Extensions for Using Data Elements from FHIR R4 in FHIR STU3
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4 in FHIR STU3 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R4_MolecularSequence_R3_Sequence - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-MolecularSequence-for-Sequence resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Sequence
Definition

Raw data describing a biological sequence.

ShortInformation about a biological sequence
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
seq-3: Only 0 and 1 are valid for coordinateSystem (coordinateSystem = 1 or coordinateSystem = 0)
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
seq-3: Only 0 and 1 are valid for coordinateSystem (coordinateSystem = 1 or coordinateSystem = 0)
2. Sequence.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Control0..1
Typeuri
Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
4. Sequence.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional Content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Alternate Namesextensions, user content
SlicingThis element introduces a set of slices on Sequence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Sequence.extension:structureVariant
    Slice NamestructureVariant
    Definition

    R4: MolecularSequence.structureVariant (new:BackboneElement)

    ShortR4: Structural variant (new)
    Comments

    Element MolecularSequence.structureVariant has a context of Sequence based on following the parent source element upwards and mapping to Sequence. Element MolecularSequence.structureVariant has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R4: Structural variant (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Sequence.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Alternate Namesextensions, user content
    10. Sequence.coordinateSystem
    Definition

    Whether the sequence is numbered starting at 0 (0-based numbering or coordinates, inclusive start, exclusive end) or starting at 1 (1-based numbering, inclusive start and inclusive end).

    ShortBase number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)
    Control1..1
    Typeinteger
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue

    Guidance on how to interpret the contents of this table can be foundhere

    0. Sequence
    2. Sequence.extension
    Control0..*
    SlicingThis element introduces a set of slices on Sequence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. Sequence.extension:structureVariant
      Slice NamestructureVariant
      Definition

      R4: MolecularSequence.structureVariant (new:BackboneElement)

      ShortR4: Structural variant (new)
      Comments

      Element MolecularSequence.structureVariant has a context of Sequence based on following the parent source element upwards and mapping to Sequence. Element MolecularSequence.structureVariant has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

      Control0..*
      TypeExtension(R4: Structural variant (new)) (Complex Extension)
      6. Sequence.type
      8. Sequence.type.extension
      Control0..*
      SlicingThis element introduces a set of slices on Sequence.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 10. Sequence.type.extension:type
        Slice Nametype
        Definition

        R4: MolecularSequence.type

        ShortR4: type
        Comments

        Element MolecularSequence.type is mapped to FHIR STU3 element Sequence.type as Equivalent.

        Control0..1
        TypeExtension(R4: type) (Extension Type: code)
        12. Sequence.referenceSeq
        14. Sequence.referenceSeq.extension
        Control0..*
        SlicingThis element introduces a set of slices on Sequence.referenceSeq.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 16. Sequence.referenceSeq.extension:orientation
          Slice Nameorientation
          Definition

          R4: MolecularSequence.referenceSeq.orientation (new:code)

          ShortR4: sense | antisense (new)
          Comments

          Element MolecularSequence.referenceSeq.orientation has a context of Sequence.referenceSeq based on following the parent source element upwards and mapping to Sequence. Element MolecularSequence.referenceSeq.orientation has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

          Control0..1
          TypeExtension(R4: sense | antisense (new)) (Extension Type: code)
          18. Sequence.referenceSeq.strand
          20. Sequence.referenceSeq.strand.extension
          Control0..*
          SlicingThis element introduces a set of slices on Sequence.referenceSeq.strand.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 22. Sequence.referenceSeq.strand.extension:strand
            Slice Namestrand
            Definition

            R4: MolecularSequence.referenceSeq.strand additional types (code) additional types from child elements (value)

            ShortR4: watson | crick additional types
            Comments

            Element MolecularSequence.referenceSeq.strand is mapped to FHIR STU3 element Sequence.referenceSeq.strand as SourceIsBroaderThanTarget. The mappings for MolecularSequence.referenceSeq.strand do not cover the following types: code. The mappings for MolecularSequence.referenceSeq.strand do not cover the following types based on type expansion: value.

            Control0..1
            TypeExtension(R4: watson | crick additional types) (Extension Type: code)
            24. Sequence.quality
            26. Sequence.quality.extension
            Control0..*
            SlicingThis element introduces a set of slices on Sequence.quality.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 28. Sequence.quality.extension:roc
              Slice Nameroc
              Definition

              R4: MolecularSequence.quality.roc (new:BackboneElement)

              ShortR4: Receiver Operator Characteristic (ROC) Curve (new)
              Comments

              Element MolecularSequence.quality.roc has a context of Sequence.quality based on following the parent source element upwards and mapping to Sequence. Element MolecularSequence.quality.roc has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

              Control0..1
              TypeExtension(R4: Receiver Operator Characteristic (ROC) Curve (new)) (Complex Extension)

              Guidance on how to interpret the contents of this table can be foundhere

              0. Sequence
              Definition

              Raw data describing a biological sequence.

              ShortInformation about a biological sequence
              Control0..*
              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
              dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
              dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
              dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
              seq-3: Only 0 and 1 are valid for coordinateSystem (coordinateSystem = 1 or coordinateSystem = 0)
              2. Sequence.id
              Definition

              The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

              ShortLogical id of this artifact
              Comments

              The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

              Control0..1
              Typeid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              4. Sequence.meta
              Definition

              The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Summarytrue
              6. Sequence.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

              This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

              Control0..1
              Typeuri
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              8. Sequence.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Common Languages
              (extensible to http://hl7.org/fhir/ValueSet/languages|3.0.2)

              A human language.

              Additional BindingsPurpose
              All LanguagesMax Binding
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              10. Sequence.text
              Definition

              A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

              Control0..1
              This element is affected by the following invariants: dom-1
              TypeNarrative
              Alternate Namesnarrative, html, xhtml, display
              12. Sequence.contained
              Definition

              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

              ShortContained, inline Resources
              Comments

              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

              Control0..*
              TypeResource
              Alternate Namesinline resources, anonymous resources, contained resources
              14. Sequence.extension
              Definition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              SlicingThis element introduces a set of slices on Sequence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 16. Sequence.extension:structureVariant
                Slice NamestructureVariant
                Definition

                R4: MolecularSequence.structureVariant (new:BackboneElement)

                ShortR4: Structural variant (new)
                Comments

                Element MolecularSequence.structureVariant has a context of Sequence based on following the parent source element upwards and mapping to Sequence. Element MolecularSequence.structureVariant has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(R4: Structural variant (new)) (Complex Extension)
                Is Modifierfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                18. Sequence.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                ShortExtensions that cannot be ignored
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                Alternate Namesextensions, user content
                20. Sequence.identifier
                Definition

                A unique identifier for this particular sequence instance. This is a FHIR-defined id.

                ShortUnique ID for this particular sequence. This is a FHIR-defined id
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                Summarytrue
                Requirements

                Allows sequences to be distinguished and referenced.

                22. Sequence.type
                Definition

                Amino Acid Sequence/ DNA Sequence / RNA Sequence.

                Shortaa | dna | rna
                Control0..1
                BindingFor example codes, see sequenceType
                (example to http://hl7.org/fhir/ValueSet/sequence-type|3.0.2)

                Type if a sequence -- DNA, RNA, or amino acid sequence

                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                24. Sequence.type.id
                Definition

                unique id for the element within a resource (for internal references)

                Shortxml:id (or equivalent in JSON)
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                26. Sequence.type.extension
                Definition

                An Extension

                ShortExtension
                Control0..*
                TypeExtension
                SlicingThis element introduces a set of slices on Sequence.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 28. Sequence.type.extension:type
                  Slice Nametype
                  Definition

                  R4: MolecularSequence.type

                  ShortR4: type
                  Comments

                  Element MolecularSequence.type is mapped to FHIR STU3 element Sequence.type as Equivalent.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(R4: type) (Extension Type: code)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  30. Sequence.type.value
                  Definition

                  Primitive value for code

                  ShortPrimitive value for code
                  Control0..1
                  Typecode
                  XML FormatIn the XML format, this property is represented as an attribute.
                  32. Sequence.coordinateSystem
                  Definition

                  Whether the sequence is numbered starting at 0 (0-based numbering or coordinates, inclusive start, exclusive end) or starting at 1 (1-based numbering, inclusive start and inclusive end).

                  ShortBase number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)
                  Control1..1
                  Typeinteger
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  34. Sequence.patient
                  Definition

                  The patient whose sequencing results are described by this resource.

                  ShortWho and/or what this is about
                  Control0..1
                  TypeReference(Patient)
                  Summarytrue
                  36. Sequence.specimen
                  Definition

                  Specimen used for sequencing.

                  ShortSpecimen used for sequencing
                  Control0..1
                  TypeReference(Specimen)
                  Summarytrue
                  38. Sequence.device
                  Definition

                  The method for sequencing, for example, chip information.

                  ShortThe method for sequencing
                  Control0..1
                  TypeReference(Device)
                  Summarytrue
                  40. Sequence.performer
                  Definition

                  The organization or lab that should be responsible for this result.

                  ShortWho should be responsible for test result
                  Control0..1
                  TypeReference(Organization)
                  Summarytrue
                  42. Sequence.quantity
                  Definition

                  The number of copies of the seqeunce of interest. (RNASeq).

                  ShortThe number of copies of the seqeunce of interest. (RNASeq)
                  Control0..1
                  TypeQuantity
                  Summarytrue
                  44. Sequence.referenceSeq
                  Definition

                  A sequence that is used as a reference to describe variants that are present in a sequence analyzed.

                  ShortA sequence used as reference
                  Control0..1
                  TypeBackboneElement
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  seq-4: Only +1 and -1 are valid for strand (strand.empty() or strand = 1 or strand = -1)
                  seq-5: GenomeBuild and chromosome must be both contained if either one of them is contained ((chromosome.empty() and genomeBuild.empty()) or (chromosome.exists() and genomeBuild.exists()))
                  seq-6: Have and only have one of the following elements in referenceSeq : 1. genomeBuild ; 2 referenceSeqId; 3. referenceSeqPointer; 4. referenceSeqString; ((genomeBuild.count()+referenceSeqId.count()+ referenceSeqPointer.count()+ referenceSeqString.count()) = 1)
                  46. Sequence.referenceSeq.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  48. Sequence.referenceSeq.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  SlicingThis element introduces a set of slices on Sequence.referenceSeq.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 50. Sequence.referenceSeq.extension:orientation
                    Slice Nameorientation
                    Definition

                    R4: MolecularSequence.referenceSeq.orientation (new:code)

                    ShortR4: sense | antisense (new)
                    Comments

                    Element MolecularSequence.referenceSeq.orientation has a context of Sequence.referenceSeq based on following the parent source element upwards and mapping to Sequence. Element MolecularSequence.referenceSeq.orientation has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R4: sense | antisense (new)) (Extension Type: code)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    52. Sequence.referenceSeq.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                    Summarytrue
                    Alternate Namesextensions, user content, modifiers
                    54. Sequence.referenceSeq.chromosome
                    Definition

                    Structural unit composed of a nucleic acid molecule which controls its own replication through the interaction of specific proteins at one or more origins of replication (SO:0000340).

                    ShortChromosome containing genetic finding
                    Control0..1
                    BindingFor example codes, see chromosome-human
                    (example to http://hl7.org/fhir/ValueSet/chromosome-human|3.0.2)

                    Chromosome number for human

                    TypeCodeableConcept
                    Summarytrue
                    56. Sequence.referenceSeq.genomeBuild
                    Definition

                    The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'. Version number must be included if a versioned release of a primary build was used.

                    ShortThe Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    58. Sequence.referenceSeq.referenceSeqId
                    Definition

                    Reference identifier of reference sequence submitted to NCBI. It must match the type in the Sequence.type field. For example, the prefix, “NG” identifies reference sequence for genes, “NM” for messenger RNA transcripts, and “NP_” for amino acid sequences.

                    ShortReference identifier
                    Control0..1
                    BindingFor example codes, see ENSEMBL
                    (example to http://hl7.org/fhir/ValueSet/sequence-referenceSeq|3.0.2)

                    Reference identifier

                    TypeCodeableConcept
                    Summarytrue
                    60. Sequence.referenceSeq.referenceSeqPointer
                    Definition

                    A Pointer to another Sequence entity as reference sequence.

                    ShortA Pointer to another Sequence entity as reference sequence
                    Control0..1
                    TypeReference(Sequence)
                    Summarytrue
                    62. Sequence.referenceSeq.referenceSeqString
                    Definition

                    A string like "ACGT".

                    ShortA string to represent reference sequence
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    64. Sequence.referenceSeq.strand
                    Definition

                    Directionality of DNA sequence. Available values are "1" for the plus strand (5' to 3')/Watson/Sense/positive and "-1" for the minus strand(3' to 5')/Crick/Antisense/negative.

                    ShortDirectionality of DNA ( +1/-1)
                    Control0..1
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    66. Sequence.referenceSeq.strand.id
                    Definition

                    unique id for the element within a resource (for internal references)

                    Shortxml:id (or equivalent in JSON)
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    68. Sequence.referenceSeq.strand.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    SlicingThis element introduces a set of slices on Sequence.referenceSeq.strand.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 70. Sequence.referenceSeq.strand.extension:strand
                      Slice Namestrand
                      Definition

                      R4: MolecularSequence.referenceSeq.strand additional types (code) additional types from child elements (value)

                      ShortR4: watson | crick additional types
                      Comments

                      Element MolecularSequence.referenceSeq.strand is mapped to FHIR STU3 element Sequence.referenceSeq.strand as SourceIsBroaderThanTarget. The mappings for MolecularSequence.referenceSeq.strand do not cover the following types: code. The mappings for MolecularSequence.referenceSeq.strand do not cover the following types based on type expansion: value.

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(R4: watson | crick additional types) (Extension Type: code)
                      Is Modifierfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      72. Sequence.referenceSeq.strand.value
                      Definition

                      The actual value

                      ShortPrimitive value for integer
                      Control0..1
                      Typeinteger
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Min Value-2147483648
                      Max Value2147483647
                      74. Sequence.referenceSeq.windowStart
                      Definition

                      Start position of the window on the reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                      ShortStart position of the window on the reference sequence
                      Control1..1
                      Typeinteger
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      76. Sequence.referenceSeq.windowEnd
                      Definition

                      End position of the window on the reference sequence. If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                      ShortEnd position of the window on the reference sequence
                      Control1..1
                      Typeinteger
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      78. Sequence.variant
                      Definition

                      The definition of variant here originates from Sequence ontology (variant_of). This element can represent amino acid or nucleic sequence change(including insertion,deletion,SNP,etc.) It can represent some complex mutation or segment variation with the assist of CIGAR string.

                      ShortVariant in sequence
                      Control0..*
                      TypeBackboneElement
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                      80. Sequence.variant.id
                      Definition

                      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      Shortxml:id (or equivalent in JSON)
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      82. Sequence.variant.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional Content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Alternate Namesextensions, user content
                      84. Sequence.variant.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      ShortExtensions that cannot be ignored
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                      Summarytrue
                      Alternate Namesextensions, user content, modifiers
                      86. Sequence.variant.start
                      Definition

                      Start position of the variant on the reference sequence.If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                      ShortStart position of the variant on the reference sequence
                      Control0..1
                      Typeinteger
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      88. Sequence.variant.end
                      Definition

                      End position of the variant on the reference sequence.If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                      ShortEnd position of the variant on the reference sequence
                      Control0..1
                      Typeinteger
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      90. Sequence.variant.observedAllele
                      Definition

                      An allele is one of a set of coexisting sequence variants of a gene (SO:0001023). Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the observed sequence. When the sequence type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.

                      ShortAllele that was observed
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      92. Sequence.variant.referenceAllele
                      Definition

                      An allele is one of a set of coexisting sequence variants of a gene (SO:0001023). Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the reference sequence. When the sequence type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.

                      ShortAllele in the reference sequence
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      94. Sequence.variant.cigar
                      Definition

                      Extended CIGAR string for aligning the sequence with reference bases. See detailed documentation here.

                      ShortExtended CIGAR string for aligning the sequence with reference bases
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      96. Sequence.variant.variantPointer
                      Definition

                      A pointer to an Observation containing variant information.

                      ShortPointer to observed variant information
                      Control0..1
                      TypeReference(Observation)
                      Summarytrue
                      98. Sequence.observedSeq
                      Definition

                      Sequence that was observed. It is the result marked by referenceSeq along with variant records on referenceSeq. This shall starts from referenceSeq.windowStart and end by referenceSeq.windowEnd.

                      ShortSequence that was observed
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      100. Sequence.quality
                      Definition

                      An experimental feature attribute that defines the quality of the feature in a quantitative way, such as a phred quality score (SO:0001686).

                      ShortAn set of value as quality of sequence
                      Control0..*
                      TypeBackboneElement
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                      102. Sequence.quality.id
                      Definition

                      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      Shortxml:id (or equivalent in JSON)
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      104. Sequence.quality.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      SlicingThis element introduces a set of slices on Sequence.quality.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 106. Sequence.quality.extension:roc
                        Slice Nameroc
                        Definition

                        R4: MolecularSequence.quality.roc (new:BackboneElement)

                        ShortR4: Receiver Operator Characteristic (ROC) Curve (new)
                        Comments

                        Element MolecularSequence.quality.roc has a context of Sequence.quality based on following the parent source element upwards and mapping to Sequence. Element MolecularSequence.quality.roc has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(R4: Receiver Operator Characteristic (ROC) Curve (new)) (Complex Extension)
                        Is Modifierfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        108. Sequence.quality.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        ShortExtensions that cannot be ignored
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                        Summarytrue
                        Alternate Namesextensions, user content, modifiers
                        110. Sequence.quality.type
                        Definition

                        INDEL / SNP / Undefined variant.

                        Shortindel | snp | unknown
                        Control1..1
                        BindingThe codes SHALL be taken from qualityType
                        (required to http://hl7.org/fhir/ValueSet/quality-type|3.0.2)

                        Type for quality report

                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        112. Sequence.quality.standardSequence
                        Definition

                        Gold standard sequence used for comparing against.

                        ShortStandard sequence for comparison
                        Control0..1
                        BindingFor example codes, see FDA-StandardSequence
                        (example to http://hl7.org/fhir/ValueSet/sequence-quality-standardSequence|3.0.2)

                        Reference identifier of the sequence that used to mark the quality of tested samples.

                        TypeCodeableConcept
                        Summarytrue
                        114. Sequence.quality.start
                        Definition

                        Start position of the sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                        ShortStart position of the sequence
                        Control0..1
                        Typeinteger
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        116. Sequence.quality.end
                        Definition

                        End position of the sequence.If the coordinate system is 0-based then end is is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                        ShortEnd position of the sequence
                        Control0..1
                        Typeinteger
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        118. Sequence.quality.score
                        Definition

                        The score of an experimentally derived feature such as a p-value (SO:0001685).

                        ShortQuality score for the comparison
                        Control0..1
                        TypeQuantity
                        Summarytrue
                        120. Sequence.quality.method
                        Definition

                        Which method is used to get sequence quality.

                        ShortMethod to get quality
                        Control0..1
                        BindingFor example codes, see FDA-Method
                        (example to http://hl7.org/fhir/ValueSet/sequence-quality-method|3.0.2)

                        The method used to evaluate the numerical quality of the observed sequence.

                        TypeCodeableConcept
                        Summarytrue
                        122. Sequence.quality.truthTP
                        Definition

                        True positives, from the perspective of the truth data, i.e. the number of sites in the Truth Call Set for which there are paths through the Query Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.

                        ShortTrue positives from the perspective of the truth data
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        124. Sequence.quality.queryTP
                        Definition

                        True positives, from the perspective of the query data, i.e. the number of sites in the Query Call Set for which there are paths through the Truth Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.

                        ShortTrue positives from the perspective of the query data
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        126. Sequence.quality.truthFN
                        Definition

                        False negatives, i.e. the number of sites in the Truth Call Set for which there is no path through the Query Call Set that is consistent with all of the alleles at this site, or sites for which there is an inaccurate genotype call for the event. Sites with correct variant but incorrect genotype are counted here.

                        ShortFalse negatives
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        128. Sequence.quality.queryFP
                        Definition

                        False positives, i.e. the number of sites in the Query Call Set for which there is no path through the Truth Call Set that is consistent with this site. Sites with correct variant but incorrect genotype are counted here.

                        ShortFalse positives
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        130. Sequence.quality.gtFP
                        Definition

                        The number of false positives where the non-REF alleles in the Truth and Query Call Sets match (i.e. cases where the truth is 1/1 and the query is 0/1 or similar).

                        ShortFalse positives where the non-REF alleles in the Truth and Query Call Sets match
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        132. Sequence.quality.precision
                        Definition

                        QUERY.TP / (QUERY.TP + QUERY.FP).

                        ShortPrecision of comparison
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        134. Sequence.quality.recall
                        Definition

                        TRUTH.TP / (TRUTH.TP + TRUTH.FN).

                        ShortRecall of comparison
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        136. Sequence.quality.fScore
                        Definition

                        Harmonic mean of Recall and Precision, computed as: 2 * precision * recall / (precision + recall).

                        ShortF-score
                        Control0..1
                        Typedecimal
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        138. Sequence.readCoverage
                        Definition

                        Coverage (read depth or depth) is the average number of reads representing a given nucleotide in the reconstructed sequence.

                        ShortAverage number of reads representing a given nucleotide in the reconstructed sequence
                        Control0..1
                        Typeinteger
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        140. Sequence.repository
                        Definition

                        Configurations of the external repository. The repository shall store target's observedSeq or records related with target's observedSeq.

                        ShortExternal repository which contains detailed report related with observedSeq in this resource
                        Control0..*
                        TypeBackboneElement
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                        142. Sequence.repository.id
                        Definition

                        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        Shortxml:id (or equivalent in JSON)
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        144. Sequence.repository.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional Content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Alternate Namesextensions, user content
                        146. Sequence.repository.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        ShortExtensions that cannot be ignored
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                        Summarytrue
                        Alternate Namesextensions, user content, modifiers
                        148. Sequence.repository.type
                        Definition

                        Click and see / RESTful API / Need login to see / RESTful API with authentication / Other ways to see resource.

                        Shortdirectlink | openapi | login | oauth | other
                        Control1..1
                        BindingThe codes SHALL be taken from repositoryType
                        (required to http://hl7.org/fhir/ValueSet/repository-type|3.0.2)

                        Type for access of external URI

                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        150. Sequence.repository.url
                        Definition

                        URI of an external repository which contains further details about the genetics data.

                        ShortURI of the repository
                        Control0..1
                        Typeuri
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        152. Sequence.repository.name
                        Definition

                        URI of an external repository which contains further details about the genetics data.

                        ShortRepository's name
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        154. Sequence.repository.datasetId
                        Definition

                        Id of the variant in this external repository. The server will understand how to use this id to call for more info about datasets in external repository.

                        ShortId of the dataset that used to call for dataset in repository
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        156. Sequence.repository.variantsetId
                        Definition

                        Id of the variantset in this external repository. The server will understand how to use this id to call for more info about variantsets in external repository.

                        ShortId of the variantset that used to call for variantset in repository
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        158. Sequence.repository.readsetId
                        Definition

                        Id of the read in this external repository.

                        ShortId of the read
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        160. Sequence.pointer
                        Definition

                        Pointer to next atomic sequence which at most contains one variant.

                        ShortPointer to next atomic sequence
                        Control0..*
                        TypeReference(Sequence)
                        Summarytrue