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  1. FHIR Specification Feedback
  2. FHIR-16082

PGx Impact - Allele functional status

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • Genomics Reporting (FHIR)
    • Clinical Genomics
    • Diagnostic Implication
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      • Persuasive with mod

      Rather than adding a new profile or component, we will incorporate allele functional status by including LOINC answer list LL3858-9 (https://loinc.org/LL3858-9/) in the value set for the new 'predicted-therapeutic-implication' component.

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      Persuasive with mod Rather than adding a new profile or component, we will incorporate allele functional status by including LOINC answer list LL3858-9 ( https://loinc.org/LL3858-9/ ) in the value set for the new 'predicted-therapeutic-implication' component.
    • Arthur Herman / Bret Heale : 14-0-0
    • Enhancement
    • Compatible, substantive

    Description

      In this paper, work was done to standardize nomenclature for reporting PGx results. This table summarizes:

      https://www.nature.com/articles/gim201687/tables/2

      Under 'Medication Impact', we have profiles that do match up to the "Term/gene category" that are called out above:

      Phenotype: high-risk genotype = "High Risk Allele (83009-1)",

      Phenotype: drug-metabolizing enzymes = "Genotype Medication Metabolism Impact (53040-2)"

      We are missing "Allele functional status" (increased function, normal function, etc ...) - Should we add a new profile for Allele Functional Status?

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            cerkyp Kevin Power
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