HIV Screening Clinical Guidelines Implementation Guide, published by National Association of Community Health Centers, Inc. (NACHC). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/hiv-cds/ and changes regularly. See the Directory of published versions
HIV Screening Recommendation
Functional Description
An implementation of the CDC HIV Screening Recommendation utilizing FHIR and CDS-Hooks Integration to establish Clinical Decision Support Workflows for HIV Screening.
Content
The following artifacts formalize the description of the logic and behavior defined by this recommendation.
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{"cards":[{"summary":"HIV Screening","indicator":"info","detail":"Peter Chalmers","source":{"label":"Info for those with HIV","url":"https://www.cdc.gov/hiv/guidelines/testing.html"}},{"summary":"HIV Screening Recommended due to patient never having been tested.","indicator":"info","detail":"CDC recommends that diagnostic HIV testing and opt-out HIV screening be a part of routine clinical care in all health-care settings while also preserving the patients option to decline HIV testing and ensuring a provider-patient relationship conducive to optimal clinical and preventive care.","source":{},"selectionBehavior":"any","suggestions":[{"label":"Recommend HIV Screening Test.","actions":[{"type":"create","description":"CDC recommends that diagnostic HIV testing and opt-out HIV screening be a part of routine clinical care in all health-care settings while also preserving the patients option to decline HIV testing and ensuring a provider-patient relationship conducive to optimal clinical and preventive care.","resource":{"resourceType":"ServiceRequest","status":"draft","intent":"proposal","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE218","display":"Human immunodeficiency virus antigen test (procedure)"},{"system":"http://snomed.info/sct","code":"31676001","display":"Human immunodeficiency virus antigen test (procedure)"}]},"subject":{"reference":"Patient/InclusionPatient"},"asNeededBoolean":true}}]}]}]}
{"hookInstance":"test","fhirServer":"http://localhost:8080/cqf-ruler-r4/fhir","hook":"patient-view","context":{"userId":"Practitioner/example","patientId":"Patient/ExclusionPatient"},"prefetch":{"item1":{"response":{"status":"200 OK"},"resource":{"resourceType":"Patient","id":"ExclusionPatient","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/hiv-patient"]},"extension":[{"url":"http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/sexualorientation","extension":[{"url":"Sexual Orientation","valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE49","display":"Lesbian, gay or homosexual"},{"system":"http://snomed.info/sct","code":"38628009","display":"Lesbian, gay or homosexual"}]}}]},{"url":"http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/genderidentity","extension":[{"url":"Gender Identity","valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE57","display":"Female"},{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female"}]}}]}],"identifier":[{"use":"usual","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"MR"}]},"system":"urn:oid:1.2.36.146.595.217.0.1","value":"12345","period":{"start":"2001-05-06"},"assigner":{"display":"Acme Healthcare"}}],"active":true,"name":[{"use":"official","family":"Merryweather","given":["Sally"]}],"gender":"female","birthDate":"1994-11-22","deceasedBoolean":false,"generalPractitioner":[{"reference":"PractitionerRole/hiv-practitionerrole-example"}]}},"item2":{"response":{"status":"200 OK"},"resource":{"resourceType":"Encounter","id":"ExclusionPatient-encounter-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/patient-encounter"]},"status":"in-progress","class":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"AMB","display":"ambulatory"},"type":[{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE2","display":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."},{"system":"http://www.ama-assn.org/go/cpt","code":"99202","display":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."}]}],"subject":{"reference":"Patient/ExclusionPatient"},"period":{"start":"2021-05-10T14:00:00-07:00","end":"2021-05-10T15:20:00-07:00"}}},"item3":{"response":{"status":"200 OK"},"resource":{"resourceType":"Condition","id":"ExclusionPatient-condition-hiv-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/hiv-diagnosis"]},"clinicalStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","version":"0.5.0","code":"active","display":"Active"}]},"verificationStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-ver-status","version":"0.5.0","code":"confirmed","display":"Confirmed"}]},"category":[{"coding":[{"system":"http://terminology.hl7.org/ValueSet/condition-category","version":"0.5.0","code":"encounter-diagnosis","display":"Encounter Diagnosis"}]}],"code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A1.DE2","display":"Acquired hemolytic anemia co-occurrent with human immunodeficiency virus infection (disorder)"},{"system":"http://snomed.info/sct","code":"713533000","display":"Acquired hemolytic anemia co-occurrent with human immunodeficiency virus infection (disorder)"}]},"subject":{"reference":"Patient/ExclusionPatient"},"onsetDateTime":"2014-01-10T14:00:00-07:00","abatementDateTime":"2021-07-10T14:00:00-07:00"}},"item4":{"response":{"status":"200 OK"},"resource":null}}}
{"cards":[{"summary":"HIV Screening","indicator":"info","detail":"Sally Merryweather","source":{"label":"Info for those with HIV","url":"https://www.cdc.gov/hiv/guidelines/testing.html"}},{"summary":"Exclusion from HIV Screening","indicator":"info","detail":"Patient was excluded from HIV Screening due to the patient already having been diagnosed with HIV.","source":{}}]}
{"hookInstance":"test","fhirServer":"http://localhost:8080/cqf-ruler-r4/fhir","hook":"patient-view","context":{"userId":"Practitioner/example","patientId":"Patient/HighRiskSTDPatient"},"prefetch":{"item1":{"response":{"status":"200 OK"},"resource":{"resourceType":"Patient","id":"HighRiskSTDPatient","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/hiv-patient"]},"extension":[{"url":"http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/sexualorientation","extension":[{"url":"Sexual Orientation","valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE50","display":"Straight or heterosexual"},{"system":"http://snomed.info/sct","code":"20430005","display":"Straight or heterosexual"}]}}]},{"url":"http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/genderidentity","extension":[{"url":"Gender Identity","valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE56","display":"Male"},{"system":"http://snomed.info/sct","code":"446151000124109","display":"Male"}]}}]}],"identifier":[{"use":"usual","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"MR"}]},"system":"urn:oid:1.2.36.146.595.217.0.1","value":"12345","period":{"start":"2001-05-06"},"assigner":{"display":"Acme Healthcare"}}],"active":true,"name":[{"use":"official","family":"Jones","given":["John"]}],"gender":"male","birthDate":"1982-08-08","deceasedBoolean":false,"generalPractitioner":[{"reference":"PractitionerRole/hiv-practitionerrole-example"}]}},"item2":{"response":{"status":"200 OK"},"resource":{"resourceType":"Encounter","id":"HighRiskSTDPatient-encounter-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/patient-encounter"]},"status":"in-progress","class":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"AMB","display":"ambulatory"},"type":[{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE2","display":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."},{"system":"http://www.ama-assn.org/go/cpt","code":"99202","display":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."}]}],"subject":{"reference":"Patient/HighRiskSTDPatient"},"period":{"start":"2021-07-08T10:00:00-07:00","end":"2021-07-08T11:20:00-07:00"}}},"item3":{"response":{"status":"200 OK"},"resource":{"resourceType":"Condition","id":"HighRiskSTDPatient-condition-hcv-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/hepatitis-c-diagnosis"]},"clinicalStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","version":"0.5.0","code":"active","display":"Active"}]},"verificationStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-ver-status","version":"0.5.0","code":"confirmed","display":"Confirmed"}]},"category":[{"coding":[{"system":"http://terminology.hl7.org/ValueSet/condition-category","version":"0.5.0","code":"encounter-diagnosis","display":"Encounter Diagnosis"}]}],"code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.B1.DE83","display":"Chronic lymphocytic cholangitis-cholangiohepatitis (disorder)"},{"system":"http://snomed.info/sct","code":"9843006","display":"Chronic lymphocytic cholangitis-cholangiohepatitis (disorder)"}]},"subject":{"reference":"Patient/HighRiskSTDPatient"},"onsetDateTime":"2020-07-10T14:00:00-07:00","abatementDateTime":"2021-07-10T14:00:00-07:00"}},"item4":{"response":{"status":"200 OK"},"resource":{"resourceType":"Observation","id":"HighRiskSTDPatient-observation-seeking-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/seeking-std-treatment"]},"status":"preliminary","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.H1.DE9","display":"Seeking STD Treatment"}]},"subject":{"reference":"Patient/HighRiskSTDPatient"},"encounter":{"reference":"Encounter/HighRiskSTDPatient-encounter-1"},"effectiveDateTime":"2021-07-08T10:20:00-07:00","valueBoolean":true}},"item5":{"response":{"status":"200 OK"},"resource":{"resourceType":"Observation","id":"HighRiskSTDPatient-observation-screening-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/hiv-test"]},"status":"final","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE1","display":"HIV Test"}]},"subject":{"reference":"Patient/HighRiskSTDPatient"},"encounter":{"reference":"Encounter/HighRiskSTDPatient-encounter-1"},"effectiveDateTime":"2021-03-08T10:00:00-07:00","performer":[{"reference":"PractitionerRole/hiv-practitionerrole-example"}],"valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE215","display":"HIV proviral DNA [Presence] in Blood by Probe with amplification"},{"system":"http://loinc.org","code":"2898779","display":"HIV proviral DNA [Presence] in Blood by Probe with amplification"}]}}}}}
{"cards":[{"summary":"HIV Screening","indicator":"info","detail":"John Jones","source":{"label":"Info for those with HIV","url":"https://www.cdc.gov/hiv/guidelines/testing.html"}},{"summary":"HIV Screening Recommended now due to patient interest.","indicator":"info","detail":"All patients seeking treatment for STDs, including all patients attending STD clinics, should be screened routinely for HIV during each visit for a new complaint, regardless of whether the patient is known or suspected to have specific behavior risks for HIV infection.","source":{},"selectionBehavior":"any","suggestions":[{"label":"Recommend HIV Screening Test.","actions":[{"type":"create","description":"All patients seeking treatment for STDs, including all patients attending STD clinics, should be screened routinely for HIV during each visit for a new complaint, regardless of whether the patient is known or suspected to have specific behavior risks for HIV infection.","resource":{"resourceType":"ServiceRequest","status":"draft","intent":"proposal","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE218","display":"Human immunodeficiency virus antigen test (procedure)"},{"system":"http://snomed.info/sct","code":"31676001","display":"Human immunodeficiency virus antigen test (procedure)"}]},"subject":{"reference":"Patient/HighRiskSTDPatient"},"asNeededBoolean":true}}]}]}]}
Patient that is at High Risk due to Injection Drug Use.
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{"cards":[{"summary":"HIV Screening","indicator":"info","detail":"Ashley Madelyn","source":{"label":"Info for those with HIV","url":"https://www.cdc.gov/hiv/guidelines/testing.html"}},{"summary":"HIV Screening Recommended due to patient being at High Risk for HIV and over three months have passed since previous screening.","indicator":"critical","detail":"Health-care providers should subsequently test all persons likely to be at high risk for HIV at least every 3 months. Persons likely to be at high risk include persons with problems related to drug abuse, injection-drug users and their sex partners, persons who exchange sex for money or drugs, sex partners of HIV-infected persons, and MSM or heterosexual persons who themselves or whose sex partners have had more than one sex partner since their most recent HIV test.","source":{},"selectionBehavior":"any","suggestions":[{"label":"Recommend HIV Screening Test.","actions":[{"type":"create","description":"Health-care providers should subsequently test all persons likely to be at high risk for HIV at least every 3 months. Persons likely to be at high risk include persons with problems related to drug abuse, injection-drug users and their sex partners, persons who exchange sex for money or drugs, sex partners of HIV-infected persons, and MSM or heterosexual persons who themselves or whose sex partners have had more than one sex partner since their most recent HIV test.","resource":{"resourceType":"ServiceRequest","status":"draft","intent":"proposal","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE218","display":"Human immunodeficiency virus antigen test (procedure)"},{"system":"http://snomed.info/sct","code":"31676001","display":"Human immunodeficiency virus antigen test (procedure)"}]},"subject":{"reference":"Patient/HighRiskIDUPatient"},"asNeededBoolean":true}}]}]}]}
Patient that is Pregnant in the Third Trimester while also being High Risk.
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{"cards":[{"summary":"HIV Screening","indicator":"info","detail":"Beatrix Coraline","source":{"label":"Info for those with HIV","url":"https://www.cdc.gov/hiv/guidelines/testing.html"}},{"summary":"HIV Screening Recommended due to patient being at high risk of HIV during third trimester of pregnancy.","indicator":"critical","detail":"A second HIV test during the third trimester for women in settings with elevated HIV incidence (\u003e17 cases per 100,000 person-years) is cost-effective and might result in substantial reductions in mother-to-child HIV transmission.","source":{},"selectionBehavior":"any","suggestions":[{"label":"Recommend HIV Screening Test.","actions":[{"type":"create","description":"A second HIV test during the third trimester for women in settings with elevated HIV incidence (\u003e17 cases per 100,000 person-years) is cost-effective and might result in substantial reductions in mother-to-child HIV transmission.","resource":{"resourceType":"ServiceRequest","status":"draft","intent":"proposal","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE218","display":"Human immunodeficiency virus antigen test (procedure)"},{"system":"http://snomed.info/sct","code":"31676001","display":"Human immunodeficiency virus antigen test (procedure)"}]},"subject":{"reference":"Patient/HighRiskPregnantPatient"},"asNeededBoolean":true}}]}]}]}
{"hookInstance":"test","fhirServer":"http://localhost:8080/cqf-ruler-r4/fhir","hook":"patient-view","context":{"userId":"Practitioner/example","patientId":"Patient/MSMPatient"},"prefetch":{"item1":{"response":{"status":"200 OK"},"resource":{"resourceType":"Patient","id":"MSMPatient","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/hiv-patient"]},"extension":[{"url":"http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/sexualorientation","extension":[{"url":"Sexual Orientation","valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE51","display":"Bisexual"},{"system":"http://snomed.info/sct","code":"42035005","display":"Bisexual"}]}}]},{"url":"http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/genderidentity","extension":[{"url":"Gender Identity","valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE59","display":"Male-to-Female (MTF)/Transgender Female/Trans Woman"},{"system":"http://snomed.info/sct","code":"407376001","display":"Male-to-Female (MTF)/Transgender Female/Trans Woman"}]}}]}],"identifier":[{"use":"usual","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"MR"}]},"system":"urn:oid:1.2.36.146.595.217.0.1","value":"12345","period":{"start":"2001-05-06"},"assigner":{"display":"Acme Healthcare"}}],"active":true,"name":[{"use":"official","family":"Kotic","given":["Joe"]}],"gender":"male","birthDate":"1972-06-09","deceasedBoolean":false,"generalPractitioner":[{"reference":"PractitionerRole/hiv-practitionerrole-example"}]}},"item2":{"response":{"status":"200 OK"},"resource":{"resourceType":"Encounter","id":"MSMPatient-encounter-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/patient-encounter"]},"status":"in-progress","class":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"AMB","display":"ambulatory"},"type":[{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A0.DE2","display":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."},{"system":"http://www.ama-assn.org/go/cpt","code":"99202","display":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."}]}],"subject":{"reference":"Patient/MSMPatient"},"period":{"start":"2021-07-31T10:00:00-07:00","end":"2021-07-31T11:20:00-07:00"}}},"item3":{"response":{"status":"200 OK"},"resource":{"resourceType":"Observation","id":"MSMPatient-observation-msm-2","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/sexual-activity-men"]},"status":"preliminary","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.H1.DE13","display":"Sexual Activity - Men"}]},"subject":{"reference":"Patient/MSMPatient"},"encounter":{"reference":"Encounter/MSMPatient-encounter-1"},"effectiveDateTime":"2021-07-31T10:30:00-07:00","valueBoolean":true}},"item4":{"response":{"status":"200 OK"},"resource":{"resourceType":"Observation","id":"MSMPatient-observation-screening-1","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/hiv-test"]},"status":"final","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE1","display":"HIV Test"}]},"subject":{"reference":"Patient/MSMPatient"},"effectiveDateTime":"2020-06-08T10:20:00-07:00","valueCodeableConcept":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE200","display":"HIV 1 RNA [Presence] in Serum or Plasma by NAA with probe detection"},{"system":"http://loinc.org","code":"25835-0","display":"HIV 1 RNA [Presence] in Serum or Plasma by NAA with probe detection"}]}}},"item5":{"response":{"status":"200 OK"},"resource":{"resourceType":"Observation","id":"MSMPatient-observation-multiple-3","meta":{"profile":["http://fhir.org/guides/nachc/hiv-cds/StructureDefinition/sexual-activity-partners-number-of-partners"]},"status":"preliminary","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.H1.DE18","display":"Sexual Activity - Partners Number of Partners"}]},"subject":{"reference":"Patient/MSMPatient"},"encounter":{"reference":"Encounter/MSMPatient-encounter-1"},"effectiveDateTime":"2021-07-31T10:30:00-07:00","valueBoolean":true}}}}
{"cards":[{"summary":"HIV Screening","indicator":"info","detail":"Joe Kotic","source":{"label":"Info for those with HIV","url":"https://www.cdc.gov/hiv/guidelines/testing.html"}},{"summary":"Annual HIV Screening Recommended due to patient being a sexually active MSM without HIV and has had multiple sex partners.","indicator":"warning","detail":"Among young (aged 18--24 years) men who have sex with men (MSM) surveyed during 2004--2005 in five U.S. cities, 14% were infected with HIV; 79% of these HIV-infected MSM were unaware of their infection.","source":{},"selectionBehavior":"any","suggestions":[{"label":"Recommend HIV Screening Test.","actions":[{"type":"create","description":"Among young (aged 18--24 years) men who have sex with men (MSM) surveyed during 2004--2005 in five U.S. cities, 14% were infected with HIV; 79% of these HIV-infected MSM were unaware of their infection.","resource":{"resourceType":"ServiceRequest","status":"draft","intent":"proposal","code":{"coding":[{"system":"http://fhir.org/guides/nachc/hiv-cds/CodeSystem/hiv-custom","code":"NACHC.A2.DE218","display":"Human immunodeficiency virus antigen test (procedure)"},{"system":"http://snomed.info/sct","code":"31676001","display":"Human immunodeficiency virus antigen test (procedure)"}]},"subject":{"reference":"Patient/MSMPatient"},"asNeededBoolean":true}}]}]}]}
|