Release 4

Diagnosticreport-example-f001-bloodexam.xml

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

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

Real-world patient example (id = "f001")

<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="f001"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/f001"/> 
    <resource> 
      <DiagnosticReport> <!--     ISO 8601     --><!--     OID: 2.16.840.1.113883.4.642.1.7     --><id value="f001"/> 
        <text> <status value="generated"/> <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> </text> <identifier> 
          <use value="official"/> 
          <system value="http://www.bmc.nl/zorgportal/identifiers/reports"/> 
          <value value="nr1239044"/> 
        </identifier> 
        <basedOn> 
          <reference value="ServiceRequest/req"/> 
        </basedOn> 
        <status value="final"/> 
        <category> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="252275004"/> 
            <display value="Haematology test"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="HM"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="58410-2"/> 
            <display value="Complete blood count (hemogram) panel - Blood by Automated count"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/f001"/> 
          <display value="P. van den Heuvel"/> 
        </subject> 
        <issued value="2013-05-15T19:32:52+01:00"/> 
        <performer> 
          <reference value="Organization/f001"/> 
          <display value="Burgers University Medical Centre"/> 
        </performer> 
        <result> 
          <reference value="Observation/f001"/> 
        </result> 
        <result> 
          <reference value="Observation/f002"/> 
        </result> 
        <result> 
          <reference value="Observation/f003"/> 
        </result> 
        <result> 
          <reference value="Observation/f004"/> 
        </result> 
        <result> 
          <reference value="Observation/f005"/> 
        </result> 
        <conclusion value="Core lab"/> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/ServiceRequest/req"/> 
    <resource> 
      <ServiceRequest> 
        <id value="req"/> 
        <text> <status value="generated"/> <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> </text> <extension url="http://example.org/bodysitecode">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="14975008"/> 
              <display value="Forearm structure"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <identifier> 
          <system value="http://www.bmc.nl/zorgportal/identifiers/labresults"/> 
          <value value="L2381"/> 
        </identifier> 
        <status value="active"/> 
        <intent value="original-order"/> 
        <code> 
          <coding> 
            <system value="http://loinc.org"/> 
            <code value="58410-2"/> 
            <display value="Complete blood count (hemogram) panel - Blood by Automated count"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/f001"/> 
          <display value="P. van den Heuvel"/> 
        </subject> 
        <encounter> 
          <reference value="Encounter/f001"/> 
        </encounter> 
        <requester> 
            <reference value="Practitioner/f001"/> 
            <display value="E.van den Broek"/> 
        </requester> 
        <note> 
          <text value="patient almost fainted during procedure"/> 
        </note> 
      </ServiceRequest> 
    </resource> 
  </entry> 
</Bundle> 

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.