LinuxForHealth FHIR Implementation Guide
8.0.0 - draft United States of America flag

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

: Condition Instance With NLP Insights - XML Representation

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<Condition xmlns="http://hl7.org/fhir">
  <id value="ConditionInstanceWithNLPInsights"/>
  <meta>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/tenant-id">
      <valueString value="99999"/>
    </extension>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/ingestion-batch-id">
      <valueString value="b069a545-9506-40c6-8498-23de2e189145"/>
    </extension>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight">
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/path">
        <valueString value="code.coding"/>
      </extension>
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-id">
        <valueIdentifier>
          <system value="https://acme.com/nlp-processor/1.0"/>
          <value value="insight-1"/>
        </valueIdentifier>
      </extension>
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/detected">
        <valueDateTime value="2021-01-01T03:01:00Z"/>
      </extension>
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/category">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://linuxforhealth.org/fhir/cdm/CodeSystem/insight-category-code-system"/>
            <code value="natural-language-processing"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-detail">
        <extension
                   url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/reference">
          <valueReference>
            <reference value="#insight-reference-123456-01"/>
          </valueReference>
        </extension>
        <extension
                   url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/reference-path">
          <valueString value="conclusion"/>
        </extension>
        <extension
                   url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-result">
          <extension
                     url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value">
            <valueCoding>
              <system value="http://snomed.info/sct"/>
              <code value="46635009"/>
              <display value="Diabetes mellitus type 1"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value">
            <valueCoding>
              <system value="http://terminology.hl7.org/CodeSystem/umls"/>
              <code value="C0011854"/>
              <display value="Diabetes Mellitus, Insulin-Dependent"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value">
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="44877-9"/>
              <display
                       value="Insulin dependent diabetes mellitus [Presence]"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/span">
            <extension
                       url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/covered-text">
              <valueString
                           value="results consistent with insulin-dependent diabetes"/>
            </extension>
            <extension
                       url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/offset-begin">
              <valueInteger value="17"/>
            </extension>
            <extension
                       url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/offset-end">
              <valueInteger value="56"/>
            </extension>
            <extension
                       url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-confidence">
              <extension
                         url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/method">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://linuxforhealth.org/platform/acd-confidence-method"/>
                    <code value="Diagnosis_Explicit_Score"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/score">
                <valueDecimal value="0.996"/>
              </extension>
            </extension>
            <extension
                       url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-confidence">
              <extension
                         url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/method">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://linuxforhealth.org/platform/acd-confidence-method"/>
                    <code value="Diagnosis_Family_History"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/score">
                <valueDecimal value="0.006"/>
              </extension>
            </extension>
          </extension>
        </extension>
      </extension>
    </extension>
    <source value="http://acme-health.com/emr"/>
    <profile
             value="http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-condition"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <contained>
    <DiagnosticReport>
      <id value="insight-reference-123456-01"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="10451-3"/>
        </coding>
      </code>
      <conclusion
                  value="Patient exhibits results consistent with insulin-dependent diabetes despite no family history of type 1 or type 2 diabetes."/>
    </DiagnosticReport>
  </contained>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system
                value="http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type"/>
        <code value="SSRI"/>
      </coding>
    </type>
    <system value="http://acme-health.com/emr/condition"/>
    <value value="46706977-907b-453a-87bc-76002d7076ef"/>
    <assigner>
      <display value="Acme Health - EMR System"/>
    </assigner>
  </identifier>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="active"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="confirmed"/>
    </coding>
  </verificationStatus>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
      <code value="encounter-diagnosis"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="46635009"/>
      <display value="Diabetes mellitus type 1"/>
    </coding>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/umls"/>
      <code value="C0011854"/>
      <display value="Diabetes Mellitus, Insulin-Dependent"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="44877-9"/>
      <display value="Insulin dependent diabetes mellitus [Presence]"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/CDMPatientInstance"/>
  </subject>
</Condition>