This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.0.0: STU 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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<Observation xmlns="http://hl7.org/fhir"> <id value="mCODECancerGeneticVariantExample02"/> <meta> <profile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-genetic-variant"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: mCODECancerGeneticVariantExample02</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: Genetic variant assessment <span style="background: LightGoldenRodYellow">(Details : {LOINC code '69548-6' = 'Genetic variant assessment)</span></p><p><b>subject</b>: <a href="Observation-mCODECancerGeneticVariantExample02.html">Generated Summary: id: mCODEPatientExample01; Medical record number = m123 (USUAL); John B. Anyperson ; gender: male; birthDate: 1951-01-20</a></p><p><b>effective</b>: Apr 1, 2019 12:00:00 AM</p><p><b>value</b>: Present <span style="background: LightGoldenRodYellow">(Details : {LOINC code 'LA9633-4' = 'Present)</span></p><p><b>method</b>: Sequencing <span style="background: LightGoldenRodYellow">(Details : {LOINC code 'LA26398-0' = 'Sequencing)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Gene studied [ID] <span style="background: LightGoldenRodYellow">(Details : {LOINC code '48018-6' = 'Gene studied [ID])</span></p><p><b>value</b>: HGNC:1100 <span style="background: LightGoldenRodYellow">(Details : {http://www.genenames.org/geneId code 'HGNC:1100' = 'HGNC:1100)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Genomic DNA change (gHGVS) <span style="background: LightGoldenRodYellow">(Details : {LOINC code '81290-9' = 'Genomic DNA change (gHGVS))</span></p><p><b>value</b>: NG_005905.2:g.126148_126152GTAAA[1] <span style="background: LightGoldenRodYellow">(Details : {http://varnomen.hgvs.org code 'NG_005905.2:g.126148_126152GTAAA[1]' = 'NG_005905.2:g.126148_126152GTAAA[1])</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Genomic source class [Type] <span style="background: LightGoldenRodYellow">(Details : {LOINC code '48002-0' = 'Genomic source class [Type])</span></p><p><b>value</b>: Germline <span style="background: LightGoldenRodYellow">(Details : {LOINC code 'LA6683-2' = 'Germline)</span></p></blockquote></div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="69548-6"/> </coding> </code> <subject> <reference value="Patient/mCODEPatientExample01"/> </subject> <effectiveDateTime value="2019-04-01"/> <valueCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="LA9633-4"/> </coding> </valueCodeableConcept> <method> <coding> <system value="http://loinc.org"/> <code value="LA26398-0"/> </coding> </method> <component> <code> <coding> <system value="http://loinc.org"/> <code value="48018-6"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://www.genenames.org/geneId"/> <code value="HGNC:1100"/> </coding> </valueCodeableConcept> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="81290-9"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://varnomen.hgvs.org"/> <code value="NG_005905.2:g.126148_126152GTAAA[1]"/> </coding> </valueCodeableConcept> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="48002-0"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="LA6683-2"/> </coding> </valueCodeableConcept> </component> </Observation>