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.

Obs-uslab-example7.xml

Raw XML (canonical form)

USLab Coded Observation Profile Example: C trachomatis PCR (id = "obs-uslab-example7")

<Observation xmlns="http://hl7.org/fhir">
  <id value="obs-uslab-example7"/>
<!--     FHIR build is generating the narratives
<text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <ul>
        <li>file: obs-uslab-example3.xml</li>
        <li>id: uslab-example3</li>
        <li>Name: USLab Observation Example3</li>
        <li>USLab Coded Observation Profile Example: C trachomatis PCR</li>
      </ul>
    </div>
  </text>
    -->
<!--     extension for specimen reject goes here - not for this use case
  <extension url="http://hl7.org/fhir/StructureDefinition/uslab-specimenrejectreason">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/v2/0490"/>
        <code value="EX"/>
        <display value="Expired"/>
      </coding>
    </valueCodeableConcept>
  </extension>
    -->
<!--     extension for observation kind goes here     -->
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obs-uslab-example7</p><p><b>identifier</b>: lab test result ID = 9012 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Chlamydia trachomatis by PCR <span>(Details : {LOINC code '43304-5' = 'Chlamydia trachomatis rRNA [Presence] in Unspecified
           specimen by Probe and target amplification method', given as 'Chlamydia trachomatis rRNA
           [Presence] in Unspecified specimen by Probe and target amplification method'}; {urn:oid:2.16.840.1.1
          13883.3.72.5.24 code 'CTPCR' = '??', given as 'APTIMA CT'})</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>: Negative for Chlamydia Trachomatis rRNA <span>(Details : {SNOMED CT code '260385009' = '260385009', given as 'Negative'}; {urn:oid:2.16.840.1.1138
          83.3.72.5.24 code 'NEG' = '??', given as 'Negative'})</span></p><p><b>interpretation</b>: Normal <span>(Details : {http://hl7.org/fhir/v2/0078 code 'N' = 'Normal)</span></p><p><b>specimen</b>: <a>Urine First Void</a></p></div></text><extension url="http://hl7.org/fhir/StructureDefinition/uslab-observationkind">
    <valueCode value="result"/>
  </extension>
  <identifier>
    <use value="official"/>
    <type>
      <text value="lab test result ID"/>
    </type>
    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
    <value value="9012"/>
  </identifier>
  <status value="final"/>
<!--    EH :  The local and LOINC test codes go here     -->
  <code>
  <!--     EH: LOINC code goes here    -->
    <coding>
      <system value="http://loinc.org"/>
      <code value="43304-5"/>
      <display value="Chlamydia trachomatis rRNA [Presence] in Unspecified specimen by Probe and target amplification
       method"/>
    <!--     EH: LOCAL code goes here    -->
    </coding>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.3.72.5.24"/>
      <code value="CTPCR"/>
      <display value="APTIMA CT"/>
    </coding>
    <text value="Chlamydia trachomatis by PCR"/>
  </code>
  <subject>
    <reference value="Patient/patient-uslab-example1"/>
    <display value="Todd Lerr"/>
  </subject>
  <effectiveDateTime value="2014-12-05"/>
<!--     EH: Showing dateTime to ss with TZO although only needed to Day     -->
  <issued value="2014-12-06T15:42:15-08:00"/>
  <performer>
    <reference value="Practitioner/pract-uslab-example1"/>
    <display value="Dr Leonard T Bloodraw Jr"/>
  </performer>
<!--    EH :  The local and SNOMED Result codes go here     -->
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="260385009"/>
      <display value="Negative"/>
    </coding>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.3.72.5.24"/>
      <code value="NEG"/>
      <display value="Negative"/>
    </coding>
    <text value="Negative for Chlamydia Trachomatis rRNA"/>
  </valueCodeableConcept>
<!--      eH dataabsent reason  would go here if valueQuantity was empty e.g.:
  <dataAbsentReason value="error"</dataAbsentReason>     -->
  <interpretation>
    <coding>
      <system value="http://hl7.org/fhir/v2/0078"/>
      <code value="N"/>
    </coding>
  </interpretation>
  <specimen>
    <reference value="Specimen/spec-uslab-example2"/>
    <display value="Urine First Void"/>
  </specimen>
</Observation>

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.