HL7 FHIR Implementation Guide: Rwanda HIV
0.1.0 - ci-build
HL7 FHIR Implementation Guide: Rwanda HIV
0.1.0 - ci-build
HL7 FHIR Implementation Guide: Rwanda HIV, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/openhie/Rwanda-HIV/ and changes regularly. See the Directory of published versions
Document Subject
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Document Content
Generated Narrative: Composition VLCompositionExample
identifier: http://moh.gov.rw/fhir/identifier/vl-lab-report/PAT0001-v1
status: Final
type: Laboratory report
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
date: 2023-08-22
author:
title: Laboratory Report For Viral Load Testing
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Results Interpreter Details
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Entry 1 - fullUrl = http://hapi-fhir:8080/fhir/Composition/VLCompositionExample
Resource Composition:
Generated Narrative: Composition VLCompositionExample
identifier:
http://moh.gov.rw/fhir/identifier/vl-lab-report/PAT0001-v1status: Final
type: Laboratory report
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
date: 2023-08-22
author:
title: Laboratory Report For Viral Load Testing
Entry 2 - fullUrl = http://hapi-fhir:8080/fhir/Organization/HIVOrganizationExample
Resource Organization:
Generated Narrative: Organization HIVOrganizationExample
identifier: HIV Organization identifier/facility1
name: HIV Test Services Health Facility
Entry 3 - fullUrl = http://hapi-fhir:8080/fhir/Practitioner/ObservationPerformingPractitionerExample
Resource Practitioner:
Generated Narrative: Practitioner ObservationPerformingPractitionerExample
Clinician User Index: 15
name: Amy White
telecom: ph: 27537687534
Entry 4 - fullUrl = http://hapi-fhir:8080/fhir/Patient/HIVPatientExample
Resource Patient:
Generated Narrative: Patient HIVPatientExample
Jane Maria Smith (official) Female, DoB: 1990-12-12
Contact Detail Links:
- Managing Organization: Organization HIV Test Services Health Facility
Patient Age In Months 388 Patient Age In Years 32
Entry 5 - fullUrl = http://hapi-fhir:8080/fhir/Specimen/VLSpecimenExample
Resource Specimen:
Generated Narrative: Specimen VLSpecimenExample
Sample reordered: false
identifier: App sample identifier/abc123, Remote sample identifier/def456, Sample identifier/ghi789, Universal Unique Identifier for the sample/123456abc
type: Specimen Type
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
receivedTime: 2022-07-28
Collections
Collected[x] 2022-07-28 Processings
Time[x] 2022-07-28 note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 6 - fullUrl = http://hapi-fhir:8080/fhir/Organization/RequestingOrganizationExample
Resource Organization:
Generated Narrative: Organization RequestingOrganizationExample
identifier: Requesting Organization identifier/facility5
name: A facility name
Entry 7 - fullUrl = http://hapi-fhir:8080/fhir/Organization/PerformingOrganizationExample
Resource Organization:
Generated Narrative: Organization PerformingOrganizationExample
Performing Organization Province: 4
Performing Organization District: 9
identifier: Performing Organization identifier/laboratory1
name: A Laboratory name
Contacts
Address A province name
Entry 8 - fullUrl = http://hapi-fhir:8080/fhir/ServiceRequest/HIVServiceRequestExample
Resource ServiceRequest:
Generated Narrative: ServiceRequest HIVServiceRequestExample
identifier: HIV lab service request identifier/ORDER12345
status: Completed
intent: Order
Codes
Concept Test Type subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
occurrence: 2012-01-05
requester: Practitioner James Smith
performer: Practitioner Amy White
Reasons
Reference Observation Human immunodeficiency virus antibody test note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 9 - fullUrl = http://hapi-fhir:8080/fhir/Practitioner/RequestingPractitionerExample
Resource Practitioner:
Generated Narrative: Practitioner RequestingPractitionerExample
Clinician User Index: 2
name: James Smith
telecom: ph: 27537652509
Entry 10 - fullUrl = http://hapi-fhir:8080/fhir/Practitioner/PerformingPractitionerExample
Resource Practitioner:
Generated Narrative: Practitioner PerformingPractitionerExample
Clinician User Index: 6
name: Amy White
telecom: ph: 27537687534
Entry 11 - fullUrl = http://hapi-fhir:8080/fhir/Observation/ReasonForHIVTestingExample
Resource Observation:
Generated Narrative: Observation ReasonForHIVTestingExample
status: Final
code: HIV Test
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
value: Reason for testing
note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 12 - fullUrl = http://hapi-fhir:8080/fhir/Observation/PatientPregnantExample
Resource Observation:
Generated Narrative: Observation PatientPregnantExample
status: Final
code: Pregnancy status
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
value: Pregnancy test result
note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 13 - fullUrl = http://hapi-fhir:8080/fhir/Observation/HIVPatientIsNewExample
Resource Observation:
Generated Narrative: Observation HIVPatientIsNewExample
status: Final
code: New Patient Indication
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
value: true
note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 14 - fullUrl = http://hapi-fhir:8080/fhir/Observation/BreastfeedingExample
Resource Observation:
Generated Narrative: Observation BreastfeedingExample
status: Final
code: Breastfeeding
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
value: true
note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 15 - fullUrl = http://hapi-fhir:8080/fhir/CarePlan/ARVTreatmentRegimenChangedExample
Resource CarePlan:
Generated Narrative: CarePlan ARVTreatmentRegimenChangedExample
identifier: Unique ART number/UAN000123
status: Active
intent: Order
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
period: 2022-12-01 --> 2022-12-01
Activities
PlannedActivityReference MedicationRequest: status = completed; intent = order note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 16 - fullUrl = http://hapi-fhir:8080/fhir/CarePlan/ARVTreatmentInitiatedExample
Resource CarePlan:
Generated Narrative: CarePlan ARVTreatmentInitiatedExample
identifier: Unique ART number/UAN000123
status: Active
intent: Order
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
period: 2022-12-01 --> 2022-12-01
Activities
PlannedActivityReference MedicationRequest: status = completed; intent = order note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 17 - fullUrl = http://hapi-fhir:8080/fhir/MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample
Resource MedicationRequest:
Generated Narrative: MedicationRequest ARVRegimenMedicationRequestRegimenChangedExample
status: Completed
intent: Order
Medications
Concept ARV regimen subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
Reasons
Reference Observation Change of medication
Entry 18 - fullUrl = http://hapi-fhir:8080/fhir/MedicationRequest/ARVRegimenMedicationRequestARVExample
Resource MedicationRequest:
Generated Narrative: MedicationRequest ARVRegimenMedicationRequestARVExample
status: Completed
intent: Order
Medications
Concept ARV regimen subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
Reasons
Reference Observation Date determined medically eligible and ready to start HIV treatment
Entry 19 - fullUrl = http://hapi-fhir:8080/fhir/Encounter/TargetFacilityEncounterExample
Resource Encounter:
Generated Narrative: Encounter TargetFacilityEncounterExample
status: Completed
class: ambulatory
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
actualPeriod: 2022-12-01 --> 2023-01-20
Entry 20 - fullUrl = http://hapi-fhir:8080/fhir/Observation/HIVTestResultExample
Resource Observation:
Generated Narrative: Observation HIVTestResultExample
Test Result Entered Manually: false
status: Final
code: Viral Load Result
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Organization HIV Test Services Health Facility
value: 1001
interpretation: Viral Load Suppression Status
note: Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 21 - fullUrl = http://hapi-fhir:8080/fhir/SpecimenDefinition/SpecimenConservationExample
Resource SpecimenDefinition:
Generated Narrative: SpecimenDefinition SpecimenConservationExample
status: Active
typeTested
type: Plasma specimen
preference: Preferred
handling
temperatureRange: 5-10
MaxDurations
Value 20 instruction:
Comments regarding the specimen conservation.
Entry 22 - fullUrl = http://hapi-fhir:8080/fhir/Task/HIVLabResultTaskExample
Resource Task:
Generated Narrative: Task HIVLabResultTaskExample
Result Status Index: 4
identifier: Lab order number/ORDER12345
instantiatesCanonical: ActivityDefinition[http://moh.gov.rw/fhir/ActivityDefinition/LabOrderTaskActivityExample|0.1.0]
basedOn:
- ServiceRequest HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection
- Transport: status = in-progress; intent = order; completionTime = 2022-07-28; authoredOn = 2022-07-28; note = additional notes here
- Transport: status = in-progress; intent = order; authoredOn = 2022-07-28; note = additional notes here
status: Completed
intent: original-order
for: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
executionPeriod: ?? --> 2022-07-30
lastModified: 2022-07-30
note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Outputs
Type Value[x] Viral Load Result Diagnostic Report for 'HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection' for '->Jane Maria Smith (official) Female, DoB: 1990-12-12'
Entry 23 - fullUrl = http://hapi-fhir:8080/fhir/ActivityDefinition/LabOrderTaskActivityExample
Resource ActivityDefinition:
Generated Narrative: ActivityDefinition LabOrderTaskActivityExample
HIV Viral Load Result Revised By: 2
status: Active
date: 2023-01-01
approvalDate: 2023-01-01
lastReviewDate: 2023-01-01
editor: Sarah May:
reviewer: Mark Jones:
endorser: Tobias Menley:
specimenRequirement:
http://moh.gov.rw/fhir/SpecimenDefinition/SpecimenConservationExample
Entry 24 - fullUrl = http://hapi-fhir:8080/fhir/Transport/SampleDispatchedToLabExample
Resource Transport:
Generated Narrative: Transport SampleDispatchedToLabExample
status: In Progress
intent: order
completionTime: 2022-07-28
authoredOn: 2022-07-28
note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
requestedLocation: Location Requested location name
currentLocation: Location Current location name
Entry 25 - fullUrl = http://hapi-fhir:8080/fhir/Transport/ResultDispatchedToRequestingFacilityExample
Resource Transport:
Generated Narrative: Transport ResultDispatchedToRequestingFacilityExample
status: In Progress
intent: order
authoredOn: 2022-07-28
note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
requestedLocation: Location Requested location name
currentLocation: Location Current location name
Entry 26 - fullUrl = http://hapi-fhir:8080/fhir/Location/TransportRequestedLocationExample
Resource Location:
Generated Narrative: Location TransportRequestedLocationExample
status: Active
name: Requested location name
Entry 27 - fullUrl = http://hapi-fhir:8080/fhir/Location/TransportCurrentLocationExample
Resource Location:
Generated Narrative: Location TransportCurrentLocationExample
status: Active
name: Current location name
Entry 28 - fullUrl = http://hapi-fhir:8080/fhir/DiagnosticReport/HIVLabResultsDiagnosticReportExample
Resource DiagnosticReport:
Generated Narrative: DiagnosticReport HIVLabResultsDiagnosticReportExample
Test Type
Subject Jane Maria Smith (official) Female, DoB: 1990-12-12 Performer Practitioner Amy White Report Details
Code Value Flags Note When For Viral Load Result 1001 Final, Viral Load Suppression Status Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500) 2022-11-30 Some conclusion text
Entry 29 - fullUrl = http://hapi-fhir:8080/fhir/Practitioner/ResultsInterpreterExample
Resource Practitioner:
Generated Narrative: Practitioner ResultsInterpreterExample
Clinician User Index: 11
name: Jhon Smith
telecom: ph: 27539887534
Entry 30 - fullUrl = http://hapi-fhir:8080/fhir/Consent/ReceiveSMSMessagesExample
Resource Consent:
Generated Narrative: Consent ReceiveSMSMessagesExample
status: Active
category: Patient consent for SMS messages
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
decision: Permit
Entry 31 - fullUrl = http://hapi-fhir:8080/fhir/Observation/ARVAdherenceExample
Resource Observation:
Generated Narrative: Observation ARVAdherenceExample
status: Final
code: Treatment compliance
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
value: ARV adherence
note: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 32 - fullUrl = http://hapi-fhir:8080/fhir/Observation/RepeatHIVTestResultExample
Resource Observation:
Generated Narrative: Observation RepeatHIVTestResultExample
status: Final
code: Viral Load Result
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Organization HIV Test Services Health Facility
value: 1001
note: Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 33 - fullUrl = http://hapi-fhir:8080/fhir/Observation/SuspendTreatmentHIVTestResultExample
Resource Observation:
Generated Narrative: Observation SuspendTreatmentHIVTestResultExample
status: Final
code: Viral Load Result
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Organization HIV Test Services Health Facility
value: 1001
note: Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 34 - fullUrl = http://hapi-fhir:8080/fhir/Device/TestingPlatformExample
Resource Device:
Generated Narrative: Device TestingPlatformExample
manufacturer: My testing platform
note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 35 - fullUrl = http://hapi-fhir:8080/fhir/Observation/HIVTestResultViralLoadLogExample
Resource Observation:
Generated Narrative: Observation HIVTestResultViralLoadLogExample
status: Final
code: Viral Load Result
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Organization HIV Test Services Health Facility
value: 2.55
note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
derivedFrom: Observation Human immunodeficiency virus-1 nucleic acid assay
Entry 36 - fullUrl = http://hapi-fhir:8080/fhir/Observation/HIVTestResultAbsoluteDecimalExample
Resource Observation:
Generated Narrative: Observation HIVTestResultAbsoluteDecimalExample
status: Final
code: Viral Load Result
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Organization HIV Test Services Health Facility
value: 2.55
note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
derivedFrom: Observation Human immunodeficiency virus-1 nucleic acid assay
Entry 37 - fullUrl = http://hapi-fhir:8080/fhir/Organization/FundingOrganizationExample
Resource Organization:
Generated Narrative: Organization FundingOrganizationExample
Funding Organization: 1
identifier: Funding Organization identifier/funder1
name: A funding organization name
Entry 38 - fullUrl = http://hapi-fhir:8080/fhir/Organization/ImplementingPartnerOrganizationExample
Resource Organization:
Generated Narrative: Organization ImplementingPartnerOrganizationExample
Implementing Partner Organization: 14
identifier: Implementing Partner Organization identifier/implementing-partner-org1
name: An implementing partner organization name
Entry 39 - fullUrl = http://hapi-fhir:8080/fhir/Observation/ARTInitiatedExample
Resource Observation:
Generated Narrative: Observation ARTInitiatedExample
status: Final
code: ART initiated
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
Entry 40 - fullUrl = http://hapi-fhir:8080/fhir/Observation/ARVRegimenChangeExample
Resource Observation:
Generated Narrative: Observation ARVRegimenChangeExample
status: Final
code: ARV Regimen Change
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
value: Regimen change reason
note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)
derivedFrom: Observation Change of medication
Entry 41 - fullUrl = http://hapi-fhir:8080/fhir/Observation/ARTRegimenSwitchedOrSubstitutedExample
Resource Observation:
Generated Narrative: Observation ARTRegimenSwitchedOrSubstitutedExample
status: Final
code: ARV Regimen Change
subject: Jane Maria Smith (official) Female, DoB: 1990-12-12
encounter: Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --> 2023-01-20
effective: 2022-11-30
performer: Practitioner Amy White
value: true
note: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)