{"code":{"coding":[{"code":"55233-1","display":"Genetic analysis master panel ­Blood or Tissue by Molecular genetics method","system":"http://loinc.org"}]},"comments":"The EGFR p.L858R mutation has been associated with response to anti-EGFR therapy","contained":[{"category":{"coding":[{"code":"finding","display":"Finding","system":"http://hl7.org/fhir/condition-category"}]},"code":{"coding":[{"code":"254626006","system":"http://snomed.info/sct"}],"text":"Adenocarcinoma of lung "},"id":"c1","patient":{"reference":"Patient/p1"},"resourceType":"Condition","verificationStatus":"provisional"}],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/geneticsGenomeBuild","valueString":"GRCh 37"},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsChromosome","valueCodeableConcept":{"coding":[{"code":"NC_000007","system":"http://www.ncbi.nlm.nih.gov/gene"}],"text":"Homo sapiens chromosome 7"}},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsGenomicStart","valueInteger":55259515},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsGenomicStop","valueInteger":55259516},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsSpecies","valueCodeableConcept":{"coding":[{"code":"337915000","system":"http://snomed.info/sct"}],"text":"Homo sapiens"}},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsCIGAR","valueString":"1M"},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsAssessedCondition","valueReference":{"reference":"#c1"}},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsReferenceAllele","valueString":"T"},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsObservedAllele","valueString":"G"},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsGene","valueCodeableConcept":{"coding":[{"code":"3236","display":"EGFR","system":"http://www.genenames.org"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsTranscriptReferenceSequenceId","valueCodeableConcept":{"coding":[{"code":"ENSESTT00000085772.1","system":"http://www.ensembl.org"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsDNASequenceVariation","valueString":"c.2573T>G"},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsDNASequenceVariationType","valueCodeableConcept":{"coding":[{"code":"LA6690-7","display":"Substitution","system":"http://loinc.org"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsAminoAcidChange","valueString":"p.Leu858Arg"},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsAlleleName","valueString":"p.L858R"},{"url":"http://hl7.org/fhir/StructureDefinition/geneticsGenomicSourceClass","valueCodeableConcept":{"coding":[{"code":"LA6684-0","display":"Somatic","system":"http://loinc.org"}]}}],"id":"genetics-example1-somatic","interpretation":{"coding":[{"code":"POS","system":"http://hl7.org/fhir/v2/0078"}],"text":"positive"},"performer":[{"display":"Molecular Diagnostic Laboratory","reference":"Practitioner/genetics-example1-somatic"}],"resourceType":"Observation","specimen":{"display":"Molecular Specimen ID: MLD45-Z4-1234","reference":"Specimen/genetics-example1-somatic"},"status":"final","subject":{"display":"Molecular Lab Patient ID: HOSP-23456","reference":"Patient/genetics-example1-somatic"},"text":{"div":"<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: genetics-example1-somatic</p><p><b>contained</b>: </p><p><b>status</b>: final</p><p><b>code</b>: Genetic analysis master panel ­Blood or Tissue by Molecular genetics method <span>(Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel ­Blood or Tissue by Molecular genetics method'})</span></p><p><b>subject</b>: <a>Molecular Lab Patient ID: HOSP-23456</a></p><p><b>performer</b>: <a>Molecular Diagnostic Laboratory</a></p><p><b>interpretation</b>: positive <span>(Details : {http://hl7.org/fhir/v2/0078 code 'POS' = 'Positive)</span></p><p><b>comments</b>: The EGFR p.L858R mutation has been associated with response to anti-EGFR therapy</p><p><b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p></div>","status":"generated"}}