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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"system" : "http://loinc.org",
"code" : "95418-0",
"display" : "Whether patient is employed in a healthcare setting"
}
],
"text" : "Whether patient is employed in a healthcare setting"
},
"subject" : {
🔗 "reference" : "Patient/patient-at-home-in-vitro-test-stacy-trevor",
"display" : "Stacy Trevor"
},
"effectiveDateTime" : "2021-01-28T16:06:03-05:00",
"performer" : [
{
🔗 "reference" : "Patient/patient-at-home-in-vitro-test-stacy-trevor"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
"code" : "N",
"display" : "No"
}
]
}
}
},
{
"fullUrl" : "https://fhir.org/fhir/Observation/observation-patient-answer-first-test-s-trevor",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-patient-answer-first-test-s-trevor",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-patient-answer-first-test-s-trevor\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-patient-answer-first-test-s-trevor</b></p><a name=\"observation-patient-answer-first-test-s-trevor\"> </a><a name=\"hcobservation-patient-answer-first-test-s-trevor\"> </a><a name=\"observation-patient-answer-first-test-s-trevor-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 95417-2}\">Whether this is the patient's first test for condition of interest</span></p><p><b>subject</b>: <a href=\"Patient-patient-at-home-in-vitro-test-stacy-trevor.html\">Stacy Trevor</a></p><p><b>effective</b>: 2021-01-28 16:06:03-0500</p><p><b>performer</b>: <a href=\"Patient-patient-at-home-in-vitro-test-stacy-trevor.html\">Stacy Trevor Female, DoB: 1988-01-21 ( Medical Record Number:\u00a0P21-0000105078\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 N}\">No</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey",
"display" : "Survey"
}
],
"text" : "Survey"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "95417-2",
"display" : "Whether this is the patient's first test for condition of interest"
}
],
"text" : "Whether this is the patient's first test for condition of interest"
},
"subject" : {
🔗 "reference" : "Patient/patient-at-home-in-vitro-test-stacy-trevor",
"display" : "Stacy Trevor"
},
"effectiveDateTime" : "2021-01-28T16:06:03-05:00",
"performer" : [
{
🔗 "reference" : "Patient/patient-at-home-in-vitro-test-stacy-trevor"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
"code" : "N",
"display" : "No"
}
]
}
}
},
{
"fullUrl" : "https://fhir.org/fhir/Observation/observation-patient-answer-pregnancy-s-trevor",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-patient-answer-pregnancy-s-trevor",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-patient-answer-pregnancy-s-trevor\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-patient-answer-pregnancy-s-trevor</b></p><a name=\"observation-patient-answer-pregnancy-s-trevor\"> </a><a name=\"hcobservation-patient-answer-pregnancy-s-trevor\"> </a><a name=\"observation-patient-answer-pregnancy-s-trevor-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 82810-3}\">Pregnancy status</span></p><p><b>subject</b>: <a href=\"Patient-patient-at-home-in-vitro-test-stacy-trevor.html\">Stacy Trevor</a></p><p><b>effective</b>: 2021-01-28 16:06:03-0500</p><p><b>performer</b>: <a href=\"Patient-patient-at-home-in-vitro-test-stacy-trevor.html\">Stacy Trevor Female, DoB: 1988-01-21 ( Medical Record Number:\u00a0P21-0000105078\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 60001007}\">Not pregnant (finding)</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey",
"display" : "Survey"
}
],
"text" : "Survey"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
],
"text" : "Pregnancy status"
},
"subject" : {
🔗 "reference" : "Patient/patient-at-home-in-vitro-test-stacy-trevor",
"display" : "Stacy Trevor"
},
"effectiveDateTime" : "2021-01-28T16:06:03-05:00",
"performer" : [
{
🔗 "reference" : "Patient/patient-at-home-in-vitro-test-stacy-trevor"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "60001007",
"display" : "Not pregnant (finding)"
}
]
}
}
},
{
"fullUrl" : "https://fhir.org/fhir/Patient/patient-at-home-in-vitro-test-stacy-trevor",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-at-home-in-vitro-test-stacy-trevor",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Patient-at-home-in-vitro-test"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-at-home-in-vitro-test-stacy-trevor\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-at-home-in-vitro-test-stacy-trevor</b></p><a name=\"patient-at-home-in-vitro-test-stacy-trevor\"> </a><a name=\"hcpatient-at-home-in-vitro-test-stacy-trevor\"> </a><a name=\"patient-at-home-in-vitro-test-stacy-trevor-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Stacy Trevor Female, DoB: 1988-01-21 ( Medical Record Number:\u00a0P21-0000105078\u00a0(use:\u00a0usual,\u00a0))</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: 947-226-0356(Home)</li><li>11 Norman Drive Palatine IL 60067 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-UNK\">NullFlavor</a> UNK: Unknown</li><li>text: Unknown</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2054-5\">CDC Race and Ethnicity</a> 2054-5: Black or African American</li><li>text: Black or African American</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2054-5",
"display" : "Black or African American"
}
},
{
"url" : "text",
"valueString" : "Black or African American"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "UNK",
"display" : "Unknown"
}
},
{
"url" : "text",
"valueString" : "Unknown"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.reliableorg.org",
"value" : "P21-0000105078"
}
],
"active" : true,
"name" : [
{
"family" : "Trevor",
"given" : [
"Stacy"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "947-226-0356",
"use" : "home"
}
],
"gender" : "female",
"birthDate" : "1988-01-21",
"address" : [
{
"line" : [
"11 Norman Drive"
],
"city" : "Palatine",
"district" : "Cook",
"state" : "IL",
"postalCode" : "60067",
"country" : "US"
}
]
}
},
{
"fullUrl" : "https://fhir.org/fhir/Specimen/specimen-swab-internal-nose-s-trevor",
"resource" : {
"resourceType" : "Specimen",
"id" : "specimen-swab-internal-nose-s-trevor",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test-covid"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-swab-internal-nose-s-trevor\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-swab-internal-nose-s-trevor</b></p><a name=\"specimen-swab-internal-nose-s-trevor\"> </a><a name=\"hcspecimen-swab-internal-nose-s-trevor\"> </a><a name=\"specimen-swab-internal-nose-s-trevor-en-US\"> </a><p><b>identifier</b>: ISO Object Identifier/P21-0000105078OneReliableSol.STAG</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 445297001}\">Swab of internal nose (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-patient-at-home-in-vitro-test-stacy-trevor.html\">Stacy Trevor</a></p><p><b>receivedTime</b>: 2021-01-28 16:06:03-0500</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>2021-01-28 16:06:03-0500</td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0301",
"code" : "ISO",
"display" : "ISO Object Identifier"
}
]
},
"system" : "http://reliable.org",
"value" : "P21-0000105078OneReliableSol.STAG"
}
],
"status" : "available",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "445297001",
"display" : "Swab of internal nose (specimen)"
}
],
"text" : "Swab of internal nose (specimen)"
},
"subject" : {
🔗 "reference" : "Patient/patient-at-home-in-vitro-test-stacy-trevor",
"display" : "Stacy Trevor"
},
"receivedTime" : "2021-01-28T16:06:03-05:00",
"collection" : {
"collectedDateTime" : "2021-01-28T16:06:03-05:00"
}
}
},
{
"fullUrl" : "https://fhir.org/fhir/Device/device-hometest1-s-trevor",
"resource" : {
"resourceType" : "Device",
"id" : "device-hometest1-s-trevor",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Device-at-home-in-vitro-test"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_device-hometest1-s-trevor\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device device-hometest1-s-trevor</b></p><a name=\"device-hometest1-s-trevor\"> </a><a name=\"hcdevice-hometest1-s-trevor\"> </a><a name=\"device-hometest1-s-trevor-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>Acme COVID-19 Home Test_Acme Limited_EUA</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>: 7654321F</p><p><b>serialNumber</b>: 10987654d323</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>Acme COVID-19 Home Test_Acme Limited</td><td>Model name</td></tr></table><p><b>modelNumber</b>: 20388</p><p><b>partNumber</b>: 20388</p></div>"
},
"udiCarrier" : [
{
"deviceIdentifier" : "Acme COVID-19 Home Test_Acme Limited_EUA",
"issuer" : "GS1"
}
],
"status" : "active",
"manufacturer" : "ACME CORPORATION",
"expirationDate" : "2022-11-20",
"lotNumber" : "7654321F",
"serialNumber" : "10987654d323",
"deviceName" : [
{
"name" : "Acme COVID-19 Home Test_Acme Limited",
"type" : "model-name"
}
],
"modelNumber" : "20388",
"partNumber" : "20388"
}
},
{
"fullUrl" : "https://fhir.org/fhir/Organization/us-core-organization-reliable-informatics",
"resource" : {
"resourceType" : "Organization",
"id" : "us-core-organization-reliable-informatics",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_us-core-organization-reliable-informatics\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization us-core-organization-reliable-informatics</b></p><a name=\"us-core-organization-reliable-informatics\"> </a><a name=\"hcus-core-organization-reliable-informatics\"> </a><a name=\"us-core-organization-reliable-informatics-en-US\"> </a><p><b>active</b>: true</p><p><b>name</b>: Reliable Informatics</p><p><b>telecom</b>: <a href=\"tel:+1(858)552-1111\">+1(858)552-1111</a></p></div>"
},
"active" : true,
"name" : "Reliable Informatics",
"telecom" : [
{
"system" : "phone",
"value" : "+1(858)552-1111"
}
]
}
},
{
"fullUrl" : "https://fhir.org/fhir/Organization/us-core-organization-aphl-aims-prd",
"resource" : {
"resourceType" : "Organization",
"id" : "us-core-organization-aphl-aims-prd",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0301",
"code" : "ISO",
"display" : "ISO Object Identifier"
}
]
},
"system" : "urn:oid:2.16.840.1.114222.4.1.217446",
"value" : "AIMS.PLATFORM"
}
],
"active" : true,
"name" : "AIMS.PLATFORM"
}
},
{
"fullUrl" : "https://fhir.org/fhir/Organization/us-core-organization-abbot",
"resource" : {
"resourceType" : "Organization",
"id" : "us-core-organization-abbot",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_us-core-organization-abbot\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization us-core-organization-abbot</b></p><a name=\"us-core-organization-abbot\"> </a><a name=\"hcus-core-organization-abbot\"> </a><a name=\"us-core-organization-abbot-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.\r\n\r\nThe 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."\r\n\r\nCMS 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."\r\n\r\nCLIA is maintained by CMS. It is in the public domain and free to use without restriction.\r\n\r\nSee http://cms.gov/regulations-and-guidance/legislation/clia.\">CLIA</a>/00D0000002</p><p><b>active</b>: true</p><p><b>name</b>: AbbottInformatics</p></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.16.840.1.113883.4.7",
"value" : "00D0000002"
}
],
"active" : true,
"name" : "AbbottInformatics"
}
}
]
}
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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