GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

Uslab\obs-uslab-example2.json

Raw JSON (canonical form)

USLab Coded Observation Profile Example: N gonorrhoeae PCR

{
  "resourceType": "Observation",
  "id": "obs-uslab-example2",
  "text": {
    "fhir_comments": [
      "    FHIR build is generating the narratives\n<text>\n\t\t<status value=\"generated\"/>\n\t\t<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<ul>\n\t\t\t\t<li>file: obs-uslab-example2.xml</li>\n\t\t\t\t<li> id: uslab-example2</li>\n\t\t\t\t<li> Name: USLab Observation Example2</li>\n\t\t\t\t<li>Description: USLab Coded Observation Profile Canonical Example: N gonorrhoeae PCR</li>\n\t\t\t</ul>\n\t\t</div>\n\t</text>\n   ",
      "    extenstion for specimen reject goes here - not for this use case\n\t<extension url=\"http://hl7.org/fhir/StructureDefinition/uslab-specimenrejectreason\">\n\t\t<valueCodeableConcept>\n\t\t\t<coding>\n\t\t\t\t<system value=\"http://hl7.org/fhir/v2/0490\"/>\n\t\t\t\t<code value=\"EX\"/>\n\t\t\t\t<display value=\"Expired\"/>\n\t\t\t</coding>\n\t\t</valueCodeableConcept>\n\t</extension>\n   ",
      "    extenstion for observation kind goes here    "
    ],
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obs-uslab-example2</p><p><b>identifier</b>: lab test result ID = 2345 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Neisseria gonorrhoeae by PCR <span>(Details : {LOINC code '43305-2' = 'Neisseria gonorrhoeae rRNA [Presence] in Unspecified specimen by Probe and target amplification method', given as 'Neisseria gonorrhoeae rRNA [Presence] in Unspecified specimen by Probe and target amplification method'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'GCPCR' = '??', given as 'APTIMA GC'})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>effective</b>: 05/12/2014</p><p><b>issued</b>: 06/12/2014 3:42:15 PM</p><p><b>performer</b>: <a>Dr Leonard T Bloodraw Jr</a></p><p><b>value</b>: Positive for Neisseira gonorrheoea rRNA <span>(Details : {SNOMED CT code '10828004' = '10828004', given as 'Positive'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'POS' = '??', given as 'Positive'})</span></p><p><b>interpretation</b>: Abnormal <span>(Details : {http://hl7.org/fhir/v2/0078 code 'A' = 'Abnormal)</span></p><p><b>specimen</b>: <a>Urine First Void</a></p></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/uslab-observationkind",
      "valueCode": "result"
    }
  ],
  "identifier": [
    {
      "use": "official",
      "type": {
        "text": "lab test result ID"
      },
      "system": "http://lis.acmelabs.org/identifiers/labtestresult",
      "value": "2345"
    }
  ],
  "status": "final",
  "code": {
    "fhir_comments": [
      "   EH :  The local and LOINC test codes go here    "
    ],
    "coding": [
      {
        "fhir_comments": [
          "    EH: LOINC code goes here   ",
          "    EH: LOCAL code goes here   "
        ],
        "system": "http://loinc.org",
        "code": "43305-2",
        "display": "Neisseria gonorrhoeae rRNA [Presence] in Unspecified specimen by Probe and target amplification method"
      },
      {
        "system": "urn:oid:2.16.840.1.113883.3.72.5.24",
        "code": "GCPCR",
        "display": "APTIMA GC"
      }
    ],
    "text": "Neisseria gonorrhoeae by PCR"
  },
  "subject": {
    "reference": "Patient/patient-uslab-example1",
    "display": "Todd Lerr"
  },
  "effectiveDateTime": "2014-12-05",
  "issued": "2014-12-06T15:42:15-08:00",
  "_issued": {
    "fhir_comments": [
      "    EH: Showing dateTime to ss with TZO although only needed to Day    "
    ]
  },
  "performer": [
    {
      "reference": "Practitioner/pract-uslab-example1",
      "display": "Dr Leonard T Bloodraw Jr"
    }
  ],
  "valueCodeableConcept": {
    "fhir_comments": [
      "   EH :  The local and SNOMED Result codes go here    "
    ],
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "10828004",
        "display": "Positive"
      },
      {
        "system": "urn:oid:2.16.840.1.113883.3.72.5.24",
        "code": "POS",
        "display": "Positive"
      }
    ],
    "text": "Positive for Neisseira gonorrheoea rRNA"
  },
  "interpretation": {
    "fhir_comments": [
      "     eH dataabsent reason  would go here if valueQuantity was empty e.g.:\n\t<dataAbsentReason value=\"error\"</dataAbsentReason>    "
    ],
    "coding": [
      {
        "system": "http://hl7.org/fhir/v2/0078",
        "code": "A"
      }
    ]
  },
  "specimen": {
    "reference": "Specimen/spec-uslab-example2",
    "display": "Urine First Void"
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.