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

: ChemHem 1 - XML Representation

Page standards status: Informative

Raw xml | Download



<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="ex-MHV-chReport-1"/>
  <meta>
    <profile
             value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chReport"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport ex-MHV-chReport-1</b></p><a name="ex-MHV-chReport-1"> </a><a name="hcex-MHV-chReport-1"> </a><a name="ex-MHV-chReport-1-en-US"> </a><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>, <span title="Codes:{http://loinc.org 2951-2}">SODIUM: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 (use: usual, ))</td></tr><tr><td>When For</td><td>2021-01-20 16:38:59-0500</td></tr><tr><td>Reported</td><td>2021-01-21 11:32:47-0500</td></tr><tr><td>Performer</td><td> <a href="#hcex-MHV-chReport-1/ex-MHV-organization-989">Organization Lab Site 989</a></td></tr><tr><td>Identifier</td><td> <code>urn:fdc:TEST.SALT-LAKE.MED.VA.GOV:LR</code>/1110200002 (use: usual, )</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="#hcex-MHV-chReport-1/ex-MHV-chTest-1a"><span title="Codes:{http://loinc.org 2823-3}, {http://va.gov/terminology/vistaDefinedTerms/95.3 4670505}">POTASSIUM</span></a></td><td>3.5 mEq/L</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><tr><td><a href="#hcex-MHV-chReport-1/ex-MHV-chTest-1b"><span title="Codes:{http://loinc.org 2951-2}, {http://va.gov/terminology/vistaDefinedTerms/95.3 4671912}">SODIUM:SCNC:PT:SER/PLAS:QN:</span></a></td><td>138 mEq/L</td><td>136-145</td><td>Final, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}">L</span></td><td/></tr></table><hr/><p class="res-header-id"><b>Generated Narrative: Organization  #ex-MHV-organization-552</b></p><a name="ex-MHV-chReport-1/ex-MHV-organization-552"> </a><a name="hcex-MHV-chReport-1/ex-MHV-organization-552"> </a><a name="ex-MHV-chReport-1/ex-MHV-organization-552-en-US"> </a><p><b>identifier</b>: L/552 (use: usual, )</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: Practitioner  #ex-MHV-practitioner-14934-VA552</b></p><a name="ex-MHV-chReport-1/ex-MHV-practitioner-14934-VA552"> </a><a name="hcex-MHV-chReport-1/ex-MHV-practitioner-14934-VA552"> </a><a name="ex-MHV-chReport-1/ex-MHV-practitioner-14934-VA552-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  #ex-MHV-organization-989</b></p><a name="ex-MHV-chReport-1/ex-MHV-organization-989"> </a><a name="hcex-MHV-chReport-1/ex-MHV-organization-989"> </a><a name="ex-MHV-chReport-1/ex-MHV-organization-989-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.4.349</code>/LabSiteTO.989 (use: usual, ), <a href="http://terminology.hl7.org/6.0.2/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1234</p><p><b>active</b>: true</p><p><b>name</b>: Lab Site 989</p><hr/><p class="res-header-id"><b>Generated Narrative: ServiceRequest  #ex-MHV-chOrder-1a</b></p><a name="ex-MHV-chReport-1/ex-MHV-chOrder-1a"> </a><a name="hcex-MHV-chReport-1/ex-MHV-chOrder-1a"> </a><a name="ex-MHV-chReport-1/ex-MHV-chOrder-1a-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 (use: usual, ))</a></p><p><b>requester</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-practitioner-14934-VA552">Practitioner LISA A HALL </a></p><p><b>performer</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-organization-552">Organization DAYTON, OH VAMC</a></p><hr/><p class="res-header-id"><b>Generated Narrative: Observation  #ex-MHV-chTest-1a</b></p><a name="ex-MHV-chReport-1/ex-MHV-chTest-1a"> </a><a name="hcex-MHV-chReport-1/ex-MHV-chTest-1a"> </a><a name="ex-MHV-chReport-1/ex-MHV-chTest-1a-en-US"> </a><p><b>basedOn</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-chOrder-1a">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 (use: usual, ))</a></p><p><b>effective</b>: 2021-01-20 16:38:59-0500</p><p><b>performer</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-organization-552">Organization DAYTON, OH VAMC</a></p><p><b>value</b>: 3.5 mEq/L</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="#hcex-MHV-chReport-1/ex-MHV-chSpecimen-1">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><hr/><p class="res-header-id"><b>Generated Narrative: ServiceRequest  #ex-MHV-chOrder-1b</b></p><a name="ex-MHV-chReport-1/ex-MHV-chOrder-1b"> </a><a name="hcex-MHV-chReport-1/ex-MHV-chOrder-1b"> </a><a name="ex-MHV-chReport-1/ex-MHV-chOrder-1b-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 84295.0000}, {http://va.gov/terminology/vistaDefinedTerms/60 176}">Sodium</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 (use: usual, ))</a></p><p><b>requester</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-practitioner-14934-VA552">Practitioner LISA A HALL </a></p><p><b>performer</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-organization-552">Organization DAYTON, OH VAMC</a></p><hr/><p class="res-header-id"><b>Generated Narrative: Observation  #ex-MHV-chTest-1b</b></p><a name="ex-MHV-chReport-1/ex-MHV-chTest-1b"> </a><a name="hcex-MHV-chReport-1/ex-MHV-chTest-1b"> </a><a name="ex-MHV-chReport-1/ex-MHV-chTest-1b-en-US"> </a><p><b>basedOn</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-chOrder-1b">ServiceRequest SODIUM</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 2951-2}, {http://va.gov/terminology/vistaDefinedTerms/95.3 4671912}">SODIUM:SCNC:PT:SER/PLAS:QN:</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 (use: usual, ))</a></p><p><b>effective</b>: 2021-01-20 16:38:59-0500</p><p><b>performer</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-organization-552">Organization DAYTON, OH VAMC</a></p><p><b>value</b>: 138 mEq/L</p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}">L</span></p><p><b>specimen</b>: <a href="#hcex-MHV-chReport-1/ex-MHV-chSpecimen-1">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>136-145</td></tr></table><hr/><p class="res-header-id"><b>Generated Narrative: Specimen  #ex-MHV-chSpecimen-1</b></p><a name="ex-MHV-chReport-1/ex-MHV-chSpecimen-1"> </a><a name="hcex-MHV-chReport-1/ex-MHV-chSpecimen-1"> </a><a name="ex-MHV-chReport-1/ex-MHV-chSpecimen-1-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="#hcex-MHV-chReport-1/ex-MHV-chOrder-1a">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>2021-01-20 16:38:59-0500</td></tr></table></div>
  </text>
  <contained>
    <Organization>
      <id value="ex-MHV-organization-552"/>
      <meta>
        <profile
                 value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization"/>
      </meta>
      <identifier>
        <use value="usual"/>
        <type>
          <text value="L"/>
        </type>
        <system value="urn:oid:2.16.840.1.113883.4.349"/>
        <value value="552"/>
      </identifier>
      <active value="true"/>
      <name value="DAYTON, OH VAMC"/>
      <address>
        <line value="4100 W. THIRD STREET"/>
        <city value="DAYTON"/>
        <state value="OH"/>
        <postalCode value="45428"/>
        <country value="USA"/>
      </address>
    </Organization>
  </contained>
  <contained>
    <Practitioner>
      <id value="ex-MHV-practitioner-14934-VA552"/>
      <identifier>
        <system value="http://va.gov/terminology/vistaDefinedTerms/4"/>
        <value value="14934-VA552"/>
      </identifier>
      <name>
        <family value="HALL"/>
        <given value="LISA"/>
        <given value="A"/>
      </name>
    </Practitioner>
  </contained>
  <contained>
    <Organization>
      <id value="ex-MHV-organization-989"/>
      <meta>
        <profile
                 value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.organization"/>
      </meta>
      <identifier>
        <use value="usual"/>
        <system value="urn:oid:2.16.840.1.113883.4.349"/>
        <value value="LabSiteTO.989"/>
      </identifier>
      <identifier>
        <system value="http://hl7.org/fhir/sid/us-npi"/>
        <value value="1234"/>
      </identifier>
      <active value="true"/>
      <name value="Lab Site 989"/>
    </Organization>
  </contained>
  <contained>
    <ServiceRequest>
      <id value="ex-MHV-chOrder-1a"/>
      <meta>
        <profile
                 value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chOrder"/>
      </meta>
      <status value="unknown"/>
      <intent value="order"/>
      <category>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="108252007"/>
          <display value="Laboratory procedure"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://va.gov/terminology/vistaDefinedTerms/64"/>
          <code value="84140.0000"/>
        </coding>
        <coding>
          <system value="http://va.gov/terminology/vistaDefinedTerms/60"/>
          <code value="177"/>
          <display value="POTASSIUM"/>
        </coding>
        <text value="Potassium"/>
      </code>
      <subject>🔗 
        <reference value="Patient/ex-MHV-patient-942104"/>
      </subject>
      <requester>
        <reference value="#ex-MHV-practitioner-14934-VA552"/>
      </requester>
      <performer>
        <reference value="#ex-MHV-organization-552"/>
      </performer>
    </ServiceRequest>
  </contained>
  <contained>
    <Observation>
      <id value="ex-MHV-chTest-1a"/>
      <meta>
        <profile
                 value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chTest"/>
      </meta>
      <basedOn>
        <reference value="#ex-MHV-chOrder-1a"/>
      </basedOn>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="laboratory"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <version value="2.68"/>
          <code value="2823-3"/>
        </coding>
        <coding>
          <system value="http://va.gov/terminology/vistaDefinedTerms/95.3"/>
          <code value="4670505"/>
        </coding>
        <text value="POTASSIUM"/>
      </code>
      <subject>🔗 
        <reference value="Patient/ex-MHV-patient-942104"/>
      </subject>
      <effectiveDateTime value="2021-01-20T16:38:59-05:00"/>
      <performer>
        <reference value="#ex-MHV-organization-552"/>
      </performer>
      <valueQuantity>
        <value value="3.5"/>
        <unit value="mEq/L"/>
        <system value="http://unitsofmeasure.org"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
          <code value="L"/>
        </coding>
        <text value="L"/>
      </interpretation>
      <note>
        <text value="Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L."/>
      </note>
      <specimen>
        <reference value="#ex-MHV-chSpecimen-1"/>
      </specimen>
      <referenceRange>
        <text value="3.6-5.1"/>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <ServiceRequest>
      <id value="ex-MHV-chOrder-1b"/>
      <meta>
        <profile
                 value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chOrder"/>
      </meta>
      <status value="unknown"/>
      <intent value="order"/>
      <category>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="108252007"/>
          <display value="Laboratory procedure"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://va.gov/terminology/vistaDefinedTerms/64"/>
          <code value="84295.0000"/>
        </coding>
        <coding>
          <system value="http://va.gov/terminology/vistaDefinedTerms/60"/>
          <code value="176"/>
          <display value="SODIUM"/>
        </coding>
        <text value="Sodium"/>
      </code>
      <subject>🔗 
        <reference value="Patient/ex-MHV-patient-942104"/>
      </subject>
      <requester>
        <reference value="#ex-MHV-practitioner-14934-VA552"/>
      </requester>
      <performer>
        <reference value="#ex-MHV-organization-552"/>
      </performer>
    </ServiceRequest>
  </contained>
  <contained>
    <Observation>
      <id value="ex-MHV-chTest-1b"/>
      <meta>
        <profile
                 value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chTest"/>
      </meta>
      <basedOn>
        <reference value="#ex-MHV-chOrder-1b"/>
      </basedOn>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="laboratory"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <version value="2.68"/>
          <code value="2951-2"/>
        </coding>
        <coding>
          <system value="http://va.gov/terminology/vistaDefinedTerms/95.3"/>
          <code value="4671912"/>
        </coding>
        <text value="SODIUM:SCNC:PT:SER/PLAS:QN:"/>
      </code>
      <subject>🔗 
        <reference value="Patient/ex-MHV-patient-942104"/>
      </subject>
      <effectiveDateTime value="2021-01-20T16:38:59-05:00"/>
      <performer>
        <reference value="#ex-MHV-organization-552"/>
      </performer>
      <valueQuantity>
        <value value="138"/>
        <unit value="mEq/L"/>
        <system value="http://unitsofmeasure.org"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
          <code value="L"/>
        </coding>
        <text value="L"/>
      </interpretation>
      <specimen>
        <reference value="#ex-MHV-chSpecimen-1"/>
      </specimen>
      <referenceRange>
        <text value="136-145"/>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Specimen>
      <id value="ex-MHV-chSpecimen-1"/>
      <meta>
        <profile
                 value="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.chSpecimen"/>
      </meta>
      <status value="available"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0487"/>
          <code value="SER"/>
          <display value="Serum"/>
        </coding>
        <coding>
          <system value="http://va.gov/terminology/vistaDefinedTerms/61"/>
          <code value="72"/>
          <display value="SERUM"/>
        </coding>
        <text value="SERUM"/>
      </type>
      <request>
        <reference value="#ex-MHV-chOrder-1a"/>
      </request>
      <collection>
        <collectedDateTime value="2021-01-20T16:38:59-05:00"/>
      </collection>
    </Specimen>
  </contained>
  <extension
             url="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/Notes">
    <valueString value="Lisa's Test 1/20/2021 - Second lab"/>
  </extension>
  <extension
             url="https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/Notes">
    <valueString value="Added Potassium test"/>
  </extension>
  <identifier>
    <use value="usual"/>
    <system value="urn:fdc:TEST.SALT-LAKE.MED.VA.GOV:LR"/>
    <value value="1110200002"/>
  </identifier>
  <basedOn>
    <reference value="#ex-MHV-chOrder-1a"/>
  </basedOn>
  <basedOn>
    <reference value="#ex-MHV-chOrder-1b"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="LAB"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="CH"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <version value="2.68"/>
      <code value="2823-3"/>
    </coding>
    <text value="POTASSIUM:SCNC:PT:SER/PLAS:QN:"/>
  </category>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <version value="2.68"/>
      <code value="2951-2"/>
    </coding>
    <text value="SODIUM:SCNC:PT:SER/PLAS:QN:"/>
  </category>
  <code>
    <text value="CH"/>
  </code>
  <subject>🔗 
    <reference value="Patient/ex-MHV-patient-942104"/>
  </subject>
  <effectiveDateTime value="2021-01-20T16:38:59-05:00"/>
  <issued value="2021-01-21T11:32:47-05:00"/>
  <performer>
    <reference value="#ex-MHV-organization-989"/>
  </performer>
  <specimen>
    <reference value="#ex-MHV-chSpecimen-1"/>
  </specimen>
  <result>
    <reference value="#ex-MHV-chTest-1a"/>
  </result>
  <result>
    <reference value="#ex-MHV-chTest-1b"/>
  </result>
</DiagnosticReport>