STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Diagnosticreport-example-papsmear.xml

Raw XML (canonical form)

An example of a principally narrative anatomic pathology report (id = "pap")

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="pap"/>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>Acme Anatomic Pathology Services<br/>2216 Santa Monica Blvd, Suite 114<br/>Santa Monica, CA 90404<br/>===============================================================<br/>GYN CYTOLOGY (PAP SMEAR) REPORT<br/>===============================================================</p>
      <p>Patient: Everywoman, Eve Report Date: 2/14/2013<br/>DOB: 05/31/1973 Age: 30 Sex: F MRN: PATID14567<br/>Patient Address: 2222 Home Street<br/> Huntington Park<br/> CA 90255<br/>Order: ORD40<br/>Physician: Careful, Adam 5742200012 (NPI)<br/>SpecimenID: GHSID40<br/>Collected Date: 2/11/2013<br/>Received Date: 2/12/2013<br/>LMP: 1/28/2013<br/>Specimen Source: Cervical Cytology (ThinPrep)<br/>Previously abnormal Pap? Unknown</p>
      <p>Specimen Adequacy: Satisfactory<br/>Diagnostic Interpretation: Epithelial cell abnormality: Atypical squamous cells<br/>of undetermined significance<br/>Hormonal Evaluations: not possible, due to presence of atypical cells<br/>Recommendations: Appropriate Follow-up. Suggest repeat as clinically indicated<br/>Comments: Abnormal report reviewed by pathologist for confirmation</p>
      <p/>
    </div>
  </text>
  <status value="final"/><!--      all this report is final      -->
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="47527-7"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/b248b1b2-1686-4b94-9936-37d7a5f94b51"/>
  </subject>
  <effectiveDateTime value="2013-02-11T10:33:33+11:00"/>
  <issued value="2013-02-13T11:45:33+11:00"/>
  <performer>
    <reference value="Practitioner/example"/>
  </performer>
</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.