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	<title>2.16.840.1.113883.10.20.20.2/static-2013-02-01T000000 - Versionsgeschichte</title>
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	<updated>2026-04-24T01:27:01Z</updated>
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		<id>https://wiki.hl7.de/index.php?title=2.16.840.1.113883.10.20.20.2/static-2013-02-01T000000&amp;diff=78603&amp;oldid=prev</id>
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		<updated>2022-06-22T15:11:20Z</updated>

		<summary type="html">&lt;p&gt;Automatic ADBot page (3f969202f9599c786a81035c571293347c33ac36)&lt;/p&gt;
&lt;table class=&quot;diff diff-contentalign-left&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;col class=&quot;diff-content&quot; /&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #222; text-align: center;&quot;&gt;← Nächstältere Version&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #222; text-align: center;&quot;&gt;Version vom 22. Juni 2022, 15:11 Uhr&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot; &gt;Zeile 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Zeile 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;−&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;table xmlns=&amp;quot;http://www.w3.org/1999/xhtml&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&amp;quot; class=&amp;quot;artdecor &amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Id&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2.16.840.1.113883.10.20.20.2 &amp;lt;span xmlns=&amp;quot;&amp;quot; class=&amp;quot;repobox&amp;quot;&amp;gt;&amp;lt;div class=&amp;quot;repo ref sspacing&amp;quot;&amp;gt;ref&amp;lt;/div&amp;gt;&amp;lt;div class=&amp;quot;non-selectable repo refvalue sspacing&amp;quot;&amp;gt;gtr-&amp;lt;/div&amp;gt;&amp;lt;/span&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Gültigkeit&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2013‑02‑01&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Status&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;[[File:Kyellow.png|14px]] Entwurf&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Versions-Label&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Name&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;ClinicalGenomicStatement&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Bezeichnung&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;Clinical Genomic Statement&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot; colspan=&amp;quot;4&amp;quot;&amp;gt;&amp;lt;table id=&amp;quot;templateDescTable&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&amp;quot; class=&amp;quot;artdecor treetable&amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr class=&amp;quot;desclabel&amp;quot;&amp;gt;&amp;lt;td style=&amp;quot;height: 1.5em;&amp;quot;&amp;gt;Beschreibung&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr&amp;gt;&amp;lt;td&amp;gt;&amp;lt;div&amp;gt;&amp;lt;span style=&amp;quot;color: grey;&amp;quot;&amp;gt;[[File:EN-US.png]] The ClinicalGenomicStatement (CGS) template is the main vehicle of representing structured data in the GTR Implementation Guide. At its core, there is a genetic observation finding (result), e.g., a genetic variation, which can be associated with the following: more observations that describe the core observation in more detail (GenomicAssociatedObservation), e.g., amino acid change type; indications for performing this genetic observation (IndicationObservation), e.g., the genetic disease being assessed; and interpretations of the observation finding (InterpretivePhenotype), e.g., the mutation is pathogenic. In addition, it is important to associate a specimen and genomic source class with the core genetic finding, and optionally other performers of the genetic observation or the interpretation than those listed in the GTR header could be specified as part the CGS template.&amp;lt;br /&amp;gt; The overall structure of CGS is depicted in chart 5 of the slide deck enclosed in the GTR package.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;+&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;table xmlns=&amp;quot;http://www.w3.org/1999/xhtml&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&amp;quot; class=&amp;quot;artdecor &amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Id&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2.16.840.1.113883.10.20.20.2 &amp;lt;span xmlns=&amp;quot;&amp;quot; class=&amp;quot;repobox&amp;quot;&amp;gt;&amp;lt;div class=&amp;quot;repo ref sspacing&amp;quot;&amp;gt;ref&amp;lt;/div&amp;gt;&amp;lt;div class=&amp;quot;non-selectable repo refvalue sspacing&amp;quot;&amp;gt;gtr-&amp;lt;/div&amp;gt;&amp;lt;/span&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Gültigkeit&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2013‑02‑01&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Status&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;[[File:Kyellow.png|14px]] Entwurf&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Versions-Label&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Name&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;ClinicalGenomicStatement&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Bezeichnung&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;Clinical Genomic Statement&amp;lt;/td&amp;gt;&amp;lt;/tr&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&lt;/ins&gt;&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot; colspan=&amp;quot;4&amp;quot;&amp;gt;&amp;lt;table id=&amp;quot;templateDescTable&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&amp;quot; class=&amp;quot;artdecor treetable&amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr class=&amp;quot;desclabel&amp;quot;&amp;gt;&amp;lt;td style=&amp;quot;height: 1.5em;&amp;quot;&amp;gt;Beschreibung&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr&amp;gt;&amp;lt;td&amp;gt;&amp;lt;div&amp;gt;&amp;lt;span style=&amp;quot;color: grey;&amp;quot;&amp;gt;[[File:EN-US.png]] The ClinicalGenomicStatement (CGS) template is the main vehicle of representing structured data in the GTR Implementation Guide. At its core, there is a genetic observation finding (result), e.g., a genetic variation, which can be associated with the following: more observations that describe the core observation in more detail (GenomicAssociatedObservation), e.g., amino acid change type; indications for performing this genetic observation (IndicationObservation), e.g., the genetic disease being assessed; and interpretations of the observation finding (InterpretivePhenotype), e.g., the mutation is pathogenic. In addition, it is important to associate a specimen and genomic source class with the core genetic finding, and optionally other performers of the genetic observation or the interpretation than those listed in the GTR header could be specified as part the CGS template.&amp;lt;br /&amp;gt; The overall structure of CGS is depicted in chart 5 of the slide deck enclosed in the GTR package.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; Due to the complexity of the interpretation of genetic observations, this template disallows the use of the interpretationCode attribute, rather uses an association to InterpretivePhenotype. The latter is constrained by several of its sub-templates in order to suggest binding to LOINC value sets describing interpretations of genetic testing. For example, ClinicalGenomicStatementGeneticVariation is a sub-template of ClinicalGenomicStatement and is associated with InterpretivePhenotypeGeneticVariation which is a sub-template of InterpretivePhenotype and its code and value attributes may be bound to LOINC codes representing interpretations of genetic findings.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; Due to the complexity of the interpretation of genetic observations, this template disallows the use of the interpretationCode attribute, rather uses an association to InterpretivePhenotype. The latter is constrained by several of its sub-templates in order to suggest binding to LOINC value sets describing interpretations of genetic testing. For example, ClinicalGenomicStatementGeneticVariation is a sub-template of ClinicalGenomicStatement and is associated with InterpretivePhenotypeGeneticVariation which is a sub-template of InterpretivePhenotype and its code and value attributes may be bound to LOINC codes representing interpretations of genetic findings.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; All GTR structured data entries shall be part of CGS instances so that parsing applications can find the full semantics explicitly represented in this single and coherent structure. Sub-sections such as Indications, Interpretations and Specimen are mainly for presenting the data for human viewing (narrative), but they may also contain structured data that shall reference or be referenced from CGS. By using the referencing mechanism (explained in the GenomicObservationReference template), it is possible to have less redundant documents, e.g., in the case where all tests reported in a GTR document have the same indication, an Indications section in the Summary section consists of a full-blown indication observation which all CGS indication observations reference.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; All GTR structured data entries shall be part of CGS instances so that parsing applications can find the full semantics explicitly represented in this single and coherent structure. Sub-sections such as Indications, Interpretations and Specimen are mainly for presenting the data for human viewing (narrative), but they may also contain structured data that shall reference or be referenced from CGS. By using the referencing mechanism (explained in the GenomicObservationReference template), it is possible to have less redundant documents, e.g., in the case where all tests reported in a GTR document have the same indication, an Indications section in the Summary section consists of a full-blown indication observation which all CGS indication observations reference.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;−&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br &lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;+&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br &lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
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&lt;table class=&quot;diff diff-contentalign-left&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;col class=&quot;diff-content&quot; /&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #222; text-align: center;&quot;&gt;← Nächstältere Version&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #222; text-align: center;&quot;&gt;Version vom 7. April 2021, 22:38 Uhr&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot; &gt;Zeile 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Zeile 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;−&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;table xmlns=&amp;quot;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;+&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;table xmlns=&amp;quot;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
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		<summary type="html">&lt;p&gt;Automatic ADBot page (3f969202f9599c786a81035c571293347c33ac36)&lt;/p&gt;
&lt;table class=&quot;diff diff-contentalign-left&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #222; text-align: center;&quot;&gt;← Nächstältere Version&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #222; text-align: center;&quot;&gt;Version vom 5. Januar 2021, 16:27 Uhr&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot; &gt;Zeile 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Zeile 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;−&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;table xmlns=&amp;quot;http://www.w3.org/1999/xhtml&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;quot; class=&amp;quot;artdecor&lt;/del&gt;&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Id&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2.16.840.1.113883.10.20.20.2 &amp;lt;span xmlns=&amp;quot;&amp;quot; class=&amp;quot;repobox&amp;quot;&amp;gt;&amp;lt;div class=&amp;quot;repo ref sspacing&amp;quot;&amp;gt;ref&amp;lt;/div&amp;gt;&amp;lt;div class=&amp;quot;non-selectable repo refvalue sspacing&amp;quot;&amp;gt;gtr-&amp;lt;/div&amp;gt;&amp;lt;/span&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Gültigkeit&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2013‑02‑01&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Status&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;[[File:Kyellow.png|14px]] Entwurf&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Versions-Label&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Name&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;ClinicalGenomicStatement&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Anzeigename&lt;/del&gt;&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;Clinical Genomic Statement&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot; colspan=&amp;quot;4&amp;quot;&amp;gt;&amp;lt;table &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;class=&amp;quot;treetable&amp;quot; &lt;/del&gt;id=&amp;quot;templateDescTable&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr class=&amp;quot;desclabel&amp;quot;&amp;gt;&amp;lt;td style=&amp;quot;height: 1.5em;&amp;quot;&amp;gt;Beschreibung&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr&amp;gt;&amp;lt;td&amp;gt;&amp;lt;div&amp;gt;&amp;lt;span style=&amp;quot;color: grey;&amp;quot;&amp;gt;[[File:EN-US.png]] The ClinicalGenomicStatement (CGS) template is the main vehicle of representing structured data in the GTR Implementation Guide. At its core, there is a genetic observation finding (result), e.g., a genetic variation, which can be associated with the following: more observations that describe the core observation in more detail (GenomicAssociatedObservation), e.g.,&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  amino acid change type; indications for performing this genetic observation (IndicationObservation), e.g., the genetic disease being assessed; and interpretations of the observation finding (InterpretivePhenotype), e.g., the mutation is pathogenic. In addition, it is important to associate a specimen and genomic source class with the core genetic finding, and optionally other&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  performers of the genetic observation or the interpretation than those listed in the GTR header could be specified as part the CGS template.&amp;lt;br /&amp;gt; The overall structure of CGS is depicted in chart 5 of the slide deck enclosed in the GTR package.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;+&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;table xmlns=&amp;quot;http://www.w3.org/1999/xhtml&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;quot; class=&amp;quot;artdecor &lt;/ins&gt;&amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Id&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2.16.840.1.113883.10.20.20.2 &amp;lt;span xmlns=&amp;quot;&amp;quot; class=&amp;quot;repobox&amp;quot;&amp;gt;&amp;lt;div class=&amp;quot;repo ref sspacing&amp;quot;&amp;gt;ref&amp;lt;/div&amp;gt;&amp;lt;div class=&amp;quot;non-selectable repo refvalue sspacing&amp;quot;&amp;gt;gtr-&amp;lt;/div&amp;gt;&amp;lt;/span&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Gültigkeit&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;2013‑02‑01&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Status&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;[[File:Kyellow.png|14px]] Entwurf&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Versions-Label&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr style=&amp;quot;vertical-align: top;&amp;quot;&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;Name&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;ClinicalGenomicStatement&amp;lt;/td&amp;gt;&amp;lt;th style=&amp;quot;width: 20em; text-align: left;&amp;quot;&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Bezeichnung&lt;/ins&gt;&amp;lt;/th&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot;&amp;gt;Clinical Genomic Statement&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;td style=&amp;quot;text-align: left;&amp;quot; colspan=&amp;quot;4&amp;quot;&amp;gt;&amp;lt;table id=&amp;quot;templateDescTable&amp;quot; width=&amp;quot;100%&amp;quot; border=&amp;quot;0&amp;quot; cellspacing=&amp;quot;3&amp;quot; cellpadding=&amp;quot;2&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;quot; class=&amp;quot;artdecor treetable&lt;/ins&gt;&amp;quot; style=&amp;quot;background: transparent;&amp;quot;&amp;gt;&amp;lt;tr class=&amp;quot;desclabel&amp;quot;&amp;gt;&amp;lt;td style=&amp;quot;height: 1.5em;&amp;quot;&amp;gt;Beschreibung&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&amp;lt;tr&amp;gt;&amp;lt;td&amp;gt;&amp;lt;div&amp;gt;&amp;lt;span style=&amp;quot;color: grey;&amp;quot;&amp;gt;[[File:EN-US.png]] The ClinicalGenomicStatement (CGS) template is the main vehicle of representing structured data in the GTR Implementation Guide. At its core, there is a genetic observation finding (result), e.g., a genetic variation, which can be associated with the following: more observations that describe the core observation in more detail (GenomicAssociatedObservation), e.g.,&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  amino acid change type; indications for performing this genetic observation (IndicationObservation), e.g., the genetic disease being assessed; and interpretations of the observation finding (InterpretivePhenotype), e.g., the mutation is pathogenic. In addition, it is important to associate a specimen and genomic source class with the core genetic finding, and optionally other&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  performers of the genetic observation or the interpretation than those listed in the GTR header could be specified as part the CGS template.&amp;lt;br /&amp;gt; The overall structure of CGS is depicted in chart 5 of the slide deck enclosed in the GTR package.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; Due to the complexity of the interpretation of genetic observations, this template disallows the use of the interpretationCode attribute, rather uses an association to InterpretivePhenotype. The latter is constrained by several of its sub-templates in order to suggest binding to LOINC value sets describing interpretations of genetic testing. For example,&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  ClinicalGenomicStatementGeneticVariation is a sub-template of ClinicalGenomicStatement and is associated with InterpretivePhenotypeGeneticVariation which is a sub-template of InterpretivePhenotype and its code and value attributes may be bound to LOINC codes representing interpretations of genetic findings.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; Due to the complexity of the interpretation of genetic observations, this template disallows the use of the interpretationCode attribute, rather uses an association to InterpretivePhenotype. The latter is constrained by several of its sub-templates in order to suggest binding to LOINC value sets describing interpretations of genetic testing. For example,&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  ClinicalGenomicStatementGeneticVariation is a sub-template of ClinicalGenomicStatement and is associated with InterpretivePhenotypeGeneticVariation which is a sub-template of InterpretivePhenotype and its code and value attributes may be bound to LOINC codes representing interpretations of genetic findings.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; All GTR structured data entries shall be part of CGS instances so that parsing applications can find the full semantics explicitly represented in this single and coherent structure. Sub-sections such as Indications, Interpretations and Specimen are mainly for presenting the data for human viewing (narrative), but they may also contain structured data that shall reference or be&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  referenced from CGS. By using the referencing mechanism (explained in the GenomicObservationReference template), it is possible to have less redundant documents, e.g., in the case where all tests reported in a GTR document have the same indication, an Indications section in the Summary section consists of a full-blown indication observation which all CGS indication observations reference.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;&amp;#160;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;br /&amp;gt; All GTR structured data entries shall be part of CGS instances so that parsing applications can find the full semantics explicitly represented in this single and coherent structure. Sub-sections such as Indications, Interpretations and Specimen are mainly for presenting the data for human viewing (narrative), but they may also contain structured data that shall reference or be&amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160; &amp;#160;  referenced from CGS. By using the referencing mechanism (explained in the GenomicObservationReference template), it is possible to have less redundant documents, e.g., in the case where all tests reported in a GTR document have the same indication, an Indications section in the Summary section consists of a full-blown indication observation which all CGS indication observations reference.&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&#039;diff-marker&#039;&gt;−&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&#039;diff-marker&#039;&gt;+&lt;/td&gt;&lt;td style=&quot;color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br &lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
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