<Observation xmlns="http://hl7.org/fhir">
  <id value="core-examples-Observation-example19" />
  <meta>
    <versionId value="1" />
    <lastUpdated value="2016-09-08T11:38:04.711+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: genetics-example3-mutationlist</p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: ABCB4 gene mutation analysis <span>(Details : {LOINC code '49874-1' = 'ABCB4 gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'ABCB4 gene mutation analysis'})</span></p>
      <p>
        <b>subject</b>: <a>Molecular Lab Patient ID: HOSP-23456</a></p>
      <p>
        <b>performer</b>: <a>Molecular Diagnostic Laboratory</a></p>
      <p>
        <b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/geneticsGenomeBuild">
    <valueString value="GRCh 37" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/geneticsGene">
    <valueCodeableConcept>
      <coding>
        <system value="http://www.genenames.org/" />
        <code value="5244" />
        <display value="ABCB4" />
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/geneticsSpecies">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="337915000" />
      </coding>
      <text value="Homo sapiens" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/geneticsResult">
    <valueReference>
      <reference value="genetics-example3-mutationlist-1" />
    </valueReference>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/geneticsResult">
    <valueReference>
      <reference value="genetics-example3-mutationlist-2" />
    </valueReference>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/geneticsResult">
    <valueReference>
      <reference value="genetics-example3-mutationlist-3" />
    </valueReference>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/geneticsResult">
    <valueReference>
      <reference value="genetics-example3-mutationlist-4" />
    </valueReference>
  </extension>
  <status value="final" />
  <code>
    <coding>
      <system value="http://loinc.org/" />
      <code value="49874-1" />
      <display value="ABCB4 gene mutation analysis" />
    </coding>
  </code>
  <subject>
    <reference value="Patient/genetics-example2" />
    <display value="Molecular Lab Patient ID: HOSP-23456" />
  </subject>
  <performer>
    <reference value="Practitioner/genetics-example2" />
    <display value="Molecular Diagnostic Laboratory" />
  </performer>
  <specimen>
    <reference value="Specimen/genetics-example2" />
    <display value="Molecular Specimen ID: MLD45-Z4-1234" />
  </specimen>
</Observation>