Diagnosticreport-example-f001-bloodexam.json

Real-world patient example

{
  "resourceType": "DiagnosticReport",
  "id": "f001",
  "text": {
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>contained</b>: </p><p><b>identifier</b>: nr1239044 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = 'Hematology test (procedure)', given as 'Haematology test'}; {http://hl7.org/fhir/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>effective</b>: 02/04/2013</p><p><b>issued</b>: 15/05/2013 7:32:52 PM</p><p><b>performer</b>: <a>Burgers University Medical Centre</a></p><p><b>request</b>: id: req; L2381 (OFFICIAL); P. van den Heuvel; patient almost fainted during procedure <span>(Details )</span></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>"
  },
  "contained": [
    {
      "resourceType": "DiagnosticOrder",
      "id": "req",
      "identifier": [
        {
          "use": "official",
          "system": "http://www.bmc.nl/zorgportal/identifiers/labresults",
          "value": "L2381"
        }
      ],
      "subject": {
        "reference": "Patient/f001",
        "display": "P. van den Heuvel"
      },
      "encounter": {
        "fhir_comments": [
          "   TODO Correcte verwijzing   "
        ],
        "reference": "Encounter/f001"
      },
      "orderer": {
        "reference": "Practitioner/f001",
        "display": "E.van den Broek"
      },
      "reason": [
        {
          "text": "patient almost fainted during procedure"
        }
      ],
      "item": [
        {
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "58410-2",
                "_code": {
                  "fhir_comments": [
                    "     LOINC     "
                  ]
                },
                "display": "Complete blood count (hemogram) panel - Blood by Automated count"
              }
            ]
          },
          "bodySite": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "14975008",
                "display": "Forearm structure"
              }
            ]
          }
        }
      ]
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/zorgportal/identifiers/reports",
      "value": "nr1239044"
    }
  ],
  "status": "final",
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "252275004",
        "display": "Haematology test"
      },
      {
        "system": "http://hl7.org/fhir/v2/0074",
        "code": "HM"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "58410-2",
        "display": "Complete blood count (hemogram) panel - Blood by Automated count"
      }
    ]
  },
  "subject": {
    "fhir_comments": [
      "    ISO 8601    "
    ],
    "reference": "Patient/f001",
    "display": "P. van den Heuvel"
  },
  "effectiveDateTime": "2013-04-02",
  "issued": "2013-05-15T19:32:52+01:00",
  "_issued": {
    "fhir_comments": [
      "    OID: 2.16.840.1.113883.4.642.1.7    "
    ]
  },
  "performer": {
    "reference": "Organization/f001",
    "display": "Burgers University Medical Centre"
  },
  "request": [
    {
      "reference": "#req"
    }
  ],
  "result": [
    {
      "reference": "Observation/f001"
    },
    {
      "reference": "Observation/f002"
    },
    {
      "reference": "Observation/f003"
    },
    {
      "reference": "Observation/f004"
    },
    {
      "reference": "Observation/f005"
    }
  ],
  "conclusion": "Core lab"
}