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Packagetelus.dw.emr.extract-1-1-21
Resource TypeDiagnosticReport
IdDiagnosticReport-ma-ma-schema-1-DiagnosticReport-9002.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: DiagnosticReport ma-ma-schema-1-DiagnosticReport-9002

Last updated: 2023-12-18 23:07:47+0000;

Information Source: urn:telus:emr:ma:ma-schema-1

Security Label: normal (Details: Confidentiality code N = 'normal')

Fasting Glucose Panel (Laboratory)

SubjectJohn Michael Smith Male, DoB: 1975-06-15 ( Jurisdictional Health Number: 1234567890)
Relevant Time2023-12-18 09:30:00+0000
Reported2023-12-18 14:30:00+0000
Performer Main Street Family Practice Laboratory
Identifier urn:telus:emr:ma:ma-schema-1:DiagnosticReport/9002 (use: official, )

Report Details

CodeValueReference RangeFlagsNote
Glucose95 mg/dL (Details: UCUM codemg/dL = 'mg/dL')70-100 mg/dLFinal, Normal

Fasting glucose test performed after 8 hours of fasting

Fasting glucose level is within normal range (70-100 mg/dL). No evidence of diabetes or prediabetes. Continue current management plan for hypertension.

Coded Conclusions:

  • Normal

Source1

{
  "resourceType": "DiagnosticReport",
  "id": "ma-ma-schema-1-DiagnosticReport-9002",
  "meta": {
    "lastUpdated": "2023-12-18T23:07:47Z",
    "source": "urn:telus:emr:ma:ma-schema-1",
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N",
        "display": "normal"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "system": "urn:telus:emr:ma:ma-schema-1:DiagnosticReport",
      "value": "9002"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/ma-ma-schema-1-ServiceRequest-9001",
      "type": "ServiceRequest"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "LAB",
          "display": "Laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "2345-7",
        "display": "Glucose [Mass/volume] in Serum or Plasma"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "33747003",
        "display": "Glucose measurement"
      }
    ],
    "text": "Fasting Glucose Panel"
  },
  "subject": {
    "reference": "Patient/ma-ma-schema-1-Patient-12345",
    "type": "Patient",
    "display": "John Michael Smith"
  },
  "encounter": {
    "reference": "Encounter/ma-ma-schema-1-Encounter-2001",
    "type": "Encounter"
  },
  "effectiveDateTime": "2023-12-18T09:30:00Z",
  "issued": "2023-12-18T14:30:00Z",
  "performer": [
    {
      "reference": "Organization/ma-ma-schema-1-Organization-0",
      "type": "Organization",
      "display": "Main Street Family Practice Laboratory"
    }
  ],
  "resultsInterpreter": [
    {
      "reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
      "type": "Practitioner",
      "display": "Dr. Sarah Johnson"
    }
  ],
  "specimen": [
    {
      "display": "Fasting serum sample collected at 09:00"
    }
  ],
  "result": [
    {
      "reference": "Observation/ma-ma-schema-1-Observation-lab-results-5005",
      "type": "Observation",
      "display": "Glucose: 95 mg/dL"
    }
  ],
  "media": [
    {
      "comment": "Laboratory results chart",
      "link": {
        "display": "Glucose trends over time"
      }
    }
  ],
  "conclusion": "Fasting glucose level is within normal range (70-100 mg/dL). No evidence of diabetes or prediabetes. Continue current management plan for hypertension.",
  "conclusionCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "281300000",
          "display": "Normal"
        }
      ]
    }
  ],
  "presentedForm": [
    {
      "contentType": "application/pdf",
      "language": "en",
      "title": "Fasting Glucose Laboratory Report",
      "creation": "2023-12-18T14:30:00Z"
    }
  ]
}