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 9977 - JSON Representation

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{
  "resourceType" : "DiagnosticReport",
  "id" : "9977",
  "meta" : {
    "versionId" : "22",
    "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 9977</b></p><a name=\"9977\"> </a><a name=\"hc9977\"> </a><a name=\"9977-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: 22; 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 2823-3}\">POTASSIUM:SCNC:PT:SER/PLAS: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>2019-02-05 17:42:55-0500</td></tr><tr><td>Reported</td><td>2019-02-05 17:43:33-0500</td></tr><tr><td>Performer</td><td> <a href=\"#hc9977/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>/1190360004\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><td><b>Note</b></td></tr><tr><td><a href=\"#hc9977/ChemistryResult-1.1\"><span title=\"Codes:{http://loinc.org 2823-3}, {http://va.gov/terminology/vistaDefinedTerms/95.3 4670505}\">POTASSIUM</span></a></td><td>3.4 mEq/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemeq/L = 'meq/L')</span></td><td>3.6-5.1</td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">L</span></td><td>Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L.</td></tr></table><hr/><p class=\"res-header-id\"><b>Generated Narrative: Specimen  #Specimen-0</b></p><a name=\"9977/Specimen-0\"> </a><a name=\"hc9977/Specimen-0\"> </a><a name=\"9977/Specimen-0-en-US\"> </a><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0487 SER}, {http://va.gov/terminology/vistaDefinedTerms/61 72}\">SERUM</span></p><p><b>request</b>: <a href=\"#hc9977/ServiceRequest-1\">ServiceRequest POTASSIUM</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>2019-02-05 17:42:55-0500</td></tr></table><hr/><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #Provider-1</b></p><a name=\"9977/Provider-1\"> </a><a name=\"hc9977/Provider-1\"> </a><a name=\"9977/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=\"9977/Organization-552\"> </a><a name=\"hc9977/Organization-552\"> </a><a name=\"9977/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=\"9977/OrgPerformer-989\"> </a><a name=\"hc9977/OrgPerformer-989\"> </a><a name=\"9977/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=\"9977/ServiceRequest-1\"> </a><a name=\"hc9977/ServiceRequest-1\"> </a><a name=\"9977/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 84140.0000}, {http://va.gov/terminology/vistaDefinedTerms/60 177}\">Potassium</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=\"#hc9977/Provider-1\">Practitioner LISA A HALL </a></p><p><b>performer</b>: <a href=\"#hc9977/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=\"9977/ChemistryResult-1.1\"> </a><a name=\"hc9977/ChemistryResult-1.1\"> </a><a name=\"9977/ChemistryResult-1.1-en-US\"> </a><p><b>basedOn</b>: <a href=\"#hc9977/ServiceRequest-1\">ServiceRequest POTASSIUM</a></p><p><b>status</b>: Final</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 2823-3}, {http://va.gov/terminology/vistaDefinedTerms/95.3 4670505}\">POTASSIUM</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>: 2019-02-05 17:42:55-0500</p><p><b>performer</b>: <a href=\"#hc9977/Organization-552\">Organization DAYTON, OH VAMC</a></p><p><b>value</b>: 3.4 mEq/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemeq/L = 'meq/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">L</span></p><p><b>note</b>: Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L.</p><p><b>specimen</b>: <a href=\"#hc9977/Specimen-0\">Specimen: status = available; type = Serum</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>3.6-5.1</td></tr></table></div>"
  },
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      "resourceType" : "Specimen",
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      "status" : "available",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0487",
            "code" : "SER",
            "display" : "Serum"
          },
          {
            "system" : "http://va.gov/terminology/vistaDefinedTerms/61",
            "version" : "5.2",
            "code" : "72",
            "display" : "SERUM"
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        ],
        "text" : "SERUM"
      },
      "request" : [
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          "reference" : "#ServiceRequest-1"
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      ],
      "collection" : {
        "collectedDateTime" : "2019-02-05T17:42:55-05:00"
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      "id" : "Provider-1",
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      "name" : [
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          "family" : "HALL",
          "given" : [
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    {
      "resourceType" : "Organization",
      "id" : "Organization-552",
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          "system" : "urn:oid:2.16.840.1.113883.4.349",
          "value" : "552"
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      ],
      "active" : true,
      "name" : "DAYTON, OH VAMC",
      "address" : [
        {
          "line" : [
            "4100 W. THIRD STREET"
          ],
          "city" : "DAYTON",
          "state" : "OH",
          "postalCode" : "45428",
          "country" : "USA"
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      "resourceType" : "Organization",
      "id" : "OrgPerformer-989",
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      "status" : "unknown",
      "intent" : "order",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "108252007",
              "display" : "Laboratory procedure"
            }
          ]
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      "code" : {
        "coding" : [
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            "system" : "http://va.gov/terminology/vistaDefinedTerms/64",
            "code" : "84140.0000"
          },
          {
            "system" : "http://va.gov/terminology/vistaDefinedTerms/60",
            "code" : "177",
            "display" : "POTASSIUM"
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        ],
        "text" : "Potassium"
      },
      "subject" : {
        🔗 "reference" : "Patient/ex-MHV-patient-942104"
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      "requester" : {
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      "id" : "ChemistryResult-1.1",
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      "basedOn" : [
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      "status" : "final",
      "category" : [
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          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "laboratory"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "version" : "2.64",
            "code" : "2823-3"
          },
          {
            "system" : "http://va.gov/terminology/vistaDefinedTerms/95.3",
            "version" : "2.64",
            "code" : "4670505"
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        ],
        "text" : "POTASSIUM"
      },
      "subject" : {
        🔗 "reference" : "Patient/ex-MHV-patient-942104"
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      "effectiveDateTime" : "2019-02-05T17:42:55-05:00",
      "performer" : [
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          "reference" : "#Organization-552"
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      "valueQuantity" : {
        "value" : 3.4,
        "unit" : "mEq/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "meq/L"
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "L"
            }
          ],
          "text" : "L"
        }
      ],
      "note" : [
        {
          "text" : "Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L."
        }
      ],
      "specimen" : {
        "reference" : "#Specimen-0"
      },
      "referenceRange" : [
        {
          "text" : "3.6-5.1"
        }
      ]
    }
  ],
  "identifier" : [
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      "use" : "usual",
      "system" : "urn:fdc:TEST.DAYTON.MED.VA.GOV:LR",
      "value" : "1190360004"
    }
  ],
  "basedOn" : [
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      "reference" : "#ServiceRequest-1"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "LAB"
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      ]
    },
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      "coding" : [
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          "code" : "CH"
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          "code" : "2823-3"
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      ],
      "text" : "POTASSIUM:SCNC:PT:SER/PLAS:QN:"
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  "code" : {
    "text" : "CH"
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  "subject" : {
    🔗 "reference" : "Patient/ex-MHV-patient-942104"
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  "effectiveDateTime" : "2019-02-05T17:42:55-05:00",
  "issued" : "2019-02-05T17:43:33.000-05:00",
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      "reference" : "#ChemistryResult-1.1"
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}