Generated Narrative: Observation
Resource Observation "vp-oyster"
identifier: http://sonomacounty.ca.gov/Health/Public-Health/Laboratory
/20171014-1234 (use: OFFICIAL)
status: preliminary
code: OYSTER TESTING (LOINC#41857-4 "Vibrio parahaemolyticus DNA [Presence] in Specimen by NAA with probe detection"; test-codes#VP MULTI PCR "VP MULTI PCR")
subject: : Sonoma oyster farm
effective: 2017-10-12
issued: Oct 14, 2017, 11:11:24 PM
performer: Practitioner/f005: A. Langeveld "Langeveld ANNE"
value: POSITIVE (SNOMED CT#10828004 "Positive (qualifier value)"; result-codes#POSITIVE)
interpretation: Abnormal (ObservationInterpretation#A)
specimen:
type: animal
membership: enumerated
member
entity: #bed1
member
entity: #bed2
ReferenceRanges
Generated Narrative: Specimen #bed1
note: Live Oysters Acc#20171014-1234 from Bed 1
Generated Narrative: Specimen #bed2
note: Live Oysters Acc#20171014-1234 from Bed 2
Generated Narrative: Group #group1
type: animal
membership: enumerated
member
entity: #bed1
member
entity: #bed2
"
] ; #
fhir:contained ( [
a fhir:Specimen ;
fhir:id [ fhir:v "bed1" ] ;
fhir:note ( [
fhir:text [ fhir:v "Live Oysters Acc#20171014-1234 from Bed 1" ]
] )
] [
a fhir:Specimen ;
fhir:id [ fhir:v "bed2" ] ;
fhir:note ( [
fhir:text [ fhir:v "Live Oysters Acc#20171014-1234 from Bed 2" ]
] )
] [
a fhir:Group ;
fhir:id [ fhir:v "group1" ] ;
fhir:type [ fhir:v "animal" ] ;
fhir:membership [ fhir:v "enumerated" ] ;
fhir:member ( [
fhir:entity [
fhir:reference [ fhir:v "#bed1" ]
]
] [
fhir:entity [
fhir:reference [ fhir:v "#bed2" ]
]
] )
] ) ; #
fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory"^^xsd:anyURI ] ;
fhir:value [ fhir:v "20171014-1234" ]
] ) ; #
fhir:status [ fhir:v "preliminary"] ; #
fhir:code [
fhir:coding ( [
a loinc:41857-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "41857-4" ] ;
fhir:display [ fhir:v "Vibrio parahaemolyticus DNA [Presence] in Specimen by NAA with probe detection" ]
] [
fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "VP MULTI PCR" ] ;
fhir:display [ fhir:v "VP MULTI PCR" ]
] ) ; # Should use a proper LOINC code
fhir:text [ fhir:v "OYSTER TESTING" ]
] ; #
# Observations are often coded in multiple code systems.
# - LOINC
# - or SNOMED
# -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC.
# In this example there is only local codes
#
fhir:subject [
fhir:display [ fhir:v "Sonoma oyster farm" ] # reference value=\"Location\/oyster-farm\"\/
] ; #
fhir:effective [ fhir:v "2017-10-12"^^xsd:date] ; #
fhir:issued [ fhir:v "2017-10-14T23:11:24Z"^^xsd:dateTime] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/f005" ] ;
fhir:display [ fhir:v "A. Langeveld" ]
] ) ; #
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:10828004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10828004" ] ;
fhir:display [ fhir:v "Positive (qualifier value)" ]
] [
fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "POSITIVE" ] ;
fhir:display [ fhir:v "POSITIVE" ]
] ) ; # SNOMED CT codes
fhir:text [ fhir:v "POSITIVE" ]
] ; # results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive
fhir:interpretation ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "A" ] ;
fhir:display [ fhir:v "Abnormal" ]
] )
] ) ; #
fhir:specimen [
fhir:reference [ fhir:v "#group1" ]
] ; #
fhir:referenceRange ( [
fhir:text [ fhir:v "NEGATIVE" ]
] )] . #
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