Medtech ALEX® Implementation Guide
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: Pathology Bundle example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "PathologyBundleExample",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.medtechglobal.com/StructureDefinition/pathology-bundle"
    ]
  },
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "uri:urn:5a136963-3b87-22f5-ca68-6eac30f8030a",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "5a136963-3b87-22f5-ca68-6eac30f8030a",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.medtechglobal.com/StructureDefinition/pathology-diagnosticreport"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "U"
            }
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_5a136963-3b87-22f5-ca68-6eac30f8030a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 5a136963-3b87-22f5-ca68-6eac30f8030a</b></p><a name=\"5a136963-3b87-22f5-ca68-6eac30f8030a\"> </a><a name=\"hc5a136963-3b87-22f5-ca68-6eac30f8030a\"> </a><a name=\"5a136963-3b87-22f5-ca68-6eac30f8030a-en-US\"> </a><h2><span title=\"Codes:\">Vitamin D</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>No display for Patient </td></tr><tr><td>Reported</td><td>2023-06-09 16:35:00+0000</td></tr><tr><td>Performer</td><td> Awanui (Identifier: <code>https://standards.digital.health.nz/ns/hpi-facility-id</code>/ZZZ1234\u00a0(use:\u00a0official,\u00a0))</td></tr><tr><td>Identifier</td><td> Filler Identifier/23-99990094-VIT-0\u00a0(use:\u00a0official,\u00a0)</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Observation-fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78.html\"><span title=\"Codes:{http://loinc.org 14957-5}\">Microalbumin [Mass/volume] in Urine</span></a></td><td>Many</td><td>( &lt; 30 )</td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation AA}\">Critical abnormal</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "external-patient-family",
                "valueString" : "Chent"
              },
              {
                "url" : "ordering-provider-identifier",
                "valueString" : "ZZZ123"
              },
              {
                "url" : "ordering-provider-family",
                "valueString" : "Johnston"
              },
              {
                "url" : "external-patient-given",
                "valueString" : "Pay"
              },
              {
                "url" : "external-patient-nhi",
                "valueString" : "YYY123"
              },
              {
                "url" : "external-patient-dob",
                "valueString" : "1990-08-12"
              },
              {
                "url" : "ordering-provider-given",
                "valueString" : "Alex"
              }
            ],
            "url" : "http://alexapi.medtechglobal.com/fhir/StructureDefinition/pathology-diagnosticreport-extension"
          }
        ],
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "FILL"
                }
              ]
            },
            "value" : "23-99990094-VIT-0"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "LAB"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "code" : "VIT",
              "display" : "Vitamin D"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/AlexPatientExample"
        },
        "issued" : "2023-06-09T16:35:00Z",
        "performer" : [
          {
            "type" : "Organization",
            "identifier" : {
              "use" : "official",
              "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
              "value" : "ZZZ1234"
            },
            "display" : "Awanui"
          }
        ],
        "resultsInterpreter" : [
          {
            🔗 "reference" : "Practitioner/AlexPractitionerExample",
            "display" : "Dr Medtech Apmt Staff"
          }
        ],
        "result" : [
          {
            🔗 "reference" : "Observation/fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78"
          }
        ],
        "presentedForm" : [
          {
            "contentType" : "text/rtf",
            "data" : "RXhhbXBsZSByZXN1bHQ6IDEyMyBtbC9tb2w="
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "DiagnosticReport"
      }
    },
    {
      "fullUrl" : "uri:urn:fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78",
        "meta" : {
          "profile" : [
            🔗 "https://fhir.medtechglobal.com/StructureDefinition/pathology-observation"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "U"
            }
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78</b></p><a name=\"fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78\"> </a><a name=\"hcfe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78\"> </a><a name=\"fe5a9cfb-4f2a-2e8b-bcd5-360eb30c7c78-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 14957-5}\">Microalbumin [Mass/volume] in Urine</span></p><p><b>subject</b>: <a href=\"Patient-AlexPatientExample.html\">Abnormal Patient (official) Female, DoB: 1968-01-27 ( https://standards.digital.health.nz/ns/nhi-id#ZXP7823\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>value</b>: Many</p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation AA}\">Critical abnormal</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>( &lt; 30 )</td></tr></table></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "external-observation-setid",
                "valueString" : "0001"
              }
            ],
            "url" : "http://alexapi.medtechglobal.com/fhir/StructureDefinition/pathology-observation-extension"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "14957-5",
              "display" : "Microalbumin [Mass/volume] in Urine"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/AlexPatientExample"
        },
        "valueString" : "Many",
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "AA"
              }
            ]
          }
        ],
        "referenceRange" : [
          {
            "text" : "( < 30 )"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    }
  ]
}