{
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  "link" : [{
    "relation" : "self",
    "url" : "https://example.nhs.uk/FHIR/R4/Observation?code=diagnostic-implication&patient=Patient-Liverpool"
  }],
  "entry" : [{
    "fullUrl" : "http://example.org/fhir/Observation/6beb613f-d303-42af-b025-86e8e0872061",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "6beb613f-d303-42af-b025-86e8e0872061",
      "meta" : {
        "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticImplication"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_6beb613f-d303-42af-b025-86e8e0872061\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 6beb613f-d303-42af-b025-86e8e0872061</b></p><a name=\"6beb613f-d303-42af-b025-86e8e0872061\"> </a><a name=\"hc6beb613f-d303-42af-b025-86e8e0872061\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticImplication.html\">Diagnostic Implication (Observation)</a></p></div><p><b>identifier</b>: 6beb613f-d303-42af-b025-86e8e0872061</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs diagnostic-implication}\">Diagnostic Implication</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Ned LIVERPOOL</a></p><p><b>effective</b>: 2025-10-23 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-59577028-8fcc-4554-8b43-988561d41d9c\">PractitionerRole</a></p><p><b>derivedFrom</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle2.html#urn-uuid-8385c2fd-313d-4fd5-b98e-d5ea4bae6f99\">Observation Genetic variant assessment</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53037-8}\">Genetic variation clinical significance [Imp]</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6668-3}\">Pathogenic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81259-4}\">Associated phenotype</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication R210}, {http://snomed.info/sct 716318002}\">Inherited MMR deficiency (Lynch syndrome)</span></p></blockquote></div>"
      },
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      "subject" : {
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        "display" : "Ned LIVERPOOL"
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      "effectiveDateTime" : "2025-10-23T10:37:26+00:00",
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        "reference" : "urn:uuid:59577028-8fcc-4554-8b43-988561d41d9c"
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        "reference" : "urn:uuid:8385c2fd-313d-4fd5-b98e-d5ea4bae6f99"
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      "component" : [{
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          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "53037-8",
            "display" : "Genetic variation clinical significance [Imp]"
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        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "LA6668-3",
            "display" : "Pathogenic"
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      },
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          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "81259-4"
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        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
            "code" : "R210",
            "display" : "Inherited MMR deficiency (Lynch syndrome)"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "716318002",
            "display" : "Lynch syndrome"
          }],
          "text" : "Inherited MMR deficiency (Lynch syndrome)"
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