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Diagnosticreport-genetics-comprehensive-bone-marrow-report.xml

Raw XML (canonical form)
An example of a comprehensive bone marrow report (id = "report")
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="report"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: report</p><p><b>contained</b>: , , , , , , , , , , , , </p><p><b>status</b>: final</p><p><b>code</b>: comprehensive bone marrow report <span>(Details )</span></p><p><b>subject</b>: <a>Everywoman, Eve A, MRN: 123456789</a></p><p><b>effective</b>: 02/01/2015 1:20:10 PM</p><p><b>issued</b>: 06/01/2015 1:20:10 PM</p><p><b>performer</b>: <a>Molecular Diagnostic Laboratory</a></p><p><b>specimen</b>: <a>Bone marrow ID: MLD45-Z4-1234</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Leukocytes [#/volume] in Blood <span>(Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes
             [#/volume] in Blood'})</span>; 31.9 K/ul</li><li>id: o2; status: final; Hematocrit [Volume Fraction] of Blood <span>(Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit
             [Volume Fraction] of Blood'})</span>; 27 %</li><li>id: o3; status: final; Platelets [#/volume] in Blood <span>(Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets
             [#/volume] in Blood'})</span>; 84 K/ul</li><li>id: o4; status: final; NPM1 gene mutations found [Identifier] in Bone marrow by Molecular
           genetics method Nominal <span>(Details : {LOINC code '75034-9' = 'NPM1 gene mutations found [Identifier] in Bone marrow
             by Molecular genetics method Nominal', given as 'NPM1 gene mutations found [Identifier]
             in Bone marrow by Molecular genetics method Nominal'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive (qualifier value)', given as 'Positive'})</span></li><li>id: o5; status: final; FLT3 gene mutation analysis in Bone marrow by Molecular genetics
           method Narrative <span>(Details : {LOINC code '54447-8' = 'FLT3 gene mutation analysis in Bone marrow by Molecular
             genetics method Narrative', given as 'FLT3 gene mutation analysis in Bone marrow by Molecular
             genetics method Narrative'})</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative (qualifier value)', given as 'Negative'})</span></li><li>id: o6; status: final; KIT gene mutation analysis in Bone marrow by Molecular genetics
           method Narrative <span>(Details : {LOINC code '55201-8' = 'KIT gene mutation analysis in Blood or Tissue by Molecular
             genetics method Narrative', given as 'KIT gene mutation analysis in Bone marrow by Molecular
             genetics method Narrative'})</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative (qualifier value)', given as 'Negative'})</span></li><li>id: o7; status: final; Myeloblasts [#/volume] in Blood <span>(Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts
             [#/volume] in Blood'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive (qualifier value)', given as 'Positive'})</span></li><li>id: o8; status: final; CD4 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '47016-1' = 'CD4 Ag [Presence] in Tissue by Immune stain', given
             as 'CD4 Ag [Presence] in Tissue by Immune stain'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive (qualifier value)', given as 'Positive'})</span></li><li>id: o9; status: final; CD13 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '49464-1' = 'CD13 Ag [Presence] in Tissue by Immune stain', given
             as 'CD13 Ag [Presence] in Tissue by Immune stain'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive (qualifier value)', given as 'Positive'})</span></li><li>id: o10; status: final; CD2 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '49466-6' = 'CD2 Ag [Presence] in Tissue by Immune stain', given
             as 'CD2 Ag [Presence] in Tissue by Immune stain'})</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative (qualifier value)', given as 'Negative'})</span></li><li>id: o11; status: final; Karyotype [Identifier] in Bone marrow Nominal <span>(Details : {LOINC code '33893-9' = 'Karyotype [Identifier] in Bone marrow Nominal', given
             as 'Karyotype [Identifier] in Bone marrow Nominal'})</span>; 46,XX[20] <span>(Details )</span></li><li>id: o12; status: final; MDS-associated genetic abnormalities <span>(Details )</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative (qualifier value)', given as 'Negative'})</span></li><li>id: o13; status: final; AML-associated genetic abnormalities <span>(Details )</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative (qualifier value)', given as 'Negative'})</span></li></ul></div></text><contained>
      <Observation>
          <id value="o1"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="26464-8"/>
                  <display value="Leukocytes [#/volume] in Blood"/>
              </coding>
          </code>
          <valueQuantity>
              <value value="31.9"/>
              <unit value="K/ul"/>
          </valueQuantity>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o2"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="20570-8"/>
                  <display value="Hematocrit [Volume Fraction] of Blood"/>
              </coding>
          </code>
          <valueQuantity>
              <value value="27"/>
              <unit value="%"/>
          </valueQuantity>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o3"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="26515-7"/>
                  <display value="Platelets [#/volume] in Blood"/>
              </coding>
          </code>
          <valueQuantity>
              <value value="84"/>
              <unit value="K/ul"/>
          </valueQuantity>
      </Observation>
  </contained>
  <contained>
      
      <Observation>
          <id value="o4"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="75034-9"/>
                  <display value="NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="10828004"/>
                  <display value="Positive"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o5"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="54447-8"/>
                  <display value="FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="260385009"/>
                  <display value="Negative"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o6"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="55201-8"/>
                  <display value="KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="260385009"/>
                  <display value="Negative"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o7"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="30444-4"/>
                  <display value="Myeloblasts [#/volume] in Blood"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="10828004"/>
                  <display value="Positive"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o8"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="47016-1"/>
                  <display value="CD4 Ag [Presence] in Tissue by Immune stain"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="10828004"/>
                  <display value="Positive"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o9"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="49464-1"/>
                  <display value="CD13 Ag [Presence] in Tissue by Immune stain"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="10828004"/>
                  <display value="Positive"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o10"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="49466-6"/>
                  <display value="CD2 Ag [Presence] in Tissue by Immune stain"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="260385009"/>
                  <display value="Negative"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o11"/>
          <status value="final"/>
          <code>
              <coding>
                  <system value="http://loinc.org"/>
                  <code value="33893-9"/>
                  <display value="Karyotype [Identifier] in Bone marrow Nominal"/>
              </coding>
          </code>
          <valueCodeableConcept>
              <text value="46,XX[20]"/>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o12"/>
          <status value="final"/>
          <code>
              <text value="MDS-associated genetic abnormalities"/>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="260385009"/>
                  <display value="Negative"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  <contained>
      <Observation>
          <id value="o13"/>
          <status value="final"/>
          <code>
              <text value="AML-associated genetic abnormalities"/>
          </code>
          <valueCodeableConcept>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="260385009"/>
                  <display value="Negative"/>
              </coding>
          </valueCodeableConcept>
      </Observation>
  </contained>
  
  <extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition">
      <valueReference>
          <reference value="c1"/>
      </valueReference>
  </extension>


  <status value="final"/>
  <code>
      <text value="comprehensive bone marrow report"/>
  </code>
  <subject>
    <reference value="Patient/genetics-example1"/>
    <display value="Everywoman, Eve A, MRN: 123456789"/>
  </subject>
  <effectiveDateTime value="2015-01-02T13:20:10+01:00"/>
  <issued value="2015-01-06T13:20:10+01:00"/>
  <performer>
    <reference value="Practitioner/genetics-example1"/>
    <display value="Molecular Diagnostic Laboratory"/>
  </performer>
  <specimen>
    <reference value="Specimen/genetics-example1"/>
    <display value="Bone marrow ID: MLD45-Z4-1234"/>
  </specimen>
  <result>
      <reference value="#o1"/>
  </result>
  <result>
      <reference value="#o2"/>
  </result>
  <result>
      <reference value="#o3"/>
  </result>
  <result>
      <reference value="#o4"/>
  </result>
  <result>
      <reference value="#o5"/>
  </result>
  <result>
      <reference value="#o6"/>
  </result>
  <result>
      <reference value="#o7"/>
  </result>
  <result>
      <reference value="#o8"/>
  </result>
  <result>
      <reference value="#o9"/>
  </result>
  <result>
      <reference value="#o10"/>
  </result>
  <result>
      <reference value="#o11"/>
  </result>
  <result>
      <reference value="#o12"/>
  </result>
  <result>
      <reference value="#o13"/>
  </result>

</DiagnosticReport>
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.