Genomics Reporting Implementation Guide
3.0.0 - STU3 International flag

This page is part of the Genetic Reporting Implementation Guide (v3.0.0: STU3) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: bundle-oncologyexamples-r4

Generated Narrative: Bundle bundle-oncologyexamples-r4

Bundle bundle-oncologyexamples-r4 of type transaction


Entry 1 - fullUrl = urn:uuid:d0b4affa-91d6-46d1-af01-b30d9f16ef6d

Resource Patient:

Generated Narrative: Patient Inline-Instance-for-oncologyexamples-r4-1

Carrot John Mr Male, DoB: 1962-12-31 ( 1007)


Links:

Request:

POST Patient

Entry 2 - fullUrl = urn:uuid:a48256f8-db37-44e0-a0f6-d7af16c7c9ef

Resource Practitioner:

Generated Narrative: Practitioner Inline-Instance-for-oncologyexamples-r4-2

identifier: 4654765876

name: Akerman Philip Prof

address: Castro Valley CA

Request:

POST Practitioner

Entry 3 - fullUrl = urn:uuid:a5d6a6a9-4859-480e-85b2-56974fef3b9d

Resource Specimen:

Generated Narrative: Specimen Inline-Instance-for-oncologyexamples-r4-3

identifier: 076e1948-2217-11e9-94d8-12e241dc1f66

status: Available

subject: Bundle: type = transaction

Collections

-Collector
*Bundle: type = transaction

Request:

POST Specimen

Entry 4 - fullUrl = urn:uuid:40e85eda-4d31-4bd2-a5a0-c39d63f9824f

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-4

status: Final

category: Laboratory, A characterization of a given biomarker observation., Genetics

code: Mutations/Megabase [# Ratio] in Tumor

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

value: 25 somatic variants per megabase of sequenced DNA (Details: UCUM code1/1000000 = '1/1000000')

specimen: Bundle: type = transaction

Components

-CodeValue[x]
*A characterization of a given biomarker observation.molecular sequence adjacent category

Request:

POST Observation

Entry 5 - fullUrl = urn:uuid:64b91716-6431-41bd-8fd4-7ac99bebdee9

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-5

status: Final

category: Laboratory, A characterization of a given biomarker observation., Genetics

code: Microsatellite instability [Interpretation] in Cancer specimen Qualitative

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

value: Stable

specimen: Bundle: type = transaction

Components

-CodeValue[x]
*A characterization of a given biomarker observation.molecular sequence adjacent category

Request:

POST Observation

Entry 6 - fullUrl = urn:uuid:16fdd5fc-e665-48af-99e4-48d603f3e12d

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-6

status: Final

category: Laboratory, Genetics

code: Genetic variant assessment

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

value: Present

method: Sequencing

specimen: Bundle: type = transaction

component

code: Genomic DNA change (gHGVS)

value: NC_000009.12:g.5073770G>T

component

code: Amino acid change (pHGVS)

value: NP_004963.1:p.Val617Phe

component

code: Genomic source class

value: Germline

component

code: Gene studied ID

value: JAK2

Request:

POST Observation

Entry 7 - fullUrl = urn:uuid:772de7d7-e1bd-4183-bdb5-cea8eda317cd

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-7

status: Final

category: Laboratory, Genetics

code: Genetic variant assessment

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

value: Present

method: Sequencing

specimen: Bundle: type = transaction

component

code: Genomic DNA change (gHGVS)

value: NC_000004.11:g.55972974T>A

component

code: Amino acid change (pHGVS)

value: NP_002244.1:p.Gln472His

component

code: Genomic source class

value: Germline

component

code: Gene studied ID

value: KDR

Request:

POST Observation

Entry 8 - fullUrl = urn:uuid:b33eb7ec-d83e-49d2-b0f3-729d024ebe01

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-8

status: Final

category: Laboratory, Genetics

code: Genetic variant assessment

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

value: Present

method: Sequencing

specimen: Bundle: type = transaction

component

code: Genomic DNA change (gHGVS)

value: NC_000002.12:g.211713666_211713668del

component

code: Genomic source class

value: Germline

component

code: Gene studied ID

value: ERBB4

Request:

POST Observation

Entry 9 - fullUrl = urn:uuid:1bf9642d-fd1c-4819-8c5d-44fae4bad524

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-9

status: Final

category: Laboratory, Genetics

code: Therapeutic Implication

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

method: Computational analysis

specimen: Bundle: type = transaction

derivedFrom: Bundle: type = transaction

component

code: Therapeutic Implication

value: Responsive

component

code: Level of Evidence

value: Very strong evidence pathogenic

component

code: Associated phenotype

value: Polycythemia vera (PV)

component

code: Medication assessed

value: Ruxolitinib

Request:

POST Observation

Entry 10 - fullUrl = urn:uuid:1301943b-55db-4adf-8355-3635f7268a1b

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-10

status: Final

category: Laboratory, Genetics

code: Therapeutic Implication

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

method: Computational analysis

specimen: Bundle: type = transaction

derivedFrom: Bundle: type = transaction

component

code: Therapeutic Implication

value: Responsive

component

code: Level of Evidence

value: Very strong evidence pathogenic

component

code: Associated phenotype

value: Polycythemia vera (PV)

component

code: Medication assessed

value: AT9283

Request:

POST Observation

Entry 11 - fullUrl = urn:uuid:05713d1c-0df5-46d5-a5a9-2085eef56c20

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-11

status: Final

category: Laboratory, Genetics

code: Therapeutic Implication

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

method: Computational analysis

specimen: Bundle: type = transaction

derivedFrom: Bundle: type = transaction

component

code: Therapeutic Implication

value: Responsive

component

code: Level of Evidence

value: Very strong evidence pathogenic

component

code: Associated phenotype

value: Polycythemia vera (PV)

component

code: Medication assessed

value: SNX-5422

Request:

POST Observation

Entry 12 - fullUrl = urn:uuid:294f1401-e2eb-4df1-b6d2-09e1b7a6eca4

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-12

status: Final

category: Laboratory, Genetics

code: Therapeutic Implication

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

method: Computational analysis

specimen: Bundle: type = transaction

derivedFrom: Bundle: type = transaction

component

code: Therapeutic Implication

value: Responsive

component

code: Level of Evidence

value: Very strong evidence pathogenic

component

code: Associated phenotype

value: Polycythemia vera (PV)

component

code: Medication assessed

value: TG02

Request:

POST Observation

Entry 13 - fullUrl = urn:uuid:294f1401-e2eb-4df1-b6d2-09e1b7a6ecb6

Resource Observation:

Generated Narrative: Observation Inline-Instance-for-oncologyexamples-r4-14

status: Final

category: Laboratory, Genetics

code: Therapeutic Implication

subject: Bundle: type = transaction

effective: 2023-04-05

performer: Bundle: type = transaction

derivedFrom: Bundle: type = transaction

Components

-ExtensionCodeValue[x]
*Associated TherapyRuxolitinib

Generated Narrative: PlanDefinition #PlanDefRuxolitinib

name: RuxolitinibPlan

status: Draft

description:

This is not a fully defined resource, just here as a place holder to show how a PlanDefinition could be packaged.

Request:

POST Observation

Entry 14 - fullUrl = urn:uuid:ad7a499b-a43b-4cc8-bf46-cac62d9ecae5

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport Inline-Instance-for-oncologyexamples-r4-13

Genetic analysis report (Genetics)

SubjectNot done yet
Performer Bundle: type = transaction

Report Details

CodeValue

Request:

POST DiagnosticReport