This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
An example of a HLA genotyping results report
{ "resourceType": "Bundle", "id": "hla-1", "type": "transaction", "entry": [ { "fullUrl": "urn:uuid:b0a4b18e-94e7-4b1b-8031-c7ae4bdd8db9", "resource": { "resourceType": "DiagnosticReport", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<h3>HLA-A,-B,-C genotyping report for Mary Chalmers (MRN:12345)</h3>\n\t\t\t\t\t\t<pre>\n LOCUS ALLELE 1 ALLELE 2\n HLA-A HLA-A:01:01G HLA-A*01:02\n HLA-B HLA-B*15:01:01G HLA-B*57:01:01G\n HLA-C HLA-C*01:02:01G HLA-C*03:04:01G\n </pre>\n\t\t\t\t\t\t<p>Allele assignments based on IMGT/HLA 3.23</p>\n\t\t\t\t\t\t<p>Effective date: 2015-12-15</p>\n\t\t\t\t\t\t<p>Method: Sequencing of exons 2 and 3 of HLA Class I genes</p>\n\t\t\t\t\t\t<p>Lab: aTypingLab Inc</p>\n\t\t\t\t\t\t<p>Note: Please refer the <a href=\"genomics.html#hla\">implementation guide </a> for more explanation on this\n carefully organized bundle example.</p>\n\t\t\t\t\t\t<pre>\n Bob Milius - NMDP - 2016-12-01\n\n Transaction bundle that creates and links:\n + DiagnosticReport summarizing genotyping for HLA-A,-B,-C typing of patient(donor)\n + Obervations for each genotype\n + Observations for each allele\n + Sequences for exons 2 and 3 for HLA-A,-B, -C\n\n The endpoints of the following resources are hardcoded into this transaction bundle\n because these are presumed to already exist when developing the DiagnosticRequest\n which was to generate this report bundle:\n\n Patient/119 (potential donor)\n Specimen/120 (buccal swab)\n Organization/68 (typing lab)\n ServiceRequest/123 (report is based on this request)\n </pre>\n\t\t\t\t\t</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" } ], "text": "IMGT/HLA 3.23" } }, { "url": "http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring", "extension": [ { "url": "text", "valueString": "HLA-A:01:01G+HLA-A*01:02^HLA-B*15:01:01:01+HLA-B*57:01:01^HLA-C*01:02:01+HLA-C*03:04:01:01" }, { "url": "url", "valueUri": "https://gl.nmdp.org/imgt-hla/3.23.0/multilocus-unphased-genotype/i" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-method", "valueCodeableConcept": { "coding": [ { "system": "http://www.ncbi.nlm.nih.gov/gtr/", "code": "GTR000000000.0" } ], "text": "Next Generation Sequencing of exons 2 and 3 of HLA Class I genes" } } ], "basedOn": [ { "reference": "ServiceRequest/123" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "GE", "display": "Genetics" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "13303-3", "display": "HLA-A+B+C (class I) [Type]" } ] }, "subject": { "reference": "Patient/119", "display": "Mary Chalmers" }, "effectiveDateTime": "2016-12-15", "issued": "2016-12-15T14:15:30-06:00", "performer": [ { "reference": "Organization/68", "display": "aTypingLab Inc" } ], "specimen": [ { "reference": "Specimen/67", "display": "buccal swab from Mary Chalmers" } ], "result": [ { "reference": "urn:uuid:49a86246-4004-42eb-9bdc-f542f93f9228", "display": "HLA-A: HLA-A:01:01G+HLA-A*01:02" }, { "reference": "urn:uuid:60613a43-c4cb-4502-b3e2-cf9215feaa70", "display": "HLA-B: HLA-B*15:01:01G+HLA-B*57:01:01G" }, { "reference": "urn:uuid:0e0a780e-4486-4cd0-bfae-7243c579f208", "display": "HLA-C: HLA-C*01:02:01G+HLA-C*03:04:01G" } ] }, "request": { "method": "POST", "url": "DiagnosticReport" } }, { "fullUrl": "urn:uuid:8200dab6-18a2-4550-b913-a7db480c0804", "resource": { "resourceType": "MolecularSequence", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<pre>"HLA-A*01:01:01:01, exon 2"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-A*01:01:01:01, exon 3"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-A*01:02, exon 2"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-A*01:02, exon 3"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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:cbabf93e-1b4b-46f2-ba1e-d84862670670", "resource": { "resourceType": "MolecularSequence", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<pre>"HLA-B*15:01:01:01, exon 2"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-B*15:01:01:01, exon 3"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-B*57:01:01, exon 2"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-B*57:01:01, exon 3"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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:bb55c2bc-5ad2-4bc1-8ff3-c407d06b12d0", "resource": { "resourceType": "MolecularSequence", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<pre>"HLA-C*01:02:01, exon 2"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-C*01:02:01, exon 3"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-C*03:04:01:01, exon 2"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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\t\t\t\t\t\t<pre>"HLA-C*03:04:01:01, exon 3"</pre>\n\t\t\t\t\t</div>" }, "type": "dna", "coordinateSystem": 0, "patient": { "reference": "Patient/119", "display": "Mary Chalmers" }, "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "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:b7765bbf-df40-486a-9f2f-404309643de6", "resource": { "resourceType": "Observation", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<pre>HLA-A:01:01:01G</pre>\n\t\t\t\t\t</div>" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene", "valueCodeableConcept": { "coding": [ { "system": "http://www.genenames.org", "code": "HGNC:4931", "display": "HLA-A" } ] } }, { "url": "http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass", "valueCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "LA6683-2", "display": "germline" } ] } } ], "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "57290-9", "display": "HLA-A [Type] by High resolution" } ] }, "subject": { "reference": "Patient/119", "display": "Mary Chalmers" }, "effectiveDateTime": "2016-12-15", "specimen": { "reference": "Specimen/120", "display": "buccal swab from Mary Chalmers" }, "derivedFrom": [ { "reference": "urn:uuid:8200dab6-18a2-4550-b913-a7db480c0804", "display": "HLA-A*01:01:01:01, exon 2" }, { "reference": "urn:uuid:7c393185-f15c-45bc-a714-c0fdbea32675", "display": "HLA-A*01:01:01:01, exon 3" } ] }, "request": { "method": "POST", "url": "Observation" } }, { "fullUrl": "urn:uuid:d98d92a7-0e86-4ae5-b036-b7e1bba6ec32", "resource": { "resourceType": "Observation", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<pre>HLA-A*01:02</pre>\n\t\t\t\t\t</div>" }, "extension": [ { "url": 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Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.