PMCID: PMC7136165."/>
            <url value="https://pubmed.ncbi.nlm.nih.gov/29995837/"/>
          </valueRelatedArtifact>
        </extension>
        <extension url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note">
          <valueAnnotation>
            <extension url="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/annotation-code">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="116148004"/>
                  <display value="Molecular genetics procedure (procedure)"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Gen-Panel zusammengestellt nach den aktuellen Empfehlungen des Deutschen Konsortiums für erblichen Brust- und Eierstockkrebs sowie der ClinGen Breast/Ovarian Cancer Working Group (Lee et al. 2019, PMID: 30504931). Nach DNA-Extraktion wurden alle kodierenden Exons der zu untersuchenden Gene einschließlich flankierender intronischer Regionen (mindestens von -3 bis +8) angereichert (Custom Panel V02, IDT) und auf einem Illumina NextSeq 500-, NextSeq 550- oder NovaSeq 6000-Sequencer sequenziert. Zur Verifizierung der DNA-Probe wurden 14 SNPs (Single Nucleotide Polymorphism) mittels kompetitiver allelspezifischer PCR unter Verwendung fluoreszenzmarkierter Primer amplifiziert (StepOnePlus System, ThermoFisher Scientific) und analysiert (StepOnePlus software für Genotyping Experiments) und die Ergebnisse mit den Daten der NGS-Analyse verglichen (megSAP). Der Abgleich der ermittelten DNA-Sequenz erfolgte mit den in den Gendatenbanken niedergelegten Sequenzen: BRCA1 - NCBI Reference Sequence NM_007294.2, BRCA2 - ensembl ENST00000380152, ATM - NCBI Reference Sequence NM_000051.3, BARD1 - ENST00000260947.4, BRIP1 - NCBI Reference Sequence NM_032043.2, CDH1 - ensembl ENST00000261769, CHEK2 - NCBI Reference Sequence NM_007194.3, PALB2 - ensembl ENST00000261584, PTEN -  NCBI Reference Sequence NM_000214.4, RAD51C - ensembl ENST00000337432, RAD51D - ensembl ENST00000345365,  STK11 -  ensembl ENST00000326873.7 und TP53 - ensembl ENST00000269305. Es wurden außerdem Varianten nachgewiesen, die nach heutigem Wissensstand als Normvarianten ohne pathologische Bedeutung zu werten sind."/>
          </valueAnnotation>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
          <valueReference>
            <reference value="ChargeItem/mii-exa-molgen-chargeitem-ebm-21"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
          <valueReference>
            <reference value="ChargeItem/mii-exa-molgen-chargeitem-ebm-22"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
          <valueReference>
            <reference value="ChargeItem/mii-exa-molgen-chargeitem-ebm-23"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
          <valueReference>
            <reference value="ChargeItem/mii-exa-molgen-chargeitem-ebm-24"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
          <valueReference>
            <reference value="Condition/mii-exa-molgen-bundle-befund-2-nipbl-condition-lab"/>
          </valueReference>
        </extension>
        <basedOn>
          <reference value="ServiceRequest/mii-exa-molgen-anforderung-2"/>
        </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-2"/>
        </subject>
        <performer>
          <reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
        </performer>
        <specimen>
          <reference value="Specimen/mii-exa-molgen-specimen-2"/>
        </specimen>
        <result>
          <reference value="Observation/mii-exa-molgen-diagnostische-implikation-2"/>
        </result>
        <result>
          <reference value="Observation/mii-exa-molgen-variante-2"/>
        </result>
        <conclusion value="Nachweis der pathogenen Variante c.2207del p.(Pro736Glnfs*58) (heterozygot) im NIPBL-Gen."/>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="DiagnosticReport/mii-exa-molgen-befundbericht-2"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-anforderung-2"/>
    <resource>
      <ServiceRequest>
        <id value="mii-exa-molgen-anforderung-2"/>
        <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-2"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest mii-exa-molgen-anforderung-2</b></p><a name="mii-exa-molgen-anforderung-2"> </a><a name="hcmii-exa-molgen-anforderung-2"> </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>/gen_test_02</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}, {http://loinc.org 40428-5}, {http://www.genenames.org/geneId HGNC:28862}">Molekulargenetische Diagnose eines Cornelia de Lange-Syndrom (MIM122470),autosomal dominanter Erbgang</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>authoredOn</b>: 2022-03-16</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 395507008}">Premature infant (finding)</span>, <span title="Codes:{http://snomed.info/sct 276610007}, {http://human-phenotype-ontology.org HP:0001518}">Low birth weight infant (disorder)</span>, <span title="Codes:{http://snomed.info/sct 431265009}, {http://human-phenotype-ontology.org HP:0000252}">Fetal microcephaly (disorder)</span>, <span title="Codes:{http://snomed.info/sct 137511000119103}, {http://human-phenotype-ontology.org HP:0003560}">Carrier of muscular dystrophy (finding)</span>, <span title="Codes:{http://human-phenotype-ontology.org HP:0000527}">Long eyelashes</span></p><p><b>reasonReference</b>: </p><ul><li><a href="Observation-mii-exa-molgen-phenotypic-feature-1.html">Observation Long eyelashes</a></li><li><a href="Observation-mii-exa-molgen-phenotypic-feature-2.html">Observation Small for gestational age</a></li><li><a href="Observation-mii-exa-molgen-phenotypic-feature-3.html">Observation Microcephaly</a></li><li><a href="Observation-mii-exa-molgen-phenotypic-feature-4.html">Observation Muscular dystrophy</a></li></ul><p><b>specimen</b>: <a href="Specimen-mii-exa-molgen-specimen-2.html">Specimen: identifier = https://www.charite.de/fhir/sid/bioproben#specimen_02; status = available; type = Blood specimen with edetic acid (specimen); receivedTime = 2021-11-24</a></p></div></div>
        </text>
        <identifier>
          <system value="https://www.charite.de/fhir/auftragsnummern"/>
          <value value="gen_test_02"/>
        </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>
          <coding>
            <system value="http://loinc.org"/>
            <code value="40428-5"/>
            <display value="NIPBL gene targeted mutation analysis in Blood or Tissue by Molecular genetics method"/>
          </coding>
          <coding>
            <system value="http://www.genenames.org/geneId"/>
            <code value="HGNC:28862"/>
            <display value="NIPBL"/>
          </coding>
          <text value="Molekulargenetische Diagnose eines Cornelia de Lange-Syndrom (MIM122470),autosomal dominanter Erbgang"/>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-2"/>
        </subject>
        <authoredOn value="2022-03-16"/>
        <requester>
          <reference value="Practitioner/mii-exa-molgen-practitioner-physician"/>
        </requester>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="395507008"/>
            <display value="Premature infant (finding)"/>
          </coding>
        </reasonCode>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="276610007"/>
            <display value="Low birth weight infant (disorder)"/>
          </coding>
          <coding>
            <system value="http://human-phenotype-ontology.org"/>
            <code value="HP:0001518"/>
            <display value="Small for gestational age"/>
          </coding>
        </reasonCode>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="431265009"/>
            <display value="Fetal microcephaly (disorder)"/>
          </coding>
          <coding>
            <system value="http://human-phenotype-ontology.org"/>
            <code value="HP:0000252"/>
            <display value="Microcephaly"/>
          </coding>
        </reasonCode>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="137511000119103"/>
            <display value="Carrier of muscular dystrophy (finding)"/>
          </coding>
          <coding>
            <system value="http://human-phenotype-ontology.org"/>
            <code value="HP:0003560"/>
            <display value="Muscular dystrophy"/>
          </coding>
        </reasonCode>
        <reasonCode>
          <coding>
            <system value="http://human-phenotype-ontology.org"/>
            <code value="HP:0000527"/>
            <display value="Long eyelashes"/>
          </coding>
        </reasonCode>
        <reasonReference>
          <reference value="Observation/mii-exa-molgen-phenotypic-feature-1"/>
        </reasonReference>
        <reasonReference>
          <reference value="Observation/mii-exa-molgen-phenotypic-feature-2"/>
        </reasonReference>
        <reasonReference>
          <reference value="Observation/mii-exa-molgen-phenotypic-feature-3"/>
        </reasonReference>
        <reasonReference>
          <reference value="Observation/mii-exa-molgen-phenotypic-feature-4"/>
        </reasonReference>
        <specimen>
          <reference value="Specimen/mii-exa-molgen-specimen-2"/>
        </specimen>
      </ServiceRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ServiceRequest/mii-exa-molgen-anforderung-2"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-chargeitem-ebm-21"/>
    <resource>
      <ChargeItem>
        <id value="mii-exa-molgen-chargeitem-ebm-21"/>
        <meta>
          <profile value="http://fhir.de/StructureDefinition/chargeitem-de-ebm"/>
        </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="ChargeItem_mii-exa-molgen-chargeitem-ebm-21"> </a><p class="res-header-id"><b>Generated Narrative: ChargeItem mii-exa-molgen-chargeitem-ebm-21</b></p><a name="mii-exa-molgen-chargeitem-ebm-21"> </a><a name="hcmii-exa-molgen-chargeitem-ebm-21"> </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="https://simplifier.net/resolve?scope=de.basisprofil.r4@1.6.0&amp;canonical=http://fhir.de/StructureDefinition/chargeitem-de-ebm">ChargeItem für EBM-Ziffer als Abrechnungsposition</a></p></div><p><b>status</b>: Billable</p><p><b>code</b>: <span title="Codes:{https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM 11513}">Postnatale Mutationssuche zum Nachweis oder Ausschluss einer krankheitsrelevanten oder krankheitsauslösenden konstitutionellen genomischen Mutation</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>quantity</b>: 72</p></div></div>
        </text>
        <status value="billable"/>
        <code>
          <coding>
            <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM"/>
            <code value="11513"/>
            <display value="Postnatale Mutationssuche zum Nachweis oder Ausschluss einer krankheitsrelevanten oder krankheitsauslösenden konstitutionellen genomischen Mutation"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-2"/>
        </subject>
        <quantity>
          <value value="72"/>
        </quantity>
      </ChargeItem>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ChargeItem/mii-exa-molgen-chargeitem-ebm-21"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-chargeitem-ebm-22"/>
    <resource>
      <ChargeItem>
        <id value="mii-exa-molgen-chargeitem-ebm-22"/>
        <meta>
          <profile value="http://fhir.de/StructureDefinition/chargeitem-de-ebm"/>
        </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="ChargeItem_mii-exa-molgen-chargeitem-ebm-22"> </a><p class="res-header-id"><b>Generated Narrative: ChargeItem mii-exa-molgen-chargeitem-ebm-22</b></p><a name="mii-exa-molgen-chargeitem-ebm-22"> </a><a name="hcmii-exa-molgen-chargeitem-ebm-22"> </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="https://simplifier.net/resolve?scope=de.basisprofil.r4@1.6.0&amp;canonical=http://fhir.de/StructureDefinition/chargeitem-de-ebm">ChargeItem für EBM-Ziffer als Abrechnungsposition</a></p></div><p><b>status</b>: Billable</p><p><b>code</b>: <span title="Codes:{https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM 11512}">Gezielter Nachweis oder Ausschluss von krankheitsrelevanten oder krankheitsauslösenden großen Deletionen und/oder Duplikationen</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>quantity</b>: 6</p></div></div>
        </text>
        <status value="billable"/>
        <code>
          <coding>
            <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM"/>
            <code value="11512"/>
            <display value="Gezielter Nachweis oder Ausschluss von krankheitsrelevanten oder krankheitsauslösenden großen Deletionen und/oder Duplikationen"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-2"/>
        </subject>
        <quantity>
          <value value="6"/>
        </quantity>
      </ChargeItem>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ChargeItem/mii-exa-molgen-chargeitem-ebm-22"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-chargeitem-ebm-23"/>
    <resource>
      <ChargeItem>
        <id value="mii-exa-molgen-chargeitem-ebm-23"/>
        <meta>
          <profile value="http://fhir.de/StructureDefinition/chargeitem-de-ebm"/>
        </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="ChargeItem_mii-exa-molgen-chargeitem-ebm-23"> </a><p class="res-header-id"><b>Generated Narrative: ChargeItem mii-exa-molgen-chargeitem-ebm-23</b></p><a name="mii-exa-molgen-chargeitem-ebm-23"> </a><a name="hcmii-exa-molgen-chargeitem-ebm-23"> </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="https://simplifier.net/resolve?scope=de.basisprofil.r4@1.6.0&amp;canonical=http://fhir.de/StructureDefinition/chargeitem-de-ebm">ChargeItem für EBM-Ziffer als Abrechnungsposition</a></p></div><p><b>status</b>: Billable</p><p><b>code</b>: <span title="Codes:{https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM 11302}">Zuschlag für Gemeinkosten und die wissenschaftliche ärztliche Beurteilung und Befundung komplexer genetischer Analysen im individuellen klinischen Kontext bei seltenen Erkrankungen</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>quantity</b>: 1</p></div></div>
        </text>
        <status value="billable"/>
        <code>
          <coding>
            <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM"/>
            <code value="11302"/>
            <display value="Zuschlag für Gemeinkosten und die wissenschaftliche ärztliche Beurteilung und Befundung komplexer genetischer Analysen im individuellen klinischen Kontext bei seltenen Erkrankungen"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-2"/>
        </subject>
        <quantity>
          <value value="1"/>
        </quantity>
      </ChargeItem>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ChargeItem/mii-exa-molgen-chargeitem-ebm-23"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-chargeitem-ebm-24"/>
    <resource>
      <ChargeItem>
        <id value="mii-exa-molgen-chargeitem-ebm-24"/>
        <meta>
          <profile value="http://fhir.de/StructureDefinition/chargeitem-de-ebm"/>
        </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="ChargeItem_mii-exa-molgen-chargeitem-ebm-24"> </a><p class="res-header-id"><b>Generated Narrative: ChargeItem mii-exa-molgen-chargeitem-ebm-24</b></p><a name="mii-exa-molgen-chargeitem-ebm-24"> </a><a name="hcmii-exa-molgen-chargeitem-ebm-24"> </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="https://simplifier.net/resolve?scope=de.basisprofil.r4@1.6.0&amp;canonical=http://fhir.de/StructureDefinition/chargeitem-de-ebm">ChargeItem für EBM-Ziffer als Abrechnungsposition</a></p></div><p><b>status</b>: Billable</p><p><b>code</b>: <span title="Codes:{https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM 11301}">Grundpauschale humangenetische in-vitro-Diagnostik bei Probeneinsendung</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>quantity</b>: 1</p></div></div>
        </text>
        <status value="billable"/>
        <code>
          <coding>
            <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM"/>
            <code value="11301"/>
            <display value="Grundpauschale humangenetische in-vitro-Diagnostik bei Probeneinsendung"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-2"/>
        </subject>
        <quantity>
          <value value="1"/>
        </quantity>
      </ChargeItem>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ChargeItem/mii-exa-molgen-chargeitem-ebm-24"/>
    </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-specimen-2"/>
    <resource>
      <Specimen>
        <id value="mii-exa-molgen-specimen-2"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore"/>
        </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="Specimen_mii-exa-molgen-specimen-2"> </a><p class="res-header-id"><b>Generated Narrative: Specimen mii-exa-molgen-specimen-2</b></p><a name="mii-exa-molgen-specimen-2"> </a><a name="hcmii-exa-molgen-specimen-2"> </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="file:///home/runner/work/kerndatensatzmodul-biobank/kerndatensatzmodul-biobank/output/StructureDefinition-mii-pr-biobank-specimen-core.html">MII PR Biobank Specimen Bioprobe Core</a></p></div><p><b>identifier</b>: <code>https://www.charite.de/fhir/sid/bioproben</code>/specimen_02</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 445295009}">Blood specimen with edetic acid (specimen)</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>receivedTime</b>: 2021-11-24</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2021-11-23</td></tr></table></div></div>
        </text>
        <identifier>
          <system value="https://www.charite.de/fhir/sid/bioproben"/>
          <value value="specimen_02"/>
        </identifier>
        <status value="available"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="445295009"/>
            <display value="Blood specimen with edetic acid (specimen)"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-2"/>
        </subject>
        <receivedTime value="2021-11-24"/>
        <collection>
          <collectedDateTime value="2021-11-23"/>
        </collection>
      </Specimen>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Specimen/mii-exa-molgen-specimen-2"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-diagnostische-implikation-2"/>
    <resource>
      <Observation>
        <id value="mii-exa-molgen-diagnostische-implikation-2"/>
        <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="extensions"/><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-2"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-molgen-diagnostische-implikation-2</b></p><a name="mii-exa-molgen-diagnostische-implikation-2"> </a><a name="hcmii-exa-molgen-diagnostische-implikation-2"> </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>Related artifact</b>: No display for RelatedArtifact  (type: citation; citation: Richards et al., Genet Med. 2015; 17:405-24; url: https://doi.org/10.1038/gim.2015.30)</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://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-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>effective</b>: 2022-03-16</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-2.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>: Nachweis einer pathogenen Variante im NIPBL-Gen in heterozygoter Form.</p></blockquote><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://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs condition-inheritance}">Condition Inheritance</span></p><p><b>value</b>: <span title="Codes:{http://human-phenotype-ontology.org HP:0000006}">Autosomal dominant inheritance</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 40354009}">De Lange syndrome (disorder)</span></p></blockquote></div></div>
        </text>
        <extension url="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact">
          <valueRelatedArtifact>
            <type value="citation"/>
            <citation value="Richards et al., Genet Med. 2015; 17:405-24"/>
            <url value="https://doi.org/10.1038/gim.2015.30"/>
          </valueRelatedArtifact>
        </extension>
        <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-2"/>
        </subject>
        <effectiveDateTime value="2022-03-16"/>
        <performer>
          <reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
        </performer>
        <derivedFrom>
          <reference value="Observation/mii-exa-molgen-variante-2"/>
        </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="Nachweis einer pathogenen Variante im NIPBL-Gen in heterozygoter Form."/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="53037-8"/>
              <display value="Genetic variation clinical significance [Imp]"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="LA6668-3"/>
              <display value="Pathogenic"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs"/>
              <code value="condition-inheritance"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://human-phenotype-ontology.org"/>
              <code value="HP:0000006"/>
              <display value="Autosomal dominant inheritance"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="81259-4"/>
              <display value="Associated phenotype"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="40354009"/>
              <display value="De Lange syndrome (disorder)"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/mii-exa-molgen-diagnostische-implikation-2"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-variante-2"/>
    <resource>
      <Observation>
        <id value="mii-exa-molgen-variante-2"/>
        <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-2"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-molgen-variante-2</b></p><a name="mii-exa-molgen-variante-2"> </a><a name="hcmii-exa-molgen-variante-2"> </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-2.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-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>effective</b>: 2022-03-16</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><p><b>specimen</b>: <a href="Specimen-mii-exa-molgen-specimen-2.html">Specimen: identifier = https://www.charite.de/fhir/sid/bioproben#specimen_02; status = available; type = Blood specimen with edetic acid (specimen); receivedTime = 2021-11-24</a></p><p><b>device</b>: <a href="Device-mii-exa-molgen-device-sequencer-2.html">Device: status = active; manufacturer = Illumina</a></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:28862}">NIPBL</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 51958-7}">Transcript reference sequence [ID]</span></p><p><b>value</b>: <span title="Codes:{http://www.ncbi.nlm.nih.gov/refseq NM_133433.4}">NM_133433.4</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 47999-8}">DNA region name [Identifier]</span></p><p><b>value</b>: Exon #10</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 48004-6}">DNA change (c.HGVS)</span></p><p><b>value</b>: <span title="Codes:{http://varnomen.hgvs.org NM_133433.4:c.2207del}">NM_133433.4:c.2207del</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 48005-3}">Amino acid change (pHGVS)</span></p><p><b>value</b>: <span title="Codes:{http://varnomen.hgvs.org p.(Pro736Glnfs*58)}">p.(Pro736Glnfs*58)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 53034-5}">Allelic state</span></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6706-1}">Heterozygous</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:0000159}">Deletion</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 48001-2}">Cytogenetic (chromosome) location</span></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.335 5p13.2}">5p13.2</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 81252-9}">Discrete genetic variant</span></p><p><b>value</b>: <span title="Codes:{http://www.ncbi.nlm.nih.gov/clinvar 1076298}, {http://www.ncbi.nlm.nih.gov/clinvar VCV001076298.1}">1076298</span></p></blockquote></div></div>
        </text>
        <basedOn>
          <reference value="ServiceRequest/mii-exa-molgen-anforderung-2"/>
        </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-2"/>
        </subject>
        <effectiveDateTime value="2022-03-16"/>
        <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>
        <specimen>
          <reference value="Specimen/mii-exa-molgen-specimen-2"/>
        </specimen>
        <device>
          <reference value="Device/mii-exa-molgen-device-sequencer-2"/>
        </device>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48018-6"/>
              <display value="Gene studied [ID]"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.genenames.org/geneId"/>
              <code value="HGNC:28862"/>
              <display value="NIPBL"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="51958-7"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.ncbi.nlm.nih.gov/refseq"/>
              <code value="NM_133433.4"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="47999-8"/>
              <display value="DNA region name [Identifier]"/>
            </coding>
          </code>
          <valueString value="Exon #10"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48004-6"/>
              <display value="DNA change (c.HGVS)"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://varnomen.hgvs.org"/>
              <code value="NM_133433.4:c.2207del"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48005-3"/>
              <display value="Amino acid change (pHGVS)"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://varnomen.hgvs.org"/>
              <code value="p.(Pro736Glnfs*58)"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="53034-5"/>
              <display value="Allelic state"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="LA6706-1"/>
              <display value="Heterozygous"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48019-4"/>
              <display value="DNA change type"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://sequenceontology.org"/>
              <code value="SO:0000159"/>
              <display value="Deletion"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48001-2"/>
              <display value="Cytogenetic (chromosome) location"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.113883.6.335"/>
              <code value="5p13.2"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="81252-9"/>
              <display value="Discrete genetic variant"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://www.ncbi.nlm.nih.gov/clinvar"/>
              <code value="1076298"/>
            </coding>
            <coding>
              <system value="http://www.ncbi.nlm.nih.gov/clinvar"/>
              <code value="VCV001076298.1"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/mii-exa-molgen-variante-2"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-bundle-befund-2-nipbl-condition-lab"/>
    <resource>
      <Condition>
        <id value="mii-exa-molgen-bundle-befund-2-nipbl-condition-lab"/>
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose"/>
        </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="Condition_mii-exa-molgen-bundle-befund-2-nipbl-condition-lab"> </a><p class="res-header-id"><b>Generated Narrative: Condition mii-exa-molgen-bundle-befund-2-nipbl-condition-lab</b></p><a name="mii-exa-molgen-bundle-befund-2-nipbl-condition-lab"> </a><a name="hcmii-exa-molgen-bundle-befund-2-nipbl-condition-lab"> </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="https://medizininformatik-initiative.github.io/kerndatensatz-basis/2027.0.0-ballot/StructureDefinition-mii-pr-diagnose-condition.html">MII PR Diagnose Condition</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}">Provisional</span></p><p><b>code</b>: <span title="Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm Q87.1}, {http://www.omim.org 122470}">Angeborene Fehlbildungssyndrome, die vorwiegend mit Kleinwuchs einhergehen</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-2.html">Melanie Marie Müller (official) Female, DoB: 2021-09-19 ( Medical record number (use: usual, ))</a></p><p><b>recordedDate</b>: 2022-03-05 10:49:00+0100</p><p><b>recorder</b>: <a href="Practitioner-mii-exa-molgen-practitioner-lab.html">Practitioner Dr. Daniel Schmidt(official)</a></p><p><b>asserter</b>: <a href="Practitioner-mii-exa-molgen-practitioner-lab.html">Practitioner Dr. Daniel Schmidt(official)</a></p></div></div>
        </text>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="provisional"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <extension url="http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit">
              <valueCoding>
                <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT"/>
                <code value="V"/>
              </valueCoding>
            </extension>
            <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
            <version value="2021"/>
            <code value="Q87.1"/>
            <display value="Angeborene Fehlbildungssyndrome, die vorwiegend mit Kleinwuchs einhergehen"/>
          </coding>
          <coding>
            <system value="http://www.omim.org"/>
            <code value="122470"/>
            <display value="Cornelia de Lange syndrome 1"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-molgen-patient-2"/>
        </subject>
        <recordedDate value="2022-03-05T10:49:00+01:00"/>
        <recorder>
          <reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
        </recorder>
        <asserter>
          <reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
        </asserter>
      </Condition>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Condition/mii-exa-molgen-bundle-befund-2-nipbl-condition-lab"/>
    </request>
  </entry>
</Bundle>