FHIR Release 3 (STU) Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3 R2

Content Detailed Descriptions Mappings XML JSON

Example GenomicStudy/example-lungMass (JSON)

Extension: adoptionInfo URL for this extension: http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo
Patient Administration Clinical Genomics Work Group   Maturity Level : 1 N/A Standards Status : Informative Use Context Compartments : Any Patient

Full Structure Name Flags Card. Type Description & Constraints extension 0..1 Extension URL = http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo adoptionInfo: Code indication the adoption status of the patient. Use on element: Patient url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo" valueCodeableConcept Raw JSON 0..1 CodeableConcept ( canonical form Value of extension Documentation for this format + also see JSON Format Specification XML Template )

<!-- adoptionInfo --> < xmlns="http://hl7.org/fhir" url="" > <!-- from Element: < Value of extension</valueCodeableConcept> </extension>

JSON Template GenomicStudy - Lung mass - sequencing analysis

{ // // from Element: " ], " " }
{
  "resourceType" : "GenomicStudy",
  "id" : "example-lungMass",
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Whole exome sequencing of lung biopsy. 300 genes are examined for simple variants (SNV, MNV, InDel), and 170 genes are also examined for CNVs. For technical reasons, PIK3CB was deemed uncallable.</div>"
  },
  "identifier" : [{
    "use" : "temp",
    "system" : "http://www.somesystemabc.net/identifiers/genomicstudies",
    "value" : "urn:uuid:1111-1111-1111-1112"
  }],
  "status" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/genomicstudy-status",
      "code" : "registered",
      "display" : "Registered"
    }]
  },
  "type" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "443968007",
      "display" : "Whole Exome Sequencing - Sequencing of entire coding region of gene (procedure)"
    }]
  }],
  "subject" : {
    "reference" : "Patient/genomicPatient"
  },
  "encounter" : {
    "reference" : "Encounter/genomicEncounter"
  },
  "startDate" : "2019-03-01",
  "basedOn" : [{
    "reference" : "ServiceRequest/genomicServiceRequest2"
  }],
  "referrer" : {
    "reference" : "Practitioner/practitioner01"
  },
  "interpreter" : [{
    "reference" : "Practitioner/practitioner02"
  }],
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "309529002",
        "display" : "Lung mass (finding) "
      }]
    }
  }],
  "note" : [{
    "text" : "For technical reasons, PIK3CB was deemed uncallable."
  }],
  "description" : "Whole exome sequencing of lung biopsy. 300 genes are examined for simple variants (SNV, MNV, InDel), and 170 genes are also examined for CNVs. For technical reasons, PIK3CB was deemed uncallable.",
  "analysis" : [{
    "identifier" : [{
      "use" : "official",
      "system" : "http://www.somesystemabc.net/identifiers/genomicAnalyses",
      "value" : "urn:uuid:1111-1111-1111-1112"
    }],
    "methodType" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "117040002",
        "display" : "Nucleic acid sequencing (procedure)"
      }]
    }],
    "changeType" : [{
      "coding" : [{
        "system" : "http://sequenceontology.org",
        "code" : "SO:0001483",
        "display" : "SNV"
      }]
    },
    {
      "coding" : [{
        "system" : "http://sequenceontology.org",
        "code" : "SO:0002007",
        "display" : "MNV"
      }]
    },
    {
      "coding" : [{
        "system" : "http://sequenceontology.org",
        "code" : "SO:1000032",
        "display" : "delins"
      }]
    }],
    "genomeBuild" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "LA26806-2",
        "display" : "GRCh38"
      }]
    },
    "title" : "Simple variant analysis",
    "subject" : {
      "reference" : "Patient/genomicPatient"
    },
    "specimen" : [{
      "reference" : "Specimen/genomicSpecimen"
    }],
    "date" : "2019-03-01T01:01:10-06:00",
    "note" : [{
      "text" : "For technical reasons, PIK3CB was deemed uncallable using this method."
    }],
    "regionsStudied" : [{
      "reference" : "DocumentReference/WES_FullSequencedRegion_GRCh38"
    }],
    "regionsCalled" : [{
      "reference" : "DocumentReference/SimpleVariantAnalysis_called"
    }],
    "output" : [{
      "file" : {
        "reference" : "DocumentReference/genomicVCFfile_simple"
      },
      "type" : {
        "coding" : [{
          "code" : "vcf",
          "display" : "VCF"
        }]
      }
    }],
    "performer" : [{
      "actor" : {
        "reference" : "Practitioner/practitioner02"
      },
      "role" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html",
          "code" : "PRF",
          "display" : "Performer"
        }]
      }
    }],
    "device" : [{
      "device" : {
        "reference" : "Device/NGS-device"
      },
      "function" : {
        "coding" : [{
          "display" : "Next Generation Sequencing"
        }]
      }
    }]
  },
  {
    "identifier" : [{
      "use" : "official",
      "system" : "http://www.somesystemabc.net/identifiers/genomicAnalyses",
      "value" : "urn:uuid:1111-1111-1111-1115"
    }],
    "methodType" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "117040002",
        "display" : "Nucleic acid sequencing (procedure)"
      }]
    }],
    "changeType" : [{
      "coding" : [{
        "system" : "http://sequenceontology.org",
        "code" : "SO:0001019",
        "display" : "CNV"
      }]
    }],
    "genomeBuild" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "LA26806-2",
        "display" : "GRCh38"
      }]
    },
    "title" : "CNV analysis",
    "subject" : {
      "reference" : "Patient/genomicPatient"
    },
    "specimen" : [{
      "reference" : "Specimen/genomicSpecimen"
    }],
    "date" : "2019-03-01T01:01:10-06:00",
    "note" : [{
      "text" : "For technical reasons, PIK3CB was deemed uncallable using this method."
    }],
    "regionsStudied" : [{
      "reference" : "DocumentReference/WES_FullSequencedRegion_GRCh38"
    }],
    "regionsCalled" : [{
      "reference" : "DocumentReference/CNVAnalysis_called"
    }],
    "output" : [{
      "file" : {
        "reference" : "DocumentReference/genomicVCFfile_cnv"
      },
      "type" : {
        "coding" : [{
          "code" : "vcf",
          "display" : "VCF"
        }]
      }
    }],
    "performer" : [{
      "actor" : {
        "reference" : "Practitioner/practitioner02"
      },
      "role" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html",
          "code" : "PRF",
          "display" : "Performer"
        }]
      }
    }]
  }]
}

Summary Name Flags Card. Type Description & Constraints extension 0..1 CodeableConcept URL = http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo adoptionInfo: Code indication the adoption status of the patient. Use on element: Patient Documentation for this format

Full Structure Name Flags Card. Type Description & Constraints extension 0..1 Extension URL = http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo adoptionInfo: Code indication Usage note: every effort has been made to ensure that the adoption status examples are correct and useful, but they are not a normative part of the patient. Use on element: Patient url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo" valueCodeableConcept 0..1 CodeableConcept Value of extension Documentation for this format XML Template specification.

<!-- adoptionInfo --> < xmlns="http://hl7.org/fhir" url="" > <!-- from Element: < Value of extension</valueCodeableConcept> </extension>
JSON Template { // // from Element: " ], " " }   Constraints ele-1 : All FHIR elements must have a @value or children (xpath: @value|f:*|h:div ) ext-1 : Must have either extensions or value[x], not both (xpath: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')]) )