HL7 FHIR Implementation Guide: Common Terminology Criteria (CTC) Adverse Events Release 1 - DRAFT
0.0.1 - DRAFT
HL7 FHIR Implementation Guide: Common Terminology Criteria (CTC) Adverse Events Release 1 - DRAFT, published by HL7 International Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/standardhealth/fsh-ae/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ae-bundle-persona-2"/>
<type value="collection"/>
<entry>
<fullUrl value="http://example.org/PatientPersona2"/>
<resource>
<Patient>
<id value="PatientPersona2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_PatientPersona2"> </a><p><b>Generated Narrative: Patient</b><a name="PatientPersona2"> </a></p><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">Resource Patient "PatientPersona2" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/mcode/2021May/StructureDefinition-mcode-cancer-patient.html">Cancer Patient</a></p></div><p><b>identifier</b>: Medical Record Number/m456 (use: USUAL)</p><p><b>name</b>: Marsha C. </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1955-02-20</p><p><b>address</b>: 456 Smith Lane Anytown MA 12345 US </p><h3>Contacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Telecom</b></td></tr><tr><td style="display: none">*</td><td>ph: 999-999-9999(HOME), <a href="mailto:marsha.c@example.com">marsha.c@example.com</a></td></tr></table><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td></tr><tr><td style="display: none">*</td><td>English <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-US "English (Region=United States)")</span></td></tr></table></div>
</text>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.example.org"/>
<value value="m456"/>
</identifier>
<name>
<family value="C."/>
<given value="Marsha"/>
</name>
<gender value="female"/>
<birthDate value="1955-02-20"/>
<address>
<line value="456 Smith Lane"/>
<city value="Anytown"/>
<state value="MA"/>
<postalCode value="12345"/>
<country value="US"/>
</address>
<contact>
<telecom>
<system value="phone"/>
<value value="999-999-9999"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="marsha.c@example.com"/>
</telecom>
</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-US"/>
<display value="English (Region=United States)"/>
</coding>
<text value="English"/>
</language>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/ctc-adverse-event-anemia1-persona-2"/>
<resource>
<AdverseEvent>
<id value="ctc-adverse-event-anemia1-persona-2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/ctcae/StructureDefinition/ctc-adverse-event"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AdverseEvent_ctc-adverse-event-anemia1-persona-2"> </a><p><b>Generated Narrative: AdverseEvent</b><a name="ctc-adverse-event-anemia1-persona-2"> </a></p><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">Resource AdverseEvent "ctc-adverse-event-anemia1-persona-2" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ctc-adverse-event.html">CTC Adverse Event</a></p></div><p><b>CTC Adverse Event Grade</b>: Moderate Adverse Event <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ctcae-grade-code-system.html">CTCAE Grade Code System</a>#2)</span></p><p><b>Adverse Event Expectation</b>: Expected Adverse Event <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-nciThesaurus.html">NCI Thesaurus</a>#C41333)</span></p><p><b>Adverse Event Resolved Date</b>: 2020-12-21</p><p><b>actuality</b>: actual</p><p><b>event</b>: Hgb 9.0 per CBC results from 12/21/20 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (MedDRA Am Engl[20.0]#10002272 "Anemia")</span></p><p><b>subject</b>: <a href="#Patient_PatientPersona2">See above (Patient/PatientPersona2)</a></p><p><b>encounter</b>: <a href="#Encounter_encounter-ae1-evaluation-persona2">See above (Encounter/encounter-ae1-evaluation-persona2)</a></p><p><b>recorder</b>: <a href="Practitioner-us-core-practitioner-nancy-oncology-nurse.html">Practitioner/us-core-practitioner-nancy-oncology-nurse</a> " NURSE"</p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href="#MedicationAdministration_medadmin-doxorubicin-persona-2">See above (MedicationAdministration/medadmin-doxorubicin-persona-2)</a></p><h3>Causalities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ProductRelatedness</b></td></tr><tr><td style="display: none">*</td><td>probable</td></tr></table></blockquote><p><b>study</b>: <a href="ResearchStudy-clinical-trial-example-soc.html">ResearchStudy/clinical-trial-example-soc</a></p></div>
</text>
<extension
url="http://hl7.org/fhir/us/ctcae/StructureDefinition/ctcae-grade">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system"/>
<code value="2"/>
<display value="Moderate Adverse Event"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/ctcae/StructureDefinition/adverse-event-expectation">
<valueCodeableConcept>
<coding>
<system
value="http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"/>
<code value="C41333"/>
<display value="Expected Adverse Event"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/ctcae/StructureDefinition/adverse-event-resolved-date">
<valueDateTime value="2020-12-21"/>
</extension>
<actuality value="actual"/>
<event>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/MDRAE"/>
<version value="20.0"/>
<code value="10002272"/>
<display value="Anemia"/>
</coding>
<text value="Hgb 9.0 per CBC results from 12/21/20"/>
</event>
<subject>🔗
<reference value="Patient/PatientPersona2"/>
</subject>
<encounter>🔗
<reference value="Encounter/encounter-ae1-evaluation-persona2"/>
</encounter>
<recorder>🔗
<reference
value="Practitioner/us-core-practitioner-nancy-oncology-nurse"/>
</recorder>
<suspectEntity>
<instance>🔗
<reference
value="MedicationAdministration/medadmin-doxorubicin-persona-2"/>
</instance>
<causality>
<productRelatedness value="probable"/>
</causality>
</suspectEntity>
<study>🔗
<reference value="ResearchStudy/clinical-trial-example-soc"/>
</study>
</AdverseEvent>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/primary-cancer-condition-persona-2"/>
<resource>
<Condition>
<id value="primary-cancer-condition-persona-2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_primary-cancer-condition-persona-2"> </a><p><b>Generated Narrative: Condition</b><a name="primary-cancer-condition-persona-2"> </a></p><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">Resource Condition "primary-cancer-condition-persona-2" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/mcode/2021May/StructureDefinition-mcode-primary-cancer-condition.html">Primary Cancer Condition</a></p></div><p><b>Histology-Morphology-Behavior</b>: Invasive ductal carcinoma with an extensive intraductal component (morphologic abnormality) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#373395001)</span></p><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem List Item <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-condition-category.html">Condition Category Codes</a>#problem-list-item)</span></p><p><b>code</b>: Primary malignant neoplasm of female left breast (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#353431000119107)</span></p><p><b>subject</b>: <a href="#Patient_PatientPersona2">See above (Patient/PatientPersona2)</a></p><p><b>onset</b>: 2020-09-25</p><p><b>asserter</b>: <a href="Practitioner-us-core-practitioner-owen-oncologist.html">Practitioner/us-core-practitioner-owen-oncologist</a> " ONCOLOGIST"</p><h3>Stages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Summary</b></td></tr><tr><td style="display: none">*</td><td>3C <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (cancerstaging.org#3C)</span></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373395001"/>
<display
value="Invasive ductal carcinoma with an extensive intraductal component (morphologic abnormality)"/>
</coding>
</valueCodeableConcept>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="353431000119107"/>
<display
value="Primary malignant neoplasm of female left breast (disorder)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientPersona2"/>
</subject>
<onsetDateTime value="2020-09-25"/>
<asserter>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</asserter>
<stage>
<summary>
<coding>
<system value="http://cancerstaging.org"/>
<code value="3C"/>
</coding>
</summary>
</stage>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/medrequest-doxorubicin-persona-2"/>
<resource>
<MedicationRequest>
<id value="medrequest-doxorubicin-persona-2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medrequest-doxorubicin-persona-2"> </a><p><b>Generated Narrative: MedicationRequest</b><a name="medrequest-doxorubicin-persona-2"> </a></p><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">Resource MedicationRequest "medrequest-doxorubicin-persona-2" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/mcode/2021May/StructureDefinition-mcode-cancer-related-medication-request.html">Cancer-Related Medication Request</a></p></div><p><b>Treatment Intent</b>: Curative - procedure intent (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Outpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-medicationrequest-category.html">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: DOXOrubicin <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-rxNorm.html">RxNorm</a>#3639)</span></p><p><b>subject</b>: <a href="#Patient_PatientPersona2">See above (Patient/PatientPersona2)</a></p><p><b>authoredOn</b>: 2020-10-06</p><p><b>requester</b>: <a href="Practitioner-us-core-practitioner-owen-oncologist.html">Practitioner/us-core-practitioner-owen-oncologist</a> " ONCOLOGIST"</p><p><b>reasonReference</b>: <a href="#Condition_primary-cancer-condition-persona-2">See above (Condition/primary-cancer-condition-persona-2)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: doxorubicin (60 mg/m² IV)</p><p><b>timing</b>: Starting 2018-04-01, Once</p><p><b>route</b>: Intravenous route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#47625008)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote><p><b>maxDosePerPeriod</b>: 1/3 week<span style="background: LightGoldenRodYellow"> (Details: UCUM code wk = 'wk')</span></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="outpatient"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="3639"/>
<display value="DOXOrubicin"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/PatientPersona2"/>
</subject>
<authoredOn value="2020-10-06"/>
<requester>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</requester>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-persona-2"/>
</reasonReference>
<dosageInstruction>
<text value="doxorubicin (60 mg/m² IV)"/>
<timing>
<repeat>
<boundsPeriod>
<start value="2018-04-01"/>
</boundsPeriod>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route (qualifier value)"/>
</coding>
</route>
<doseAndRate>
<rateQuantity>
<value value="60"/>
<unit value="mg/m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/m2"/>
</rateQuantity>
</doseAndRate>
<maxDosePerPeriod>
<numerator>
<value value="1"/>
</numerator>
<denominator>
<value value="3"/>
<unit value="week"/>
<system value="http://unitsofmeasure.org"/>
<code value="wk"/>
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/medadmin-doxorubicin-persona-2"/>
<resource>
<MedicationAdministration>
<id value="medadmin-doxorubicin-persona-2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-administration"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medadmin-doxorubicin-persona-2"> </a><p><b>Generated Narrative: MedicationAdministration</b><a name="medadmin-doxorubicin-persona-2"> </a></p><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">Resource MedicationAdministration "medadmin-doxorubicin-persona-2" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/mcode/2021May/StructureDefinition-mcode-cancer-related-medication-administration.html">Cancer-Related Medication Administration</a></p></div><p><b>status</b>: completed</p><p><b>category</b>: Outpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-medicationrequest-category.html">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: doxorubicin hydrochloride 20 MG per 10 ML Injection <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-rxNorm.html">RxNorm</a>#1790099)</span></p><p><b>subject</b>: <a href="#Patient_PatientPersona2">See above (Patient/PatientPersona2)</a></p><p><b>effective</b>: 2020-12-01</p><p><b>reasonReference</b>: <a href="#Condition_primary-cancer-condition-persona-2">See above (Condition/primary-cancer-condition-persona-2)</a></p><p><b>request</b>: <a href="#MedicationRequest_medrequest-doxorubicin-persona-2">See above (MedicationRequest/medrequest-doxorubicin-persona-2)</a></p><p><b>note</b>: doxorubicin (60 mg/m² IV), 105.96 mg in 50 ml 0.9% normal saline administered by continuous infusion. Patient tolerated infusion without side effects. (By Practitioner/us-core-practitioner-nancy-oncology-nurse @2020-12-01)</p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Intravenous route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#47625008)</span></td><td>105.96 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span></td></tr></table></div>
</text>
<status value="completed"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="outpatient"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1790099"/>
<display
value="doxorubicin hydrochloride 20 MG per 10 ML Injection"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/PatientPersona2"/>
</subject>
<effectiveDateTime value="2020-12-01"/>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-persona-2"/>
</reasonReference>
<request>🔗
<reference
value="MedicationRequest/medrequest-doxorubicin-persona-2"/>
</request>
<note>
<authorReference>🔗
<reference
value="Practitioner/us-core-practitioner-nancy-oncology-nurse"/>
</authorReference>
<time value="2020-12-01"/>
<text
value="doxorubicin (60 mg/m² IV), 105.96 mg in 50 ml 0.9% normal saline administered by continuous infusion. Patient tolerated infusion without side effects."/>
</note>
<dosage>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route (qualifier value)"/>
</coding>
</route>
<dose>
<value value="105.96"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</dose>
</dosage>
</MedicationAdministration>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/diagnosticreport-cbc-201-1-persona2"/>
<resource>
<DiagnosticReport>
<id value="201"/>
<meta>
<tag>
<system
value="http://example.org/fhir/CodeSystem/workflow-codes"/>
<code value="01"/>
<display value="Needs Review"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_201"> </a><p><b>Generated Narrative: DiagnosticReport</b><a name="201"> </a></p><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">Resource DiagnosticReport "201" </p><p style="margin-bottom: 0px">Tag: <span title="{http://example.org/fhir/CodeSystem/workflow-codes http://example.org/fhir/CodeSystem/workflow-codes}">http://example.org/fhir/CodeSystem/workflow-codes</span></p></div><p><b>identifier</b>: <code>http://acme.com/lab/reports</code>/5234342</p><p><b>status</b>: final</p><p><b>category</b>: Hematology <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v2-0074.html">diagnosticServiceSectionId</a>#HM)</span></p><p><b>code</b>: Complete Blood Count <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#58410-2 "CBC panel - Blood by Automated count")</span></p><p><b>subject</b>: <a href="#Patient_PatientPersona2">See above (Patient/PatientPersona2)</a></p><p><b>effective</b>: 2020-12-21 08:30:00+1100</p><p><b>issued</b>: Dec 21, 2020, 12:45:33 AM</p><p><b>result</b>: </p><ul><li><a href="Observation-r201-1.html">Observation/r201-1</a></li><li><a href="Observation-r201-2.html">Observation/r201-2</a></li><li><a href="Observation-r201-3.html">Observation/r201-3</a></li><li><a href="Observation-r201-4.html">Observation/r201-4</a></li><li><a href="Observation-r201-5.html">Observation/r201-5</a></li><li><a href="Observation-r201-6.html">Observation/r201-6</a></li><li><a href="Observation-r201-7.html">Observation/r201-7</a></li><li><a href="Observation-r201-8.html">Observation/r201-8</a></li><li><a href="Observation-r201-9.html">Observation/r201-9</a></li><li><a href="Observation-r201-10.html">Observation/r201-10</a></li><li><a href="Observation-r201-11.html">Observation/r201-11</a></li><li><a href="Observation-r201-12.html">Observation/r201-12</a></li><li><a href="Observation-r201-13.html">Observation/r201-13</a></li><li><a href="Observation-r201-14.html">Observation/r201-14</a></li><li><a href="Observation-r201-15.html">Observation/r201-15</a></li><li><a href="Observation-r201-16.html">Observation/r201-16</a></li><li><a href="Observation-r201-17.html">Observation/r201-17</a></li></ul></div>
</text>
<identifier>
<system value="http://acme.com/lab/reports"/>
<value value="5234342"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="HM"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="58410-2"/>
<display value="CBC panel - Blood by Automated count"/>
</coding>
<text value="Complete Blood Count"/>
</code>
<subject>🔗
<reference value="Patient/PatientPersona2"/>
</subject>
<effectiveDateTime value="2020-12-21T08:30:00+11:00"/>
<issued value="2020-12-21T11:45:33+11:00"/>
<result>🔗
<reference value="Observation/r201-1"/>
</result>
<result>🔗
<reference value="Observation/r201-2"/>
</result>
<result>🔗
<reference value="Observation/r201-3"/>
</result>
<result>🔗
<reference value="Observation/r201-4"/>
</result>
<result>🔗
<reference value="Observation/r201-5"/>
</result>
<result>🔗
<reference value="Observation/r201-6"/>
</result>
<result>🔗
<reference value="Observation/r201-7"/>
</result>
<result>🔗
<reference value="Observation/r201-8"/>
</result>
<result>🔗
<reference value="Observation/r201-9"/>
</result>
<result>🔗
<reference value="Observation/r201-10"/>
</result>
<result>🔗
<reference value="Observation/r201-11"/>
</result>
<result>🔗
<reference value="Observation/r201-12"/>
</result>
<result>🔗
<reference value="Observation/r201-13"/>
</result>
<result>🔗
<reference value="Observation/r201-14"/>
</result>
<result>🔗
<reference value="Observation/r201-15"/>
</result>
<result>🔗
<reference value="Observation/r201-16"/>
</result>
<result>🔗
<reference value="Observation/r201-17"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/diagnosticreport-cbc-202-1-persona2"/>
<resource>
<DiagnosticReport>
<id value="202"/>
<meta>
<tag>
<system
value="http://example.org/fhir/CodeSystem/workflow-codes"/>
<code value="01"/>
<display value="Needs Review"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_202"> </a><p><b>Generated Narrative: DiagnosticReport</b><a name="202"> </a></p><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">Resource DiagnosticReport "202" </p><p style="margin-bottom: 0px">Tag: <span title="{http://example.org/fhir/CodeSystem/workflow-codes http://example.org/fhir/CodeSystem/workflow-codes}">http://example.org/fhir/CodeSystem/workflow-codes</span></p></div><p><b>identifier</b>: <code>http://acme.com/lab/reports</code>/5234342</p><p><b>status</b>: final</p><p><b>category</b>: Hematology <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v2-0074.html">diagnosticServiceSectionId</a>#HM)</span></p><p><b>code</b>: Complete Blood Count <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#58410-2 "CBC panel - Blood by Automated count")</span></p><p><b>subject</b>: <a href="#Patient_PatientPersona2">See above (Patient/PatientPersona2)</a></p><p><b>effective</b>: 2020-12-29 08:30:00+1100</p><p><b>issued</b>: Dec 29, 2020, 12:45:33 AM</p><p><b>result</b>: </p><ul><li><a href="Observation-r202-1.html">Observation/r202-1</a></li><li><a href="Observation-r202-2.html">Observation/r202-2</a></li><li><a href="Observation-r202-3.html">Observation/r202-3</a></li><li><a href="Observation-r202-4.html">Observation/r202-4</a></li><li><a href="Observation-r202-5.html">Observation/r202-5</a></li><li><a href="Observation-r202-6.html">Observation/r202-6</a></li><li><a href="Observation-r202-7.html">Observation/r202-7</a></li><li><a href="Observation-r202-8.html">Observation/r202-8</a></li><li><a href="Observation-r202-9.html">Observation/r202-9</a></li><li><a href="Observation-r202-10.html">Observation/r202-10</a></li><li><a href="Observation-r202-11.html">Observation/r202-11</a></li><li><a href="Observation-r202-12.html">Observation/r202-12</a></li><li><a href="Observation-r202-13.html">Observation/r202-13</a></li><li><a href="Observation-r202-14.html">Observation/r202-14</a></li><li><a href="Observation-r202-15.html">Observation/r202-15</a></li><li><a href="Observation-r202-16.html">Observation/r202-16</a></li><li><a href="Observation-r202-17.html">Observation/r202-17</a></li></ul></div>
</text>
<identifier>
<system value="http://acme.com/lab/reports"/>
<value value="5234342"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="HM"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="58410-2"/>
<display value="CBC panel - Blood by Automated count"/>
</coding>
<text value="Complete Blood Count"/>
</code>
<subject>🔗
<reference value="Patient/PatientPersona2"/>
</subject>
<effectiveDateTime value="2020-12-29T08:30:00+11:00"/>
<issued value="2020-12-29T11:45:33+11:00"/>
<result>🔗
<reference value="Observation/r202-1"/>
</result>
<result>🔗
<reference value="Observation/r202-2"/>
</result>
<result>🔗
<reference value="Observation/r202-3"/>
</result>
<result>🔗
<reference value="Observation/r202-4"/>
</result>
<result>🔗
<reference value="Observation/r202-5"/>
</result>
<result>🔗
<reference value="Observation/r202-6"/>
</result>
<result>🔗
<reference value="Observation/r202-7"/>
</result>
<result>🔗
<reference value="Observation/r202-8"/>
</result>
<result>🔗
<reference value="Observation/r202-9"/>
</result>
<result>🔗
<reference value="Observation/r202-10"/>
</result>
<result>🔗
<reference value="Observation/r202-11"/>
</result>
<result>🔗
<reference value="Observation/r202-12"/>
</result>
<result>🔗
<reference value="Observation/r202-13"/>
</result>
<result>🔗
<reference value="Observation/r202-14"/>
</result>
<result>🔗
<reference value="Observation/r202-15"/>
</result>
<result>🔗
<reference value="Observation/r202-16"/>
</result>
<result>🔗
<reference value="Observation/r202-17"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/encounter-ae1-evaluation-persona2"/>
<resource>
<Encounter>
<id value="encounter-ae1-evaluation-persona2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-ae1-evaluation-persona2"> </a><p><b>Generated Narrative: Encounter</b><a name="encounter-ae1-evaluation-persona2"> </a></p><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">Resource Encounter "encounter-ae1-evaluation-persona2" </p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>subject</b>: <a href="#Patient_PatientPersona2">See above (Patient/PatientPersona2)</a></p><p><b>period</b>: 2020-12-01 --> 2020-12-01</p></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<subject>🔗
<reference value="Patient/PatientPersona2"/>
</subject>
<period>
<start value="2020-12-01"/>
<end value="2020-12-01"/>
</period>
</Encounter>
</resource>
</entry>
</Bundle>