FHIR Chat · ComplexMutations · genomics

Stream: genomics

Topic: ComplexMutations


view this post on Zulip Patrick Werner (Aug 29 2018 at 16:07):

@Gideon Giacomelli
trying to extract extra topics from the panel discussion:
You already can capture all the mutations in the DescribedVariant profile in Observation(Described Variant).component:genomic-dna-chg. (Genomica DNA change (gHGVS))

view this post on Zulip Patrick Werner (Aug 29 2018 at 16:08):

HGVS lets you express deletions, indels, copy number changes etc.

view this post on Zulip Patrick Werner (Aug 29 2018 at 16:16):

I don't see the need of a new resource like geneStudy. Yes we use Observation a lot, but with different profiles. Until now i haven't encountered a restriction which legitimates the need of a new resource.

view this post on Zulip Gideon Giacomelli (Aug 30 2018 at 09:27):

@Patrick Werner @Kevin Power thank you for the detailed reply. As far as I understand it, if I have one Observation per variant I want to represent this mutation in a sequence resource and for a complex structural mutation I would connect this observation to several sequences.
We should also take into account that Whole Genome Sequencing can result in several thousand mutations therefore I am not sure if this is feasible.
Also if a somatic mutation was found I want to link this to two samples a tumor sample and a control sample (mostl likely from blood) which is not possible right now, or is it?
I don't know if this is the best way to ask all these questions here of if there is a better way for me to proceed.

view this post on Zulip Patrick Werner (Aug 30 2018 at 11:43):

I'm not sure if you need the sequence resource for that. Found Variants are captured as an Observation(Described Variant Profile)

view this post on Zulip Patrick Werner (Aug 30 2018 at 11:44):

Quote from the other Thread:
The lab returns all studied genes as Observations(Described Variant). I have one Observation per found variant or per gene. What was looked at is Observation(Described Variant).component:gene-studied, the overall result (was something found) would be Observation(Described Variant).valueCodeableConcept.
If a Variant was found the details are captured in the components.

view this post on Zulip Patrick Werner (Aug 30 2018 at 11:52):

To distinguish between somatic and germline mutations there is:

view this post on Zulip Patrick Werner (Aug 30 2018 at 11:53):

Observation(DescribedVariant).component:genomic-source-class

view this post on Zulip Kevin Power (Aug 30 2018 at 13:16):

I will just add that there are a couple of ways of referencing info about the specimen:
Observation.specimen
Observation.bodySite

I will also mention we have yet to really define how to appropriately structure those large changes. I don't disagree with what has been said so far, but just like to be clear that we haven't nailed it down yet.


Last updated: Apr 12 2022 at 19:14 UTC