This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

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Example: mCODEGeneticVariantTestedExample01

<Observation xmlns="http://hl7.org/fhir">
  <id value="mCODEGeneticVariantTestedExample01"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-GeneticVariantTested"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>*** mCODE Example: Genetic Mutation Test Result ***</b></p><p><b>Name</b>: John B. Anyperson </p><p><b>MRN</b>: m123 </p><p><b>Observation date</b>: 04/01/19 </p><p><b>Gene studied [ID]</b>: STK11</p><p><b>Gene variant Description</b>: NM_000455.4(STK11):c.921-1G>C </p><p><b>Gene variant presence</b>: DETECTED</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-VariantTested-extension">
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-VariantHGVSName-extension">
      <valueString value="NM_000455.4:c.921-1G&gt;C"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-VariantIdentifier-extension">
      <valueCodeableConcept>
        <coding>
          <system value="http://www.genenames.org/"/>
          <code value="HGNC:11389"/>
          <display value="STK11"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-VariantDescription-extension">
      <valueString value="NM_000455.4:c.921-1G&gt;C"/>
    </extension>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="41103-3"/>
      <display
               value="Gene XXX mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/mCODEPatientExample01"/>
    <display value="John B. Anyperson"/>
  </subject>
  <effectiveDateTime value="2019-04-01"/>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="10828004"/>
      <display value="Positive (qualifier value)"/>
    </coding>
  </valueCodeableConcept>
  <method>
    <coding>
      <system value="http://ncit.nci.nih.gov"/>
      <code value="C101293"/>
      <display value="Next Generation Sequencing"/>
    </coding>
  </method>
</Observation>