This page is part of the Genetic Reporting Implementation Guide (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
{ "resourceType" : "Bundle", "id" : "CG-IG-HLA-FullBundle-01", "type" : "transaction", "entry" : [ { "fullUrl" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "resource" : { "resourceType" : "Patient", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h4>Donor </h4>\n <p>name: John Storm</p>\n <p>gender: male</p>\n <p>born: 1986-12-31</p>\n </div>" }, "identifier" : [ { "use" : "usual", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "DR" } ] }, "system" : "urn:oid:0.0.0.0.0.0.0", "value" : "12345", "period" : { "start" : "2012-11-10" }, "assigner" : { "display" : "aDonorRegistry" } } ], "name" : [ { "use" : "official", "text" : "John Storm", "family" : "Storm", "given" : [ "John" ] }, { "use" : "nickname", "text" : "Johnny Storm", "family" : "Storm", "given" : [ "Johnny" ] }, { "use" : "nickname", "text" : "The Human Torch" } ], "gender" : "male", "birthDate" : "1986-12-31" }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "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\">\n <pre>a buccal swab</pre>\n </div>" }, "identifier" : [ { "system" : "http://myorgsurl.com", "value" : "123" } ], "accessionIdentifier" : { "system" : "http://mylabsurl.com", "value" : "456" }, "type" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "122555007", "display" : "Venous blood specimen" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" } }, "request" : { "method" : "POST", "url" : "Specimen" } }, { "fullUrl" : "urn:uuid:9243cc20-27bd-4f87-ba90-0328ed474950", "resource" : { "resourceType" : "Organization", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>aTypingLab, Inc</pre>\n </div>" }, "name" : "aTypingLab Inc", "alias" : [ "aTL" ], "telecom" : [ { "system" : "phone", "value" : "1-800-555-1234", "use" : "work", "rank" : 1 } ], "address" : [ { "use" : "work", "type" : "both", "text" : "123 Main St, Sometown, ND 99999", "line" : [ "123 Main St" ], "city" : "Sometown", "state" : "ND", "postalCode" : "99999", "country" : "USA" } ] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "urn:uuid:00ef18ad-ed04-4b2c-81ee-b69bb243f0d5", "resource" : { "resourceType" : "Organization", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>aDonorRegistry</pre>\n </div>" }, "name" : "aDonorRegistry", "alias" : [ "ADR" ], "telecom" : [ { "system" : "phone", "value" : "1-800-555-6789", "use" : "work", "rank" : 1 } ], "address" : [ { "use" : "work", "type" : "both", "text" : "456 Main St, Anytown ND, 00000", "line" : [ "456 Main St" ], "city" : "Anytown", "state" : "ND", "postalCode" : "00000", "country" : "USA" } ] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "urn:uuid:99309303-045e-4cf4-90d7-250d7a7476ea", "resource" : { "resourceType" : "ServiceRequest", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/servicerequest" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA typing request for John Storm</pre>\n </div>" }, "status" : "completed", "intent" : "order", "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "13303-3", "display" : "HLA-A+B+C (class I) [Type]" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "authoredOn" : "2016-11-15", "requester" : { "reference" : "urn:uuid:00ef18ad-ed04-4b2c-81ee-b69bb243f0d5", "type" : "Organization", "display" : "aDonorRegistry" }, "performer" : [ { "reference" : "urn:uuid:9243cc20-27bd-4f87-ba90-0328ed474950", "type" : "Organization", "display" : "aTypingLab, Inc" } ], "reasonCode" : [ { "text" : "tissue typing for donor registry" } ] }, "request" : { "method" : "POST", "url" : "ServiceRequest" } }, { "fullUrl" : "urn:uuid:8200dab6-18a2-4550-b913-a7db480c0804", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-A*01:01:01:01, exon 2"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00001" } ], "text" : "HLA-A*01:01:01:01" }, "windowStart" : 503, "windowEnd" : 773 }, "observedSeq" : "GCTCCCACTCCATGAGGTATTTCTTCACATCCGTGTCCCGGCCCGGCCGCGGGGAGCCCCGCTTCATCGCCGTGGGCTACGTGGACGACACGCAGTTCGTGCGGTTCGACAGCGACGCCGCGAGCCAGAAGATGGAGCCGCGGGCGCCGTGGATAGAGCAGGAGGGGCCGGAGTATTGGGACCAGGAGACACGGAATATGAAGGCCCACTCACAGACTGACCGAGCGAACCTGGGGACCCTGCGCGGCTACTACAACCAGAGCGAGGACG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:7c393185-f15c-45bc-a714-c0fdbea32675", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-A*01:01:01:01, exon 3"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00001" } ], "text" : "HLA-A*01:01:01:01" }, "windowStart" : 1014, "windowEnd" : 1290 }, "observedSeq" : "GTTCTCACACCATCCAGATAATGTATGGCTGCGACGTGGGGCCGGACGGGCGCTTCCTCCGCGGGTACCGGCAGGACGCCTACGACGGCAAGGATTACATCGCCCTGAACGAGGACCTGCGCTCTTGGACCGCGGCGGACATGGCAGCTCAGATCACCAAGCGCAAGTGGGAGGCGGTCCATGCGGCGGAGCAGCGGAGAGTCTACCTGGAGGGCCGGTGCGTGGACGGGCTCCGCAGATACCTGGAGAACGGGAAGGAGACGCTGCAGCGCACGG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:65c85f14-c3a0-4b72-818f-820e04fcc621", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-A*01:02, exon 2"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00002" } ], "text" : "HLA-A*01:02" }, "windowStart" : 503, "windowEnd" : 773 }, "observedSeq" : "GCTCCCACTCCATGAGGTATTTCTCCACATCCGTGTCCCGGCCCGGCAGTGGAGAGCCCCGCTTCATCGCAGTGGGCTACGTGGACGACACGCAGTTCGTGCGGTTCGACAGCGACGCCGCGAGCCAGAAGATGGAGCCGCGGGCGCCGTGGATAGAGCAGGAGGGGCCGGAGTATTGGGACCAGGAGACACGGAATATGAAGGCCCACTCACAGACTGACCGAGCGAACCTGGGGACCCTGCGCGGCTACTACAACCAGAGCGAGGACG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:fbba9fe7-0ece-4ec1-9233-a437a8d242a0", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-A*01:02, exon 3"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00002" } ], "text" : "HLA-A*01:02" }, "windowStart" : 1014, "windowEnd" : 1290 }, "observedSeq" : "GTTCTCACACCATCCAGATAATGTATGGCTGCGACGTGGGGCCGGACGGGCGCTTCCTCCGCGGGTACCGGCAGGACGCCTACGACGGCAAGGATTACATCGCCCTGAACGAGGACCTGCGCTCTTGGACCGCGGCGGACATGGCAGCTCAGATCACCAAGCGCAAGTGGGAGGCGGTCCATGCGGCGGAGCAGCGGAGAGTCTACCTGGAGGGCCGGTGCGTGGACGGGCTCCGCAGATACCTGGAGAACGGGAAGGAGACGCTGCAGCGCACGG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:b7765bbf-df40-486a-9f2f-404309643de6", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/haplotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-A:01:01:01G</pre>\n </div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84414-2", "display" : "Haplotype name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA-A*01:01:01G", "display" : "HLA-A*01:01:01G" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:8200dab6-18a2-4550-b913-a7db480c0804", "type" : "MolecularSequence", "display" : "HLA-A*01:01:01:01, exon 2" }, { "reference" : "urn:uuid:7c393185-f15c-45bc-a714-c0fdbea32675", "type" : "MolecularSequence", "display" : "HLA-A*01:01:01:01, exon 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4931", "display" : "HLA-A" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:d98d92a7-0e86-4ae5-b036-b7e1bba6ec32", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/haplotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-A*01:02</pre>\n </div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84414-2", "display" : "Haplotype name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA-A*01:02", "display" : "HLA-A*01:02" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:65c85f14-c3a0-4b72-818f-820e04fcc621", "type" : "MolecularSequence", "display" : "HLA-A*01:02, exon 2" }, { "reference" : "urn:uuid:fbba9fe7-0ece-4ec1-9233-a437a8d242a0", "type" : "MolecularSequence", "display" : "HLA-A*01:02, exon 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4931", "display" : "HLA-A" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:49a86246-4004-42eb-9bdc-f542f93f9228", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-A:01:01G+HLA-A*01:02</pre>\n </div>" }, "basedOn" : [ { "reference" : "urn:uuid:99309303-045e-4cf4-90d7-250d7a7476ea", "type" : "ServiceRequest", "display" : "Class I HLA genotyping for John Storm" } ], "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84413-4", "display" : "Genotype display name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://glstring.org", "version" : "1.0", "code" : "hla#3.23.0#HLA-A:01:01G+HLA-A*01:02" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:b7765bbf-df40-486a-9f2f-404309643de6", "type" : "Observation", "display" : "HLA-A*01:01:01G, exons 2 and 3" }, { "reference" : "urn:uuid:d98d92a7-0e86-4ae5-b036-b7e1bba6ec32", "type" : "Observation", "display" : "HLA-A*01:02, exons 2 and 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4931", "display" : "HLA-A" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:cbabf93e-1b4b-46f2-ba1e-d84862670670", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-B*15:01:01:01, exon 2"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00162" } ], "text" : "HLA-B*15:01:01:01" }, "windowStart" : 486, "windowEnd" : 756 }, "observedSeq" : "GCTCCCACTCCATGAGGTATTTCTACACCGCCATGTCCCGGCCCGGCCGCGGGGAGCCCCGCTTCATCGCAGTGGGCTACGTGGACGACACCCAGTTCGTGAGGTTCGACAGCGACGCCGCGAGTCCGAGGATGGCGCCCCGGGCGCCATGGATAGAGCAGGAGGGGCCGGAGTATTGGGACCGGGAGACACAGATCTCCAAGACCAACACACAGACTTACCGAGAGAGCCTGCGGAACCTGCGCGGCTACTACAACCAGAGCGAGGCCG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:c233ad3d-1572-48d6-93da-0a583535e138", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-B*15:01:01:01, exon 3"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00162" } ], "text" : "HLA-B*15:01:01:01" }, "windowStart" : 1001, "windowEnd" : 1277 }, "observedSeq" : "GGTCTCACACCCTCCAGAGGATGTACGGCTGCGACGTGGGGCCGGACGGGCGCCTCCTCCGCGGGCATGACCAGTCCGCCTACGACGGCAAGGATTACATCGCCCTGAACGAGGACCTGAGCTCCTGGACCGCGGCGGACACGGCGGCTCAGATCACCCAGCGCAAGTGGGAGGCGGCCCGTGAGGCGGAGCAGTGGAGAGCCTACCTGGAGGGCCTGTGCGTGGAGTGGCTCCGCAGATACCTGGAGAACGGGAAGGAGACGCTGCAGCGCGCGG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:05fa52d7-5c67-460a-8722-d3460b24d6fe", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-B*57:01:01, exon 2"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00381" } ], "text" : "HLA-B*57:01:01" }, "windowStart" : 485, "windowEnd" : 755 }, "observedSeq" : "GCTCCCACTCCATGAGGTATTTCTACACCGCCATGTCCCGGCCCGGCCGCGGGGAGCCCCGCTTCATCGCAGTGGGCTACGTGGACGACACCCAGTTCGTGAGGTTCGACAGCGACGCCGCGAGTCCGAGGATGGCGCCCCGGGCGCCATGGATAGAGCAGGAGGGGCCGGAGTATTGGGACGGGGAGACACGGAACATGAAGGCCTCCGCGCAGACTTACCGAGAGAACCTGCGGATCGCGCTCCGCTACTACAACCAGAGCGAGGCCG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:db69e549-6267-4777-b4b9-8813f3329309", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-B*57:01:01, exon 3"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00381" } ], "text" : "HLA-B*57:01:01" }, "windowStart" : 1001, "windowEnd" : 1277 }, "observedSeq" : "GGTCTCACATCATCCAGGTGATGTATGGCTGCGACGTGGGGCCGGACGGGCGCCTCCTCCGCGGGCATGACCAGTCCGCCTACGACGGCAAGGATTACATCGCCCTGAACGAGGACCTGAGCTCCTGGACCGCGGCGGACACGGCGGCTCAGATCACCCAGCGCAAGTGGGAGGCGGCCCGTGTGGCGGAGCAGCTGAGAGCCTACCTGGAGGGCCTGTGCGTGGAGTGGCTCCGCAGATACCTGGAGAACGGGAAGGAGACGCTGCAGCGCGCGG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:e2092243-2970-49d2-a90f-b90d1d49715a", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/haplotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-B*15:01:01G</pre>\n </div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84414-2", "display" : "Haplotype name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HGG00041", "display" : "HLA-B*15:01:01G" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:cbabf93e-1b4b-46f2-ba1e-d84862670670", "type" : "MolecularSequence", "display" : "HLA-B*15:01:01:01, exon 2" }, { "reference" : "urn:uuid:c233ad3d-1572-48d6-93da-0a583535e138", "type" : "MolecularSequence", "display" : "HLA-B*15:01:01:01, exon 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4932", "display" : "HLA-B" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:792be53e-d4fb-4887-a367-815ef6c706e5", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/haplotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-B*57:01:01G</pre>\n </div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84414-2", "display" : "Haplotype name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA-B*57:01:01G", "display" : "HLA-B*57:01:01G" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:05fa52d7-5c67-460a-8722-d3460b24d6fe", "type" : "MolecularSequence", "display" : "HLA-B*57:01:01, exon 2" }, { "reference" : "urn:uuid:db69e549-6267-4777-b4b9-8813f3329309", "type" : "MolecularSequence", "display" : "HLA-B*57:01:01, exon 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4932", "display" : "HLA-B" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:60613a43-c4cb-4502-b3e2-cf9215feaa70", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-B*15:01:01G+HLA-B*57:01:01G</pre>\n </div>" }, "basedOn" : [ { "reference" : "urn:uuid:99309303-045e-4cf4-90d7-250d7a7476ea", "type" : "ServiceRequest", "display" : "Class I HLA genotyping for John Storm" } ], "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84413-4", "display" : "Genotype display name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://glstring.org", "version" : "1.0", "code" : "hla#3.23.0#HLA-B*15:01:01G+HLA-B*57:01:01G" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:e2092243-2970-49d2-a90f-b90d1d49715a", "type" : "Observation", "display" : "HLA-B*15:01:01G, exons 2 and 3" }, { "reference" : "urn:uuid:792be53e-d4fb-4887-a367-815ef6c706e5", "type" : "Observation", "display" : "HLA-B*57:01:01G, exons 2 and 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4932", "display" : "HLA-B" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:bb55c2bc-5ad2-4bc1-8ff3-c407d06b12d0", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-C*01:02:01, exon 2"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00401" } ], "text" : "HLA-C*01:02:01" }, "windowStart" : 486, "windowEnd" : 756 }, "observedSeq" : "GCTCCCACTCCATGAAGTATTTCTTCACATCCGTGTCCCGGCCTGGCCGCGGAGAGCCCCGCTTCATCTCAGTGGGCTACGTGGACGACACGCAGTTCGTGCGGTTCGACAGCGACGCCGCGAGTCCGAGAGGGGAGCCGCGGGCGCCGTGGGTGGAGCAGGAGGGGCCGGAGTATTGGGACCGGGAGACACAGAAGTACAAGCGCCAGGCACAGACTGACCGAGTGAGCCTGCGGAACCTGCGCGGCTACTACAACCAGAGCGAGGCCG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:46938bb2-0486-4e87-bfd3-89aab2d5e22f", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-C*01:02:01, exon 3"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00401" } ], "text" : "HLA-C*01:02:01" }, "windowStart" : 1002, "windowEnd" : 1278 }, "observedSeq" : "GGTCTCACACCCTCCAGTGGATGTGTGGCTGCGACCTGGGGCCCGACGGGCGCCTCCTCCGCGGGTATGACCAGTACGCCTACGACGGCAAGGATTACATCGCCCTGAACGAGGACCTGCGCTCCTGGACCGCCGCGGACACCGCGGCTCAGATCACCCAGCGCAAGTGGGAGGCGGCCCGTGAGGCGGAGCAGCGGAGAGCCTACCTGGAGGGCACGTGCGTGGAGTGGCTCCGCAGATACCTGGAGAACGGGAAGGAGACGCTGCAGCGCGCGG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:2ae2ff34-279e-43c2-9018-b054fd3fc1ce", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-C*03:04:01:01, exon 2"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00413" } ], "text" : "HLA-C*03:04:01:01" }, "windowStart" : 486, "windowEnd" : 756 }, "observedSeq" : "GCTCCCACTCCATGAGGTATTTCTACACCGCTGTGTCCCGGCCCGGCCGCGGGGAGCCCCACTTCATCGCAGTGGGCTACGTGGACGACACGCAGTTCGTGCGGTTCGACAGCGACGCCGCGAGTCCGAGAGGGGAGCCGCGGGCGCCGTGGGTGGAGCAGGAGGGGCCGGAGTATTGGGACCGGGAGACACAGAAGTACAAGCGCCAGGCACAGACTGACCGAGTGAGCCTGCGGAACCTGCGCGGCTACTACAACCAGAGCGAGGCCG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:19153ef1-68c6-47a2-9676-c4eefbd39af9", "resource" : { "resourceType" : "MolecularSequence", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>"HLA-C*03:04:01:01, exon 3"</pre>\n </div>" }, "type" : "dna", "coordinateSystem" : 0, "referenceSeq" : { "referenceSeqId" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA00413" } ], "text" : "HLA-C*03:04:01:01" }, "windowStart" : 1001, "windowEnd" : 1277 }, "observedSeq" : "GGTCTCACATCATCCAGAGGATGTATGGCTGCGACGTGGGGCCCGACGGGCGCCTCCTCCGCGGGTATGACCAGTACGCCTACGACGGCAAGGATTACATCGCCCTGAACGAGGATCTGCGCTCCTGGACCGCCGCGGACACGGCGGCTCAGATCACCCAGCGCAAGTGGGAGGCGGCCCGTGAGGCGGAGCAGCTGAGAGCCTACCTGGAGGGCCTGTGCGTGGAGTGGCTCCGCAGATACCTGAAGAATGGGAAGGAGACGCTGCAGCGCGCGG" }, "request" : { "method" : "POST", "url" : "MolecularSequence" } }, { "fullUrl" : "urn:uuid:709c5315-9403-4867-9d82-0b953836665f", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/haplotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-C*01:02:01G</pre>\n </div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84414-2", "display" : "Haplotype name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA-C*01:02:01G", "display" : "HLA-C*01:02:01G" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:bb55c2bc-5ad2-4bc1-8ff3-c407d06b12d0", "type" : "MolecularSequence", "display" : "HLA-C*01:02:01, exon 2" }, { "reference" : "urn:uuid:46938bb2-0486-4e87-bfd3-89aab2d5e22f", "type" : "MolecularSequence", "display" : "HLA-C*01:02:01, exon 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4933", "display" : "HLA-C" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:8b2aa21c-1426-4717-8ab0-a84d83df7d47", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/haplotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-C*03:04:01G</pre>\n </div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84414-2", "display" : "Haplotype name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23", "code" : "HLA-C*01:02:01G", "display" : "HLA-C*01:02:01G" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:2ae2ff34-279e-43c2-9018-b054fd3fc1ce", "type" : "MolecularSequence", "display" : "HLA-C*03:04:01:01, exon 2" }, { "reference" : "urn:uuid:19153ef1-68c6-47a2-9676-c4eefbd39af9", "type" : "MolecularSequence", "display" : "HLA-C*03:04:01:01, exon 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4933", "display" : "HLA-C" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:0e0a780e-4486-4cd0-bfae-7243c579f208", "resource" : { "resourceType" : "Observation", "meta" : { "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genotype" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>HLA-C*01:02:01G+HLA-C*03:04:01G</pre>\n </div>" }, "basedOn" : [ { "reference" : "urn:uuid:99309303-045e-4cf4-90d7-250d7a7476ea", "type" : "ServiceRequest", "display" : "Class I HLA genotyping for John Storm" } ], "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "84413-4", "display" : "Genotype display name" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "valueCodeableConcept" : { "coding" : [ { "system" : "http://glstring.org", "version" : "1.0", "code" : "hla#3.23.0#HLA-C*01:02:01G+HLA-C*03:04:01G" } ] }, "method" : { "coding" : [ { "system" : "http://www.ncbi.nlm.nih.gov/gtr", "code" : "GTR000000000.0" } ], "text" : "NGS based Class I HLA-A, -B, -C genotyping" }, "specimen" : { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" }, "derivedFrom" : [ { "reference" : "urn:uuid:8b2aa21c-1426-4717-8ab0-a84d83df7d47", "type" : "Observation", "display" : "HLA-C*03:04:01G, exons 2 and 3" }, { "reference" : "urn:uuid:709c5315-9403-4867-9d82-0b953836665f", "type" : "Observation", "display" : "HLA-C*01:02:01G, exons 2 and 3" } ], "component" : [ { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48018-6", "display" : "Gene studied [ID]" } ] }, "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.genenames.org/geneId", "code" : "HGNC:4933", "display" : "HLA-C" } ] } } ] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "urn:uuid:b0a4b18e-94e7-4b1b-8031-c7ae4bdd8db9", "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\">\n <pre>\nHLA-A,-B,-C genotyping report for John Storm (MRN:12345)\n\nLOCUS ALLELE 1 ALLELE 2\nHLA-A HLA-A:01:01G HLA-A*01:02\nHLA-B HLA-B*15:01:01G HLA-B*57:01:01G\nHLA-C HLA-C*01:02:01G HLA-C*03:04:01G\n\nAllele assignments based on IMGT/HLA 3.23\nEffective date: 2015-12-15\nMethod: Sequencing of exons 2 and 3 of HLA Class I genes\nLab: aTypingLab Inc\n </pre>\n </div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database", "valueCodeableConcept" : { "coding" : [ { "system" : "http://www.ebi.ac.uk/ipd/imgt/hla", "version" : "3.23" } ] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring", "extension" : [ { "url" : "text", "valueString" : "HLA-A*01:01:01G+HLA-A*01:02^HLA-B*15:01:01G+HLA-B*57:01:01G^HLA-C*01:02:01G+HLA-C*03:04:01G" }, { "url" : "url", "valueUri" : "https://gl.nmdp.org/imgt-hla/3.23.0/multilocus-unphased-genotype/ex" } ] } ], "basedOn" : [ { "reference" : "urn:uuid:99309303-045e-4cf4-90d7-250d7a7476ea", "type" : "ServiceRequest", "display" : "Class I HLA genotyping for John Storm" } ], "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0074", "code" : "GE", "display" : "Genetics" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "81247-9", "display" : "Master HL7 genetic variant reporting panel" }, { "system" : "http://genenames.org/geneId", "code" : "HGNC:588", "display" : "Histocompatibility complex (HLA)" } ] }, "subject" : { "reference" : "urn:uuid:13f34265-335c-4853-bc38-0815315edafa", "type" : "Patient", "display" : "John Storm" }, "effectiveDateTime" : "2016-12-15", "issued" : "2016-12-15T14:15:30-06:00", "performer" : [ { "reference" : "urn:uuid:9243cc20-27bd-4f87-ba90-0328ed474950", "type" : "Organization", "display" : "aTypingLab Inc" } ], "specimen" : [ { "reference" : "urn:uuid:e44fbe33-6084-4ae2-a95e-8bc451c63340", "display" : "buccal swab from John Storm" } ], "result" : [ { "reference" : "urn:uuid:49a86246-4004-42eb-9bdc-f542f93f9228", "type" : "Observation", "display" : "HLA-A: HLA-A:01:01:01G+HLA-A*01:02" }, { "reference" : "urn:uuid:60613a43-c4cb-4502-b3e2-cf9215feaa70", "type" : "Observation", "display" : "HLA-B: HLA-B*15:01:01G+HLA-B*57:01:01G" }, { "reference" : "urn:uuid:0e0a780e-4486-4cd0-bfae-7243c579f208", "type" : "Observation", "display" : "HLA-C: HLA-C*01:02:01G+HLA-C*03:04:01G" } ] }, "request" : { "method" : "POST", "url" : "DiagnosticReport" } } ] }