MyHealtheVet PHR FHIR API
0.3.9-current - ci-build United States of America flag

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

Example DiagnosticReport: ChemHem 1

Page standards status: Informative

Example from a mock chReport

      <labTestPromises>
         <recordIdentifier>
            <identity>1110200002</identity>
            <namespaceId>LR</namespaceId>
            <universalId>TEST.DAYTON.MED.VA.GOV</universalId>
            <universalIdType>DNS</universalIdType>
         </recordIdentifier>
         <patient>
            <identifier>
               <identity>27167</identity>
               <assigningFacility>989</assigningFacility>
               <assigningAuthority>USVHA</assigningAuthority>
            </identifier>
            <name>
               <given>TESTFIVE</given>
               <middle>L</middle>
               <family>MHVSYSTEST</family>
            </name>
         </patient>
         <reportCompleteDate>
            <literal>20210121132347-0500</literal>
         </reportCompleteDate>
         <labSubscript>CH</labSubscript>
         <labCommentEvents>
            <comments>Lisa's Test 1/20/2021 - Second lab</comments>
            <comments>Added Potassium test</comments>
         </labCommentEvents>
         <labTestRequest>
            <author>
               <identifier>
                  <identity>14934-VA552</identity>
               </identifier>
               <idSourceTable>99VA4</idSourceTable>
               <name>
                  <given>LISA</given>
                  <middle>A</middle>
                  <family>HALL</family>
               </name>
            </author>
            <orderingFacilityIdentifier>
               <identity>552</identity>
               <name>DAYTON, OH VAMC</name>
               <assigningAuthority>USVHA</assigningAuthority>
               <nameTypeCode>L</nameTypeCode>
               <identityTypeCode>FI</identityTypeCode>
               <nameRepresentation>A</nameRepresentation>
               <stationNumber>552</stationNumber>
            </orderingFacilityIdentifier>
         </labTestRequest>
         <specimen>
            <specimenSource>
               <code>SER</code>
               <displayText>Serum</displayText>
               <codingSystem>HL70070</codingSystem>
               <alternateCode>72</alternateCode>
               <alternateDisplayText>SERUM</alternateDisplayText>
               <alternateCodingSystem>99VA61</alternateCodingSystem>
               <alternateCodingSystemVersion>5.2</alternateCodingSystemVersion>
               <originalText>SERUM</originalText>
            </specimenSource>
            <specimenTakenDate>
               <literal>20210120163859-0500</literal>
            </specimenTakenDate>
         </specimen>
         <labTests>
            <orderedTestCode>
               <code>84140.0000</code>
               <displayText>Potassium</displayText>
               <codingSystem>99VA64</codingSystem>
               <alternateCode>177</alternateCode>
               <alternateDisplayText>POTASSIUM</alternateDisplayText>
               <alternateCodingSystem>99VA60</alternateCodingSystem>
            </orderedTestCode>
            <chemistryResults>
               <valueInterpretation>L</valueInterpretation>
               <observationStatus>F</observationStatus>
               <testIdentifier>
                  <code>2823-3</code>
                  <displayText>POTASSIUM:SCNC:PT:SER/PLAS:QN:</displayText>
                  <codingSystem>LN</codingSystem>
                  <codingSystemVersion>2.68</codingSystemVersion>
                  <alternateCode>4670505</alternateCode>
                  <alternateCodingSystem>99VA95.3</alternateCodingSystem>
                  <alternateCodingSystemVersion>2.68</alternateCodingSystemVersion>
                  <originalText>POTASSIUM</originalText>
               </testIdentifier>
               <referenceRange>3.6-5.1</referenceRange>
               <labCommentEvents>
                  <comments>Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L.</comments>
               </labCommentEvents>
               <observationValue>3.5</observationValue>
               <observationUnits>
                  <code>mEq/L</code>
                  <displayText>mEq/L</displayText>
                  <codingSystem>L</codingSystem>
               </observationUnits>
               <performingOrganization>
                  <identifier>
                     <identity>552</identity>
                     <name>DAYTON, OH VAMC</name>
                     <assigningAuthority>USVHA</assigningAuthority>
                     <nameTypeCode>L</nameTypeCode>
                     <identityTypeCode>FI</identityTypeCode>
                     <nameRepresentation>A</nameRepresentation>
                     <stationNumber>552</stationNumber>
                  </identifier>
                  <address>
                     <line1>4100 W. THIRD STREET</line1>
                     <city>DAYTON</city>
                     <postalCode>45428</postalCode>
                     <country>USA</country>
                     <state>OH</state>
                  </address>
               </performingOrganization>
            </chemistryResults>
         </labTests>
         <labTests>
            <orderedTestCode>
               <code>84295.0000</code>
               <displayText>Sodium</displayText>
               <codingSystem>99VA64</codingSystem>
               <alternateCode>176</alternateCode>
               <alternateDisplayText>SODIUM</alternateDisplayText>
               <alternateCodingSystem>99VA60</alternateCodingSystem>
            </orderedTestCode>
            <chemistryResults>
               <observationStatus>F</observationStatus>
               <testIdentifier>
                  <code>2951-2</code>
                  <displayText>SODIUM:SCNC:PT:SER/PLAS:QN:</displayText>
                  <codingSystem>LN</codingSystem>
                  <codingSystemVersion>2.68</codingSystemVersion>
                  <alternateCode>4671912</alternateCode>
                  <alternateCodingSystem>99VA95.3</alternateCodingSystem>
                  <alternateCodingSystemVersion>2.68</alternateCodingSystemVersion>
                  <originalText>SODIUM</originalText>
               </testIdentifier>
               <referenceRange>136-145</referenceRange>
               <observationValue>138</observationValue>
               <observationUnits>
                  <code>mEq/L</code>
                  <displayText>mEq/L</displayText>
                  <codingSystem>L</codingSystem>
               </observationUnits>
               <performingOrganization>
                  <identifier>
                     <identity>552</identity>
                     <name>DAYTON, OH VAMC</name>
                     <assigningAuthority>USVHA</assigningAuthority>
                     <nameTypeCode>L</nameTypeCode>
                     <identityTypeCode>FI</identityTypeCode>
                     <nameRepresentation>A</nameRepresentation>
                     <stationNumber>552</stationNumber>
                  </identifier>
                  <address>
                     <line1>4100 W. THIRD STREET</line1>
                     <city>DAYTON</city>
                     <postalCode>45428</postalCode>
                     <country>USA</country>
                     <state>OH</state>
                  </address>
               </performingOrganization>
            </chemistryResults>
         </labTests>
         <recordSource>
            <namespaceId>989</namespaceId>
            <universalId>DAYT29.FO-BAYPINES.MED.VA.GOV</universalId>
            <universalIdType>DNS</universalIdType>
         </recordSource>
         <recordVersion>0</recordVersion>
         <recordUpdateTime>
            <literal>20210121132348-0500</literal>
         </recordUpdateTime>
      </labTestPromises>

Generated Narrative: DiagnosticReport ex-MHV-chReport-1

CH (Laboratory, Chemistry, POTASSIUM:SCNC:PT:SER/PLAS:QN:, SODIUM:SCNC:PT:SER/PLAS:QN:)

SubjectL MHVSYSTEST Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104 (use: usual, ))
When For2021-01-20 16:38:59-0500
Reported2021-01-21 11:32:47-0500
Performer Organization Lab Site 989
Identifier urn:fdc:TEST.SALT-LAKE.MED.VA.GOV:LR/1110200002 (use: usual, )

Report Details

CodeValueReference RangeFlagsNote
POTASSIUM3.5 mEq/L3.6-5.1Final, LNormal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L.
SODIUM:SCNC:PT:SER/PLAS:QN:138 mEq/L136-145Final, L

Generated Narrative: Organization #ex-MHV-organization-552

identifier: L/552 (use: usual, )

active: true

name: DAYTON, OH VAMC

address: 4100 W. THIRD STREET DAYTON OH 45428 USA


Generated Narrative: Practitioner #ex-MHV-practitioner-14934-VA552

identifier: http://va.gov/terminology/vistaDefinedTerms/4/14934-VA552

name: LISA A HALL


Generated Narrative: Organization #ex-MHV-organization-989

identifier: urn:oid:2.16.840.1.113883.4.349/LabSiteTO.989 (use: usual, ), United States National Provider Identifier/1234

active: true

name: Lab Site 989


Generated Narrative: ServiceRequest #ex-MHV-chOrder-1a

status: Unknown

intent: Order

category: Laboratory procedure

code: Potassium

subject: L MHVSYSTEST Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104 (use: usual, ))

requester: Practitioner LISA A HALL

performer: Organization DAYTON, OH VAMC


Generated Narrative: Observation #ex-MHV-chTest-1a

basedOn: ServiceRequest POTASSIUM

status: Final

category: Laboratory

code: POTASSIUM

subject: L MHVSYSTEST Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104 (use: usual, ))

effective: 2021-01-20 16:38:59-0500

performer: Organization DAYTON, OH VAMC

value: 3.5 mEq/L

interpretation: L

note: Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L.

specimen: Specimen: status = available; type = Serum

ReferenceRanges

-Text
*3.6-5.1

Generated Narrative: ServiceRequest #ex-MHV-chOrder-1b

status: Unknown

intent: Order

category: Laboratory procedure

code: Sodium

subject: L MHVSYSTEST Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104 (use: usual, ))

requester: Practitioner LISA A HALL

performer: Organization DAYTON, OH VAMC


Generated Narrative: Observation #ex-MHV-chTest-1b

basedOn: ServiceRequest SODIUM

status: Final

category: Laboratory

code: SODIUM:SCNC:PT:SER/PLAS:QN:

subject: L MHVSYSTEST Unknown, DoB: 1000-01-01 ( urn:oid:2.16.840.1.113883.4.349#942104 (use: usual, ))

effective: 2021-01-20 16:38:59-0500

performer: Organization DAYTON, OH VAMC

value: 138 mEq/L

interpretation: L

specimen: Specimen: status = available; type = Serum

ReferenceRanges

-Text
*136-145

Generated Narrative: Specimen #ex-MHV-chSpecimen-1

status: Available

type: SERUM

request: ServiceRequest POTASSIUM

Collections

-Collected[x]
*2021-01-20 16:38:59-0500