This page is part of the Genetic Reporting Implementation Guide (v0.3.0: STU 1 Ballot 2) 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
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/rdf#> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "diagnosticreport-cgexample"]; fhir:Bundle.type [ fhir:value "collection"]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/DiagnosticReport/report" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/DiagnosticReport/report> ], [ fhir:index 1; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Patient/patient" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Patient/patient> ], [ fhir:index 2; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Specimen/specimen" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Specimen/specimen> ], [ fhir:index 3; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Organization/lab" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Organization/lab> ], [ fhir:index 4; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/DiagnosticRequest/request" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/DiagnosticRequest/request> ], [ fhir:index 5; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/overall-interp" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/overall-interp> ], [ fhir:index 6; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/deletion-dup-overall" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/deletion-dup-overall> ], [ fhir:index 7; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/iscn" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/iscn> ], [ fhir:index 8; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/discrete-variant" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/discrete-variant> ], [ fhir:index 9; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/dis-path" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/dis-path> ], [ fhir:index 10; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-variant" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-variant> ], [ fhir:index 11; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-dis-path" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-dis-path> ], [ fhir:index 12; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-component-D" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-component-D> ], [ fhir:index 13; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-component-E" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-component-E> ], [ fhir:index 14; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/pharmPanel" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/pharmPanel> ], [ fhir:index 15; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/haplotype" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/haplotype> ], [ fhir:index 16; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/genotype" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/genotype> ], [ fhir:index 17; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/metab" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/metab> ], [ fhir:index 18; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/efficacy" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/efficacy> ], [ fhir:index 19; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Observation/highrisk" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Observation/highrisk> ], [ fhir:index 20; fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/Task/usage" ]; fhir:Bundle.entry.resource <http://hl7.org/fhir/uv/genomics-reporting/Task/usage> ]. <http://hl7.org/fhir/uv/genomics-reporting/DiagnosticReport/report> a fhir:DiagnosticReport; fhir:Resource.id [ fhir:value "report"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnosticreport"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnosticreport> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:DiagnosticReport.basedOn [ fhir:index 0; fhir:Reference.reference [ fhir:value "DiagnosticRequest/request" ] ]; fhir:DiagnosticReport.status [ fhir:value "final"]; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81247-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81247-9" ] ] ]; fhir:DiagnosticReport.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:DiagnosticReport.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:DiagnosticReport.result [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/overall-interp" ] ], [ fhir:index 1; fhir:Reference.reference [ fhir:value "Observation/deletion-dup-overall" ] ], [ fhir:index 2; fhir:Reference.reference [ fhir:value "Observation/iscn" ] ], [ fhir:index 3; fhir:Reference.reference [ fhir:value "Observation/discrete-variant" ] ], [ fhir:index 4; fhir:Reference.reference [ fhir:value "Observation/dis-path" ] ], [ fhir:index 5; fhir:Reference.reference [ fhir:value "Observation/complex-variant" ] ], [ fhir:index 6; fhir:Reference.reference [ fhir:value "Observation/complex-dis-path" ] ], [ fhir:index 7; fhir:Reference.reference [ fhir:value "Observation/pharmPanel" ] ]; fhir:DiagnosticReport.presentedForm [ fhir:index 0; fhir:Attachment.contentType [ fhir:value "text/plain" ]; fhir:Attachment.data [ fhir:value "UHV0IHRoZSByZXBvcnQgdGV4dCBoZXJlIC0gbWltZS1lbmNvZGVk"^^xsd:base64Binary ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Patient/patient> a fhir:Patient; fhir:Resource.id [ fhir:value "patient"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "additional" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">This would contain patient identifiers, demographics, etc.</div>" ]. <http://hl7.org/fhir/uv/genomics-reporting/Specimen/specimen> a fhir:Specimen; fhir:Resource.id [ fhir:value "specimen"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/specimen"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/specimen> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Specimen.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Organization/lab> a fhir:Organization; fhir:Resource.id [ fhir:value "lab"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Organization.name [ fhir:value "Some lab"]. <http://hl7.org/fhir/uv/genomics-reporting/DiagnosticRequest/request> a fhir:ServiceRequest; fhir:Resource.id [ fhir:value "request"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/servicerequest"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/servicerequest> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:ServiceRequest.status [ fhir:value "active"]; fhir:ServiceRequest.intent [ fhir:value "original-order"]; fhir:ServiceRequest.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81247-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81247-9" ] ] ]; fhir:ServiceRequest.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:ServiceRequest.reasonCode [ fhir:index 0; fhir:CodeableConcept.text [ fhir:value "Worried about family planning" ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/overall-interp> a fhir:Observation; fhir:Resource.id [ fhir:value "overall-interp"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-overall"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-overall> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51968-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51968-6" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6576-8; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6576-8" ]; fhir:Coding.display [ fhir:value "Positive" ] ], [ fhir:index 1; a sct:10828004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "10828004" ]; fhir:Coding.display [ fhir:value "Positive" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/deletion-dup-overall> a fhir:Observation; fhir:Resource.id [ fhir:value "deletion-dup-overall"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-deletion-dup"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-deletion-dup> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:83006-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "83006-7" ]; fhir:Coding.display [ fhir:value "Deletion-duplication overall interpretation" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA26803-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA26803-9" ]; fhir:Coding.display [ fhir:value "No deletion duplications detected in studied regions" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/iscn> a fhir:Observation; fhir:Resource.id [ fhir:value "iscn"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-cytogenetic-nomenclature"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-cytogenetic-nomenclature> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81291-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81291-7" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/icsn" ]; fhir:Coding.code [ fhir:value "???" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/discrete-variant> a fhir:Observation; fhir:Resource.id [ fhir:value "discrete-variant"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:TBD-DESCRIBED; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "TBD-Described" ]; fhir:Coding.display [ fhir:value "Genetic variant assessment" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA9633-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA9633-4" ]; fhir:Coding.display [ fhir:value "Present" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81252-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81252-9" ]; fhir:Coding.display [ fhir:value "Discrete genetic variant" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/clinvar" ]; fhir:Coding.version [ fhir:value "???" ]; fhir:Coding.code [ fhir:value "30880" ]; fhir:Coding.display [ fhir:value "NM_014049.4(ACAD9):c.1249C>T (p.Arg417Cys)" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://example.org/cigar" ]; fhir:Coding.code [ fhir:value "tbd" ] ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48018-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48018-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/hgnc" ]; fhir:Coding.code [ fhir:value "21497" ]; fhir:Coding.display [ fhir:value "ACAD9" ] ] ] ], [ fhir:index 2; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81293-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81293-3" ] ] ]; fhir:Observation.component.valueString [ fhir:value "All coding regions and appropriate flanking regions" ] ], [ fhir:index 3; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51958-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51958-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/RefSeq-T" ]; fhir:Coding.code [ fhir:value "NM_014049.4" ] ] ] ], [ fhir:index 4; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48013-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48013-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/RefSeq-G" ]; fhir:Coding.code [ fhir:value "NG_017064.1" ] ] ] ], [ fhir:index 5; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81290-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81290-9" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/HGVS.g" ]; fhir:Coding.version [ fhir:value "15.11" ]; fhir:Coding.code [ fhir:value "NC_000003.11:g.128625063C>T" ] ] ] ], [ fhir:index 6; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81255-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81255-2" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/dbsnp" ]; fhir:Coding.version [ fhir:value "137" ]; fhir:Coding.code [ fhir:value "rs368949613" ] ] ] ], [ fhir:index 7; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48004-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48004-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/HGVS.c" ]; fhir:Coding.version [ fhir:value "15.11" ]; fhir:Coding.code [ fhir:value "c.1249C>T" ] ] ] ], [ fhir:index 8; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48005-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48005-3" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/HGVS.p" ]; fhir:Coding.version [ fhir:value "15.11" ]; fhir:Coding.code [ fhir:value "p.Arg417Cys" ] ] ] ], [ fhir:index 9; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48019-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48019-4" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6690-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6690-7" ]; fhir:Coding.display [ fhir:value "Substitution" ] ] ] ], [ fhir:index 10; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48006-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48006-1" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6698-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6698-0" ]; fhir:Coding.display [ fhir:value "Missense" ] ] ] ], [ fhir:index 11; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:69547-8; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "69547-8" ] ] ]; fhir:Observation.component.valueString [ fhir:value "C" ] ], [ fhir:index 12; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81254-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81254-5" ] ] ]; fhir:Observation.component.valueRange [ fhir:Range.low [ fhir:Quantity.value [ fhir:value "31731"^^xsd:decimal ] ]; fhir:Range.high [ fhir:Quantity.value [ fhir:value "31731"^^xsd:decimal ] ] ] ], [ fhir:index 13; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:69551-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "69551-0" ] ] ]; fhir:Observation.component.valueString [ fhir:value "T" ] ], [ fhir:index 14; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48001-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48001-2" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/Chrom-Loc" ]; fhir:Coding.code [ fhir:value "3q21" ] ] ] ], [ fhir:index 15; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48002-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48002-0" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6683-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6683-2" ]; fhir:Coding.display [ fhir:value "Germline" ] ] ] ], [ fhir:index 16; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:53034-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "53034-5" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6706-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6706-1" ]; fhir:Coding.display [ fhir:value "Heterozygous" ] ] ] ], [ fhir:index 17; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81258-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81258-6" ] ] ]; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "47"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "%" ] ] ], [ fhir:index 18; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:82121-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "82121-5" ] ] ]; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "208"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "1" ] ] ], [ fhir:index 19; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:82120-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "82120-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6112-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6112-2" ]; fhir:Coding.display [ fhir:value "1st set of variants in cis relation to each other" ] ] ] ], [ fhir:index 20; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:82309-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "82309-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6429-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6429-3" ]; fhir:Coding.display [ fhir:value "Inferred from population data" ] ] ] ], [ fhir:index 21; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:82155-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "82155-3" ] ] ]; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "1" ] ] ], [ fhir:index 22; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81299-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81299-0" ] ] ]; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "0.48"^^xsd:decimal ] ] ], [ fhir:index 23; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81300-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81300-6" ] ] ]; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "1396929"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "1" ] ] ], [ fhir:index 24; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81301-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81301-4" ] ] ]; fhir:Observation.component.valueRange [ fhir:Range.low [ fhir:Quantity.value [ fhir:value "13200589"^^xsd:decimal ] ]; fhir:Range.high [ fhir:Quantity.value [ fhir:value "15592000"^^xsd:decimal ] ] ] ], [ fhir:index 25; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81302-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81302-2" ] ] ]; fhir:Observation.component.valueRange [ fhir:Range.low [ fhir:Quantity.value [ fhir:value "14184616"^^xsd:decimal ] ]; fhir:Range.high [ fhir:Quantity.value [ fhir:value "15581544"^^xsd:decimal ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/dis-path> a fhir:Observation; fhir:Resource.id [ fhir:value "dis-path"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-inh-dis-path"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-inh-dis-path> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:53037-8; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "53037-8" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6668-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6668-3" ]; fhir:Coding.display [ fhir:value "Pathogenic" ] ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/discrete-variant" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81259-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81259-4" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/MedGen-Dis" ]; fhir:Coding.code [ fhir:value "C1970173" ]; fhir:Coding.display [ fhir:value "Acyl-CoA dehydrogenase family, member 9, deficiency of" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-variant> a fhir:Observation; fhir:Resource.id [ fhir:value "complex-variant"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-complex-variant"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-complex-variant> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:69548-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "69548-6" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA9633-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA9633-4" ]; fhir:Coding.display [ fhir:value "Present" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]; fhir:Observation.hasMember [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/complex-component-D" ] ], [ fhir:index 1; fhir:Reference.reference [ fhir:value "Observation/complex-component-E" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81260-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81260-2" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/clinvar" ]; fhir:Coding.version [ fhir:value "???" ]; fhir:Coding.code [ fhir:value "16895" ]; fhir:Coding.display [ fhir:value "NM_000106.5(CYP2D):c.[886C>T;457G>C] – Haplotype" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://example.org/hgvs" ]; fhir:Coding.code [ fhir:value "c.[886C>T;457G>C" ] ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81263-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81263-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA26218-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA26218-0" ]; fhir:Coding.display [ fhir:value "Haplotype" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-dis-path> a fhir:Observation; fhir:Resource.id [ fhir:value "complex-dis-path"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-inh-dis-path"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-inh-dis-path> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:53037-8; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "53037-8" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6668-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6668-3" ]; fhir:Coding.display [ fhir:value "Pathogenic" ] ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/complex-variant" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81259-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81259-4" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:293498008; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "293498008" ]; fhir:Coding.display [ fhir:value "Debrisoquine adverse reaction (disorder)" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-component-D> a fhir:Observation; fhir:Resource.id [ fhir:value "complex-component-D"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:TBD-DESCRIBED; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "TBD-Described" ]; fhir:Coding.display [ fhir:value "Genetic variant assessment" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA9633-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA9633-4" ]; fhir:Coding.display [ fhir:value "Present" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81252-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81252-9" ]; fhir:Coding.display [ fhir:value "Discrete genetic variant" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/clinvar" ]; fhir:Coding.version [ fhir:value "???" ]; fhir:Coding.code [ fhir:value "31934" ]; fhir:Coding.display [ fhir:value "NM_000106.5(CYP2D6):c.886C>T (p.Arg296Cys)" ] ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81293-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81293-3" ] ] ]; fhir:Observation.component.valueString [ fhir:value "All coding regions and appropriate flanking regions" ] ], [ fhir:index 2; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51958-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51958-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/RefSeq-T" ]; fhir:Coding.code [ fhir:value "NM_000106.5" ] ] ] ], [ fhir:index 3; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48004-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48004-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/HGVS.c" ]; fhir:Coding.version [ fhir:value "15.11" ]; fhir:Coding.code [ fhir:value "c.886C>T" ] ] ] ], [ fhir:index 4; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48005-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48005-3" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/HGVS.p" ]; fhir:Coding.version [ fhir:value "15.11" ]; fhir:Coding.code [ fhir:value "p.Arg296Cys" ] ] ] ], [ fhir:index 5; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48019-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48019-4" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6690-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6690-7" ]; fhir:Coding.display [ fhir:value "Substitution" ] ] ] ], [ fhir:index 6; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48006-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48006-1" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6698-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6698-0" ]; fhir:Coding.display [ fhir:value "Missense" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/complex-component-E> a fhir:Observation; fhir:Resource.id [ fhir:value "complex-component-E"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ], [ fhir:index 1; a loinc:LA26801-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA26801-3" ]; fhir:Coding.display [ fhir:value "Simple Variant" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:TBD-DESCRIBED; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "TBD-Described" ]; fhir:Coding.display [ fhir:value "Genetic variant assessment" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA9633-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA9633-4" ]; fhir:Coding.display [ fhir:value "Present" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81252-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81252-9" ]; fhir:Coding.display [ fhir:value "Discrete genetic variant" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/clinvar" ]; fhir:Coding.version [ fhir:value "???" ]; fhir:Coding.code [ fhir:value "38486" ]; fhir:Coding.display [ fhir:value "NM_000106.5(CYP2D6):c.1457G>C (p.Ser486Thr)" ] ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:81293-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "81293-3" ] ] ]; fhir:Observation.component.valueString [ fhir:value "All coding regions and appropriate flanking regions" ] ], [ fhir:index 2; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51958-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51958-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/RefSeq-T" ]; fhir:Coding.code [ fhir:value "NM_000106.5" ] ] ] ], [ fhir:index 3; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48004-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48004-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/HGVS.c" ]; fhir:Coding.version [ fhir:value "15.11" ]; fhir:Coding.code [ fhir:value "c.1457G>C" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/pharmPanel> a fhir:Observation; fhir:Resource.id [ fhir:value "pharmPanel"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-gen-panel"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-gen-panel> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-recommendedAction" ]; fhir:Extension.valueReference [ fhir:Reference.reference [ fhir:value "Task/usage" ] ] ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:TBD-PANEL; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "TBD-panel" ] ], [ fhir:index 1; a loinc:82118-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "82118-1" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.hasMember [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/haplotype" ] ], [ fhir:index 1; fhir:Reference.reference [ fhir:value "Observation/genotype" ] ], [ fhir:index 2; fhir:Reference.reference [ fhir:value "Observation/metab" ] ], [ fhir:index 3; fhir:Reference.reference [ fhir:value "Observation/efficacy" ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/haplotype> a fhir:Observation; fhir:Resource.id [ fhir:value "haplotype"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-haplotype"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-haplotype> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:84414-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "84414-2" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/???" ]; fhir:Coding.code [ fhir:value "*2" ] ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/discrete-variant" ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/genotype> a fhir:Observation; fhir:Resource.id [ fhir:value "genotype"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-genotype"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-genotype> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:84413-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "84413-4" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueString [ fhir:value "*2/*5,*A/*A"]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/specimen" ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/haplotype" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48018-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48018-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/hgnc" ]; fhir:Coding.code [ fhir:value "2623" ]; fhir:Coding.display [ fhir:value "CYP2C9" ] ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48018-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48018-6" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://example.org/hgnc" ]; fhir:Coding.code [ fhir:value "23663" ]; fhir:Coding.display [ fhir:value "VKORC1" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/metab> a fhir:Observation; fhir:Resource.id [ fhir:value "metab"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-metabolism"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-metabolism> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:53040-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "53040-2" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA9657-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA9657-3" ]; fhir:Coding.display [ fhir:value "Rapid metabolizer" ] ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/genotype" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51963-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51963-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "11289" ]; fhir:Coding.display [ fhir:value "Warfarin" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/efficacy> a fhir:Observation; fhir:Resource.id [ fhir:value "efficacy"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-efficacy"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-efficacy> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51961-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51961-1" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA6676-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA6676-6" ]; fhir:Coding.display [ fhir:value "Resistant" ] ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/genotype" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51963-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51963-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "11289" ]; fhir:Coding.display [ fhir:value "Warfarin" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Observation/highrisk> a fhir:Observation; fhir:Resource.id [ fhir:value "highrisk"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-high-risk"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-high-risk> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:83009-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "83009-1" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2016"^^xsd:gYear]; fhir:Observation.issued [ fhir:value "2016-09-06T00:00:00-05:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA19542-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA19542-2" ]; fhir:Coding.display [ fhir:value "Low risk" ] ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/genotype" ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:51963-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "51963-7" ] ] ]; fhir:Observation.component.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "11289" ]; fhir:Coding.display [ fhir:value "Warfarin" ] ] ] ]. <http://hl7.org/fhir/uv/genomics-reporting/Task/usage> a fhir:Task; fhir:Resource.id [ fhir:value "usage"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/task-med-chg"; fhir:index 0; fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/task-med-chg> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">TODO</div>" ]; fhir:DomainResource.contained [ a fhir:MedicationStatement; fhir:index 0; fhir:Resource.id [ fhir:value "med" ]; fhir:MedicationStatement.status [ fhir:value "unknown" ]; fhir:MedicationStatement.medicationCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ]; fhir:Coding.code [ fhir:value "11289" ]; fhir:Coding.display [ fhir:value "Warfarin" ] ] ]; fhir:MedicationStatement.subject [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ] ]; fhir:Task.status [ fhir:value "requested"]; fhir:Task.intent [ fhir:value "proposal"]; fhir:Task.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:LA26423-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "LA26423-6" ]; fhir:Coding.display [ fhir:value "Increase dose" ] ]; fhir:CodeableConcept.text [ fhir:value "May need higher dosage than usual." ] ]; fhir:Task.focus [ fhir:Reference.reference [ fhir:value "#med" ] ]; fhir:Task.for [ fhir:Reference.reference [ fhir:value "Patient/patient" ] ]; fhir:Task.requester [ fhir:Reference.reference [ fhir:value "Organization/lab" ] ]; fhir:Task.reasonReference [ fhir:Reference.reference [ fhir:value "Observation/metab" ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.