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 - XML Representation

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