This page is part of the 臺灣次世代基因定序檢測實作指引 (v1.0.0: STU1.0.0) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Observation",
"id" : "obs-diagnostic-min",
"meta" : {
"profile" : [
🔗 "https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-twngs.html\">基因資訊-Observation TWNGS</a></p></div><p><b>狀態</b>:final</p><p><b>類型</b>:Laboratory<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/CodeSystem/observation-category\">Observation Category Codes</a>#laboratory)</span></p><p><b>項目</b>:Genetic variant assessment<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC</a>#69548-6)</span></p><p><b>病人</b>:<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>基因檢測機構</b>:<a href=\"Organization-org-gene-min.html\">Organization 2023LDTB0002</a></p><p><b>基因臨床判讀結果</b>:Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation/\">ObservationInterpretationCodes </a>#POS)</span></p><p><b>基因檢測方法</b>:Sequencing<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC Answer List LL4048-6 </a>#LA26398-0)</span></p><p><b>基因檢測檢體類型</b>:<a href=\"Specimen-spe-min.html\">Specimen/spe-min</a></p><p><b>基因報告</b>:<a href=\"DocumentReference-doc-gene-min.html\">DocumentReference/doc-gene-min</a></p><p><b>基因定序儀型號</b>:<a href=\"Device-dev-min.html\">Device/dev-min</a></p><p><b>基因檢測日期</b>:2024-01-01</p><blockquote><p>基因檢測項目:BRCA1 gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINC</a>#21636-6)</span></p><p>基因檢測列表:EGFR <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://www.genenames.org/\">HGNC Gene ID</a>#HGNC:3236)</span></p><p><b>基因檢測分析結果</b>:Present <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINC Answer List LL1971-2 </a>#LA9633-4)</span></p><p><b>基因突變類型</b>:Deletion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://loinc.org/\">LOINC-基因突變類型值集</a>#LA6692-3)</span></p><p>DNA變異 (c.HGVS):NM_005228.4:c.2573T>G<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://varnomen.hgvs.org/\">HGVS Gene Code</a>)</span></p><p>基因組DNA變異 (gHGVS):NC_000007.13:g.55259515T>G<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://varnomen.hgvs.org/\">HGVS Gene Code</a>)</span></p><p>基因變異的精確起始與終止位置:96521657-96521657</p></blockquote></div>"
},
"identifier" : [
{
"value" : "101202401021"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69548-6"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-01-01",
"performer" : [
{
🔗 "reference" : "Organization/org-gene-min"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA9633-4",
"display" : "Present"
}
]
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "POS",
"display" : "Positive"
}
]
}
],
"method" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA26398-0",
"display" : "Sequencing"
}
]
},
"specimen" : {
🔗 "reference" : "Specimen/spe-min"
},
"device" : {
🔗 "reference" : "Device/dev-min"
},
"derivedFrom" : [
{
🔗 "reference" : "DocumentReference/doc-gene-min"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81247-9",
"display" : "Master HL7 genetic variant reporting panel"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21636-6",
"display" : "BRCA1 gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal"
}
]
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6692-3"
}
]
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48004-6",
"display" : "DNA change (c.HGVS)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://varnomen.hgvs.org",
"code" : "NM_005228.4:c.2573T>G"
}
]
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6692-3"
}
]
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48018-6",
"display" : "Gene studied [ID]"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.genenames.org",
"code" : "HGNC:3236",
"display" : "EGFR"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48018-6",
"display" : "Gene studied [ID]"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.genenames.org",
"code" : "#HGNC:1100",
"display" : "BRCA1"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81290-9",
"display" : "Genomic DNA change (gHGVS)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://varnomen.hgvs.org",
"code" : "NC_000007.13:g.55259515T>G"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81254-5",
"display" : "Genomic allele start-end"
}
]
},
"valueRange" : {
"low" : {
"value" : 96521657
},
"high" : {
"value" : 96521657
}
}
}
]
}