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 - CYP2C19 report from 1000 Genomes - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:DiagnosticReport;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "report-CYP2C19"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://loinc.org 81247-9}\">Genetic analysis report</span> (<span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reported</b></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr><tr><td colspan=\"3\"><i>This Observation could not be resolved</i></td></tr></table></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Observation;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "rs-5c7e9e1ca6214" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/region-studied";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/region-studied>       ]     ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.category [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
         fhir:Coding.code [ fhir:value "laboratory" ]       ]     ];
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:53041-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "53041-0" ];
         fhir:Coding.display [ fhir:value "DNA Region of interest panel" ]       ]     ];
     fhir:Observation.issued [ fhir:value "2019-03-05T16:04:44+00:00"^^xsd:dateTime ];
     fhir:Observation.component [
       fhir:index 0;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:48018-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "48018-6" ];
           fhir:Coding.display [ fhir:value "Gene studied ID" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://www.genenames.org/geneId" ];
           fhir:Coding.code [ fhir:value "HGNC:2621" ];
           fhir:Coding.display [ fhir:value "CYP2C19" ]         ]       ]     ]
  ], [
     a fhir:Observation;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "dv-5c7e9e1ca62b5" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant>       ]     ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.category [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
         fhir:Coding.code [ fhir:value "laboratory" ]       ]     ];
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:69548-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "69548-6" ];
         fhir:Coding.display [ fhir:value "Genetic variant assessment" ]       ]     ];
     fhir:Observation.issued [ fhir:value "2019-03-05T16:04:44+00:00"^^xsd:dateTime ];
     fhir:Observation.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA9633-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA9633-4" ];
         fhir:Coding.display [ fhir:value "Present" ]       ]     ];
     fhir:Observation.component [
       fhir:index 0;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:62374-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "62374-4" ];
           fhir:Coding.display [ fhir:value "Human reference sequence assembly version" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:LA14029-5;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "LA14029-5" ];
           fhir:Coding.display [ fhir:value "GRCh37" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:48013-7;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "48013-7" ];
           fhir:Coding.display [ fhir:value "Genomic reference sequence ID" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://www.ncbi.nlm.nih.gov/nuccore" ];
           fhir:Coding.code [ fhir:value "NC_000010.10" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:53034-5;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "53034-5" ];
           fhir:Coding.display [ fhir:value "Allelic state" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:LA6706-1;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "LA6706-1" ];
           fhir:Coding.display [ fhir:value "heterozygous" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:69547-8;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "69547-8" ];
           fhir:Coding.display [ fhir:value "Ref nucleotide" ]         ]       ];
       fhir:Observation.component.valueString [ fhir:value "A" ]     ], [
       fhir:index 4;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:69551-0;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "69551-0" ];
           fhir:Coding.display [ fhir:value "Alt allele" ]         ]       ];
       fhir:Observation.component.valueString [ fhir:value "G" ]     ], [
       fhir:index 5;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:92822-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "92822-6" ];
           fhir:Coding.display [ fhir:value "Genomic coord system" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:LA30102-0;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "LA30102-0" ]         ]       ]     ], [
       fhir:index 6;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/TbdCodes" ];
           fhir:Coding.code [ fhir:value "exact-start-end" ];
           fhir:Coding.display [ fhir:value "Variant exact start and end" ]         ]       ];
       fhir:Observation.component.valueRange [
         fhir:Range.low [
           fhir:Quantity.value [ fhir:value "96448129"^^xsd:decimal ]         ]       ]     ]
  ], [
     a fhir:Observation;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "dv-5c7e9e1ca6342" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant>       ]     ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.category [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
         fhir:Coding.code [ fhir:value "laboratory" ]       ]     ];
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:69548-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "69548-6" ];
         fhir:Coding.display [ fhir:value "Genetic variant assessment" ]       ]     ];
     fhir:Observation.issued [ fhir:value "2019-03-05T16:04:44+00:00"^^xsd:dateTime ];
     fhir:Observation.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:LA9633-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA9633-4" ];
         fhir:Coding.display [ fhir:value "Present" ]       ]     ];
     fhir:Observation.component [
       fhir:index 0;
       fhir:Observation.component.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:62374-4;
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           fhir:Coding.code [ fhir:value "62374-4" ];
           fhir:Coding.display [ fhir:value "Human reference sequence assembly version" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
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           fhir:index 0;
           a loinc:LA14029-5;
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           fhir:Coding.display [ fhir:value "GRCh37" ]         ]       ]     ], [
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       fhir:Observation.component.code [
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           fhir:Coding.code [ fhir:value "48013-7" ];
           fhir:Coding.display [ fhir:value "Genomic reference sequence ID" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://www.ncbi.nlm.nih.gov/nuccore" ];
           fhir:Coding.code [ fhir:value "NC_000010.10" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Observation.component.code [
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           fhir:Coding.display [ fhir:value "Allelic state" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
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           a loinc:LA6706-1;
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           fhir:Coding.code [ fhir:value "LA6706-1" ];
           fhir:Coding.display [ fhir:value "heterozygous" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Observation.component.code [
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           fhir:Coding.code [ fhir:value "69547-8" ];
           fhir:Coding.display [ fhir:value "Ref nucleotide" ]         ]       ];
       fhir:Observation.component.valueString [ fhir:value "C" ]     ], [
       fhir:index 4;
       fhir:Observation.component.code [
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           fhir:Coding.code [ fhir:value "69551-0" ];
           fhir:Coding.display [ fhir:value "Alt allele" ]         ]       ];
       fhir:Observation.component.valueString [ fhir:value "G" ]     ], [
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           fhir:Coding.code [ fhir:value "92822-6" ];
           fhir:Coding.display [ fhir:value "Genomic coord system" ]         ]       ];
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       fhir:index 6;
       fhir:Observation.component.code [
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           fhir:Coding.code [ fhir:value "exact-start-end" ];
           fhir:Coding.display [ fhir:value "Variant exact start and end" ]         ]       ];
       fhir:Observation.component.valueRange [
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           fhir:Quantity.value [ fhir:value "96448380"^^xsd:decimal ]         ]       ]     ]
  ], [
     a fhir:Observation;
     fhir:index 3;
     fhir:Resource.id [ fhir:value "dv-5c7e9e1ca63bf" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant>       ]     ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.category [
       fhir:index 0;
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         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
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         fhir:Coding.display [ fhir:value "Present" ]       ]     ];
     fhir:Observation.component [
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           fhir:Coding.display [ fhir:value "Human reference sequence assembly version" ]         ]       ];
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           fhir:Coding.display [ fhir:value "GRCh37" ]         ]       ]     ], [
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           fhir:Coding.code [ fhir:value "48013-7" ];
           fhir:Coding.display [ fhir:value "Genomic reference sequence ID" ]         ]       ];
       fhir:Observation.component.valueCodeableConcept [
         fhir:CodeableConcept.coding [
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     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca69a3" ]
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     fhir:index 16;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6a1d" ]
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     fhir:index 17;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6a97" ]
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     fhir:index 18;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6b11" ]
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     fhir:index 19;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6b86" ]
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     fhir:index 20;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6c31" ]
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     fhir:index 21;
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     fhir:index 22;
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     fhir:index 23;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6de3" ]
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     fhir:index 24;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6e86" ]
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     fhir:index 25;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6f11" ]
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     fhir:index 26;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca6fa5" ]
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     fhir:index 27;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca7025" ]
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     fhir:index 28;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca70a2" ]
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     fhir:index 29;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca7141" ]
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     fhir:index 30;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca71bf" ]
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     fhir:index 31;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca724a" ]
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     fhir:index 32;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca72e4" ]
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     fhir:index 33;
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     fhir:index 34;
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     fhir:index 35;
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     fhir:index 36;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca7513" ]
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     fhir:index 37;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca758e" ]
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     fhir:index 38;
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     fhir:index 39;
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     fhir:index 40;
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     fhir:index 42;
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     fhir:index 43;
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     fhir:index 44;
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     fhir:index 46;
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     fhir:index 47;
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     fhir:index 48;
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     fhir:index 49;
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     fhir:index 50;
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     fhir:index 54;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca7ed6" ]
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     fhir:index 55;
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     fhir:index 56;
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     fhir:index 57;
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     fhir:index 58;
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     fhir:index 59;
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     fhir:index 60;
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     fhir:index 61;
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     fhir:index 62;
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     fhir:index 63;
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     fhir:index 64;
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     fhir:index 65;
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     fhir:index 66;
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     fhir:index 67;
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     fhir:index 68;
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     fhir:index 69;
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     fhir:index 70;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca879f" ]
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     fhir:index 71;
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     fhir:index 72;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca88a5" ]
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     fhir:index 73;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca8927" ]
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     fhir:index 74;
     fhir:Reference.reference [ fhir:value "#dv-5c7e9e1ca89a8" ]
  ], [
     fhir:index 75;
     fhir:Reference.reference [ fhir:value "#sid-5c7e9e1ca8a29" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.