MyHealtheVet PHR FHIR API
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MyHealtheVet PHR FHIR API, published by VA Digital Services. This guide is not an authorized publication; it is the continuous build for version 0.3.9-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/department-of-veterans-affairs/mhv-fhir-phr-mapping/ and changes regularly. See the Directory of published versions

: ChemHem 9968 - JSON Representation

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{
  "resourceType" : "DiagnosticReport",
  "id" : "9968",
  "meta" : {
    "versionId" : "19",
    "lastUpdated" : "2024-05-16T18:08:59.215-04:00",
    "source" : "#reWo6V0WdeyFTR19",
    "profile" : [
      🔗 "https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 9968</b></p><a name=\"9968\"> </a><a name=\"hc9968\"> </a><a name=\"9968-en-US\"> </a><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\">version: 19; Last updated: 2024-05-16 18:08:59-0400; </p><p style=\"margin-bottom: 0px\">Information Source: #reWo6V0WdeyFTR19</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-VA.MHV.PHR.chReport.html\">VA MHV PHR HDR Chem-Hem Report</a></p></div><h2><span title=\"Codes:\">CH</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 CH}\">Chemistry</span>, <span title=\"Codes:{http://loinc.org 2162-6}\">CREATININE:MRAT:24H:URINE:QN:</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>L MHVSYSTEST  Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104\u00a0(use:\u00a0usual,\u00a0))</td></tr><tr><td>When For</td><td>2021-01-20 16:22:23-0500</td></tr><tr><td>Reported</td><td>2021-01-21 13:19:31-0500</td></tr><tr><td>Performer</td><td> <a href=\"#hc9968/OrgPerformer-989\">Organization DAYT29.FO-BAYPINES.MED.VA.GOV</a></td></tr><tr><td>Identifier</td><td> <code>urn:fdc:TEST.DAYTON.MED.VA.GOV:LR</code>/1110200001\u00a0(use:\u00a0usual,\u00a0)</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>Reference Range</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"#hc9968/ChemistryResult-1.1\"><span title=\"Codes:{http://loinc.org 2162-6}, {http://va.gov/terminology/vistaDefinedTerms/95.3 4663504}\">CREATININE</span></a></td><td>0.02c gm/24h</td><td>1-2</td><td>Corrected</td></tr></table><hr/><p class=\"res-header-id\"><b>Generated Narrative: Specimen  #Specimen-0</b></p><a name=\"9968/Specimen-0\"> </a><a name=\"hc9968/Specimen-0\"> </a><a name=\"9968/Specimen-0-en-US\"> </a><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info 78014005}, {http://terminology.hl7.org/CodeSystem/v2-0487 UR}\">URINE</span></p><p><b>request</b>: <a href=\"#hc9968/ServiceRequest-1\">ServiceRequest CREATININE</a></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>2021-01-20 16:22:23-0500</td></tr></table><hr/><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #Provider-1</b></p><a name=\"9968/Provider-1\"> </a><a name=\"hc9968/Provider-1\"> </a><a name=\"9968/Provider-1-en-US\"> </a><p><b>identifier</b>: <code>http://va.gov/terminology/vistaDefinedTerms/4</code>/14934-VA552</p><p><b>name</b>: LISA A HALL </p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Organization  #Organization-552</b></p><a name=\"9968/Organization-552\"> </a><a name=\"hc9968/Organization-552\"> </a><a name=\"9968/Organization-552-en-US\"> </a><p><b>identifier</b>: FI/552\u00a0(use:\u00a0usual,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: DAYTON, OH VAMC</p><p><b>address</b>: 4100 W. THIRD STREET DAYTON OH 45428 USA </p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Organization  #OrgPerformer-989</b></p><a name=\"9968/OrgPerformer-989\"> </a><a name=\"hc9968/OrgPerformer-989\"> </a><a name=\"9968/OrgPerformer-989-en-US\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.4.349</code>/989\u00a0(use:\u00a0usual,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: DAYT29.FO-BAYPINES.MED.VA.GOV</p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest  #ServiceRequest-1</b></p><a name=\"9968/ServiceRequest-1\"> </a><a name=\"hc9968/ServiceRequest-1\"> </a><a name=\"9968/ServiceRequest-1-en-US\"> </a><p><b>status</b>: Unknown</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://va.gov/terminology/vistaDefinedTerms/64 82565.0000}, {http://va.gov/terminology/vistaDefinedTerms/60 173}\">Creatinine</span></p><p><b>subject</b>: <a href=\"Patient-ex-MHV-patient-942104.html\">L MHVSYSTEST  Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>requester</b>: <a href=\"#hc9968/Provider-1\">Practitioner LISA A HALL </a></p><p><b>performer</b>: <a href=\"#hc9968/Organization-552\">Organization DAYTON, OH VAMC</a></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation  #ChemistryResult-1.1</b></p><a name=\"9968/ChemistryResult-1.1\"> </a><a name=\"hc9968/ChemistryResult-1.1\"> </a><a name=\"9968/ChemistryResult-1.1-en-US\"> </a><p><b>basedOn</b>: <a href=\"#hc9968/ServiceRequest-1\">ServiceRequest CREATININE</a></p><p><b>status</b>: Corrected</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 2162-6}, {http://va.gov/terminology/vistaDefinedTerms/95.3 4663504}\">CREATININE</span></p><p><b>subject</b>: <a href=\"Patient-ex-MHV-patient-942104.html\">L MHVSYSTEST  Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2021-01-20 16:22:23-0500</p><p><b>performer</b>: <a href=\"#hc9968/Organization-552\">Organization DAYTON, OH VAMC</a></p><p><b>value</b>: 0.02c gm/24h</p><p><b>specimen</b>: <a href=\"#hc9968/Specimen-0\">Specimen: status = available; type = Urine (substance)</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>1-2</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Specimen",
      "id" : "Specimen-0",
      "meta" : {
        "profile" : [
          🔗 "https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chSpecimen"
        ]
      },
      "status" : "available",
      "type" : {
        "coding" : [
          {
            "system" : "http://snomed.info",
            "version" : "20200901",
            "code" : "78014005",
            "display" : "Urine (substance)"
          },
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0487",
            "code" : "UR",
            "display" : "Urine"
          }
        ],
        "text" : "URINE"
      },
      "request" : [
        {
          "reference" : "#ServiceRequest-1"
        }
      ],
      "collection" : {
        "collectedDateTime" : "2021-01-20T16:22:23-05:00"
      }
    },
    {
      "resourceType" : "Practitioner",
      "id" : "Provider-1",
      "identifier" : [
        {
          "system" : "http://va.gov/terminology/vistaDefinedTerms/4",
          "value" : "14934-VA552"
        }
      ],
      "name" : [
        {
          "family" : "HALL",
          "given" : [
            "LISA",
            "A"
          ]
        }
      ]
    },
    {
      "resourceType" : "Organization",
      "id" : "Organization-552",
      "meta" : {
        "profile" : [
          🔗 "https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization"
        ]
      },
      "identifier" : [
        {
          "use" : "usual",
          "type" : {
            "text" : "FI"
          },
          "system" : "urn:oid:2.16.840.1.113883.4.349",
          "value" : "552"
        }
      ],
      "active" : true,
      "name" : "DAYTON, OH VAMC",
      "address" : [
        {
          "line" : [
            "4100 W. THIRD STREET"
          ],
          "city" : "DAYTON",
          "state" : "OH",
          "postalCode" : "45428",
          "country" : "USA"
        }
      ]
    },
    {
      "resourceType" : "Organization",
      "id" : "OrgPerformer-989",
      "meta" : {
        "profile" : [
          🔗 "https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization"
        ]
      },
      "identifier" : [
        {
          "use" : "usual",
          "system" : "urn:oid:2.16.840.1.113883.4.349",
          "value" : "989"
        }
      ],
      "active" : true,
      "name" : "DAYT29.FO-BAYPINES.MED.VA.GOV"
    },
    {
      "resourceType" : "ServiceRequest",
      "id" : "ServiceRequest-1",
      "meta" : {
        "profile" : [
          🔗 "https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chOrder"
        ]
      },
      "status" : "unknown",
      "intent" : "order",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "108252007",
              "display" : "Laboratory procedure"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://va.gov/terminology/vistaDefinedTerms/64",
            "code" : "82565.0000"
          },
          {
            "system" : "http://va.gov/terminology/vistaDefinedTerms/60",
            "code" : "173",
            "display" : "CREATININE"
          }
        ],
        "text" : "Creatinine"
      },
      "subject" : {
        🔗 "reference" : "Patient/ex-MHV-patient-942104"
      },
      "requester" : {
        "reference" : "#Provider-1"
      },
      "performer" : [
        {
          "reference" : "#Organization-552"
        }
      ]
    },
    {
      "resourceType" : "Observation",
      "id" : "ChemistryResult-1.1",
      "meta" : {
        "profile" : [
          🔗 "https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chTest"
        ]
      },
      "basedOn" : [
        {
          "reference" : "#ServiceRequest-1"
        }
      ],
      "status" : "corrected",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "laboratory"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "version" : "2.68",
            "code" : "2162-6"
          },
          {
            "system" : "http://va.gov/terminology/vistaDefinedTerms/95.3",
            "version" : "2.68",
            "code" : "4663504"
          }
        ],
        "text" : "CREATININE"
      },
      "subject" : {
        🔗 "reference" : "Patient/ex-MHV-patient-942104"
      },
      "effectiveDateTime" : "2021-01-20T16:22:23-05:00",
      "performer" : [
        {
          "reference" : "#Organization-552"
        }
      ],
      "valueString" : "0.02c gm/24h",
      "specimen" : {
        "reference" : "#Specimen-0"
      },
      "referenceRange" : [
        {
          "text" : "1-2"
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/Notes",
      "valueString" : "Lisa's test 1/20/2021\nLisa's amendment 1/21/21\nCREATININE  reported incorrectly as 0.03c by [14934-VA552].\nChanged to 0.02c on Jan 21, 2021@13:19 by [14934-VA552]."
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "system" : "urn:fdc:TEST.DAYTON.MED.VA.GOV:LR",
      "value" : "1110200001"
    }
  ],
  "basedOn" : [
    {
      "reference" : "#ServiceRequest-1"
    }
  ],
  "status" : "preliminary",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "LAB"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "CH"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "version" : "2.68",
          "code" : "2162-6"
        }
      ],
      "text" : "CREATININE:MRAT:24H:URINE:QN:"
    }
  ],
  "code" : {
    "text" : "CH"
  },
  "subject" : {
    🔗 "reference" : "Patient/ex-MHV-patient-942104"
  },
  "effectiveDateTime" : "2021-01-20T16:22:23-05:00",
  "issued" : "2021-01-21T13:19:31.000-05:00",
  "performer" : [
    {
      "reference" : "#OrgPerformer-989"
    }
  ],
  "specimen" : [
    {
      "reference" : "#Specimen-0"
    }
  ],
  "result" : [
    {
      "reference" : "#ChemistryResult-1.1"
    }
  ]
}