At-Home In-Vitro Test Report
1.1.0 - STU 1.1
At-Home In-Vitro Test Report
1.1.0 - STU 1.1
This page is part of the At-Home In-Vitro Test Report (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_messageheader-at-home-in-vitro-test-p-noelle"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader messageheader-at-home-in-vitro-test-p-noelle</b></p><a name="messageheader-at-home-in-vitro-test-p-noelle"> </a><a name="hcmessageheader-at-home-in-vitro-test-p-noelle"> </a><a name="messageheader-at-home-in-vitro-test-p-noelle-en-US"> </a><p><b>event</b>: <a href="https://loinc.org/96552-5">Logical Observation Identifiers, Names and Codes (LOINC)</a> 96552-5: Result of most recent lab test for condition of interest</p><h3>Destinations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style="display: none">*</td><td>AIMS.INTEGRATION.PRD</td><td>urn:oid:2.16.840.1.114222.4.3.15.1</td><td><a href="Organization-us-core-organization-aphl-aims-prd.html">Organization AIMS.PLATFORM</a></td></tr></table><p><b>sender</b>: <a href="Organization-us-core-organization-acme-corporation.html">Organization Acme Corporation</a></p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td/><td>ACME Application Server</td><td>ACME Application Software</td><td>1.2.3.4.5</td><td><a href="tel:+1(555)9876543">+1 (555) 987 6543</a></td><td><a href="http://at-home-in-vitro-test.org/fhir/endpoint/1">http://at-home-in-vitro-test.org/fhir/endpoint/1</a></td></tr></table><p><b>focus</b>: <a href="DiagnosticReport-diagnosticreport-at-home-in-vitro-results-covid-p-noelle.html">Diagnostic Report for 'SARS-CoV+SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory system specimen by Rapid immunoassay' for '->Patricia Noelle'</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_diagnosticreport-at-home-in-vitro-results-covid-p-noelle"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport diagnosticreport-at-home-in-vitro-results-covid-p-noelle</b></p><a name="diagnosticreport-at-home-in-vitro-results-covid-p-noelle"> </a><a name="hcdiagnosticreport-at-home-in-vitro-results-covid-p-noelle"> </a><a name="diagnosticreport-at-home-in-vitro-results-covid-p-noelle-en-US"> </a><h2><span title="Codes:{http://loinc.org 95209-3}">SARS-CoV+SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory system specimen by Rapid immunoassay</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 LAB}">Laboratory</span>) </h2><table class="grid"><tr><td>Subject</td><td>Patricia Noelle Female, DoB: 1954-10-17 ( Medical Record Number: 900 (use: usual, ))</td></tr><tr><td>When For</td><td>2021-03-10 11:45:33+1100</td></tr><tr><td>Reported</td><td>2021-03-10 11:45:33+1100</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-observation-at-home-in-vitro-test-result-covid-p-noelle.html"><span title="Codes:{http://loinc.org 95209-3}">SARS-CoV+SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory system specimen by Rapid immunoassay</span></a></td><td><span title="Codes:{http://snomed.info/sct 260373001}">Detected</span></td><td>Final</td><td>2020-03-10</td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-at-home-in-vitro-test-result-covid-p-noelle"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-at-home-in-vitro-test-result-covid-p-noelle</b></p><a name="observation-at-home-in-vitro-test-result-covid-p-noelle"> </a><a name="hcobservation-at-home-in-vitro-test-result-covid-p-noelle"> </a><a name="observation-at-home-in-vitro-test-result-covid-p-noelle-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 95209-3}">SARS-CoV+SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory system specimen by Rapid immunoassay</span></p><p><b>subject</b>: <a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patricia Noelle</a></p><p><b>effective</b>: 2020-03-10</p><p><b>performer</b>: <a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patricia Noelle Female, DoB: 1954-10-17 ( Medical Record Number: 900 (use: usual, ))</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 260373001}">Detected</span></p><p><b>specimen</b>: <a href="Specimen-specimen-anterior-nares-swab-p-noelle.html">UR Specimen ID: MLD45-Z4-1234</a></p><p><b>device</b>: <a href="Device-device-fast-sars-antigen-test.html">UDI Device ID: 30014613339373</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-patient-answer-symptoms-present-covid-p-noelle"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-patient-answer-symptoms-present-covid-p-noelle</b></p><a name="observation-patient-answer-symptoms-present-covid-p-noelle"> </a><a name="hcobservation-patient-answer-symptoms-present-covid-p-noelle"> </a><a name="observation-patient-answer-symptoms-present-covid-p-noelle-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 95419-8}">Whether the patient has symptoms related to condition of interest</span></p><p><b>subject</b>: <a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patricia Noelle</a></p><p><b>effective</b>: 2021-03-24</p><p><b>performer</b>: <a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patricia Noelle Female, DoB: 1954-10-17 ( Medical Record Number: 900 (use: usual, ))</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}">Yes</span></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-at-home-in-vitro-test-patricia-noelle"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-at-home-in-vitro-test-patricia-noelle</b></p><a name="patient-at-home-in-vitro-test-patricia-noelle"> </a><a name="hcpatient-at-home-in-vitro-test-patricia-noelle"> </a><a name="patient-at-home-in-vitro-test-patricia-noelle-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Patricia Noelle Female, DoB: 1954-10-17 ( Medical Record Number: 900 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 555-555-2003(Home)</li><li><a href="mailto:Patricia.Noelle@example.com">Patricia.Noelle@example.com</a></li><li>7247 Main St Springfield IL 62707 US </li></ul></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_us-core-organization-acme-corporation"> </a><p class="res-header-id"><b>Generated Narrative: Organization us-core-organization-acme-corporation</b></p><a name="us-core-organization-acme-corporation"> </a><a name="hcus-core-organization-acme-corporation"> </a><a name="us-core-organization-acme-corporation-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CLIA.html" title=""The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 330,000 laboratory entities. The Division of Clinical Laboratory Improvement & Quality, within the Quality, Safety & Oversight Group, under the Center for Clinical Standards and Quality (CCSQ) has the responsibility for implementing the CLIA Program.
The objective of the CLIA program is to ensure quality laboratory testing. Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities."
CMS CLIA certified laboratories will be assigned a10-digit alphanumeric CLIA identification number, with the "D" in the third position identifying the provider/supplier as a laboratory certified under CLIA."
CLIA is maintained by CMS. It is in the public domain and free to use without restriction.
See http://cms.gov/regulations-and-guidance/legislation/clia.">CLIA</a>/00D0000003</p><p><b>active</b>: true</p><p><b>name</b>: Acme Corporation</p><p><b>telecom</b>: <a href="tel:+1(858)552-1100">+1(858)552-1100</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_specimen-anterior-nares-swab-p-noelle"> </a><p class="res-header-id"><b>Generated Narrative: Specimen specimen-anterior-nares-swab-p-noelle</b></p><a name="specimen-anterior-nares-swab-p-noelle"> </a><a name="hcspecimen-anterior-nares-swab-p-noelle"> </a><a name="specimen-anterior-nares-swab-p-noelle-en-US"> </a><p><b>identifier</b>: <code>http://lab.acme.org/specimens/2021</code>/MLD45-Z4-1234</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 697989009}">Anterior nares swab (specimen)</span></p><p><b>subject</b>: <a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patricia Noelle</a></p><p><b>receivedTime</b>: 2021-12-03 16:00:00+0000</p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2021-12-03 11:00:00+0000</td></tr></table></div>
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<subject>🔗
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_device-fast-sars-antigen-test"> </a><p class="res-header-id"><b>Generated Narrative: Device device-fast-sars-antigen-test</b></p><a name="device-fast-sars-antigen-test"> </a><a name="hcdevice-fast-sars-antigen-test"> </a><a name="device-fast-sars-antigen-test-en-US"> </a><h3>UdiCarriers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DeviceIdentifier</b></td><td><b>Issuer</b></td></tr><tr><td style="display: none">*</td><td>30014613339374</td><td>GS1</td></tr></table><p><b>status</b>: Active</p><p><b>manufacturer</b>: ACME CORPORATION</p><p><b>expirationDate</b>: 2022-11-20</p><p><b>lotNumber</b>: 7654321E</p><p><b>serialNumber</b>: 10987654d322</p><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>Fast SARS Antigen Test</td><td>Model name</td></tr></table><p><b>modelNumber</b>: 20387</p><p><b>partNumber</b>: 20387</p></div>
</text>
<udiCarrier>
<deviceIdentifier value="30014613339374"/>
<issuer value="GS1"/>
</udiCarrier>
<status value="active"/>
<manufacturer value="ACME CORPORATION"/>
<expirationDate value="2022-11-20"/>
<lotNumber value="7654321E"/>
<serialNumber value="10987654d322"/>
<deviceName>
<name value="Fast SARS Antigen Test"/>
<type value="model-name"/>
</deviceName>
<modelNumber value="20387"/>
<partNumber value="20387"/>
</Device>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.org/fhir/Observation/observation-patient-answer-symptom-onset-covid-p-noelle"/>
<resource>
<Observation>
<id value="observation-patient-answer-symptom-onset-covid-p-noelle"/>
<meta>
<profile
value="http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-patient-answer-symptom-onset-covid-p-noelle"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-patient-answer-symptom-onset-covid-p-noelle</b></p><a name="observation-patient-answer-symptom-onset-covid-p-noelle"> </a><a name="hcobservation-patient-answer-symptom-onset-covid-p-noelle"> </a><a name="observation-patient-answer-symptom-onset-covid-p-noelle-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 65222-2}">Date and time of Covid 19 symptom onset</span></p><p><b>subject</b>: <a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patricia Noelle</a></p><p><b>effective</b>: 2021-03-24</p><p><b>performer</b>: <a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patricia Noelle Female, DoB: 1954-10-17 ( Medical Record Number: 900 (use: usual, ))</a></p><p><b>value</b>: 2021-03-22</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
<display value="Survey"/>
</coding>
<text value="Survey"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="65222-2"/>
<display value="Date and time of symptom onset"/>
</coding>
<text value="Date and time of Covid 19 symptom onset"/>
</code>
<subject>🔗
<reference
value="Patient/patient-at-home-in-vitro-test-patricia-noelle"/>
<display value="Patricia Noelle"/>
</subject>
<effectiveDateTime value="2021-03-24"/>
<performer>🔗
<reference
value="Patient/patient-at-home-in-vitro-test-patricia-noelle"/>
</performer>
<valueDateTime value="2021-03-22"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.org/fhir/Practitioner/practitioner-us-core-proctor"/>
<resource>
<Practitioner>
<id value="practitioner-us-core-proctor"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_practitioner-us-core-proctor"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner practitioner-us-core-proctor</b></p><a name="practitioner-us-core-proctor"> </a><a name="hcpractitioner-us-core-proctor"> </a><a name="practitioner-us-core-proctor-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/9941339100</p><p><b>name</b>: Seven Henry </p><p><b>telecom</b>: <a href="mailto:henry.seven@example.com">henry.seven@example.com</a></p><p><b>address</b>: BMass Doctors 2100 North Ave Burlington MA 02368 US </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339100"/>
</identifier>
<name>
<family value="Henry"/>
<given value="Seven"/>
<suffix value="M.D."/>
</name>
<telecom>
<system value="email"/>
<value value="henry.seven@example.com"/>
</telecom>
<address>
<line value="BMass Doctors"/>
<line value="2100 North Ave"/>
<city value="Burlington"/>
<state value="MA"/>
<postalCode value="02368"/>
<country value="US"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.org/fhir/Organization/us-core-organization-aphl-aims-prd"/>
<resource>
<Organization>
<id value="us-core-organization-aphl-aims-prd"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_us-core-organization-aphl-aims-prd"> </a><p class="res-header-id"><b>Generated Narrative: Organization us-core-organization-aphl-aims-prd</b></p><a name="us-core-organization-aphl-aims-prd"> </a><a name="hcus-core-organization-aphl-aims-prd"> </a><a name="us-core-organization-aphl-aims-prd-en-US"> </a><p><b>identifier</b>: ISO Object Identifier/AIMS.PLATFORM</p><p><b>active</b>: true</p><p><b>name</b>: AIMS.PLATFORM</p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0301"/>
<code value="ISO"/>
<display value="ISO Object Identifier"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.114222.4.1.217446"/>
<value value="AIMS.PLATFORM"/>
</identifier>
<active value="true"/>
<name value="AIMS.PLATFORM"/>
</Organization>
</resource>
</entry>
</Bundle>
IG © 2022+ HL7 International / Orders and Observations. Package hl7.fhir.us.home-lab-report#1.1.0 based on FHIR 4.0.1. Generated 2024-08-08
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