HL7 FHIR Implementation Guide: Rwanda HIV
0.1.0 - STU1 International flag

HL7 FHIR Implementation Guide: Rwanda HIV, published by Jembi Health Systems. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/openhie/Rwanda-HIV and changes regularly. See the Directory of published versions

: Lab Result Bundle - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "LabResult",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "Task/HIVLabResultTaskExample",
      "resource" : {
        "resourceType" : "Task",
        "id" : "HIVLabResultTaskExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Task</b><a name=\"HIVLabResultTaskExample\"> </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 Task &quot;HIVLabResultTaskExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-lab-task.html\">HIV VL Lab Order Task</a></p></div><p><b>Result Status Index</b>: 4</p><p><b>identifier</b>: Lab order number:\u00a0ORDER12345</p><p><b>instantiatesCanonical</b>: <a href=\"ActivityDefinition-LabOrderTaskActivityExample.html\">ActivityDefinition[http://openhie.org/fhir/rwanda-hiv/ActivityDefinition/LabOrderTaskActivityExample|0.1.0]</a></p><p><b>basedOn</b>: </p><ul><li><a href=\"ServiceRequest-HIVServiceRequestExample.html\">ServiceRequest/HIVServiceRequestExample</a></li><li><a href=\"Transport-SampleDispatchedToLabExample.html\">Transport/SampleDispatchedToLabExample</a></li><li><a href=\"Transport-ResultDispatchedToRequestingFacilityExample.html\">Transport/ResultDispatchedToRequestingFacilityExample</a></li></ul><p><b>status</b>: completed</p><p><b>intent</b>: original-order</p><p><b>for</b>: <a href=\"Patient-HIVPatientExample.html\">Patient/HIVPatientExample</a> &quot; SMITH&quot;</p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter/TargetFacilityEncounterExample</a></p><p><b>executionPeriod</b>: ?? --&gt; 2022-07-30</p><p><b>lastModified</b>: 2022-07-30</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></td><td><a href=\"#DiagnosticReport_HIVLabResultsDiagnosticReportExample\">See above (DiagnosticReport/HIVLabResultsDiagnosticReportExample)</a></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-status-index",
            "valueInteger" : 4
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "FILL",
                  "display" : "Filler Identifier"
                }
              ],
              "text" : "Lab order number"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/lab-integration/order-number",
            "value" : "ORDER12345"
          }
        ],
        "instantiatesCanonical" : "http://openhie.org/fhir/rwanda-hiv/ActivityDefinition/LabOrderTaskActivityExample",
        "basedOn" : [
          {
            "reference" : "ServiceRequest/HIVServiceRequestExample"
          },
          {
            "reference" : "Transport/SampleDispatchedToLabExample"
          },
          {
            "reference" : "Transport/ResultDispatchedToRequestingFacilityExample"
          }
        ],
        "status" : "completed",
        "intent" : "original-order",
        "for" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "executionPeriod" : {
          "end" : "2022-07-30"
        },
        "lastModified" : "2022-07-30",
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "output" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "398579006",
                  "display" : "Human immunodeficiency virus-1 nucleic acid assay"
                }
              ],
              "text" : "Viral Load Result"
            },
            "valueReference" : {
              "reference" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Task/HIVLabResultTaskExample"
      }
    },
    {
      "fullUrl" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "HIVLabResultsDiagnosticReportExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-diagnostic-report"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DiagnosticReport</b><a name=\"HIVLabResultsDiagnosticReportExample\"> </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 &quot;HIVLabResultsDiagnosticReportExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-diagnostic-report.html\">HIV Viral Load Diagnostic Report</a></p></div><p><b>HIV Viral Load Result Tested By</b>: 7</p><p><b>basedOn</b>: <a href=\"ServiceRequest-HIVServiceRequestExample.html\">ServiceRequest/HIVServiceRequestExample</a></p><p><b>status</b>: final</p><p><b>code</b>: Test Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#25836-8 &quot;HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Patient/HIVPatientExample</a> &quot; SMITH&quot;</p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter/TargetFacilityEncounterExample</a></p><p><b>performer</b>: <a href=\"Practitioner-PerformingPractitionerExample.html\">Practitioner/PerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>resultsInterpreter</b>: <a href=\"Practitioner-ResultsInterpreterExample.html\">Practitioner/ResultsInterpreterExample</a> &quot; SMITH&quot;</p><p><b>result</b>: <a href=\"#Observation_HIVTestResultExample\">See above (Observation/HIVTestResultExample)</a></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>conclusion</b>: Some conclusion text</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/tested-by-user-index",
            "valueInteger" : 7
          }
        ],
        "basedOn" : [
          {
            "reference" : "ServiceRequest/HIVServiceRequestExample"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "25836-8",
              "display" : "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
            }
          ],
          "text" : "Test Type"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "performer" : [
          {
            "reference" : "Practitioner/PerformingPractitionerExample"
          }
        ],
        "resultsInterpreter" : [
          {
            "reference" : "Practitioner/ResultsInterpreterExample"
          }
        ],
        "result" : [
          {
            "reference" : "Observation/HIVTestResultExample"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "conclusion" : "Some conclusion text"
      },
      "request" : {
        "method" : "PUT",
        "url" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample"
      }
    },
    {
      "fullUrl" : "Observation/HIVTestResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVTestResultExample\"> </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 Observation &quot;HIVTestResultExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-test-result.html\">HIV VL Lab Result Observation</a></p></div><p><b>Test Result Entered Manually</b>: false</p><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Patient/HIVPatientExample</a> &quot; SMITH&quot;</p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter/TargetFacilityEncounterExample</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 1001</p><p><b>interpretation</b>: Viral Load Suppression Status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#19032002 &quot;Uncontrolled&quot;)</span></p><p><b>note</b>: Viral load not suppressed (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-entered-manually",
            "valueBoolean" : false
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueInteger" : 1001,
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "19032002",
                "display" : "Uncontrolled"
              }
            ],
            "text" : "Viral Load Suppression Status"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Viral load not suppressed"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultExample"
      }
    },
    {
      "fullUrl" : "Observation/HIVTestResultViralLoadLogExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultViralLoadLogExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-log"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVTestResultViralLoadLogExample\"> </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 Observation &quot;HIVTestResultViralLoadLogExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-log.html\">Viral Load Log Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Patient/HIVPatientExample</a> &quot; SMITH&quot;</p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter/TargetFacilityEncounterExample</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 2.55</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>derivedFrom</b>: <a href=\"#Observation_HIVTestResultExample\">See above (Observation/HIVTestResultExample)</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueQuantity" : {
          "value" : 2.55
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            "reference" : "Observation/HIVTestResultExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultViralLoadLogExample"
      }
    },
    {
      "fullUrl" : "Observation/HIVTestResultAbsoluteDecimalExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultAbsoluteDecimalExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result-absolute-decimal"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVTestResultAbsoluteDecimalExample\"> </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 Observation &quot;HIVTestResultAbsoluteDecimalExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-test-result-absolute-decimal.html\">Viral Load Result Absolute Decimal Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Patient/HIVPatientExample</a> &quot; SMITH&quot;</p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter/TargetFacilityEncounterExample</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 2.55</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>derivedFrom</b>: <a href=\"#Observation_HIVTestResultExample\">See above (Observation/HIVTestResultExample)</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueQuantity" : {
          "value" : 2.55
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            "reference" : "Observation/HIVTestResultExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultAbsoluteDecimalExample"
      }
    },
    {
      "fullUrl" : "ActivityDefinition/LabOrderTaskActivityExample",
      "resource" : {
        "resourceType" : "ActivityDefinition",
        "id" : "LabOrderTaskActivityExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task-activity"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ActivityDefinition</b><a name=\"LabOrderTaskActivityExample\"> </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 ActivityDefinition &quot;LabOrderTaskActivityExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-lab-task-activity.html\">HIV Lab Order Activity Definition</a></p></div><p><b>HIV Viral Load Result Revised By</b>: 2</p><p><b>status</b>: active</p><p><b>date</b>: 2023-01-01</p><p><b>approvalDate</b>: 2023-01-01</p><p><b>lastReviewDate</b>: 2023-01-01</p><p><b>editor</b>: Sarah May: </p><p><b>reviewer</b>: Mark Jones: </p><p><b>endorser</b>: Tobias Menley: </p><p><b>specimenRequirement</b>: <a href=\"http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample\">http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/revised-by-user-index",
            "valueInteger" : 2
          }
        ],
        "status" : "active",
        "date" : "2023-01-01",
        "approvalDate" : "2023-01-01",
        "lastReviewDate" : "2023-01-01",
        "editor" : [
          {
            "name" : "Sarah May"
          }
        ],
        "reviewer" : [
          {
            "extension" : [
              {
                "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-reviewed-by-user-index",
                "valueInteger" : 23
              }
            ],
            "name" : "Mark Jones"
          }
        ],
        "endorser" : [
          {
            "extension" : [
              {
                "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-approved-by-user-index",
                "valueInteger" : 16
              }
            ],
            "name" : "Tobias Menley"
          }
        ],
        "specimenRequirement" : [
          "http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample"
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "ActivityDefinition/LabOrderTaskActivityExample"
      }
    }
  ]
}