Extension: Observation Secondary Finding

Orders and Observations Work Group

Maturity Level: 1

Trial Use

Use Context: Any

Official URL: `http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding`				Version: 5.0.0-snapshot3
draft as of 2015-03-02				Computable Name: Obs SecondaryFinding
Flags: Non-Modifier				OID: 2.16.840.1.113883.4.642.5.1474

Context of Use: Use on Element ID Observation

Definition

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.

Summary

Name	Flags	Card.	Type	Description & Constraints
Obs SecondaryFinding		0..1	CodeableConcept	URL = http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding Obs 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: Genetic Observation Secondary Findings (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 Obs 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: Genetic Observation Secondary Findings (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

<!-- Obs SecondaryFinding -->

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

JSON Template

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

Summary

Name	Flags	Card.	Type	Description & Constraints
Obs SecondaryFinding		0..1	CodeableConcept	URL = http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding Obs 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: Genetic Observation Secondary Findings (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 Obs 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: Genetic Observation Secondary Findings (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

<!-- Obs SecondaryFinding -->

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

JSON Template

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

Constraints

ele-1: All FHIR elements must have a @value or children (xpath: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (xpath: extension.exists() != value.exists())
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: hasValue() or (children().count() > id.count()))
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: extension.exists() != value.exists())
ele-1: On Extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.value[x]: hasValue() or (children().count() > id.count()))

Search

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Examples of this extension

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