NHS North West Genomics
2.2.0 - ci-build
NHS North West Genomics - Local Development build (v2.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Profile: Variant (Observation)
identifier: 00c22e97-a226-4845-b17a-e24ec1f4f77a
status: Final
category: Genetics, Laboratory
code: Genetic variant assessment
subject: Theon SHEFFIELD
effective: 2026-07-13 10:37:26+0000
value: Present
note:
ILLUSTRATIVE VALUES ONLY. The allelic frequency component (81258-6) is the field of primary clinical interest for a dPCR ctDNA result: it carries the mutant-allele fraction quantified directly by the assay (droplet/bead-positive fraction, Poisson-corrected), which is what a clinician uses to gauge ctDNA burden and track it serially — analogous to how VAF is used from NGS, but here derived from a targeted few-plex assay rather than sequencing depth.
method: Digital PCR (BEAMing / OncoBEAM platform). NOTE: unlike 'Sequencing' (LOINC LA26398-0), the standard LOINC/SNOMED CT answer lists referenced by this IG do not currently include a dedicated coded answer for 'digital PCR' — captured here as free text pending a suitable coded term (e.g. a local or SNOMED CT extension) being agreed with your terminology team.
component
code: Variant category
value: Sequence Variant
component
code: Gene studied [ID]
value: EGFR
component
code: DNA change (c.HGVS)
value: NM_005228.5:c.2369C>T
component
code: DNA change type
value: substitution
component
code: Genomic source class [Type]
value: Somatic
component
code: Sample variant allelic frequency [NFr]
value: 0.42 % (Details: UCUM code% = '%')