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Testing r5 backport (#207)
* Testing R5 Backport Testing R5 Backport * Testing with UKCOre 0.28.0 Testing with UKCOre 0.28.0 * Update DiagnosticReport-GenomicVariantAssessment-Example. Update DiagnosticReport-GenomicVariantAssessment-Example. * Update DiagnosticReport-GenomicVariantAssessment-Example Update DiagnosticReport-GenomicVariantAssessment-Example
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{
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"resourceType": "DiagnosticReport",
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"id": "DiagnosticReport-GenomicVariantAssessment-Example",
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"meta": {
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"profile": [
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"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report",
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"https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"
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]
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"resourceType": "DiagnosticReport",
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"id": "DiagnosticReport-GenomicVariantAssessment-Example",
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"meta": {
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"profile": [
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"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report",
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"https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport",
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"http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"
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]
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},
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"extension": [
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{
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"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
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"valueReference": {
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"reference": "Composition/Composition-EULabGenomicReport-Example"
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}
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},
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"extension": [
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{
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"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
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"valueReference": {
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"reference": "Composition/Composition-EULabGenomicReport-Example"
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}
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},
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{
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"url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action",
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"valueReference": {
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"reference": "Task/Task-FollowupRecommendationReport-Example",
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"display": "Confirmatory testing recommended"
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}
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},
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{
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"url": "http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact",
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"valueRelatedArtifact": {
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"type": "citation",
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"display": "Johnson et al 2012 (PMID22740598)"
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}
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},
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{
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"url": "http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact",
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"valueRelatedArtifact": {
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"type": "citation",
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"display": "Foley et al 2014 (PMID22740598)"
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}
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},
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{
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"url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note",
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"valueAnnotation": {
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"extension": [
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{
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"url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/annotation-code",
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"valueCodeableConcept": {
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"coding": [
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{
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"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/coded-annotation-types-cs",
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"code": "test-disclaimer"
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}
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]
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}
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}
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],
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"text": "Proband whole genome sequencing by the 100,000 Genomics Project with analysis of the PanelApp Paediatric motor neuronopathies (version 1.6) gene panel followed by in-house Sanger sequencing confirmation. Please note that the sensitivity of this test is limited by the types of detectable pathogenic variants, regions of low read depth coverage and incomplete ascertainment of disease-gene associations. Further information including read depth coverage is available on request. *Variants are classified using the ACMG/AMP guidelines (Richards et al 2015 PMID25741868)."
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}
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}
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],
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"basedOn": [
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{
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"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example"
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}
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],
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"status": "final",
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"category": [
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{
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"coding": [
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"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
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"code": "GE"
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}
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]
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},
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{
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "1236877003",
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"display": "Genetic pathology"
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}
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]
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}
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],
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"code": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "51969-4",
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"display": "Genetic analysis report"
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},
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{
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"system": "http://snomed.info/sct",
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"code": "1054161000000101",
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"display": "Genetic report"
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}
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]
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{
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"url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action",
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"valueReference": {
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"reference": "Task/Task-FollowupRecommendationReport-Example",
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"display": "Confirmatory testing recommended"
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}
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},
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"subject": {
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"reference": "Patient/Patient-PheobeSmitham-Example"
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{
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"url": "http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact",
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"valueRelatedArtifact": {
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"type": "citation",
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"display": "Johnson et al 2012 (PMID22740598)"
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}
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},
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"effectiveDateTime": "2023-10-16T00:00:00-05:00",
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"issued": "2023-09-16T00:00:00-05:00",
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"performer": [
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{
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"identifier": {
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"value": "R0A"
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}
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}
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],
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"specimen": [
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{
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"reference": "Specimen/Specimen-PheobeSmitham-Example"
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}
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],
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"media": [
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{
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"link": {
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"type":"DocumentReference",
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"display": "Reference to DocumentReferences are not supported within media.link in DiagnosticReport R4 StructureDefinition.",
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
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"valueCode": "unsupported"
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]
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},
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact",
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"valueRelatedArtifact": {
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"type": "citation",
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"display": "Foley et al 2014 (PMID22740598)"
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}
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},
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{
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"url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note",
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"valueAnnotation": {
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"extension": [
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{
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"url": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/annotation-code",
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"valueCodeableConcept": {
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"coding": [
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{
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"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link",
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"valueReference": {
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"reference": "DocumentReference/DocumentReference-StructureReporting-Example"
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}
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"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/coded-annotation-types-cs",
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"code": "test-disclaimer"
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}
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]
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]
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}
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}
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],
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"text": "Proband whole genome sequencing by the 100,000 Genomics Project with analysis of the PanelApp Paediatric motor neuronopathies (version 1.6) gene panel followed by in-house Sanger sequencing confirmation. Please note that the sensitivity of this test is limited by the types of detectable pathogenic variants, regions of low read depth coverage and incomplete ascertainment of disease-gene associations. Further information including read depth coverage is available on request. *Variants are classified using the ACMG/AMP guidelines (Richards et al 2015 PMID25741868)."
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}
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}
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],
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"basedOn": [
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{
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"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example"
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}
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],
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"status": "final",
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"category": [
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{
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"coding": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
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"code": "GE"
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}
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],
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"result": [
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{
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"reference": "Observation/Observation-GenomicsVariantSLC52A2-Example",
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"display": "Brown-Vialetto-Van Laere syndrome type 2"
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},
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]
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},
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{
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"coding": [
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{
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"reference": "Observation/Observation-GenomicTherapeuticImplication-Example"
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"system": "http://snomed.info/sct",
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"code": "1236877003",
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"display": "Genetic pathology"
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}
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],
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"conclusion": "Pheobe is homozygous for a pathogenic SLC52A2 missense variant (details below) previously reported by Johnson et al 2012 (PMID22740598). Biallelic pathogenic SLC52A2 variants cause autosomal recessive Brown-Vialetto-Van Laere syndrome type 2 (MIM614707).",
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"conclusionCode": [
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{
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "LA6576-8",
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"display": "Positive"
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},
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{
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"system": "http://snomed.info/sct",
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"code": "10828004",
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"display": "Positive"
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}
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]
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}
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],
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"code": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "51969-4",
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"display": "Genetic analysis report"
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},
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{
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"system": "http://snomed.info/sct",
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"code": "1054161000000101",
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"display": "Genetic report"
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}
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]
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},
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"subject": {
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"reference": "Patient/Patient-PheobeSmitham-Example"
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},
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"effectiveDateTime": "2023-10-16T00:00:00-05:00",
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"issued": "2023-09-16T00:00:00-05:00",
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"performer": [
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{
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"value": "R0A"
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],
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"specimen": [
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{
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"reference": "Specimen/Specimen-PheobeSmitham-Example"
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}
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],
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"media": [
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{
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"link": {
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"extension": [
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{
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"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link",
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"valueReference": {
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"reference": "DocumentReference/DocumentReference-StructureReporting-Example"
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}
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{
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"url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
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"valueCode": "unsupported"
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]
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}
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}
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],
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"result": [
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{
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"reference": "Observation/Observation-GenomicsVariantSLC52A2-Example",
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"display": "Brown-Vialetto-Van Laere syndrome type 2"
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},
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{
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"reference": "Observation/Observation-GenomicTherapeuticImplication-Example"
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}
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],
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"conclusion": "Pheobe is homozygous for a pathogenic SLC52A2 missense variant (details below) previously reported by Johnson et al 2012 (PMID22740598). Biallelic pathogenic SLC52A2 variants cause autosomal recessive Brown-Vialetto-Van Laere syndrome type 2 (MIM614707).",
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"conclusionCode": [
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{
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "LA6576-8",
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"display": "Positive"
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},
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{
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{
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"system": "http://snomed.info/sct",
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"code": "699866005",
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"display": "Brown-Vialetto-Van Laere syndrome"
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}
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]
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"system": "http://snomed.info/sct",
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"code": "10828004",
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"display": "Positive"
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"coding": [
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"size": 43272,
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"title": "Genomic Report for Pheobe Smitham",
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"creation": "2023-10-16"
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"system": "http://snomed.info/sct",
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"code": "699866005",
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}

fhirpkg.lock.json

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{
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"updated": "2025-12-17T17:33:35.7803726+00:00",
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"updated": "2026-03-05T09:19:44.2705434+00:00",
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"dependencies": {
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"hl7.fhir.r4.core": "4.0.1",
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"hl7.fhir.uv.genomics-reporting": "3.0.0-ballot",
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"hl7.fhir.uv.ips": "1.1.0",
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"fhir.dicom": "2022.4.20221006",
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"hl7.fhir.eu.laboratory": "0.1.0-ballot",
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"fhir.r4.ukcore.stu3.currentbuild": "0.24.0-pre-release",
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"ihe.iti.balp": "1.1.1",
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"hl7.fhir.uv.extensions.r4": "5.2.0"
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},

package.json

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"hl7.fhir.uv.genomics-reporting": "3.0.0-ballot",
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"hl7.fhir.uv.ips": "1.1.0",
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"hl7.fhir.eu.laboratory": "0.1.0-ballot",
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"ihe.iti.pcf": "1.0.0-comment"
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"ihe.iti.pcf": "1.0.0-comment",
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"hl7.fhir.uv.xver-r5.r4": "0.0.1-snapshot-2"
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},
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"fhirVersions": [
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"4.0.1"

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