<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="secondary-finding"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">
            <p>This code system http://hl7.org/fhir/secondary-finding defines the following codes:</p>
            <table class="codes">
              <tr>
                <td style="white-space:nowrap">
                  <b>Code</b>
                </td>
                <td>
                  <b>Display</b>
                </td>
                <td>
                  <b>Definition</b>
                </td>
              </tr>
              <tr>
                <td style="white-space:nowrap">acmg-version1
                  <a name="secondary-finding-acmg-version1"> </a>
                </td>
                <td>ACMG Version 1</td>
                <td>First release (2013): ACMG Recommendations for Reporting of Incidental Findings in Clinical Exome and Genome Sequencing.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3727274/</td>
              </tr>
              <tr>
                <td style="white-space:nowrap">acmg-version2
                  <a name="secondary-finding-acmg-version2"> </a>
                </td>
                <td>ACMG Version 2</td>
                <td>Second release (2016): Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2016 update (ACMG SF v2.0): a policy statement of the American College of Medical Genetics and Genomics. https://www.ncbi.nlm.nih.gov/pubmed/27854360</td>
              </tr>
            </table>
          </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r4b.r4"/>
    </extension>
    <extension url="version">
      <valueString value="0.0.1-snapshot-2"/>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo"/>
  </extension>
  <url value="http://hl7.org/fhir/secondary-finding"/>
  <version value="4.3.0"/>
  <name value="GeneticObservationSecondaryFindings"/>
  <title value="Genetic Observation Secondary Findings"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2025-09-13T16:38:45-04:00"/>
  <publisher value="Orders and Observations"/>
  <contact>
    <name value="Orders and Observations"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/orders"/>
    </telecom>
  </contact>
  <description value="Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/secondary-finding|5.2.0"/>
  <content value="complete"/>
  <concept>
    <code value="acmg-version1"/>
    <display value="ACMG Version 1"/>
    <definition value="First release (2013): ACMG Recommendations for Reporting of Incidental Findings in Clinical Exome and Genome Sequencing.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3727274/"/>
  </concept>
  <concept>
    <code value="acmg-version2"/>
    <display value="ACMG Version 2"/>
    <definition value="Second release (2016): Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2016 update (ACMG SF v2.0): a policy statement of the American College of Medical Genetics and Genomics. https://www.ncbi.nlm.nih.gov/pubmed/27854360"/>
  </concept>
</CodeSystem>