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Observation/blood-pressure-cancel/_history/spark20 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: blood-pressure-cancel

meta:

identifier: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281

status: cancelled

code: Blood pressure systolic & diastolic (Details : {LOINC code '55284-4' = 'Blood pressure systolic and diastolic', given as 'Blood pressure systolic & diastolic'})

subject: Patient/example

effective: 17/09/2012

performer: Practitioner/example

interpretation: low (Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'Below low normal'})

comments: In this example, the blood pressure measurements are not available due to cancellation of the order. Data absent reason is present for each component

bodySite: Right arm (Details : {SNOMED CT code '368209003' = '368209003', given as 'Right arm'})

component

code: Systolic blood pressure (Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = '271649006', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = '??', given as 'Systolic Blood pressure'})

dataAbsentReason: Not Asked (Details : {http://hl7.org/fhir/data-absent-reason code 'not-asked' = 'Not Asked', given as 'Not Asked'})

component

code: Diastolic blood pressure (Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})

dataAbsentReason: Not Asked (Details : {http://hl7.org/fhir/data-absent-reason code 'not-asked' = 'Not Asked', given as 'Not Asked'})

Observation/blood-pressure/_history/spark19 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: blood-pressure

meta:

identifier: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281

status: final

code: Blood pressure systolic & diastolic (Details : {LOINC code '55284-4' = 'Blood pressure systolic and diastolic', given as 'Blood pressure systolic & diastolic'})

subject: Patient/example

effective: 17/09/2012

performer: Practitioner/example

interpretation: low (Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'Below low normal'})

bodySite: Right arm (Details : {SNOMED CT code '368209003' = '368209003', given as 'Right arm'})

component

code: Systolic blood pressure (Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = '271649006', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = '??', given as 'Systolic Blood pressure'})

value: 107 mm[Hg]

component

code: Diastolic blood pressure (Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})

value: 60 mm[Hg]

Observation/example/_history/spark17 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: example

status: final

category: Vital Signs (Details : {http://hl7.org/fhir/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Weight Measured (Details : {LOINC code '3141-9' = 'Body weight Measured', given as 'Weight Measured'}; {SNOMED CT code '27113001' = '27113001', given as 'Body weight'}; {http://acme.org/devices/clinical-codes code 'body-weight' = '??', given as 'Body Weight'})

subject: Patient/example

encounter: Encounter/example

value: 185 lbs (Details: http://unitsofmeasure.org code [lb_av] = '??')

Observation/genetics-example1-somatic/_history/spark2 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: genetics-example1-somatic

contained:

status: final

code: Genetic analysis master panel ­Blood or Tissue by Molecular genetics method (Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel ­Blood or Tissue by Molecular genetics method'})

subject: Molecular Lab Patient ID: HOSP-23456

performer: Molecular Diagnostic Laboratory

interpretation: positive (Details : {http://hl7.org/fhir/v2/0078 code 'POS' = 'Positive)

comments: The EGFR p.L858R mutation has been associated with response to anti-EGFR therapy

specimen: Molecular Specimen ID: MLD45-Z4-1234

Observation/genetics-example2-germline/_history/spark3 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: genetics-example2-germline

status: final

code: BRCA1 gene mutation analysis (Details : {LOINC code '21636-6' = 'BRCA1 gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal', given as 'BRCA1 gene mutation analysis'})

subject: Molecular Lab Patient ID: HOSP-23456

performer: Molecular Diagnostic Laboratory

specimen: Molecular Specimen ID: MLD45-Z4-1234

Observation/genetics-example3-mutationlist-1/_history/spark5 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: genetics-example3-mutationlist-1

status: final

code: ABCB4 gene mutation analysis (Details : {LOINC code '49874-1' = 'ABCB4 gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'ABCB4 gene mutation analysis'})

subject: Molecular Lab Patient ID: HOSP-23456

performer: Molecular Diagnostic Laboratory

specimen: Molecular Specimen ID: MLD45-Z4-1234

Components

- Code Value[x]
* Genetic disease sequence variation interpretation (Details : {LOINC code '53037-8' = 'Genetic disease sequence variation interpretation [interpretation] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease sequence variation interpretation'}) Unknown significance (Details : {http://www.genenames.org code 'LA6682-4' = '??', given as 'Unknown significance'})
Observation/genetics-example3-mutationlist-2/_history/spark6 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: genetics-example3-mutationlist-2

status: final

code: ABCB4 gene mutation analysis (Details : {LOINC code '49874-1' = 'ABCB4 gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'ABCB4 gene mutation analysis'})

subject: Molecular Lab Patient ID: HOSP-23456

performer: Molecular Diagnostic Laboratory

specimen: Molecular Specimen ID: MLD45-Z4-1234

Components

- Code Value[x]
* Genetic disease sequence variation interpretation (Details : {LOINC code '53037-8' = 'Genetic disease sequence variation interpretation [interpretation] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease sequence variation interpretation'}) Benign (Details : {http://www.genenames.org code 'LA6675-8' = '??', given as 'Benign'})
Observation/genetics-example3-mutationlist-3/_history/spark7 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: genetics-example3-mutationlist-3

status: final

code: ABCB4 gene mutation analysis (Details : {LOINC code '49874-1' = 'ABCB4 gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'ABCB4 gene mutation analysis'})

subject: Molecular Lab Patient ID: HOSP-23456

performer: Molecular Diagnostic Laboratory

specimen: Molecular Specimen ID: MLD45-Z4-1234

Components

- Code Value[x]
* Genetic disease sequence variation interpretation (Details : {LOINC code '53037-8' = 'Genetic disease sequence variation interpretation [interpretation] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease sequence variation interpretation'}) Benign (Details : {http://www.genenames.org code 'LA6675-8' = '??', given as 'Benign'})
Observation/genetics-example3-mutationlist-4/_history/spark8 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: genetics-example3-mutationlist-4

status: final

code: ABCB4 gene mutation analysis (Details : {LOINC code '49874-1' = 'ABCB4 gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'ABCB4 gene mutation analysis'})

subject: Molecular Lab Patient ID: HOSP-23456

performer: Molecular Diagnostic Laboratory

specimen: Molecular Specimen ID: MLD45-Z4-1234

Components

- Code Value[x]
* Genetic disease sequence variation interpretation (Details : {LOINC code '53037-8' = 'Genetic disease sequence variation interpretation [interpretation] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease sequence variation interpretation'}) Benign (Details : {http://www.genenames.org code 'LA6675-8' = '??', given as 'Benign'})
Observation/genetics-example3-mutationlist/_history/spark4 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: genetics-example3-mutationlist

status: final

code: ABCB4 gene mutation analysis (Details : {LOINC code '49874-1' = 'ABCB4 gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'ABCB4 gene mutation analysis'})

subject: Molecular Lab Patient ID: HOSP-23456

performer: Molecular Diagnostic Laboratory

specimen: Molecular Specimen ID: MLD45-Z4-1234

Observation/obs-uslab-example1/_history/spark9 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example1

identifier: lab test result ID = 1234 (OFFICIAL)

status: final

code: Capillary Blood Lead Screen (Details : {LOINC code '10368-9' = 'Lead [Mass/volume] in Capillary blood', given as 'Lead [Mass/​volume] in Capillary blood'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'CAPLD' = '??', given as 'Blood Lead, Capillary'})

subject: Todd Lerr

effective: 03/12/2014

issued: 04/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

value: 65 microgram per deciliter (Details: http://unitsofmeasure.org code ug/dL = '??')

interpretation: High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)

specimen: Blood sample

ReferenceRanges

- High
* 5.0 microgram per deciliter (Details: http://unitsofmeasure.org code ug/dL = '??')
Observation/obs-uslab-example2/_history/spark10 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example2

identifier: lab test result ID = 2345 (OFFICIAL)

status: final

code: Neisseria gonorrhoeae by PCR (Details : {LOINC code '43305-2' = 'Neisseria gonorrhoeae rRNA [Presence] in Unspecified specimen by Probe and target amplification method', given as 'Neisseria gonorrhoeae rRNA [Presence] in Unspecified specimen by Probe and target amplification method'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'GCPCR' = '??', given as 'APTIMA GC'})

subject: Todd Lerr

effective: 05/12/2014

issued: 06/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

value: Positive for Neisseira gonorrheoea rRNA (Details : {SNOMED CT code '10828004' = '10828004', given as 'Positive'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'POS' = '??', given as 'Positive'})

interpretation: Abnormal (Details : {http://hl7.org/fhir/v2/0078 code 'A' = 'Abnormal)

specimen: Urine First Void

Observation/obs-uslab-example3/_history/spark11 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example3

identifier: lab test result ID = 3456 (OFFICIAL)

status: final

code: Miscellaneous Culture (Details : {LOINC code '6463-4' = 'Bacteria identified in Unspecified specimen by Culture', given as 'Bacteria identified in Unspecified specimen by Culture'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'MSCBACT' = '??', given as 'Misc Culture'})

subject: Todd Lerr

effective: 05/12/2014

issued: 06/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

value: Moderate Growth of gram-positive cocci bacteria

interpretation: Abnormal (Details : {http://hl7.org/fhir/v2/0078 code 'A' = 'Abnormal)

specimen: Blood sample

Observation/obs-uslab-example4/_history/spark12 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example4

identifier: lab test result ID = 4567 (OFFICIAL)

status: final

code: Dengue IgM Titer (Details : {LOINC code '6812-2' = 'Dengue virus IgM Ab [Titer] in Serum', given as 'Dengue virus IgM Ab [Titer] in Serum'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'DGIGM' = '??', given as 'Dengue IgM QN'})

subject: Todd Lerr

effective: 05/12/2014

issued: 06/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

value: 1/256

interpretation: High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)

specimen: Bloo sample

ReferenceRanges

- Text
* <1:64
Observation/obs-uslab-example5/_history/spark13 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example5

identifier: lab test result ID = 1234 (OFFICIAL)

status: final

code: Blood Lead (Details : {LOINC code '5671-3' = 'Lead [Mass/volume] in Blood', given as 'Lead [Mass/volume] in Blood'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'BLDLD' = '??', given as 'Blood Lead'})

subject: Todd Lerr

effective: 05/12/2014

issued: 06/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

value: 65 microgram per deciliter (Details: http://unitsofmeasure.org code ug/dL = '??')

interpretation: High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)

specimen: Blood sample

ReferenceRanges

- High
* 5.0 microgram per deciliter (Details: http://unitsofmeasure.org code ug/dL = '??')
Observation/obs-uslab-example6/_history/spark14 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example6

identifier: lab test result ID = 8901 (OFFICIAL)

status: final

code: GC CT RNA Panel (Details : {LOINC code '64017-7' = 'Chlamydia trachomatis and Neisseria gonorrhoeae rRNA panel - Unspecified specimen by Probe and target amplification method', given as 'Chlamydia trachomatis and Neisseria gonorrhoeae rRNA panel - Unspecified specimen by Probe and target amplification method'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'GCCTPCR' = '??', given as 'GC CT PCR'})

subject: Todd Lerr

effective: 05/12/2014

issued: 06/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

specimen: Urine First Void

related

type: has-member

target: CT RNA

related

type: has-member

target: GC-RNA

Observation/obs-uslab-example7/_history/spark15 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example7

identifier: lab test result ID = 9012 (OFFICIAL)

status: final

code: Chlamydia trachomatis by PCR (Details : {LOINC code '43304-5' = 'Chlamydia trachomatis rRNA [Presence] in Unspecified specimen by Probe and target amplification method', given as 'Chlamydia trachomatis rRNA [Presence] in Unspecified specimen by Probe and target amplification method'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'CTPCR' = '??', given as 'APTIMA CT'})

subject: Todd Lerr

effective: 05/12/2014

issued: 06/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

value: Negative for Chlamydia Trachomatis rRNA (Details : {SNOMED CT code '260385009' = '260385009', given as 'Negative'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'NEG' = '??', given as 'Negative'})

interpretation: Normal (Details : {http://hl7.org/fhir/v2/0078 code 'N' = 'Normal)

specimen: Urine First Void

Observation/obs-uslab-example8/_history/spark16 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: obs-uslab-example8

identifier: lab test result ID = 9099 (OFFICIAL)

status: final

code: White blood cells (WBC) in urine (Details : {LOINC code '5821-4' = 'Leukocytes [#/area] in Urine sediment by Microscopy high power field', given as 'Leukocytes [#/​area] in Urine sediment by Microscopy high power field'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'WBCFLD' = '??', given as 'White blood cells (WBC) in urine '})

subject: Todd Lerr

effective: 03/12/2014

issued: 04/12/2014 3:42:15 PM

performer: Dr Leonard T Bloodraw Jr

value: 10-20 WBC/HPF

interpretation: High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)

specimen: Urine Sample

ReferenceRanges

- Low High
* 0 WBC/HPF (Details: http://unitsofmeasure.org code /[HPF] = '??') 5 WBC/HPF (Details: http://unitsofmeasure.org code /[HPF] = '??')
Observation/observation-example/_history/spark18 Modified: 9/29/2017 5:40:19 AM +00:00

Generated Narrative with Details

id: observation-example

status: final

code: Hemoglobin [Mass/volume] in Venous blood (Details : {LOINC code '30350-3' = 'Hemoglobin [Mass/volume] in Venous blood', given as 'Hemoglobin [Mass/volume] in Venous blood'})

subject: Patient/example

effective: 02/04/2013 10:30:10 AM --> 05/04/2013 10:30:10 AM

issued: 03/04/2013 3:30:10 PM

value: 7.2 g/dl (Details: http://unitsofmeasure.org code g/dL = '??')

interpretation: Below low normal (Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'Below low normal'})

bodySite: Superficial forearm vein (Details : {SNOMED CT code '308046002' = '308046002', given as 'Superficial forearm vein'})

method: Injection to forearm (Details : {SNOMED CT code '120220003' = '120220003', given as 'Injection to forearm'})

Observation/spark1/_history/spark1 Modified: 9/29/2017 5:40:14 AM +00:00

Acute Asthmatic attack. Was wheezing for days prior to admission.