Example-gao-response-parameters-CT-Head-Outside-Of-Guidelines.json

A 50-year-old male is ordered a CT of the Head for his headache by an identified practitioner.

{
  "resourceType": "Parameters",
  "id": "example-gao-response-parameters-CT-Head-Outside-Of-Guidelines",
  "parameter": [
    {
      "name": "order",
      "resource": {
        "resourceType": "Order",
        "id": "order",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/gao-order"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div>\n            <p>A 50-year-old male is ordered a CT of the Head for his headache by an identified practitioner.</p>\n          </div>"
        },
        "contained": [
          {
            "resourceType": "Patient",
            "id": "patient",
            "meta": {
              "profile": [
                "http://hl7.org/fhir/StructureDefinition/gao-patient"
              ]
            },
            "gender": "male",
            "birthDate": "1965-11-20"
          },
          {
            "resourceType": "Practitioner",
            "id": "practitioner",
            "meta": {
              "profile": [
                "http://hl7.org/fhir/StructureDefinition/gao-practitioner"
              ]
            },
            "identifier": [
              {
                "system": "http://hl7.org/fhir/sid/us-npi",
                "value": "9999999999"
              }
            ]
          },
          {
            "resourceType": "DiagnosticOrder",
            "id": "diagnosticorder",
            "meta": {
              "profile": [
                "http://hl7.org/fhir/StructureDefinition/gao-diagnosticorder"
              ]
            },
            "subject": {
              "reference": "order#patient"
            },
            "orderer": {
              "reference": "order#practitioner"
            },
            "item": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "30799-1",
                      "display": "Head CT WO contrast"
                    }
                  ],
                  "text": "CT Head without contrast"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://example.com/OrderIdentifier",
            "value": "123"
          }
        ],
        "date": "2015-11-20",
        "subject": {
          "reference": "#patient"
        },
        "source": {
          "reference": "#practitioner"
        },
        "reasonCodeableConcept": {
          "coding": [
            {
              "system": "http://example.com",
              "code": "x"
            }
          ],
          "text": "Headache"
        },
        "detail": [
          {
            "reference": "#diagnosticorder"
          }
        ]
      }
    },
    {
      "name": "result",
      "resource": {
        "resourceType": "Basic",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/gao-result"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div>\n            <p>CT Head outside of guidelines for headache.</p>\n          </div>"
        },
        "extension": [
          {
            "fhir_comments": [
              "  The evaluation score is 3 for this combination of data  "
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/gao-extension-score",
            "valueDecimal": 3
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://loinc.org",
                      "code": "30799-1",
                      "display": "Head CT WO contrast"
                    }
                  ],
                  "text": "CT Head without contrast"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/gao-extension-item"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/gao-extension-device",
            "valueReference": {
              "reference": "dss"
            }
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/gao-extension-practitioner",
            "valueReference": {
              "reference": "order#practitioner"
            }
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/evaluation-result-code",
              "code": "outside",
              "display": "Outside Guidelines"
            }
          ]
        },
        "subject": {
          "reference": "order"
        }
      }
    },
    {
      "name": "dss",
      "resource": {
        "resourceType": "Device",
        "id": "dss",
        "identifier": [
          {
            "system": "http://example.com/RegisteredDecisionSupportId",
            "value": "456"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://ncimeta.nci.nih.gov",
              "code": "C1961478",
              "display": "Information Systems, Decision Support, Clinical"
            }
          ]
        }
      }
    }
  ]
}