MII IG Kerndatensatz-Modul Molekulargenetischer Befundbericht
2027.0.0-ballot.1 -
Germany
MII IG Kerndatensatz-Modul Molekulargenetischer Befundbericht - Downloaded Version 2027.0.0-ballot.1 See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="mii-exa-befund-bundle-befund-srcc"/>
<language value="en"/>
<type value="transaction"/>
<timestamp value="2022-12-16T10:09:00+01:00"/>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-patient-srcc"/>
<resource>
<Patient>
<id value="mii-exa-molgen-patient-srcc"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Patient_mii-exa-molgen-patient-srcc"> </a><p class="res-header-id"><b>Generated Narrative: Patient mii-exa-molgen-patient-srcc</b></p><a name="mii-exa-molgen-patient-srcc"> </a><a name="hcmii-exa-molgen-patient-srcc"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anonymous Patient Male, DoB: 1986-01 ( 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>
</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="66036015"/>
</identifier>
<gender value="male"/>
<birthDate value="1986-01"/>
<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-srcc"/>
</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"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</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"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</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-srcc"/>
<resource>
<Specimen>
<id value="mii-exa-molgen-specimen-srcc"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Specimen_mii-exa-molgen-specimen-srcc"> </a><p class="res-header-id"><b>Generated Narrative: Specimen mii-exa-molgen-specimen-srcc</b></p><a name="mii-exa-molgen-specimen-srcc"> </a><a name="hcmii-exa-molgen-specimen-srcc"> </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>/00070024</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-srcc.html">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</a></p><p><b>receivedTime</b>: 2022-11-30</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>2022-11-30</td></tr></table></div>
</text>
<identifier>
<system value="https://www.charite.de/fhir/sid/bioproben"/>
<value value="00070024"/>
</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-srcc"/>
</subject>
<receivedTime value="2022-11-30"/>
<collection>
<collectedDateTime value="2022-11-30"/>
</collection>
</Specimen>
</resource>
<request>
<method value="PUT"/>
<url value="Specimen/mii-exa-molgen-specimen-srcc"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-specimen-srcc-2"/>
<resource>
<Specimen>
<id value="mii-exa-molgen-specimen-srcc-2"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Specimen_mii-exa-molgen-specimen-srcc-2"> </a><p class="res-header-id"><b>Generated Narrative: Specimen mii-exa-molgen-specimen-srcc-2</b></p><a name="mii-exa-molgen-specimen-srcc-2"> </a><a name="hcmii-exa-molgen-specimen-srcc-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>/00070025</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-srcc.html">Anonymous Patient Male, DoB: 1986-01 ( pseudonymized (use: usual, ))</a></p><p><b>receivedTime</b>: 2022-11-30</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>2022-11-30</td></tr></table></div>
</text>
<identifier>
<system value="https://www.charite.de/fhir/sid/bioproben"/>
<value value="00070025"/>
</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-srcc"/>
</subject>
<receivedTime value="2022-11-30"/>
<collection>
<collectedDateTime value="2022-11-30"/>
</collection>
</Specimen>
</resource>
<request>
<method value="PUT"/>
<url value="Specimen/mii-exa-molgen-specimen-srcc-2"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-befundbericht-srcc"/>
<resource>
<DiagnosticReport>
<id value="mii-exa-molgen-befundbericht-srcc"/>
<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>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="DiagnosticReport_mii-exa-molgen-befundbericht-srcc"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport mii-exa-molgen-befundbericht-srcc</b></p><a name="mii-exa-molgen-befundbericht-srcc"> </a><a name="hcmii-exa-molgen-befundbericht-srcc"> </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 Male, DoB: 1986-01 ( 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-srcc-ctnna1.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-srcc-ctnna1.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></table><p>Nachweis der pathogenen Variante im CTNNA1-Gen.</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
<valueReference>🔗
<reference
value="FamilyMemberHistory/mii-exa-molgen-family-member-history-srcc"/>
</valueReference>
</extension>
<basedOn>🔗
<reference value="ServiceRequest/mii-exa-molgen-anforderung-srcc"/>
</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-srcc"/>
</subject>
<performer>🔗
<reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
</performer>
<specimen>🔗
<reference value="Specimen/mii-exa-molgen-specimen-srcc"/>
</specimen>
<specimen>🔗
<reference value="Specimen/mii-exa-molgen-specimen-srcc-2"/>
</specimen>
<result>🔗
<reference
value="Observation/mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"/>
</result>
<result>🔗
<reference value="Observation/mii-exa-molgen-variante-srcc-ctnna1"/>
</result>
<conclusion value="Nachweis der pathogenen Variante im CTNNA1-Gen."/>
</DiagnosticReport>
</resource>
<request>
<method value="PUT"/>
<url value="DiagnosticReport/mii-exa-molgen-befundbericht-srcc"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-anforderung-srcc"/>
<resource>
<ServiceRequest>
<id value="mii-exa-molgen-anforderung-srcc"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/anforderung-genetischer-test|2027.0.0-ballot.1"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="ServiceRequest_mii-exa-molgen-anforderung-srcc"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest mii-exa-molgen-anforderung-srcc</b></p><a name="mii-exa-molgen-anforderung-srcc"> </a><a name="hcmii-exa-molgen-anforderung-srcc"> </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>/7B369EB0</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}">Molekulargenetische Untersuchung (Stufendiagnostik) der relevanten Gene</span></p><p><b>subject</b>: <a href="Patient-mii-exa-molgen-patient-srcc.html">Anonymous Patient Male, DoB: 1986-01 ( 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 87737001}, {http://fhir.de/CodeSystem/bfarm/icd-10-gm C16.9}">Eigenanamnese: Siegelringkarzinom des Magens, diffus wachsend</span>, <span title="Codes:{http://snomed.info/sct 429740004}">Mutter an Brustkrebs verstorben</span></p><p><b>specimen</b>: <a href="Specimen-mii-exa-molgen-specimen-srcc.html">Specimen: identifier = https://www.charite.de/fhir/sid/bioproben#00070024; status = available; type = Blood specimen with edetic acid (specimen); receivedTime = 2022-11-30</a></p></div>
</text>
<identifier>
<system value="https://www.charite.de/fhir/auftragsnummern"/>
<value value="7B369EB0"/>
</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="Molekulargenetische Untersuchung (Stufendiagnostik) der relevanten Gene"/>
</code>
<subject>🔗
<reference value="Patient/mii-exa-molgen-patient-srcc"/>
</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="87737001"/>
<display value="Signet ring cell carcinoma"/>
</coding>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
<version value="2024"/>
<code value="C16.9"/>
<display
value="Bösartige Neubildung: Magen, nicht näher bezeichnet"/>
</coding>
<text
value="Eigenanamnese: Siegelringkarzinom des Magens, diffus wachsend"/>
</reasonCode>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="429740004"/>
<display
value="Family history of malignant neoplasm of breast (situation)"/>
</coding>
<text value="Mutter an Brustkrebs verstorben"/>
</reasonCode>
<specimen>🔗
<reference value="Specimen/mii-exa-molgen-specimen-srcc"/>
</specimen>
</ServiceRequest>
</resource>
<request>
<method value="PUT"/>
<url value="ServiceRequest/mii-exa-molgen-anforderung-srcc"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-device-sequencer"/>
<resource>
<Device>
<id value="mii-exa-molgen-device-sequencer"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Device_mii-exa-molgen-device-sequencer"> </a><p class="res-header-id"><b>Generated Narrative: Device mii-exa-molgen-device-sequencer</b></p><a name="mii-exa-molgen-device-sequencer"> </a><a name="hcmii-exa-molgen-device-sequencer"> </a><p><b>status</b>: Active</p><p><b>manufacturer</b>: Illumina</p><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>MiSeq</td><td>Manufacturer name</td></tr></table></div>
</text>
<status value="active"/>
<manufacturer value="Illumina"/>
<deviceName>
<name value="MiSeq"/>
<type value="manufacturer-name"/>
</deviceName>
</Device>
</resource>
<request>
<method value="PUT"/>
<url value="Device/mii-exa-molgen-device-sequencer"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-variante-srcc-ctnna1"/>
<resource>
<Observation>
<id value="mii-exa-molgen-variante-srcc-ctnna1"/>
<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>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-molgen-variante-srcc-ctnna1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-molgen-variante-srcc-ctnna1</b></p><a name="mii-exa-molgen-variante-srcc-ctnna1"> </a><a name="hcmii-exa-molgen-variante-srcc-ctnna1"> </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-srcc.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-srcc.html">Anonymous Patient Male, DoB: 1986-01 ( 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}">Sequencing</span></p><p><b>specimen</b>: <a href="Specimen-mii-exa-molgen-specimen-srcc.html">Specimen: identifier = https://www.charite.de/fhir/sid/bioproben#00070024; status = available; type = Blood specimen with edetic acid (specimen); receivedTime = 2022-11-30</a></p><p><b>device</b>: <a href="Device-mii-exa-molgen-device-sequencer.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:2509}">CTNNA1</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_001903.5}">NM_001903.5</span></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_001903.5:c.1030del}">NM_001903.5:c.1030del</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 81290-9}">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title="Codes:{http://varnomen.hgvs.org NC_000005.9:g.138163372del}">NC_000005.9:g.138163372del</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 48013-7}">Genomic reference sequence [ID]</span></p><p><b>value</b>: <span title="Codes:{http://www.ncbi.nlm.nih.gov/refseq NC_000005.9}">NC_000005.9</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.(Leu344CysfsTer25)}">p.(Leu344CysfsTer25)</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 5q31.2}">5q31.2</span></p></blockquote></div>
</text>
<basedOn>🔗
<reference value="ServiceRequest/mii-exa-molgen-anforderung-srcc"/>
</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-srcc"/>
</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>
</method>
<specimen>🔗
<reference value="Specimen/mii-exa-molgen-specimen-srcc"/>
</specimen>
<device>🔗
<reference value="Device/mii-exa-molgen-device-sequencer"/>
</device>
<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:2509"/>
<display value="CTNNA1"/>
</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_001903.5"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48004-6"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://varnomen.hgvs.org"/>
<code value="NM_001903.5:c.1030del"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81290-9"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://varnomen.hgvs.org"/>
<code value="NC_000005.9:g.138163372del"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48013-7"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://www.ncbi.nlm.nih.gov/refseq"/>
<code value="NC_000005.9"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48005-3"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://varnomen.hgvs.org"/>
<code value="p.(Leu344CysfsTer25)"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="53034-5"/>
</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"/>
</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"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="urn:oid:2.16.840.1.113883.6.335"/>
<code value="5q31.2"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
<request>
<method value="PUT"/>
<url value="Observation/mii-exa-molgen-variante-srcc-ctnna1"/>
</request>
</entry>
<entry>
<fullUrl
value="https://www.medizininformatik-initiative.de/fhir/mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"/>
<resource>
<Observation>
<id value="mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"/>
<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>
<language value="en"/>
<text>
<status value="extensions"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><a name="Observation_mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-molgen-diagnostische-implikation-srcc-ctnna1</b></p><a name="mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"> </a><a name="hcmii-exa-molgen-diagnostische-implikation-srcc-ctnna1"> </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: ClinGen; url: https://search.clinicalgenome.org/kb/gene-dosage/HGNC:2509)</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-srcc.html">Anonymous Patient Male, DoB: 1986-01 ( 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-srcc-ctnna1.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>: Diese Variante wird nach den ACMG/AMP-Kriterien zusammenfasssend als pathogen bewertet entsprechend IARC Class 5.</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://loinc.org 81259-4}">Associated phenotype</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 716859000}">Hereditary diffuse carcinoma of stomach (disorder)</span></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact">
<valueRelatedArtifact>
<type value="citation"/>
<citation value="ClinGen"/>
<url
value="https://search.clinicalgenome.org/kb/gene-dosage/HGNC:2509"/>
</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-srcc"/>
</subject>
<effectiveDateTime value="2022-11-30"/>
<performer>🔗
<reference value="Practitioner/mii-exa-molgen-practitioner-lab"/>
</performer>
<derivedFrom>🔗
<reference value="Observation/mii-exa-molgen-variante-srcc-ctnna1"/>
</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="Diese Variante wird nach den ACMG/AMP-Kriterien zusammenfasssend als pathogen bewertet entsprechend IARC Class 5."/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="53037-8"/>
</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://loinc.org"/>
<code value="81259-4"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="716859000"/>
<display
value="Hereditary diffuse carcinoma of stomach (disorder)"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
<request>
<method value="PUT"/>
<url
value="Observation/mii-exa-molgen-diagnostische-implikation-srcc-ctnna1"/>
</request>
</entry>
</Bundle>