Release 4

Diagnosticreport-example-f001-bloodexam.json

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Real-world patient example

{
  "resourceType": "Bundle",
  "id": "f001",
  "type": "collection",
  "entry": [
    {
      "fullUrl": "https://example.com/base/DiagnosticReport/f001",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "f001",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>identifier</b>: nr1239044 (OFFICIAL)</p><p><b>basedOn</b>: <a>ServiceRequest/req</a></p><p><b>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = 'Haematology test', given as 'Haematology test'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'HM' = 'Hematology)</span></p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>issued</b>: May 15, 2013 7:32:52 PM</p><p><b>performer</b>: <a>Burgers University Medical Centre</a></p><p><b>result</b>: </p><ul><li><a>Observation/f001</a></li><li><a>Observation/f002</a></li><li><a>Observation/f003</a></li><li><a>Observation/f004</a></li><li><a>Observation/f005</a></li></ul><p><b>conclusion</b>: Core lab</p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "system": "http://www.bmc.nl/zorgportal/identifiers/reports",
            "value": "nr1239044"
          }
        ],
        "basedOn": [
          {
            "reference": "ServiceRequest/req"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "252275004",
                "display": "Haematology test"
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "HM"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "58410-2",
              "display": "Complete blood count (hemogram) panel - Blood by Automated count"
            }
          ]
        },
        "subject": {
          "reference": "Patient/f001",
          "display": "P. van den Heuvel"
        },
        "issued": "2013-05-15T19:32:52+01:00",
        "performer": [
          {
            "reference": "Organization/f001",
            "display": "Burgers University Medical Centre"
          }
        ],
        "result": [
          {
            "reference": "Observation/f001"
          },
          {
            "reference": "Observation/f002"
          },
          {
            "reference": "Observation/f003"
          },
          {
            "reference": "Observation/f004"
          },
          {
            "reference": "Observation/f005"
          }
        ],
        "conclusion": "Core lab"
      }
    },
    {
      "fullUrl": "https://example.com/base/ServiceRequest/req",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "req",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: req</p><p><b>identifier</b>: L2381</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>encounter</b>: <a>Encounter/f001</a></p><p><b>requester</b>: <a>E.van den Broek</a></p><p><b>note</b>: patient almost fainted during procedure</p></div>"
        },
        "extension": [
          {
            "url": "http://example.org/bodysitecode",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "14975008",
                  "display": "Forearm structure"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "system": "http://www.bmc.nl/zorgportal/identifiers/labresults",
            "value": "L2381"
          }
        ],
        "status": "active",
        "intent": "original-order",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "58410-2",
              "display": "Complete blood count (hemogram) panel - Blood by Automated count"
            }
          ]
        },
        "subject": {
          "reference": "Patient/f001",
          "display": "P. van den Heuvel"
        },
        "encounter": {
          "reference": "Encounter/f001"
        },
        "requester": {
          "reference": "Practitioner/f001",
          "display": "E.van den Broek"
        },
        "note": [
          {
            "text": "patient almost fainted during procedure"
          }
        ]
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.