At-Home In-Vitro Test Report
1.0.0 - STU 1
At-Home In-Vitro Test Report
1.0.0 - STU 1
This page is part of the At-Home In-Vitro Test Report (v1.0.0: STU 1) based on FHIR 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"><p><b>Generated Narrative: MessageHeader</b><a name="messageheader-at-home-in-vitro-test-p-noelle"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MessageHeader "messageheader-at-home-in-vitro-test-p-noelle" Version "3" Updated "2022-04-29 05:38:44+0000" </p><p style="margin-bottom: 0px">Information Source: #FTAQtfFon8QbArxA!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MessageHeader-at-home-in-vitro-test-results.html">MessageHeader - At-Home In-Vitro Test Results</a></p></div><p><b>event</b>: Result of most recent lab test for condition of interest (Details: LOINC code 96552-5 = 'Result of most recent lab test for condition of interest', stated as 'null')</p><h3>Sources</h3><table class="grid"><tr><td>-</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>*</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><h3>Responses</h3><table class="grid"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>5015fe84-8e76-4526-89d8-44b322e8d4fc</td><td>ok</td></tr></table><p><b>focus</b>: <a href="#DiagnosticReport_diagnosticreport-at-home-in-vitro-results-covid-p-noelle">See above (DiagnosticReport/diagnosticreport-at-home-in-vitro-results-covid-p-noelle)</a></p></div>
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<version value="1.2.3.4.5"/>
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<value value="+1 (555) 987 6543"/>
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<endpoint value="http://at-home-in-vitro-test.org/fhir/endpoint/1"/>
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<response>
<identifier value="5015fe84-8e76-4526-89d8-44b322e8d4fc"/>
<code value="ok"/>
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<focus>
<reference
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<DiagnosticReport>
<id value="diagnosticreport-at-home-in-vitro-results-covid-p-noelle"/>
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<versionId value="9"/>
<lastUpdated value="2023-01-26T00:54:09.200+00:00"/>
<source value="#KH7RfT6KOmk5cGkN"/>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText"> SARS-CoV+SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay </div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Status</td>
<td>FINAL</td>
</tr>
<tr>
<td>Issued</td>
<td> 10 March 2021 00:45:33 </td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
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<extension url="type">
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<coding>
<system
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<code value="QST"/>
<display value="Question"/>
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<extension url="reference">
<valueReference>
<reference
value="Observation/observation-patient-answer-symptoms-present-covid-p-noelle"/>
<display
value="Whether the patient has symptoms related to condition of interest: Yes"/>
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<extension
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<display
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<status value="final"/>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
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<coding>
<system value="http://loinc.org"/>
<code value="95209-3"/>
<display
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<subject>
<reference
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<display value="Patricia Noelle"/>
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<effectiveDateTime value="2021-03-10T11:45:33+11:00"/>
<issued value="2021-03-10T11:45:33+11:00"/>
<performer>
<reference
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<display value="Acme Corporation"/>
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<result>
<reference
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<display value="SARS-CoV+SARS-CoV-2"/>
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<entry>
<fullUrl
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<Observation>
<id value="observation-at-home-in-vitro-test-result-covid-p-noelle"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative</b>
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<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource "observation-at-home-in-vitro-test-result-covid-p-noelle" Version "2" Updated "2022-04-26 05:32:30+0000" </p>
<p style="margin-bottom: 0px">Information Source: #21mXj5peLP3bWTAc!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-at-home-in-vitro-test-result-covid.html">Observation - At-Home In-Vitro Test Result - COVID-19</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>category</b>: Laboratory
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory)
</span>
</p>
<p>
<b>code</b>: SARS-CoV+SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://loinc.org/95209-3">LOINC</a>#95209-3)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patient/patient-at-home-in-vitro-test-patricia-noelle: Patricia Noelle</a> " NOELLE"
</p>
<p>
<b>effective</b>: 2020-03-10
</p>
<p>
<b>value</b>: Detected
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#260373001)
</span>
</p>
<p>
<b>specimen</b>:
<a href="Specimen-specimen-anterior-nares-swab-p-noelle.html">Specimen/specimen-anterior-nares-swab-p-noelle: UR Specimen ID: MLD45-Z4-1234</a>
</p>
<p>
<b>device</b>:
<a href="Device-device-fast-sars-antigen-test.html">Device/device-fast-sars-antigen-test: UDI Device ID: 30014613339373</a>
</p>
</div>
</text>
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<text value="Laboratory"/>
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<coding>
<system value="http://loinc.org"/>
<code value="95209-3"/>
<display
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</coding>
<text
value="SARS-CoV+SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay"/>
</code>
<subject>
<reference
value="Patient/patient-at-home-in-vitro-test-patricia-noelle"/>
<display value="Patricia Noelle"/>
</subject>
<effectiveDateTime value="2020-03-10"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260373001"/>
<display value="Detected"/>
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<reference value="Specimen/specimen-anterior-nares-swab-p-noelle"/>
<display value="UR Specimen ID: MLD45-Z4-1234"/>
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<device>
<reference value="Device/device-fast-sars-antigen-test"/>
<display value="UDI Device ID: 30014613339373"/>
</device>
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<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"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource "observation-patient-answer-symptom-onset-covid-p-noelle" Version "2" Updated "2022-07-13 12:55:46+0000" </p>
<p style="margin-bottom: 0px">Information Source: #jGEhGIwGqzKppdD6!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-patient-question-answer.html">Observation - Patient Question Answer</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>category</b>: Survey
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#survey)
</span>
</p>
<p>
<b>code</b>: Date and time of Covid 19 symptom onset
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://loinc.org/65222-2">LOINC</a>#65222-2 "Date and time of symptom onset")
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patient/patient-at-home-in-vitro-test-patricia-noelle: Patricia Noelle</a> " NOELLE"
</p>
<p>
<b>effective</b>: 2021-03-24
</p>
<p>
<b>value</b>: 2021-03-22
</p>
</div>
</text>
<status value="final"/>
<category>
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<code value="survey"/>
<display value="Survey"/>
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<text value="Survey"/>
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<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
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<display value="Patricia Noelle"/>
</subject>
<effectiveDateTime value="2021-03-24"/>
<valueDateTime value="2021-03-22"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource "observation-patient-answer-symptoms-present-covid-p-noelle" Version "4" Updated "2022-07-13 12:41:20+0000" </p>
<p style="margin-bottom: 0px">Information Source: #Ijwr6JLVRqUCiFZ7!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-patient-question-answer.html">Observation - Patient Question Answer</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>category</b>: Survey
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#survey)
</span>
</p>
<p>
<b>code</b>: Whether the patient has symptoms related to condition of interest
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://loinc.org/95419-8.html">LOINC</a>#95419-8)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patient/patient-at-home-in-vitro-test-patricia-noelle: Patricia Noelle</a> " NOELLE"
</p>
<p>
<b>effective</b>: 2021-03-24
</p>
<p>
<b>value</b>: Yes
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#373066001)
</span>
</p>
</div>
</text>
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<code value="survey"/>
<display value="Survey"/>
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<text value="Survey"/>
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<code>
<coding>
<system value="http://loinc.org"/>
<code value="95419-8"/>
<display
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<text
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<subject>
<reference
value="Patient/patient-at-home-in-vitro-test-patricia-noelle"/>
<display value="Patricia Noelle"/>
</subject>
<effectiveDateTime value="2021-03-24"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373066001"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.org/fhir/Patient/patient-at-home-in-vitro-test-patricia-noelle"/>
<resource>
<Patient>
<id value="patient-at-home-in-vitro-test-patricia-noelle"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2023-01-26T01:10:17.283+00:00"/>
<source value="#y25s2GEJHWB3BGcV"/>
<profile
value="http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Patient-at-home-in-vitro-test"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText">Patricia
<b>NOELLE </b>
</div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Identifier</td>
<td>900</td>
</tr>
<tr>
<td>Address</td>
<td>
<span>7247 Main St </span>
<br/>
<span>Springfield </span>
<span>IL </span>
<span>US </span>
</td>
</tr>
<tr>
<td>Date of birth</td>
<td>
<span>17 October 1954</span>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-sex-for-clinical-use">
<extension url="value">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/home-lab-report/CodeSystem/codesystem-sex-for-clinical-use"/>
<code value="female"/>
<display value="Female sex for clinical use"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
<text value="Medical Record Number"/>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="900"/>
</identifier>
<active value="true"/>
<name>
<family value="Noelle"/>
<given value="Patricia"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-2003"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="Patricia.Noelle@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1954-10-17"/>
<address>
<line value="7247 Main St"/>
<city value="Springfield"/>
<district value="Sangamon"/>
<state value="IL"/>
<postalCode value="62707"/>
<country value="US"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.org/fhir/Organization/us-core-organization-acme-corporation"/>
<resource>
<Organization>
<id value="us-core-organization-acme-corporation"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2022-03-24T05:33:56.426+00:00"/>
<source value="#fmPHXoko59FiYwfG"/>
<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">
<p>
<b>Generated Narrative</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource "us-core-organization-acme-corporation" Version "2" Updated "2022-03-24 05:33:56+0000" </p>
<p style="margin-bottom: 0px">Information Source: #fmPHXoko59FiYwfG!</p>
<p style="margin-bottom: 0px">Profile:
<a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-organization.html">US Core Organization Profile</a>
</p>
</div>
<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>
</text>
<active value="true"/>
<name value="Acme Corporation"/>
<telecom>
<system value="phone"/>
<value value="+1(858)552-1100"/>
</telecom>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.org/fhir/Specimen/specimen-anterior-nares-swab-p-noelle"/>
<resource>
<Specimen>
<id value="specimen-anterior-nares-swab-p-noelle"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2022-04-26T05:52:06.045+00:00"/>
<source value="#zMz4tFlVYtNHiKsm"/>
<profile
value="http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource "specimen-anterior-nares-swab-p-noelle" Version "3" Updated "2022-04-26 05:52:06+0000" </p>
<p style="margin-bottom: 0px">Information Source: #zMz4tFlVYtNHiKsm!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Specimen-at-home-in-vitro-test.html">Specimen - At-Home In-Vitro Test</a>
</p>
</div>
<p>
<b>identifier</b>: id: MLD45-Z4-1234
</p>
<p>
<b>status</b>: available
</p>
<p>
<b>type</b>: Anterior nares swab (specimen)
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#697989009)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-patient-at-home-in-vitro-test-patricia-noelle.html">Patient/patient-at-home-in-vitro-test-patricia-noelle: Patricia Noelle</a> " NOELLE"
</p>
<p>
<b>receivedTime</b>: 2021-12-03 04:00:00+0000
</p>
<h3>Collections</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Collected[x]</b>
</td>
</tr>
<tr>
<td>*</td>
<td>2021-12-03 11:00:00+0000</td>
</tr>
</table>
</div>
</text>
<identifier>
<system value="http://lab.acme.org/specimens/2021"/>
<value value="MLD45-Z4-1234"/>
</identifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="697989009"/>
<display value="Anterior nares swab (specimen)"/>
</coding>
<text value="Anterior nares swab (specimen)"/>
</type>
<subject>
<reference
value="Patient/patient-at-home-in-vitro-test-patricia-noelle"/>
<display value="Patricia Noelle"/>
</subject>
<receivedTime value="2021-12-03T16:00:00Z"/>
<collection>
<collectedDateTime value="2021-12-03T11:00:00Z"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.org/fhir/Device/device-fast-sars-antigen-test"/>
<resource>
<Device>
<id value="device-fast-sars-antigen-test"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2022-04-26T05:51:44.289+00:00"/>
<source value="#s31mdfHg3R2qDJas"/>
<profile
value="http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Device-at-home-in-vitro-test"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource "device-fast-sars-antigen-test" Version "3" Updated "2022-04-26 05:51:44+0000" </p>
<p style="margin-bottom: 0px">Information Source: #s31mdfHg3R2qDJas!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Device-at-home-in-vitro-test.html">Device - At-Home In-Vitro Test</a>
</p>
</div>
<h3>UdiCarriers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>DeviceIdentifier</b>
</td>
<td>
<b>Issuer</b>
</td>
</tr>
<tr>
<td>*</td>
<td>30014613339373</td>
<td>
<code>GS1</code>
</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>: 7654321D
</p>
<p>
<b>serialNumber</b>: 10987654d321
</p>
<h3>DeviceNames</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Name</b>
</td>
<td>
<b>Type</b>
</td>
</tr>
<tr>
<td>*</td>
<td>Fast SARS Antigen Test</td>
<td>manufacturer-name</td>
</tr>
</table>
<p>
<b>modelNumber</b>: 20387
</p>
<p>
<b>partNumber</b>: 20387
</p>
<p>
<b>type</b>: Fast SARS Antigen Test
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>
</p>
<p>
<b>owner</b>:
<a href="Organization-us-core-organization-acme-corporation.html">Organization/us-core-organization-acme-corporation</a> "Acme Corporation"
</p>
</div>
</text>
<udiCarrier>
<deviceIdentifier value="30014613339373"/>
<issuer value="GS1"/>
</udiCarrier>
<status value="active"/>
<manufacturer value="ACME CORPORATION"/>
<expirationDate value="2022-11-20"/>
<lotNumber value="7654321D"/>
<serialNumber value="10987654d321"/>
<deviceName>
<name value="Fast SARS Antigen Test"/>
<type value="model-name"/>
</deviceName>
<modelNumber value="20387"/>
<partNumber value="20387"/>
<type>
<text value="Fast SARS Antigen Test"/>
</type>
</Device>
</resource>
</entry>
</Bundle>
IG © 2020+ Orders and Observations. Package hl7.fhir.us.home-lab-report#1.0.0 based on FHIR 4.0.1. Generated 2023-03-25
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