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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="LabResult"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="Task/HIVLabResultTaskExample"/>
    <resource>
      <Task>
        <id value="HIVLabResultTaskExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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: ORDER12345</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 PM)</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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-status-index">
          <valueInteger value="4"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
              <display value="Filler Identifier"/>
            </coding>
            <text value="Lab order number"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/lab-integration/order-number"/>
          <value value="ORDER12345"/>
        </identifier>
        <instantiatesCanonical
                               value="http://openhie.org/fhir/rwanda-hiv/ActivityDefinition/LabOrderTaskActivityExample"/>
        <basedOn>
          <reference value="ServiceRequest/HIVServiceRequestExample"/>
        </basedOn>
        <basedOn>
          <reference value="Transport/SampleDispatchedToLabExample"/>
        </basedOn>
        <basedOn>
          <reference
                     value="Transport/ResultDispatchedToRequestingFacilityExample"/>
        </basedOn>
        <status value="completed"/>
        <intent value="original-order"/>
        <for>
          <reference value="Patient/HIVPatientExample"/>
        </for>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <executionPeriod>
          <end value="2022-07-30"/>
        </executionPeriod>
        <lastModified value="2022-07-30"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
        <output>
          <type>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="398579006"/>
              <display
                       value="Human immunodeficiency virus-1 nucleic acid assay"/>
            </coding>
            <text value="Viral Load Result"/>
          </type>
          <valueReference>
            <reference
                       value="DiagnosticReport/HIVLabResultsDiagnosticReportExample"/>
          </valueReference>
        </output>
      </Task>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Task/HIVLabResultTaskExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="DiagnosticReport/HIVLabResultsDiagnosticReportExample"/>
    <resource>
      <DiagnosticReport>
        <id value="HIVLabResultsDiagnosticReportExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-diagnostic-report"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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 PM)</p><p><b>conclusion</b>: Some conclusion text</p></div>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/tested-by-user-index">
          <valueInteger value="7"/>
        </extension>
        <basedOn>
          <reference value="ServiceRequest/HIVServiceRequestExample"/>
        </basedOn>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="25836-8"/>
            <display
                     value="HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"/>
          </coding>
          <text value="Test Type"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <performer>
          <reference value="Practitioner/PerformingPractitionerExample"/>
        </performer>
        <resultsInterpreter>
          <reference value="Practitioner/ResultsInterpreterExample"/>
        </resultsInterpreter>
        <result>
          <reference value="Observation/HIVTestResultExample"/>
        </result>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
        <conclusion value="Some conclusion text"/>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="DiagnosticReport/HIVLabResultsDiagnosticReportExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/HIVTestResultExample"/>
    <resource>
      <Observation>
        <id value="HIVTestResultExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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 PM)</p></div>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-entered-manually">
          <valueBoolean value="false"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueInteger value="1001"/>
        <interpretation>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="19032002"/>
            <display value="Uncontrolled"/>
          </coding>
          <text value="Viral Load Suppression Status"/>
        </interpretation>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Viral load not suppressed"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/HIVTestResultExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/HIVTestResultViralLoadLogExample"/>
    <resource>
      <Observation>
        <id value="HIVTestResultViralLoadLogExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-log"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p><p><b>derivedFrom</b>: <a href="#Observation_HIVTestResultExample">See above (Observation/HIVTestResultExample)</a></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueQuantity>
          <value value="2.55"/>
        </valueQuantity>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
        <derivedFrom>
          <reference value="Observation/HIVTestResultExample"/>
        </derivedFrom>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/HIVTestResultViralLoadLogExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/HIVTestResultAbsoluteDecimalExample"/>
    <resource>
      <Observation>
        <id value="HIVTestResultAbsoluteDecimalExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result-absolute-decimal"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p><p><b>derivedFrom</b>: <a href="#Observation_HIVTestResultExample">See above (Observation/HIVTestResultExample)</a></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueQuantity>
          <value value="2.55"/>
        </valueQuantity>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
        <derivedFrom>
          <reference value="Observation/HIVTestResultExample"/>
        </derivedFrom>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/HIVTestResultAbsoluteDecimalExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="ActivityDefinition/LabOrderTaskActivityExample"/>
    <resource>
      <ActivityDefinition>
        <id value="LabOrderTaskActivityExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task-activity"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/revised-by-user-index">
          <valueInteger value="2"/>
        </extension>
        <status value="active"/>
        <date value="2023-01-01"/>
        <approvalDate value="2023-01-01"/>
        <lastReviewDate value="2023-01-01"/>
        <editor>
          <name value="Sarah May"/>
        </editor>
        <reviewer>
          <extension
                     url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-reviewed-by-user-index">
            <valueInteger value="23"/>
          </extension>
          <name value="Mark Jones"/>
        </reviewer>
        <endorser>
          <extension
                     url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-approved-by-user-index">
            <valueInteger value="16"/>
          </extension>
          <name value="Tobias Menley"/>
        </endorser>
        <specimenRequirement
                             value="http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample"/>
      </ActivityDefinition>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ActivityDefinition/LabOrderTaskActivityExample"/>
    </request>
  </entry>
</Bundle>