This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
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-w-Alt", "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\n 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": "alternate", "resource": { "resourceType": "Basic", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/gao-alternate" ] }, "text": { "status": "extensions", "div": "<div>\n <p>MRI Head within of guidelines for headache.</p>\n </div>" }, "contained": [ { "resourceType": "DiagnosticOrder", "id": "diagnosticorderalt", "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": "24590-2", "display": "Brain MRI" } ], "text": "MRI of the Head" } } ] }, { "resourceType": "Order", "id": "alternate-order", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/gao-order" ] }, "identifier": [ { "system": "http://example.com/OrderIdentifier", "value": "123" } ], "date": "2015-11-20", "subject": { "reference": "order#patient" }, "source": { "reference": "order#practitioner" }, "reasonCodeableConcept": { "coding": [ { "system": "http://example.com", "code": "x" } ], "text": "Headache" }, "detail": [ { "reference": "#diagnosticorderalt" } ] } ], "extension": [ { "fhir_comments": [ " The evaluation score is 3 for this combination of data " ], "url": "http://hl7.org/fhir/StructureDefinition/gao-extension-score", "valueDecimal": 4 }, { "extension": [ { "url": "code", "valueCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "24590-2", "display": "Brain MRI" } ], "text": "MRI of the Head" } } ], "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": "within", "display": "Within Guidelines" } ] }, "subject": { "reference": "#alternate-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" } ] } } } ] }
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.