Pulmonary Function Testing: An Interoperability on FHIR Implementation Guide
0.1.0 - ci-build

Pulmonary Function Testing: An Interoperability on FHIR Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

: PFT Composition - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="pft-composition"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>status</b>: preliminary</p><p><b>type</b>: <span title="Codes: {http://loinc.org 81458-2}">Pulmonary function test panel</span></p><p><b>category</b>: <span title="Codes: {http://loinc.org 27896-0}">Pulmonary studies (set)</span></p><p><b>encounter</b>: <a href="Bundle-pft-bundle.html#Encounter_encounter-01">Generated Summary: type: collection</a></p><p><b>date</b>: 2017-02-20</p><p><b>author</b>: <a href="TODO_PLACEHOLDER">TODO_PLACEHOLDER</a></p><p><b>title</b>: PFT: test panel Observations and DiagnosticReport</p><p><b>custodian</b>: <a href="Bundle-pft-bundle.html#Organization_organization-01">Generated Summary: type: collection</a></p></div>
  </text>
  <status value="preliminary"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="81458-2"/>
      <display value="Pulmonary function test panel"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="27896-0"/>
      <display value="Pulmonary studies (set)"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/patient-01"/>
  </subject>
  <encounter>
    <reference value="Encounter/encounter-01"/>
  </encounter>
  <date value="2017-02-20"/>
  <author>
    <reference value="TODO_PLACEHOLDER"/>
  </author>
  <title value="PFT: test panel Observations and DiagnosticReport"/>
  <custodian>
    <reference value="Organization/organization-01"/>
  </custodian>
  <section>
    <title value="PFT Observations and Technician Comment"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="30954-2"/>
        <display value="Relevant diagnostic tests/laboratory data Narrative"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">TECHNICIAN COMMMENTS: No medications in past 24 hr. 400 mcg albuterol given for reversibility testing.</div>
    </text>
    <entry>
      <reference value="SpO2_RESTING"/>
    </entry>
    <section>
      <title value="Spirometry"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="81459-0"/>
          <display value="Spirometry panel"/>
        </coding>
        <coding>
          <system value="http://loinc.org"/>
          <code value="81458-2"/>
          <display value="Pulmonary function test panel"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml">Reference values: GLI 2012 Test quality: Pre: FEV1 - A, FVC - A; Post: FEV1 - A, FVC - B</div>
      </text>
      <entry>
        <reference value="Observation/FVC-PRE"/>
      </entry>
      <entry>
        <reference value="Observation/FVC-PRE-Zscore"/>
      </entry>
      <entry>
        <reference value="Observation/FVC-PRE-percentPredicted"/>
      </entry>
      <entry>
        <reference value="Observation/FVC-POST"/>
      </entry>
      <entry>
        <reference value="Observation/FVC-POST-Zscore"/>
      </entry>
      <entry>
        <reference value="Observation/FVC-POST-percentPredicted"/>
      </entry>
      <entry>
        <reference value="Observation/FVC-POST-mLChange"/>
      </entry>
      <entry>
        <reference value="Observation/FVC-post-percentChange"/>
      </entry>
    </section>
    <section>
      <title value="Slow Vital Capacity (Pre-Bronchodilator)"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="81458-2"/>
          <display value="Pulmonary function test panel"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml">Reference values: VC - Gutierrez 2004; FEV1/VC - GLI 2012</div>
      </text>
    </section>
    <section>
      <title value="Multi-Breath Nitrogen Washout (Post-Bronchodilator)"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="81458-2"/>
          <display value="Pulmonary function test panel"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml">Reference values: Gutierrez 2004; Test quality: QA met</div>
      </text>
    </section>
    <section>
      <title value="Plethysmography (Post-Bronchodilator)"/>
      <code>
        <coding>
          <system value="http://snomed.info/id"/>
          <code value="20552003"/>
          <display value="Plethysmography (procedure)"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml">Reference values: Gutierrez 2004; Test quality: QA met</div>
      </text>
    </section>
    <section>
      <title value="Diffusing Capacity (Post-Bronchodilator)"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="81458-2"/>
          <display value="Pulmonary function test panel"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml">Reference values: GLI 2017; Test quality: one grade A test; P_B: 721 mmHg</div>
      </text>
    </section>
  </section>
  <section>
    <title value="Pulmonologist interpretation of PFT and diagnosis"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59769-0"/>
        <display value="Postprocedure diagnosis Narrative"/>
      </coding>
    </code>
    <entry>
      <reference value="DiagnosticReport/diagnostic-report"/>
    </entry>
  </section>
</Composition>