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Difference between revisions of "GenomicVariantObservation FHIR Profile Proposal"

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<!--Put a link to the resource/datatype (or group of resources) that will be profiled here.-->
 
<!--Put a link to the resource/datatype (or group of resources) that will be profiled here.-->
* [[http://wiki.hl7.org/index.php?title=Observation_FHIR_Resource_Proposal|Observation FHIR Resource]]
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* [[http://wiki.hl7.org/index.php?title=Observation_FHIR_Resource_Proposal| Observation FHIR Resource]]
 
 
  
 
====Constraints to be Applied====
 
====Constraints to be Applied====
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<!--Describe how the current resource will be constrained.-->
 
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* Constraints to integrate clinical genomic standards into FHIR, as outlined in  
 
* Constraints to integrate clinical genomic standards into FHIR, as outlined in  
'''''HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 2'''''
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***HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 2
 
:[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=23|HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 1 (US Realm)]  
 
:[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=23|HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 1 (US Realm)]  
 
* Extensions to support genomic coordinates will be coded in LOINC and added to these terms
 
* Extensions to support genomic coordinates will be coded in LOINC and added to these terms
 
* Additional extensions maybe added as necessary.
 
* Additional extensions maybe added as necessary.
 
** Note the use of LOINC codes to qualify genetic/genomic results will be strongly recommended but not required.
 
** Note the use of LOINC codes to qualify genetic/genomic results will be strongly recommended but not required.
** Additionally, using LOINC to qualify genetic/genomic data has also been demonstrated in the following:
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** Additionally, using these same LOINC codes/panels to qualify genetic/genomic data has also been demonstrated in the following
'''''HL7 IG for CDA R2: Genetic Testing Reports, Release 1 - GTR'''''
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***HL7 IG for CDA R2: Genetic Testing Reports, Release 1 - GTR
 
:[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=292\:HL7 Implementation Guide for CDA® Release 2: Genetic Testing Reports, Release 1]
 
:[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=292\:HL7 Implementation Guide for CDA® Release 2: Genetic Testing Reports, Release 1]
 
* Finally, the genetic/genomic information will be aligned with the Clinical Genomic DAM and DIM currently underdevelopment
 
* Finally, the genetic/genomic information will be aligned with the Clinical Genomic DAM and DIM currently underdevelopment

Revision as of 02:44, 20 May 2014



GeneticVariantObservation

Resource Details

Parent Resource

Constraints to be Applied

  • Constraints to integrate clinical genomic standards into FHIR, as outlined in
      • HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 2
Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 1 (US Realm)
  • Extensions to support genomic coordinates will be coded in LOINC and added to these terms
  • Additional extensions maybe added as necessary.
    • Note the use of LOINC codes to qualify genetic/genomic results will be strongly recommended but not required.
    • Additionally, using these same LOINC codes/panels to qualify genetic/genomic data has also been demonstrated in the following
      • HL7 IG for CDA R2: Genetic Testing Reports, Release 1 - GTR
Implementation Guide for CDA® Release 2: Genetic Testing Reports, Release 1
  • Finally, the genetic/genomic information will be aligned with the Clinical Genomic DAM and DIM currently underdevelopment
    • The DAM & DIM will also be backwards compatible to the v.2.5.1 and CDA Genetic Test Report (mentioned above)

Extensions to be Applied

  • See above

Example Scenarios

  • Full scenarios are outlined within the v 2.5.1 IG for genetic test reporting and the DAM. These include:
    • Genetic test reporting of gene variants found without interpretation, with interpretation associated with drug efficacy and/or resistance, drug metabolism, disease diagnosis, and disease risk
    • Transmission of a genetic/genomic data file containing 'raw' data from the test

Scope of coverage

  • Human
  • Clinical testing scenarios, clinical trails, and translational medicine
  • Universal with match to guidance to US Realm


Ownership

Owning committee name

Clinical Genomics Workgroup

Contributing or Reviewing Work Groups

  • Anatomic Pathology
  • Orders and Observations
  • Image Integration

Expected implementations

  • Harvard - Partners
  • Haifa University
  • Intermountain Healthcare

gForge Users

FHIR Profile Development Project Insight ID

Plans

Timelines

  • TargetDateForInternalReview

Balloting Requirements

Choose one:

  • Ballot with next FHIR DSTU or Normative Edition


Desired Ballot Date

  • PutDesiredBallotDateHere