问题描述
我不太熟悉 FHIR 数据格式，需要一些帮助。故事是，所有注册的实验室都将在我们的数据库中发送患者 COVID-19 诊断测试。所以他们提供的信息是
我希望遵循 HERE 中的这种格式。但我不确定我应该使用哪个 LOINC 代码，以及如何判断结果是肯定的还是否定的。
{
"resourceType": "ValueSet","id": "Covid19Labs","text": {
"status": "generated","div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href=\"ValueSet-SARSCoV2Labs.html\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.109</a></li><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><table class=\"none\"><tr><td style=\"white-space:Nowrap\"><b>Code</b></td><td><b>display</b></td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94307-6.html\">94307-6</a></td><td>SARS-CoV-2 (COVID-19) N gene [Presence] in Unspecified specimen by Nucleic acid amplification using CDC primer-probe set N1</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94308-4.html\">94308-4</a></td><td>SARS-CoV-2 (COVID-19) N gene [Presence] in Unspecified specimen by Nucleic acid amplification using CDC primer-probe set N2</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94309-2.html\">94309-2</a></td><td>SARS-CoV-2 (COVID-19) RNA [Presence] in Unspecified specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94310-0.html\">94310-0</a></td><td>SARS-like coronavirus N gene [Presence] in Unspecified specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94314-2.html\">94314-2</a></td><td>SARS-CoV-2 (COVID-19) RdRp gene [Presence] in Unspecified specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94315-9.html\">94315-9</a></td><td>SARS-related coronavirus E gene [Presence] in Unspecified specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94316-7.html\">94316-7</a></td><td>SARS-CoV-2 (COVID-19) N gene [Presence] in Unspecified specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94500-6.html\">94500-6</a></td><td>SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94533-7.html\">94533-7</a></td><td>SARS-CoV-2 (COVID-19) N gene [Presence] in Respiratory specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94534-5.html\">94534-5</a></td><td>SARS-CoV-2 (COVID-19) RdRp gene [Presence] in Respiratory specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94559-2.html\">94559-2</a></td><td>SARS-CoV-2 (COVID-19) ORF1ab region [Presence] in Respiratory specimen by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94759-8.html\">94759-8</a></td><td>SARS-CoV-2 (COVID-19) RNA [Presence] in Nasopharynx by NAA with probe detection</td></tr><tr><td><a href=\"http://details.loinc.org/LOINC/94558-4.html\">94558-4</a></td><td>SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay</td></tr></table></li></ul></div>"
},"url": "http://hl7.org/fhir/uv/saner/ValueSet/Covid19Labs","version": "0.1.0","name": "Covid19Labs","title": "COVID-19 Diagnostic Test","status": "active","date": "2021-06-09T20:53:59+00:00","publisher": "HL7 International Public Health Workgroup","contact": [
{
"telecom": [
{
"system": "url","value": "http://hl7.org/Special/committees/pher/index.cfm"
}
]
},{
"telecom": [
{
"system": "email","value": "pher@lists.hl7.org"
}
]
},{
"name": "HL7 Public Health Workgroup","telecom": [
{
"system": "url",{
"name": "Keith W. Boone","telecom": [
{
"system": "email","value": "mailto:kboone@ainq.com"
}
]
}
],"description": "Codes for COVID-19 Diagnostic Tests","jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm","code": "001"
}
]
}
],"copyright": "This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020,Regenstrief Institute,Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at LOINC/license. LOINC® is a registered United States Trademark of Regenstrief Institute,Inc","compose": {
"include": [
{
"valueSet": [
"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.109"
]
},{
"system": "http://loinc.org","concept": [
{
"code": "94307-6","display": "SARS-CoV-2 (COVID-19) N gene [Presence] in Unspecified specimen by Nucleic acid amplification using CDC primer-probe set N1"
},{
"code": "94308-4","display": "SARS-CoV-2 (COVID-19) N gene [Presence] in Unspecified specimen by Nucleic acid amplification using CDC primer-probe set N2"
},{
"code": "94309-2","display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Unspecified specimen by NAA with probe detection"
},{
"code": "94310-0","display": "SARS-like coronavirus N gene [Presence] in Unspecified specimen by NAA with probe detection"
},{
"code": "94314-2","display": "SARS-CoV-2 (COVID-19) RdRp gene [Presence] in Unspecified specimen by NAA with probe detection"
},{
"code": "94315-9","display": "SARS-related coronavirus E gene [Presence] in Unspecified specimen by NAA with probe detection"
},{
"code": "94316-7","display": "SARS-CoV-2 (COVID-19) N gene [Presence] in Unspecified specimen by NAA with probe detection"
},{
"code": "94500-6","display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
},{
"code": "94533-7","display": "SARS-CoV-2 (COVID-19) N gene [Presence] in Respiratory specimen by NAA with probe detection"
},{
"code": "94534-5","display": "SARS-CoV-2 (COVID-19) RdRp gene [Presence] in Respiratory specimen by NAA with probe detection"
},{
"code": "94559-2","display": "SARS-CoV-2 (COVID-19) ORF1ab region [Presence] in Respiratory specimen by NAA with probe detection"
},{
"code": "94759-8","display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Nasopharynx by NAA with probe detection"
},{
"code": "94558-4","display": "SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay"
}
]
}
]
}
}
知道怎么做吗？提前致谢
解决方法
阿兹里， 以下是 SARS CoV 2（COVID-19 的病原体）实验室测试的观察实例的示例。
{
"resourceType" : "Observation","id" : "SARS_CoV2_example","meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name","valueString" : "COVID-Example"
},{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description","valueMarkdown" : "This is an example of a lab test for SARS CoV 2."
}
],"versionId" : "1","lastUpdated" : "2021-06-22T15:29:57.818+00:00","profile" : [
"http://fhir.logicahealth.org/covid19/StructureDefinition/SARScoronavirus2AbIgGPlusIgMPrThrPtSerPlasOrdIALabObs"
]
},"status" : "final","category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-
category","code" : "laboratory","display" : "Laboratory"
}
],"text" : "Laboratory"
}
],"code" : {
"coding" : [
{
"system" : "http://loinc.org","code" : "94547-7","display" : "SARS-CoV-2 (COVID-19) IgG+IgM Ab [Presence] in Serum or Plasma
by Immunoassay"
}
],"text" : "SARS-CoV-2 (COVID-19) IgG+IgM Ab [Presence] in Serum or Plasma by
Immunoassay"
},"subject" : {
"reference" : "Patient/1234",},"effectiveDateTime" : "2021-06-05","performer": "Organization/123","valueCodeableConcept" : {
"system" : "http://snomed.info/sct","value" : "10828004","display": "Positive (qualifier value)"
}
}
患者信息是对患者资源实例的引用。对于此示例，它可能如下所示：
{
"resourceType": "Patient","id": "1234","lastUpdated": "2021-06-22T15:29:57.818+00:00","identifier": [
{
"system": "http://example_hopsital.org/EHR","value": "143762_XYZ"
}
],"name": [
{
"given": "example","family": "Patient"
}
],"birthDate": "2003-02-14"
}
同样，实验室信息是对组织资源实例的引用，可能如下所示：
{
"resourceType": "Organization","id": "123","identifier": [
{
"system": "http://HopsitalX.org/LIS","value": "543XCB_HospitalLab",}
],"name": "HospitalX-Lab"
}
检测类型（PCR、RNA、抗体等）由 Observation.code 元素中的 LOINC 代码定义。 您在问题中放置的代码片段是 ValueSet 资源的一个实例，它定义了一组为 SARS CoV 2 测试创建的 LOINC 代码。它既用作知识资源（帮助您了解 SARS CoV 2 的 LOINC 代码是什么）又用作验证工具（帮助您确定观察实例是否是 SARS CoV 2 LOINC 测试之一）。