Diagnosticreport-example-f001-bloodexam

Generated Narrative with Details

contained:

name: Complete blood count (hemogram) panel - Blood by Automated count (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'})

status: FINAL

issued: May 16, 2013 4:32:52 AM

subject: P. van den Heuvel. Generated Summary: 738472983 (USUAL), ?? (USUAL); Pieter van de Heuvel ; ph: 0648352638(MOBILE), p.heuvel@gmail.com(HOME); MALE; birthDate: Nov 17, 1944; Getrouwd; multipleBirth; active

performer: Burgers University Medical Centre. Generated Summary: 91654 (OFFICIAL), 17-0112278 (USUAL); name: Burgers University Medical Center; University Medical Hospital; ph: 022-655 2300(WORK)

identifier: nr1239044 (OFFICIAL)

requestDetail: P. van den Heuvel; L2381 (OFFICIAL); clinicalNotes: patient almost fainted during procedure

serviceCategory: Haematology test (Details : {SNOMED CT code '252275004' = 'Hematology test', given as 'Haematology test'}; {http://hl7.org/fhir/v2/0074 code 'HM' = 'Hematology)

diagnostic: Apr 2, 2013

result:

• Generated Summary: Glucose [Moles/volume] in Blood; 6.3 mmol/l; abnormal; applies: Apr 2, 2013 7:30:10 PM --> Apr 5, 2013 7:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; Superficial forearm vein; Injection to forearm; 6323 (OFFICIAL); P. van de Heuvel; A. Langeveld
• Generated Summary: Base excess in Blood by calculation; 12.6 mmol/l; abnormal; applies: Apr 2, 2013 8:30:10 PM --> Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; Superficial forearm vein; Injection to forearm; 6324 (OFFICIAL); P. van de Heuvel; A. Langeveld
• Generated Summary: Carbon dioxide in blood; 6.2 kPa; abnormal; applies: Apr 2, 2013 8:30:10 PM --> Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; Superficial forearm vein; Injection to forearm; 6325 (OFFICIAL); P. van de Heuvel; A. Langeveld
• Generated Summary: Erythrocytes [#/volume] in Blood by Automated count; 4.12 10^12/L; abnormal; applies: Apr 2, 2013 8:30:10 PM --> Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; Superficial forearm vein; Injection to forearm; 6326 (OFFICIAL); P. van de Heuvel; A. Langeveld
• Generated Summary: Hemoglobin [Mass/volume] in Venous blood; 7.2 g/dl; low; applies: Apr 2, 2013 8:30:10 PM --> Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; Superficial forearm vein; Injection to forearm; 6327 (OFFICIAL); P. van de Heuvel; A. Langeveld

conclusion: Core lab