Genomics Reporting Implementation Guide
1.1.0 - Ballot

This page is part of the Genetic Reporting Implementation Guide (v1.1.0: STU 2 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

: Example - Full Bundle Oncology Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "oncologyexamples-r4",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d",
      "resource" : {
        "resourceType" : "Patient",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1007</p><p><b>name</b>: Carrot John Mr </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1962-12-31</p><p><b>generalPractitioner</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p></div>"
        },
        "identifier" : [
          {
            "value" : "1007"
          }
        ],
        "name" : [
          {
            "given" : [
              "Carrot",
              "John",
              "Mr"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1962-12-31",
        "generalPractitioner" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef",
      "resource" : {
        "resourceType" : "Practitioner",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 4654765876</p><p><b>name</b>: Akerman Philip Prof </p><p><b>address</b>: Castro Valley CA </p></div>"
        },
        "identifier" : [
          {
            "value" : "4654765876"
          }
        ],
        "name" : [
          {
            "given" : [
              "Akerman",
              "Philip",
              "Prof"
            ]
          }
        ],
        "address" : [
          {
            "city" : "Castro Valley",
            "state" : "CA"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Practitioner"
      }
    },
    {
      "fullUrl" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d",
      "resource" : {
        "resourceType" : "Specimen",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/specimen"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 076e1948-2217-11e9-94d8-12e241dc1f66</p><p><b>status</b>: available</p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td>-</td><td><b>Collector</b></td></tr><tr><td>*</td><td><a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></td></tr></table></div>"
        },
        "identifier" : [
          {
            "value" : "076e1948-2217-11e9-94d8-12e241dc1f66"
          }
        ],
        "status" : "available",
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "collection" : {
          "collector" : {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Specimen"
      }
    },
    {
      "fullUrl" : "urn:uuid:40e85eda-4d31-4bd2-a5a0-c39d63f9824f",
      "resource" : {
        "resourceType" : "Observation",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: \">Tumor Mutational Burden</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>value</b>: 25.0 somatic variants per megabase of sequenced DNA</p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "text" : "Tumor Mutational Burden"
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "valueQuantity" : {
          "value" : 25.0,
          "unit" : "somatic variants per megabase of sequenced DNA",
          "system" : "http://unitsofmeasure.org",
          "code" : "1/1000000{Base}"
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:64b91716-6431-41bd-8fd4-7ac99bebdee9",
      "resource" : {
        "resourceType" : "Observation",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: \">MSI status</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>value</b>: High</p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "text" : "MSI status"
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "valueString" : "High",
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26398-0}\">Sequencing</span></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes: {http://varnomen.hgvs.org 9:g.5073770G&gt;T}\">9:g.5073770G&gt;T</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48005-3}\">Amino acid change (pHGVS)</span></p><p><b>value</b>: <span title=\"Codes: {http://varnomen.hgvs.org p.Val617Phe}\">p.Val617Phe</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48006-1}\">Amino acid change type</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6698-0}\">Missense</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48002-0}\">Genomic source class</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6683-2}\">Germline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48018-6}\">Gene studied ID</span></p><p><b>value</b>: <span title=\"Codes: \">JAK2</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69548-6",
              "display" : "Genetic variant assessment"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA9633-4",
              "display" : "Present"
            }
          ]
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA26398-0",
              "display" : "Sequencing"
            }
          ]
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "81290-9",
                  "display" : "Genomic DNA change (gHGVS)"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://varnomen.hgvs.org",
                  "code" : "9:g.5073770G>T",
                  "display" : "9:g.5073770G>T"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48005-3",
                  "display" : "Amino acid change (pHGVS)"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://varnomen.hgvs.org",
                  "code" : "p.Val617Phe",
                  "display" : "p.Val617Phe"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48006-1",
                  "display" : "Amino acid change type"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6698-0",
                  "display" : "Missense"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48002-0",
                  "display" : "Genomic source class"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6683-2",
                  "display" : "Germline"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48018-6",
                  "display" : "Gene studied ID"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.genenames.org/geneId",
                  "display" : "JAK2"
                }
              ]
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:772de7d7-e1bd-4183-bdb5-cea8eda317cd",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26398-0}\">Sequencing</span></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes: {http://varnomen.hgvs.org 4:g.55972974T&gt;A}\">4:g.55972974T&gt;A</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48005-3}\">Amino acid change (pHGVS)</span></p><p><b>value</b>: <span title=\"Codes: {http://varnomen.hgvs.org p.Gln472His}\">p.Gln472His</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48006-1}\">Amino acid change type</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6698-0}\">Missense</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48002-0}\">Genomic source class</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6683-2}\">Germline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48018-6}\">Gene studied ID</span></p><p><b>value</b>: <span title=\"Codes: \">KDR</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69548-6",
              "display" : "Genetic variant assessment"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA9633-4",
              "display" : "Present"
            }
          ]
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA26398-0",
              "display" : "Sequencing"
            }
          ]
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "81290-9",
                  "display" : "Genomic DNA change (gHGVS)"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://varnomen.hgvs.org",
                  "code" : "4:g.55972974T>A",
                  "display" : "4:g.55972974T>A"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48005-3",
                  "display" : "Amino acid change (pHGVS)"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://varnomen.hgvs.org",
                  "code" : "p.Gln472His",
                  "display" : "p.Gln472His"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48006-1",
                  "display" : "Amino acid change type"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6698-0",
                  "display" : "Missense"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48002-0",
                  "display" : "Genomic source class"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6683-2",
                  "display" : "Germline"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48018-6",
                  "display" : "Gene studied ID"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.genenames.org/geneId",
                  "display" : "KDR"
                }
              ]
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:b33eb7ec-d83e-49d2-b0f3-729d024ebe01",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26398-0}\">Sequencing</span></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes: {http://varnomen.hgvs.org 2:g.212578380del}\">2:g.212578380del</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48006-1}\">Amino acid change type</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6698-0}\">Missense</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48002-0}\">Genomic source class</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6683-2}\">Germline</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48018-6}\">Gene studied ID</span></p><p><b>value</b>: <span title=\"Codes: \">ERBB4</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69548-6",
              "display" : "Genetic variant assessment"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA9633-4",
              "display" : "Present"
            }
          ]
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA26398-0",
              "display" : "Sequencing"
            }
          ]
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "81290-9",
                  "display" : "Genomic DNA change (gHGVS)"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://varnomen.hgvs.org",
                  "code" : "2:g.212578380del",
                  "display" : "2:g.212578380del"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48006-1",
                  "display" : "Amino acid change type"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6698-0",
                  "display" : "Missense"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48002-0",
                  "display" : "Genomic source class"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6683-2",
                  "display" : "Germline"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48018-6",
                  "display" : "Gene studied ID"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.genenames.org/geneId",
                  "display" : "ERBB4"
                }
              ]
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:1bf9642d-fd1c-4819-8c5d-44fae4bad524",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><p><b>derivedFrom</b>: <a href=\"#urnuuid16fdd5fc-e665-48af-99e4-48d603f3e12d\">See above (Observation/null)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51961-1}\">Genetic variation's effect on drug efficacy</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 93044-6}\">Level of Evidence</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes associated-cancer}\">associated-cancer</span></p><p><b>value</b>: <span title=\"Codes: \">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51963-7}\">Medication assessed</span></p><p><b>value</b>: <span title=\"Codes: \">Ruxolitinib</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
              "code" : "therapeutic-implication",
              "display" : "Therapeutic Implication"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "method" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA26811-2",
              "display" : "Computational analysis"
            }
          ]
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        },
        "derivedFrom" : [
          {
            "reference" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51961-1"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6677-4",
                  "display" : "Responsive"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "93044-6",
                  "display" : "Level of Evidence"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA30200-2",
                  "display" : "Very strong evidence pathogenic"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
                  "code" : "associated-cancer"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "Polycythemia vera (PV)"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51963-7",
                  "display" : "Medication assessed"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "Ruxolitinib"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:1301943b-55db-4adf-8355-3635f7268a1b",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><p><b>derivedFrom</b>: <a href=\"#urnuuid16fdd5fc-e665-48af-99e4-48d603f3e12d\">See above (Observation/null)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51961-1}\">Genetic variation's effect on drug efficacy</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 93044-6}\">Level of Evidence</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes associated-cancer}\">associated-cancer</span></p><p><b>value</b>: <span title=\"Codes: \">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51963-7}\">Medication assessed</span></p><p><b>value</b>: <span title=\"Codes: \">AT9283</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
              "code" : "therapeutic-implication",
              "display" : "Therapeutic Implication"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "method" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA26811-2",
              "display" : "Computational analysis"
            }
          ]
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        },
        "derivedFrom" : [
          {
            "reference" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51961-1"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6677-4",
                  "display" : "Responsive"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "93044-6",
                  "display" : "Level of Evidence"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA30200-2",
                  "display" : "Very strong evidence pathogenic"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
                  "code" : "associated-cancer"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "Polycythemia vera (PV)"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51963-7",
                  "display" : "Medication assessed"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "AT9283"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:05713d1c-0df5-46d5-a5a9-2085eef56c20",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><p><b>derivedFrom</b>: <a href=\"#urnuuid16fdd5fc-e665-48af-99e4-48d603f3e12d\">See above (Observation/null)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51961-1}\">Genetic variation's effect on drug efficacy</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 93044-6}\">Level of Evidence</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes associated-cancer}\">associated-cancer</span></p><p><b>value</b>: <span title=\"Codes: \">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51963-7}\">Medication assessed</span></p><p><b>value</b>: <span title=\"Codes: \">SNX-5422</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
              "code" : "therapeutic-implication",
              "display" : "Therapeutic Implication"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "method" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA26811-2",
              "display" : "Computational analysis"
            }
          ]
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        },
        "derivedFrom" : [
          {
            "reference" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51961-1"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6677-4",
                  "display" : "Responsive"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "93044-6",
                  "display" : "Level of Evidence"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA30200-2",
                  "display" : "Very strong evidence pathogenic"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
                  "code" : "associated-cancer"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "Polycythemia vera (PV)"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51963-7",
                  "display" : "Medication assessed"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "SNX-5422"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:294f1401-e2eb-4df1-b6d2-09e1b7a6eca4",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><p><b>derivedFrom</b>: <a href=\"#urnuuid16fdd5fc-e665-48af-99e4-48d603f3e12d\">See above (Observation/null)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51961-1}\">Genetic variation's effect on drug efficacy</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6677-4}\">Responsive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 93044-6}\">Level of Evidence</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA30200-2}\">Very strong evidence pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes associated-cancer}\">associated-cancer</span></p><p><b>value</b>: <span title=\"Codes: \">Polycythemia vera (PV)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 51963-7}\">Medication assessed</span></p><p><b>value</b>: <span title=\"Codes: \">TG02</span></p></blockquote></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
              "code" : "therapeutic-implication",
              "display" : "Therapeutic Implication"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "method" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA26811-2",
              "display" : "Computational analysis"
            }
          ]
        },
        "specimen" : {
          "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
        },
        "derivedFrom" : [
          {
            "reference" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51961-1"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA6677-4",
                  "display" : "Responsive"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "93044-6",
                  "display" : "Level of Evidence"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA30200-2",
                  "display" : "Very strong evidence pathogenic"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
                  "code" : "associated-cancer"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "Polycythemia vera (PV)"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "51963-7",
                  "display" : "Medication assessed"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "TG02"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12f",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/grouper"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes grouper}\">grouper</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"#urnuuid16fdd5fc-e665-48af-99e4-48d603f3e12d\">SNV analysis for JAK2 variant. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://loinc.org 69548-6}\">Genetic variant assessment</span>; <span title=\"Codes: {http://loinc.org LA9633-4}\">Present</span>; <span title=\"Codes: {http://loinc.org LA26398-0}\">Sequencing</span></a></li><li><a href=\"#urnuuid772de7d7-e1bd-4183-bdb5-cea8eda317cd\">SNV analysis for KDR variant. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://loinc.org 69548-6}\">Genetic variant assessment</span>; <span title=\"Codes: {http://loinc.org LA9633-4}\">Present</span>; <span title=\"Codes: {http://loinc.org LA26398-0}\">Sequencing</span></a></li><li><a href=\"#urnuuidb33eb7ec-d83e-49d2-b0f3-729d024ebe01\">SNV analysis for ERBB4 variant. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://loinc.org 69548-6}\">Genetic variant assessment</span>; <span title=\"Codes: {http://loinc.org LA9633-4}\">Present</span>; <span title=\"Codes: {http://loinc.org LA26398-0}\">Sequencing</span></a></li><li><a href=\"#urnuuid40e85eda-4d31-4bd2-a5a0-c39d63f9824f\">TMB value analysis. Generated Summary: <span title=\"Codes: \">Tumor Mutational Burden</span>; 25.0 somatic variants per megabase of sequenced DNA</a></li><li><a href=\"#urnuuid64b91716-6431-41bd-8fd4-7ac99bebdee9\">MSI status analysis. Generated Summary: <span title=\"Codes: \">MSI status</span>; value: High</a></li></ul></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
              "code" : "grouper",
              "display" : "grouper"
            }
          ]
        },
        "hasMember" : [
          {
            "reference" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d",
            "display" : "SNV analysis for JAK2 variant"
          },
          {
            "reference" : "urn:uuid:772de7d7-e1bd-4183-bdb5-cea8eda317cd",
            "display" : "SNV analysis for KDR variant"
          },
          {
            "reference" : "urn:uuid:b33eb7ec-d83e-49d2-b0f3-729d024ebe01",
            "display" : "SNV analysis for ERBB4 variant"
          },
          {
            "reference" : "urn:uuid:40e85eda-4d31-4bd2-a5a0-c39d63f9824f",
            "display" : "TMB value analysis"
          },
          {
            "reference" : "urn:uuid:64b91716-6431-41bd-8fd4-7ac99bebdee9",
            "display" : "MSI status analysis"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12e",
      "resource" : {
        "resourceType" : "Observation",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/grouper"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes grouper}\">grouper</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"#urnuuid1bf9642d-fd1c-4819-8c5d-44fae4bad524\">Therapy match result 1. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span>; <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></a></li><li><a href=\"#urnuuid1301943b-55db-4adf-8355-3635f7268a1b\">Therapy match result 2. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span>; <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></a></li><li><a href=\"#urnuuid05713d1c-0df5-46d5-a5a9-2085eef56c20\">Therapy match result 3. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span>; <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></a></li><li><a href=\"#urnuuid294f1401-e2eb-4df1-b6d2-09e1b7a6eca4\">Therapy match result 4. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes therapeutic-implication}\">Therapeutic Implication</span>; <span title=\"Codes: {http://loinc.org LA26811-2}\">Computational analysis</span></a></li></ul></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes",
              "code" : "grouper",
              "display" : "grouper"
            }
          ]
        },
        "hasMember" : [
          {
            "reference" : "urn:uuid:1bf9642d-fd1c-4819-8c5d-44fae4bad524",
            "display" : "Therapy match result 1"
          },
          {
            "reference" : "urn:uuid:1301943b-55db-4adf-8355-3635f7268a1b",
            "display" : "Therapy match result 2"
          },
          {
            "reference" : "urn:uuid:05713d1c-0df5-46d5-a5a9-2085eef56c20",
            "display" : "Therapy match result 3"
          },
          {
            "reference" : "urn:uuid:294f1401-e2eb-4df1-b6d2-09e1b7a6eca4",
            "display" : "Therapy match result 4"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:ad7a499b-a43b-4cc8-bf46-cac62d9ecae5",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 81247-9}\">Genetic analysis report</span></p><p><b>subject</b>: <a href=\"#urnuuidd0b4affa-91d6-46d1-af01-b30d9f16ef6d\">See above (Patient/null)</a></p><p><b>performer</b>: <a href=\"#urnuuida48256f8-db37-44e0-a0f6-d7af16c7c9ef\">See above (Practitioner/null)</a></p><p><b>specimen</b>: <a href=\"#urnuuida5d6a6a9-4859-480e-85b2-56974fef3b9d\">See above (Specimen/null)</a></p><p><b>result</b>: </p><ul><li><a href=\"#urnuuid16fdd5fc-e665-48af-99e4-48d603f3e12f\">Variants and other biomarker tests. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes grouper}\">grouper</span></a></li><li><a href=\"#urnuuid16fdd5fc-e665-48af-99e4-48d603f3e12e\">Therapy Match Results. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes grouper}\">grouper</span></a></li></ul></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "GE"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "81247-9",
              "display" : "Master HL7 genetic variant reporting panel"
            }
          ],
          "text" : "Genetic analysis report"
        },
        "subject" : {
          "reference" : "urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d"
        },
        "performer" : [
          {
            "reference" : "urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef"
          }
        ],
        "specimen" : [
          {
            "reference" : "urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d"
          }
        ],
        "result" : [
          {
            "reference" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12f",
            "display" : "Variants and other biomarker tests"
          },
          {
            "reference" : "urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12e",
            "display" : "Therapy Match Results"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "DiagnosticReport"
      }
    }
  ]
}