Release 4

Diagnosticreport-example-f202-bloodculture.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": "f202",
  "type": "collection",
  "entry": [
    {
      "fullUrl": "https://example.com/base/DiagnosticReport/f202",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "f202",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f202</p><p><b>basedOn</b>: <a>ServiceRequest/req</a></p><p><b>status</b>: final</p><p><b>category</b>: Laboratory test <span>(Details : {SNOMED CT code '15220000' = 'Laboratory test', given as 'Laboratory test'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'LAB' = 'Laboratory)</span></p><p><b>code</b>: Blood culture for bacteria, including anaerobic screen <span>(Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Mar 11, 2013 10:28:00 AM</p><p><b>performer</b>: <a>AUMC</a></p><p><b>result</b>: <a>Results for staphylococcus analysis on Roel's blood culture</a></p><p><b>conclusion</b>: Blood culture tested positive on staphylococcus aureus</p><p><b>conclusionCode</b>: Bacteremia due to staphylococcus <span>(Details : {SNOMED CT code '428763004' = 'Bacteremia due to Staphylococcus aureus', given as 'Bacteremia due to staphylococcus'})</span></p></div>"
        },
        "basedOn": [
          {
            "reference": "ServiceRequest/req"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "15220000",
                "display": "Laboratory test"
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "LAB"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "104177005",
              "display": "Blood culture for bacteria, including anaerobic screen"
            }
          ]
        },
        "subject": {
          "reference": "Patient/f201",
          "display": "Roel"
        },
        "issued": "2013-03-11T10:28:00+01:00",
        "performer": [
          {
            "reference": "Organization/f201",
            "display": "AUMC"
          }
        ],
        "result": [
          {
            "reference": "Observation/f206",
            "display": "Results for staphylococcus analysis on Roel's blood culture"
          }
        ],
        "conclusion": "Blood culture tested positive on staphylococcus aureus",
        "conclusionCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "428763004",
                "display": "Bacteremia due to staphylococcus"
              }
            ]
          }
        ]
      }
    },
    {
      "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>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Blood culture for bacteria, including anaerobic screen <span>(Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>encounter</b>: <a>Roel's encounter on March elevanth 2013</a></p><p><b>requester</b>: <a>Dokter Bronsig</a></p></div>"
        },
        "status": "active",
        "intent": "original-order",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "104177005",
              "display": "Blood culture for bacteria, including anaerobic screen"
            }
          ]
        },
        "subject": {
          "reference": "Patient/f201",
          "display": "Roel"
        },
        "encounter": {
          "reference": "Encounter/f203",
          "display": "Roel's encounter on March elevanth 2013"
        },
        "requester": {
          "reference": "Practitioner/f201",
          "display": "Dokter Bronsig"
        }
      }
    }
  ]
}

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.