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An Example of a report with multiple specimen and panels
{ "resourceType": "DiagnosticReport", "id": "ghp", "meta": { "lastUpdated": "2015-08-16T10:35:23Z" }, "text": { "fhir_comments": [ " ************** CBC observation panel************************ " ], "status": "generated", "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ghp</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: ghp-example</p><p><b>status</b>: final</p><p><b>code</b>: General Health Profile <span>(Details : {http://acme.com/labs/reports code 'GHP' = '??', given as 'General Health Profile'})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>effective</b>: 16/08/2015 4:40:17 PM</p><p><b>issued</b>: 17/08/2015 4:40:17 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>specimen</b>: </p><ul><li>Red Top Tube. Generated Summary: id: rtt; Serum sample <span>(Details : {SNOMED CT code '119364003' = '119364003', given as 'Serum sample'})</span>; Patient/pat2; 20150816-00124</li><li>Lavender Top Tube. Generated Summary: id: ltt; Blood specimen with EDTA <span>(Details : {SNOMED CT code '445295009' = '445295009', given as 'Blood specimen with EDTA'})</span>; Patient/pat2; 20150816-00124</li><li>Urine Sample. Generated Summary: id: urine; Urine specimen <span>(Details : {SNOMED CT code '122575003' = '122575003', given as 'Urine specimen'})</span>; Patient/pat2; 20150816-00124</li></ul><p><b>result</b>: </p><ul><li>Chemistry Panel. Generated Summary: id: p1; status: final; Comprehensive metabolic 2000 panel - Serum or Plasma <span>(Details : {LOINC code '24323-8' = 'Comprehensive metabolic 2000 panel - Serum or Plasma', given as 'Comprehensive metabolic 2000 panel - Serum or Plasma'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li><li>CBC. Generated Summary: id: p2; status: final; 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>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li><li>Urinalysis. Generated Summary: id: p3; status: final; Urinalysis macro (dipstick) panel - Urine <span>(Details : {LOINC code '24357-6' = 'Urinalysis macro (dipstick) panel - Urine', given as 'Urinalysis macro (dipstick) panel - Urine'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li></ul></div>" }, "contained": [ { "resourceType": "Specimen", "id": "rtt", "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "119364003", "display": "Serum sample" } ] }, "subject": { "reference": "Patient/pat2" }, "accessionIdentifier": { "system": "http://acme.com/labs/accession-ids", "value": "20150816-00124" }, "collection": { "collector": { "reference": "Practitioner/f202" }, "collectedDateTime": "2015-08-16T06:40:17Z" }, "container": [ { "type": { "coding": [ { "system": "http://acme.com/labs", "code": "SST", "display": "Serum Separator Tube" } ] } } ] }, { "resourceType": "Specimen", "id": "ltt", "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "445295009", "display": "Blood specimen with EDTA" } ] }, "subject": { "reference": "Patient/pat2" }, "accessionIdentifier": { "system": "http://acme.com/labs/accession-ids", "value": "20150816-00124" }, "collection": { "collector": { "reference": "Practitioner/f202" }, "collectedDateTime": "2015-08-16T06:40:17Z" }, "container": [ { "type": { "coding": [ { "system": "http://acme.com/labs", "code": "LTT", "display": "Lavender Top Tube" } ] } } ] }, { "resourceType": "Specimen", "id": "urine", "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "122575003", "display": "Urine specimen" } ] }, "subject": { "reference": "Patient/pat2" }, "accessionIdentifier": { "system": "http://acme.com/labs/accession-ids", "value": "20150816-00124" }, "collection": { "collector": { "reference": "Practitioner/f202" }, "collectedDateTime": "2015-08-16T06:40:17Z" }, "container": [ { "type": { "coding": [ { "system": "http://acme.com/labs", "code": "UCUP", "display": "100mL sterile cup" } ] } } ] }, { "resourceType": "Observation", "id": "p2", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "58410-2", "display": "Complete blood count (hemogram) panel - Blood by Automated count" } ] }, "effectiveDateTime": "2015-08-16T06:40:17Z", "issued": "2015-08-17T06:40:17Z", "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "specimen": { "reference": "#ltt", "display": "Lavender Top Tube" }, "related": [ { "type": "has-member", "target": { "reference": "#r1" } }, { "type": "has-member", "target": { "reference": "#r2" } }, { "type": "has-member", "target": { "reference": "#r3" } }, { "type": "has-member", "target": { "reference": "#r4" } }, { "type": "has-member", "target": { "reference": "#r5" } }, { "type": "has-member", "target": { "reference": "#r6" } }, { "type": "has-member", "target": { "reference": "#r7" } }, { "type": "has-member", "target": { "reference": "#r8" } }, { "type": "has-member", "target": { "reference": "#r9" } }, { "type": "has-member", "target": { "reference": "#r10" } }, { "type": "has-member", "target": { "reference": "#r11" } }, { "type": "has-member", "target": { "reference": "#r12" } }, { "type": "has-member", "target": { "reference": "#r13" } }, { "type": "has-member", "target": { "reference": "#r14" } }, { "type": "has-member", "target": { "reference": "#r15" } }, { "type": "has-member", "target": { "reference": "#r16" } }, { "type": "has-member", "target": { "reference": "#r17" } } ] }, { "resourceType": "Observation", "id": "r1", "_id": { "fhir_comments": [ " \n all the data items (= Observations) are contained\n in this diagnostic report. It would be equally\n valid - and normal - for them to be separate trackable\n items. However for the purposes of this example, it's\n more convenient to have them here. For more discussion,\n see under\"Contained Resources\" on the Resource Definitions\n topic page ", " for users steeped in v2, each observation roughly corresponds with an\n OBX, and the Diagnostic Report with an ORU_R01 message " ] }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "718-7", "display": "Hemoglobin [Mass/volume] in Blood" } ], "text": "Haemoglobin" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 176, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "referenceRange": [ { "low": { "value": 135, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "high": { "value": 180, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" } } ] }, { "resourceType": "Observation", "id": "r2", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "789-8", "display": "Erythrocytes [#/volume] in Blood by Automated count" } ], "text": "Red Cell Count" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5.9, "unit": "x10*12/L", "system": "http://unitsofmeasure.org", "code": "10*12/L" }, "referenceRange": [ { "low": { "value": 4.2, "unit": "x10*12/L", "system": "http://unitsofmeasure.org", "code": "10*12/L" }, "high": { "value": 6.0, "unit": "x10*12/L", "system": "http://unitsofmeasure.org", "code": "10*12/L" } } ] }, { "resourceType": "Observation", "id": "r3", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "4544-3", "display": "Hematocrit [Volume Fraction] of Blood by Automated count" } ], "text": "Haematocrit" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 55, "unit": "%" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 38, "unit": "%" }, "high": { "value": 52, "unit": "%" } } ] }, { "resourceType": "Observation", "id": "r4", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "787-2", "display": "Erythrocyte mean corpuscular volume [Entitic volume] by Automated count" } ], "text": "Mean Cell Volume" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 99, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 80, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" }, "high": { "value": 98, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" } } ] }, { "resourceType": "Observation", "id": "r5", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "785-6", "display": "Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count" } ], "text": "Mean Cell Haemoglobin" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 36, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 27, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" }, "high": { "value": 35, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" } } ] }, { "resourceType": "Observation", "id": "r6", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "777-3", "display": "Platelets [#/volume] in Blood by Automated count" } ], "text": "Platelet Count" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 444, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "low": { "value": 150, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 450, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r7", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "6690-2", "display": "Leukocytes [#/volume] in Blood by Automated count" } ], "text": "White Cell Count" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.6, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "low": { "value": 4.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 11.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r8", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "770-8", "display": "Neutrophils/100 leukocytes in Blood by Automated count" } ], "text": "Neutrophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r9", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "751-8", "display": "Neutrophils [#/volume] in Blood by Automated count" } ], "text": "Neutrophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 2.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 7.5, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r10", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "736-9", "display": "Lymphocytes/100 leukocytes in Blood by Automated count" } ], "text": "Lymphocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r11", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "731-0", "display": "Lymphocytes [#/volume] in Blood by Automated count" } ], "text": "Lymphocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "L" } ] }, "referenceRange": [ { "low": { "value": 1.1, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 4.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r12", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "5905-5", "display": "Monocytes/100 leukocytes in Blood by Automated count" } ], "text": "Monocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r13", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "742-7", "display": "Monocytes [#/volume] in Blood by Automated count" } ], "text": "Monocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "low": { "value": 0.2, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 1.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r14", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "713-8", "display": "Eosinophils/100 leukocytes in Blood by Automated count" } ], "text": "Eosinophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r15", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "711-2", "display": "Eosinophils [#/volume] in Blood by Automated count" } ], "text": "Eosinophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.92, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0.04, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 0.40, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r16", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "706-2", "display": "Basophils/100 leukocytes in Blood by Automated count" } ], "text": "Basophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r17", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "704-7", "display": "Basophils [#/volume] in Blood by Automated count" } ], "text": "Basophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.92, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "high": { "value": 0.21, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "p1", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "24323-8", "display": "Comprehensive metabolic 2000 panel - Serum or Plasma" } ] }, "effectiveDateTime": "2015-08-16T06:40:17Z", "issued": "2015-08-17T06:40:17Z", "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "specimen": { "reference": "#rtt", "display": "Red Top Tube" }, "related": [ { "type": "has-member", "target": { "reference": "#o1" } }, { "type": "has-member", "target": { "reference": "#o2" } }, { "type": "has-member", "target": { "reference": "#o3" } }, { "type": "has-member", "target": { "reference": "#o4" } }, { "type": "has-member", "target": { "reference": "#o5" } }, { "type": "has-member", "target": { "reference": "#o6" } }, { "type": "has-member", "target": { "reference": "#o7" } }, { "type": "has-member", "target": { "reference": "#o8" } }, { "type": "has-member", "target": { "reference": "#o9" } }, { "type": "has-member", "target": { "reference": "#o10" } }, { "type": 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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.