Example-gao-response-parameters-CT-Head-Outside-w-Alt.xml

A 50-year-old male is ordered a CT of the Head for his headache by an identified practitioner. (id = "example-gao-response-parameters-CT-Head-Outside-w-Alt")

<Parameters xmlns="http://hl7.org/fhir">
  <id value="example-gao-response-parameters-CT-Head-Outside-w-Alt"/>
  <parameter>
    <name value="order"/>
    <resource>
      <Order>
        <id value="order"/>
        <meta>
          <profile value="http://hl7.org/fhir/StructureDefinition/gao-order"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <p>A 50-year-old male is ordered a CT of the Head for his headache by an identified
              practitioner.</p>
          </div>
        </text>
        <contained>
          <Patient>
            <id value="patient"/>
            <meta>
              <profile value="http://hl7.org/fhir/StructureDefinition/gao-patient"/>
            </meta>
            <gender value="male"/>
            <birthDate value="1965-11-20"/>
          </Patient>
        </contained>
        <contained>
          <Practitioner>
            <id value="practitioner"/>
            <meta>
              <profile value="http://hl7.org/fhir/StructureDefinition/gao-practitioner"/>
            </meta>
            <identifier>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="9999999999"/>
            </identifier>
          </Practitioner>
        </contained>
        <contained>
          <DiagnosticOrder>
            <id value="diagnosticorder"/>
            <meta>
              <profile value="http://hl7.org/fhir/StructureDefinition/gao-diagnosticorder"/>
            </meta>
            <subject>
              <reference value="order#patient"/>
            </subject>
            <orderer>
              <reference value="order#practitioner"/>
            </orderer>
            <item>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="30799-1"/>
                  <display value="Head CT WO contrast"/>
                </coding>
                <text value="CT Head without contrast"/>
              </code>
            </item>
          </DiagnosticOrder>
        </contained>
        <identifier>
          <system value="http://example.com/OrderIdentifier"/>
          <value value="123"/>
        </identifier>
        <date value="2015-11-20"/>
        <subject>
          <reference value="#patient"/>
        </subject>
        <source>
          <reference value="#practitioner"/>
        </source>
        <reasonCodeableConcept>
          <coding>
            <system value="http://example.com"/>
            <code value="x"/>
          </coding>
          <text value="Headache"/>
        </reasonCodeableConcept>
        <detail>
          <reference value="#diagnosticorder"/>
        </detail>
      </Order>
    </resource>
  </parameter>
  <parameter>
    <name value="result"/>
    <resource>
      <Basic>
        <meta>
          <profile value="http://hl7.org/fhir/StructureDefinition/gao-result"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <p>CT Head outside of guidelines for headache.</p>
          </div>
        </text>
        <!--   The evaluation score is 3 for this combination of data   -->
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-score">
          <valueDecimal value="3"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-item">
          <extension url="code">
            <valueCodeableConcept>
              <coding>
                <system value="http://loinc.org"/>
                <code value="30799-1"/>
                <display value="Head CT WO contrast"/>
              </coding>
              <text value="CT Head without contrast"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-device">
          <valueReference>
            <reference value="dss"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-practitioner">
          <valueReference>
            <reference value="order#practitioner"/>
          </valueReference>
        </extension>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/evaluation-result-code"/>
            <code value="outside"/>
            <display value="Outside Guidelines"/>
          </coding>
        </code>
        <subject>
          <reference value="order"/>
        </subject>
      </Basic>
    </resource>
  </parameter>
  <parameter>
    <name value="alternate"/>
    <resource>
      <Basic>
        <meta>
          <profile value="http://hl7.org/fhir/StructureDefinition/gao-alternate"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <p>MRI Head within of guidelines for headache.</p>
          </div>
        </text>
        <contained>
          <DiagnosticOrder>
            <id value="diagnosticorderalt"/>
            <meta>
              <profile value="http://hl7.org/fhir/StructureDefinition/gao-diagnosticorder"/>
            </meta>
            <subject>
              <reference value="order#patient"/>
            </subject>
            <orderer>
              <reference value="order#practitioner"/>
            </orderer>
            <item>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="24590-2"/>
                  <display value="Brain MRI"/>
                </coding>
                <text value="MRI of the Head"/>
              </code>
            </item>
          </DiagnosticOrder>
        </contained>
        <contained>
          <Order>
            <id value="alternate-order"/>
            <meta>
              <profile value="http://hl7.org/fhir/StructureDefinition/gao-order"/>
            </meta>
            <identifier>
              <system value="http://example.com/OrderIdentifier"/>
              <value value="123"/>
            </identifier>
            <date value="2015-11-20"/>
            <subject>
              <reference value="order#patient"/>
            </subject>
            <source>
              <reference value="order#practitioner"/>
            </source>
            <reasonCodeableConcept>
              <coding>
                <system value="http://example.com"/>
                <code value="x"/>
              </coding>
              <text value="Headache"/>
            </reasonCodeableConcept>
            <detail>
              <reference value="#diagnosticorderalt"/>
            </detail>
          </Order>
        </contained>
        <!--   The evaluation score is 3 for this combination of data   -->
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-score">
          <valueDecimal value="4"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-item">
          <extension url="code">
            <valueCodeableConcept>
              <coding>
                <system value="http://loinc.org"/>
                <code value="24590-2"/>
                <display value="Brain MRI"/>
              </coding>
              <text value="MRI of the Head"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-device">
          <valueReference>
            <reference value="dss"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/gao-extension-practitioner">
          <valueReference>
            <reference value="order#practitioner"/>
          </valueReference>
        </extension>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/evaluation-result-code"/>
            <code value="within"/>
            <display value="Within Guidelines"/>
          </coding>
        </code>
        <subject>
          <reference value="#alternate-order"/>
        </subject>
      </Basic>
    </resource>
  </parameter>
  <parameter>
    <name value="dss"/>
    <resource>
      <Device>
        <id value="dss"/>
        <identifier>
          <system value="http://example.com/RegisteredDecisionSupportId"/>
          <value value="456"/>
        </identifier>
        <type>
          <coding>
            <system value="http://ncimeta.nci.nih.gov"/>
            <code value="C1961478"/>
            <display value="Information Systems, Decision Support, Clinical"/>
          </coding>
        </type>
      </Device>
    </resource>
  </parameter>
</Parameters>