TBD Codes


CodeSystem

CodeSystem für noch nicht in LOINC definierte Codes.

Canonical: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs


Das CodeSystem To Be Determined Codes stammt aus HL7 Genomics Reporting Implementation Guide.


This code system http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs defines the following codes:

CodeDisplayDefinition
predicted-therapeutic-implicationPredicted Therapeutic ImplicationA predicted ramification based on the presence of associated molecular finding(s). Ramifications may include alterations in drug metabolism (or pharmacokinetics) that determine the concentration of the drug, prodrug, and/or break-down products over time; alterations in drug efficacy (or pharmacodynamics) that determine how effective a drug is at a given concentration; alterations that alter the risk of adverse drug events, or other types of implications that indicate altered responsiveness to other types of therapies.
prognostic-implicationPrognostic ImplicationFinding of whether a particular somatic genotype/haplotype/variation or combination-thereof predicts a particular outcome for the specified cancer - either on its own or in conjunction with one or more interventions.
associated-therapyAssociated TherapyThe non-medication therapy (procedure) associated with this implication.
region-coverageRegion CoverageGiven as a number between 0 and 100. Mean mapped read depth. Obtained by counting total number of mapped reads and divided by the number of bases in the region sequence.
molecular-consequenceMolecular ConsequenceAnnotated changes to sequence features caused by this variant. Terms are from the sequence ontology under SO:0001537. The calculated or observed effect of a variant on its downstream transcript and, if applicable, ensuing protein sequence.
variant-inheritanceVariant InheritanceA quality inhering in a variant by virtue of its origin. The terms are in the sequence ontology under SO:0001762.
diagnostic-implicationDiagnostic ImplicationAn observation linking a genomic finding with a knowledge base, providing context that may aid in diagnosing a patient with a particular phenotype or condition.
therapeutic-implicationTherapeutic ImplicationAn observation linking a genomic finding with a knowledge base, providing potential evidence of an interaction with a specified medication or non-medicinal therapy.
uncallable-regionsUncallable RegionsContiguous regions where a call was not made. Must be inside the range given by 'ranges examined' in the given reference sequence and coordinate system.
functional-effectFunctional EffectThe effect of a variant on downstream biological products or pathways (from Sequence Ontology).
conclusion-stringConclusion TextClinical conclusion (interpretation) of the observation.
condition-inheritanceCondition InheritanceThe transmission pattern of the condition/phenotype in a pedigree.
variant-confidence-statusVariant Confidence StatusThe confidence of a true positive variant call.


{
    "resourceType": "CodeSystem",
    "id": "tbd-codes-cs",
    "text": {
        "status": "generated",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "url": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
    "version": "2.0.0",
    "name": "TbdCodesCS",
    "title": "To Be Determined Codes",
    "status": "active",
    "date": "2022-05-09T16:53:07+00:00",
    "publisher": "HL7 Clinical Genomics Working Group",
    "contact":  [
        {
            "name": "HL7 Clinical Genomics Working Group",
            "telecom":  [
                {
                    "system": "url",
                    "value": "http://www.hl7.org/Special/committees/clingenomics"
                },
                {
                    "system": "email",
                    "value": "cg@lists.HL7.org"
                }
            ]
        }
    ],
    "description": "These codes are currently 'TBD' codes. The CG WG plans to request formal LOINC codes to replace these codes as these concepts are validated.",
    "jurisdiction":  [
        {
            "coding":  [
                {
                    "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
                    "code": "001",
                    "display": "World"
                }
            ]
        }
    ],
    "caseSensitive": true,
    "content": "complete",
    "count": 13,
    "concept":  [
        {
            "code": "predicted-therapeutic-implication",
            "display": "Predicted Therapeutic Implication",
            "definition": "A predicted ramification based on the presence of associated molecular finding(s). Ramifications may include alterations in drug metabolism (or pharmacokinetics) that determine the concentration of the drug, prodrug, and/or break-down products over time; alterations in drug efficacy (or pharmacodynamics) that determine how effective a drug is at a given concentration; alterations that alter the risk of adverse drug events, or other types of implications that indicate altered responsiveness to other types of therapies."
        },
        {
            "code": "prognostic-implication",
            "display": "Prognostic Implication",
            "definition": "Finding of whether a particular somatic genotype/haplotype/variation or combination-thereof predicts a particular outcome for the specified cancer - either on its own or in conjunction with one or more interventions."
        },
        {
            "code": "associated-therapy",
            "display": "Associated Therapy",
            "definition": "The non-medication therapy (procedure) associated with this implication."
        },
        {
            "code": "region-coverage",
            "display": "Region Coverage",
            "definition": "Given as a number between 0 and 100. Mean mapped read depth. Obtained by counting total number of mapped reads and divided by the number of bases in the region sequence."
        },
        {
            "code": "molecular-consequence",
            "display": "Molecular Consequence",
            "definition": "Annotated changes to sequence features caused by this variant. Terms are from the sequence ontology under SO:0001537. The calculated or observed effect of a variant on its downstream transcript and, if applicable, ensuing protein sequence."
        },
        {
            "code": "variant-inheritance",
            "display": "Variant Inheritance",
            "definition": "A quality inhering in a variant by virtue of its origin. The terms are in the sequence ontology under SO:0001762."
        },
        {
            "code": "diagnostic-implication",
            "display": "Diagnostic Implication",
            "definition": "An observation linking a genomic finding with a knowledge base, providing context that may aid in diagnosing a patient with a particular phenotype or condition."
        },
        {
            "code": "therapeutic-implication",
            "display": "Therapeutic Implication",
            "definition": "An observation linking a genomic finding with a knowledge base, providing potential evidence of an interaction with a specified medication or non-medicinal therapy."
        },
        {
            "code": "uncallable-regions",
            "display": "Uncallable Regions",
            "definition": "Contiguous regions where a call was not made. Must be inside the range given by 'ranges examined' in the given reference sequence and coordinate system."
        },
        {
            "code": "functional-effect",
            "display": "Functional Effect",
            "definition": "The effect of a variant on downstream biological products or pathways (from Sequence Ontology)."
        },
        {
            "code": "conclusion-string",
            "display": "Conclusion Text",
            "definition": "Clinical conclusion (interpretation) of the observation."
        },
        {
            "code": "condition-inheritance",
            "display": "Condition Inheritance",
            "definition": "The transmission pattern of the condition/phenotype in a pedigree."
        },
        {
            "code": "variant-confidence-status",
            "display": "Variant Confidence Status",
            "definition": "The confidence of a true positive variant call."
        }
    ]
}