Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4

Extension: secondaryFinding

Orders and Observations Work Group

Maturity Level: 1

Informative

Use Context: Any

URL for this extension:

http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding

Status: draft. Extension maintained by: Health Level Seven, Inc. - OO WG

Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when Whole Exome Sequencing (WES) or Whole Genome Sequencing (WGS) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.

For more detail, please see: https://ghr.nlm.nih.gov/primer/testing/secondaryfindings.

Context of Use: Use on Element ID Observation

Summary

Name	Flags	Card.	Type	Description & Constraints
secondaryFinding		0..1	CodeableConcept	URL = http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding secondaryFinding: Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when Whole Exome Sequencing (WES) or Whole Genome Sequencing (WGS) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement. For more detail, please see: https://ghr.nlm.nih.gov/primer/testing/secondaryfindings. Binding: Observation Category Codes (extensible): Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding. Use on Element ID Observation
Documentation for this format

Full Structure

Name	Card.	Type	Description & Constraints
extension	0..1	Extension	URL = http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding secondaryFinding: Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when Whole Exome Sequencing (WES) or Whole Genome Sequencing (WGS) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement. For more detail, please see: https://ghr.nlm.nih.gov/primer/testing/secondaryfindings. Use on Element ID Observation
extension	0..0
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"
value[x]	1..1	CodeableConcept	Value of extension Binding: Observation Category Codes (extensible): Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding.
Documentation for this format

XML Template

<!-- secondaryFinding -->

<extension xmlns="http://hl7.org/fhir"
     url="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding" >
  <!-- from Element: extension -->
 <valueCodeableConcept><!--  1..1 CodeableConcept Value of extension --></valueCodeableConcept>
</extension>

JSON Template

{ // secondaryFinding
  // from Element: extension
    "extension" : [ //  sliced by value:url  in the specified order, Open ]
    "url" : "http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding", // R! 
    "valueCodeableConcept" : { CodeableConcept } // C? R! Value of extension
  }

Summary

Name	Flags	Card.	Type	Description & Constraints
secondaryFinding		0..1	CodeableConcept	URL = http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding secondaryFinding: Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when Whole Exome Sequencing (WES) or Whole Genome Sequencing (WGS) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement. For more detail, please see: https://ghr.nlm.nih.gov/primer/testing/secondaryfindings. Binding: Observation Category Codes (extensible): Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding. Use on Element ID Observation
Documentation for this format

Full Structure

Name	Card.	Type	Description & Constraints
extension	0..1	Extension	URL = http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding secondaryFinding: Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when Whole Exome Sequencing (WES) or Whole Genome Sequencing (WGS) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement. For more detail, please see: https://ghr.nlm.nih.gov/primer/testing/secondaryfindings. Use on Element ID Observation
extension	0..0
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"
value[x]	1..1	CodeableConcept	Value of extension Binding: Observation Category Codes (extensible): Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding.
Documentation for this format

XML Template

<!-- secondaryFinding -->

<extension xmlns="http://hl7.org/fhir"
     url="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding" >
  <!-- from Element: extension -->
 <valueCodeableConcept><!--  1..1 CodeableConcept Value of extension --></valueCodeableConcept>
</extension>

JSON Template

{ // secondaryFinding
  // from Element: extension
    "extension" : [ //  sliced by value:url  in the specified order, Open ]
    "url" : "http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding", // R! 
    "valueCodeableConcept" : { CodeableConcept } // C? R! Value of extension
  }

Constraints

ele-1: All FHIR elements must have a @value or children (xpath: @value|f:*|h:div)
ext-1: Must have either extensions or value[x], not both (xpath: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')]))
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.value[x]: @value|f:*|h:div)