LinuxForHealth FHIR Implementation Guide
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LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

: Condition Instance With NLP Insights - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "ConditionInstanceWithNLPInsights",
  "meta" : {
    "extension" : [
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/tenant-id",
        "valueString" : "99999"
      },
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/ingestion-batch-id",
        "valueString" : "b069a545-9506-40c6-8498-23de2e189145"
      },
      {
        "extension" : [
          {
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/path",
            "valueString" : "code.coding"
          },
          {
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-id",
            "valueIdentifier" : {
              "system" : "https://acme.com/nlp-processor/1.0",
              "value" : "insight-1"
            }
          },
          {
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/detected",
            "valueDateTime" : "2021-01-01T03:01:00Z"
          },
          {
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/category",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/insight-category-code-system",
                  "code" : "natural-language-processing"
                }
              ]
            }
          },
          {
            "extension" : [
              {
                "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/reference",
                "valueReference" : {
                  "reference" : "#insight-reference-123456-01"
                }
              },
              {
                "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/reference-path",
                "valueString" : "conclusion"
              },
              {
                "extension" : [
                  {
                    "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value",
                    "valueCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "46635009",
                      "display" : "Diabetes mellitus type 1"
                    }
                  },
                  {
                    "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value",
                    "valueCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/umls",
                      "code" : "C0011854",
                      "display" : "Diabetes Mellitus, Insulin-Dependent"
                    }
                  },
                  {
                    "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value",
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "44877-9",
                      "display" : "Insulin dependent diabetes mellitus [Presence]"
                    }
                  },
                  {
                    "extension" : [
                      {
                        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/covered-text",
                        "valueString" : "results consistent with insulin-dependent diabetes"
                      },
                      {
                        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/offset-begin",
                        "valueInteger" : 17
                      },
                      {
                        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/offset-end",
                        "valueInteger" : 56
                      },
                      {
                        "extension" : [
                          {
                            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/method",
                            "valueCodeableConcept" : {
                              "coding" : [
                                {
                                  "system" : "http://linuxforhealth.org/platform/acd-confidence-method",
                                  "code" : "Diagnosis_Explicit_Score"
                                }
                              ]
                            }
                          },
                          {
                            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/score",
                            "valueDecimal" : 0.996
                          }
                        ],
                        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-confidence"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/method",
                            "valueCodeableConcept" : {
                              "coding" : [
                                {
                                  "system" : "http://linuxforhealth.org/platform/acd-confidence-method",
                                  "code" : "Diagnosis_Family_History"
                                }
                              ]
                            }
                          },
                          {
                            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/score",
                            "valueDecimal" : 0.006
                          }
                        ],
                        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-confidence"
                      }
                    ],
                    "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/span"
                  }
                ],
                "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-result"
              }
            ],
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-detail"
          }
        ],
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight"
      }
    ],
    "source" : "http://acme-health.com/emr",
    "profile" : [
      "http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-condition"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"ConditionInstanceWithNLPInsights\"> </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 \"ConditionInstanceWithNLPInsights\" </p><p style=\"margin-bottom: 0px\">Information Source: http://acme-health.com/emr!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cdm-condition.html\">CDM Condition</a></p></div><p><b>identifier</b>: Source System Row Identifier: 46706977-907b-453a-87bc-76002d7076ef(use: OFFICIAL)</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/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/4.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Diabetes mellitus type 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#46635009; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-umls.html\">Unified Medical Language System</a>#C0011854 \"Diabetes Mellitus, Insulin-Dependent\"; <a href=\"https://loinc.org/\">LOINC</a>#44877-9 \"Insulin dependent diabetes mellitus [Presence]\")</span></p><p><b>subject</b>: <a href=\"Patient-CDMPatientInstance.html\">Patient/CDMPatientInstance</a> \" MCLASTNAME\"</p><hr/><blockquote><h2><span title=\"Codes: {http://loinc.org 10451-3}\">Proinsulin [Moles/volume] in Serum or Plasma --12 hours fasting</span> </h2><table class=\"grid\"></table><p><b>Report Details</b></p><p>Patient exhibits results consistent with insulin-dependent diabetes despite no family history of type 1 or type 2 diabetes.</p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "DiagnosticReport",
      "id" : "insight-reference-123456-01",
      "status" : "final",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10451-3"
          }
        ]
      },
      "conclusion" : "Patient exhibits results consistent with insulin-dependent diabetes despite no family history of type 1 or type 2 diabetes."
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type",
            "code" : "SSRI"
          }
        ]
      },
      "system" : "http://acme-health.com/emr/condition",
      "value" : "46706977-907b-453a-87bc-76002d7076ef",
      "assigner" : {
        "display" : "Acme Health - EMR System"
      }
    }
  ],
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }
    ]
  },
  "verificationStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "46635009",
        "display" : "Diabetes mellitus type 1"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/umls",
        "code" : "C0011854",
        "display" : "Diabetes Mellitus, Insulin-Dependent"
      },
      {
        "system" : "http://loinc.org",
        "code" : "44877-9",
        "display" : "Insulin dependent diabetes mellitus [Presence]"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/CDMPatientInstance"
  }
}