minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0 - STU3 Release United States of America flag

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v3.0.0: STU 3) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: gx-genomic-bundle-adam-anyperson

Bundle gx-genomic-bundle-adam-anyperson of type collection

Entry 1 - fullUrl = http://example.org/fhir/Patient/gx-cancer-patient-adam-anyperson

Resource Patient:

Adam Anyperson Male, DoB: 1990-01-01 ( Medical Record Number: 123456789)

Entry 2 - fullUrl = http://example.org/fhir/DiagnosticReport/gx-genomics-report-adam-anyperson

Resource DiagnosticReport:

Genetic analysis report (Genetics)

SubjectAdam Anyperson male, DoB: 1990-01-01 ( Medical Record Number: 123456789)
When For2022-02-15 19:28:58+0500

Report Details

CodeValueWhen For
69548-6Present2019-04-01
69548-6Present2019-04-01
69548-6Present2019-04-01
69548-6Present2019-04-01
69548-6Present2019-04-01
69548-6Present2019-04-01
69548-6Present2019-04-01
69548-6Present2019-04-01
Diagnostic Implication2019-04-01
Diagnostic Implication2019-04-01
Diagnostic Implication2019-04-01
69548-6Present2019-04-01
69548-6Absent2019-04-01
94076-757.1 1/1000000{Base}2019-04-01
81695-9MSI-H2019-04-01
Therapeutic Implication2019-04-01
Therapeutic Implication2019-04-01
Therapeutic Implication2019-04-01
Therapeutic Implication2019-04-01
Therapeutic Implication2019-04-01

Entry 3 - fullUrl = http://example.org/fhir/ServiceRequest/gx-order-tumornormal-gensop-inc

Resource ServiceRequest:

Generated Narrative: ServiceRequest

Resource ServiceRequest "gx-order-tumornormal-gensop-inc"

identifier: Filler Identifier: 22howe

status: COMPLETED

intent: ORDER

code: xT - 648 gene panel (www.gensop.com#XT.V4)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

Entry 4 - fullUrl = http://example.org/fhir/Practitioner/gx-practitioner-test-pathologist

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "gx-practitioner-test-pathologist"

name: Test Pathologist, MD

Entry 5 - fullUrl = http://example.org/fhir/Specimen/gx-genomic-specimen-tumornormal-tumor

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "gx-genomic-specimen-tumornormal-tumor"

Profile: Human Specimen Profile

status: AVAILABLE

type: Tumor (specimenType#TUMOR)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

receivedTime: 2021-02-09 21:30:50+0500

Collections

-Collected[x]BodySite
*2021-02-06 17:15:00+0500Left lung structure (body structure) (SNOMED CT#44029006)

Entry 6 - fullUrl = http://example.org/fhir/Specimen/gx-genomic-specimen-tumornormal-normal

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "gx-genomic-specimen-tumornormal-normal"

Profile: Human Specimen Profile

status: AVAILABLE

type: Whole Blood (specimenType#BLD)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

receivedTime: 2021-02-09 21:30:50+0500

Collections

-Collected[x]
*2021-02-06 17:15:00+0500

Entry 7 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-bap1-indel

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-bap1-indel"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: BAP1 (HUGO Gene Nomenclature Committee Genes#HGNC:950; gene#3815)

component

code: 51958-7 (LOINC#51958-7)

value: NM_004656.4 (Gene Reference Sequence Collection#NM_004656)

component

code: 48004-6 (LOINC#48004-6)

value: NC_000003.11(NM_004656.4):c.1768C>T (Human Genome Variation Society nomenclature#NM_004656.4:c.1768C>T)

component

code: 48005-3 (LOINC#48005-3)

value: NP_004647.1:p.(Gln590Ter) (Human Genome Variation Society nomenclature#NP_004647.1:p.(Gln590Ter))

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: 81258-6 (LOINC#81258-6)

value: 57.4 % (Details: UCUM code % = '%')

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: stop_gained (#SO:0001587)

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 8 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-cdkn2a-cnv

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-cdkn2a-cnv"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: CDKN2A (HUGO Gene Nomenclature Committee Genes#HGNC:1787; gene#1029)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: copy_number_loss (#SO:0001743)

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 9 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-cdkn2b-cnv

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-cdkn2b-cnv"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: CDKN2B (HUGO Gene Nomenclature Committee Genes#HGNC:1788; gene#1030)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: copy_number_loss (#SO:0001743)

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 10 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-kdm5d

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-kdm5d"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: KDM5D (HUGO Gene Nomenclature Committee Genes#HGNC:11115; gene#8284)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: copy_number_loss (#SO:0001743)

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 11 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-mtap

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-mtap"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: MTAP (HUGO Gene Nomenclature Committee Genes#HGNC:7413; gene#4507)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: copy_number_loss (#SO:0001743)

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 12 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-mycn

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-mycn"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: MYCN (HUGO Gene Nomenclature Committee Genes#HGNC:7559; gene#4613)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: copy_number_gain (#SO:0001742)

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 13 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-pof1b

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-pof1b"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: POF1B (HUGO Gene Nomenclature Committee Genes#HGNC:13711; gene#79983)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: missense_variant (#SO:0001583)

component

code: 51958-7 (LOINC#51958-7)

value: NM_004656 (Gene Reference Sequence Collection#NM_004656)

component

code: 48004-6 (LOINC#48004-6)

value: NM_001307940.2:c.430C>T (Human Genome Variation Society nomenclature#NM_001307940.2:c.430C>T)

component

code: 48005-3 (LOINC#48005-3)

value: NP_001294869.1:p.(Pro144Ser) (Human Genome Variation Society nomenclature#NP_001294869.1:p.(Pro144Ser))

component

code: 81258-6 (LOINC#81258-6)

value: 78.6 % (Details: UCUM code % = '%')

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 14 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-somatic-polrmt

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-somatic-polrmt"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: POLRMT (gene#5442)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

component

code: Molecular Consequence (To Be Determined Codes#molecular-consequence)

value: missense_variant (#SO:0001583)

component

code: 51958-7 (LOINC#51958-7)

value: NM_005035 (Gene Reference Sequence Collection#NM_004656)

component

code: 48004-6 (LOINC#48004-6)

value: NM_005035.4:c.598G>A (Human Genome Variation Society nomenclature#NM_005035.4:c.598G>A)

component

code: 48005-3 (LOINC#48005-3)

value: NP_005026.3:p.(Gly200Arg) (Human Genome Variation Society nomenclature#NP_005026.3:p.(Gly200Arg))

component

code: 81258-6 (LOINC#81258-6)

value: 75.6 % (Details: UCUM code % = '%')

component

code: 62374-4 (LOINC#62374-4)

value: GRCh37 (LOINC#LA14029-5)

Entry 15 - fullUrl = http://example.org/fhir/Observation/gx-genomic-diagnostic-implication-bap1

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-diagnostic-implication-bap1"

Profile: Diagnostic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Diagnostic Implication (To Be Determined Codes#diagnostic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-somatic-bap1-indel)

Components

-CodeValue[x]
*Functional Effect (To Be Determined Codes#functional-effect)loss of function variant (#SO:0002054)

Entry 16 - fullUrl = http://example.org/fhir/Observation/gx-genomic-diagnostic-implication-pof1b

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-diagnostic-implication-pof1b"

Profile: Diagnostic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Diagnostic Implication (To Be Determined Codes#diagnostic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-somatic-pof1b)

Components

-CodeValue[x]
*53037-8 (LOINC#53037-8)Uncertain significance (LOINC#LA26333-7)

Entry 17 - fullUrl = http://example.org/fhir/Observation/gx-genomic-diagnostic-implication-polrmt

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-diagnostic-implication-polrmt"

Profile: Diagnostic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Diagnostic Implication (To Be Determined Codes#diagnostic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-somatic-polrmt)

Components

-CodeValue[x]
*53037-8 (LOINC#53037-8)Uncertain significance (LOINC#LA26333-7)

Entry 18 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-fusion-met-alk

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-fusion-met-alk"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Present (LOINC#LA9633-4)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: MET (HUGO Gene Nomenclature Committee Genes#HGNC:7029; gene#4233)

component

code: 48018-6 (LOINC#48018-6)

value: ALK (HUGO Gene Nomenclature Committee Genes#HGNC:427; gene#238)

component

code: 48019-4 (LOINC#48019-4)

value: complex chromosomal rearrangement (#SO:0002062)

component

code: 48002-0 (LOINC#48002-0)

value: Somatic (LOINC#LA6684-0)

Entry 19 - fullUrl = http://example.org/fhir/Observation/gx-genomic-variant-pertinent-negative-nras-kit-braf

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-variant-pertinent-negative-nras-kit-braf"

Profile: Genomic Variant Profile

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 69548-6 (LOINC#69548-6)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: Absent (LOINC#LA9634-2)

method: Sequencing (LOINC#LA26398-0)

component

code: 48018-6 (LOINC#48018-6)

value: NRAS (HUGO Gene Nomenclature Committee Genes#HGNC:6342)

component

code: 48018-6 (LOINC#48018-6)

value: KIT (HUGO Gene Nomenclature Committee Genes#HGNC:7989)

component

code: 48018-6 (LOINC#48018-6)

value: BRAF (HUGO Gene Nomenclature Committee Genes#HGNC:1097)

Entry 20 - fullUrl = http://example.org/fhir/Observation/gx-genomic-tmb

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-tmb"

Profile: Tumor Mutation Burden

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: 94076-7 (LOINC#94076-7)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

value: 57.1 1/1000000{Base} (Details: UCUM code 1/1000000{Base} = '1/1000000{Base}')

Entry 21 - fullUrl = http://example.org/fhir/Observation/gx-genomic-therapeutic-implication-alectinib

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-therapeutic-implication-alectinib"

Profile: Therapeutic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Therapeutic Implication (To Be Determined Codes#therapeutic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-fusion-met-alk)

component

code: 51963-7 (LOINC#51963-7)

value: alectinib (RxNorm#1727455)

component

code: Predicted Therapeutic Implication (To Be Determined Codes#predicted-therapeutic-implication)

value: Presumed responsive (LOINC#LA9661-5)

Entry 22 - fullUrl = http://example.org/fhir/Observation/gx-genomic-therapeutic-implication-brigatinib

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-therapeutic-implication-brigatinib"

Profile: Therapeutic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Therapeutic Implication (To Be Determined Codes#therapeutic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-fusion-met-alk)

component

code: 51963-7 (LOINC#51963-7)

value: brigatinib (RxNorm#1921217)

component

code: Predicted Therapeutic Implication (To Be Determined Codes#predicted-therapeutic-implication)

value: Presumed responsive (LOINC#LA9661-5)

Entry 23 - fullUrl = http://example.org/fhir/Observation/gx-genomic-therapeutic-implication-ceritinib

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-therapeutic-implication-ceritinib"

Profile: Therapeutic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Therapeutic Implication (To Be Determined Codes#therapeutic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-fusion-met-alk)

component

code: 51963-7 (LOINC#51963-7)

value: ceritinib (RxNorm#1535457)

component

code: Predicted Therapeutic Implication (To Be Determined Codes#predicted-therapeutic-implication)

value: Presumed responsive (LOINC#LA9661-5)

Entry 24 - fullUrl = http://example.org/fhir/Observation/gx-genomic-therapeutic-implication-crizotinib

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-therapeutic-implication-crizotinib"

Profile: Therapeutic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Therapeutic Implication (To Be Determined Codes#therapeutic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-fusion-met-alk)

component

code: 51963-7 (LOINC#51963-7)

value: crizotinib (RxNorm#1148495)

component

code: Predicted Therapeutic Implication (To Be Determined Codes#predicted-therapeutic-implication)

value: Presumed responsive (LOINC#LA9661-5)

Entry 25 - fullUrl = http://example.org/fhir/Observation/gx-genomic-therapeutic-implication-lorlatinib

Resource Observation:

Generated Narrative: Observation

Resource Observation "gx-genomic-therapeutic-implication-lorlatinib"

Profile: Therapeutic Implication

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Therapeutic Implication (To Be Determined Codes#therapeutic-implication)

subject: See above (Patient/gx-cancer-patient-adam-anyperson)

effective: 2019-04-01

performer: Practitioner/us-core-practitioner-owen-oncologist " ONCOLOGIST"

derivedFrom: See above (Observation/gx-genomic-variant-fusion-met-alk)

component

code: 51963-7 (LOINC#51963-7)

value: lorlatinib (RxNorm#2103164)

component

code: Predicted Therapeutic Implication (To Be Determined Codes#predicted-therapeutic-implication)

value: Presumed responsive (LOINC#LA9661-5)