R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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: R4 R3

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

Orders and Observations Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

Raw XML (canonical form)

An example of a comprehensive bone marrow report (id = "report")

<Bundle xmlns="http://hl7.org/fhir">
  <id value="report"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/report"/> 
    <resource> 
      <DiagnosticReport> 
        <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> 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> <a> Observation/o1</a> </li> <li> <a> Observation/o2</a> </li> <li> <a> Observation/o3</a> </li> <li> <a> Observation/o4</a> </li> <li> <a> Observation/o5</a> </li> <li> <a> Observation/o6</a> </li> <li> <a> Observation/o7</a> </li> <li> <a> Observation/o8</a> </li> <li> <a> Observation/o9</a> </li> <li> <a> Observation/o10</a> </li> <li> <a> Observation/o11</a> </li> <li> <a> Observation/o12</a> </li> <li> <a> Observation/o13</a> </li> </ul> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition">
          <valueReference> 
            <reference value="Condition/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="Observation/o1"/> 
        </result> 
        <result> 
          <reference value="Observation/o2"/> 
        </result> 
        <result> 
          <reference value="Observation/o3"/> 
        </result> 
        <result> 
          <reference value="Observation/o4"/> 
        </result> 
        <result> 
          <reference value="Observation/o5"/> 
        </result> 
        <result> 
          <reference value="Observation/o6"/> 
        </result> 
        <result> 
          <reference value="Observation/o7"/> 
        </result> 
        <result> 
          <reference value="Observation/o8"/> 
        </result> 
        <result> 
          <reference value="Observation/o9"/> 
        </result> 
        <result> 
          <reference value="Observation/o10"/> 
        </result> 
        <result> 
          <reference value="Observation/o11"/> 
        </result> 
        <result> 
          <reference value="Observation/o12"/> 
        </result> 
        <result> 
          <reference value="Observation/o13"/> 
        </result> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o1"/> 
    <resource> 
      <Observation> 
        <id value="o1"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o1</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Leukocytes [#/volume] in Blood <span> (Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes
                 [#/volume] in Blood'})</span> </p> <p> <b> value</b> : 31.9 K/ul</p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o2"/> 
    <resource> 
      <Observation> 
        <id value="o2"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o2</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Hematocrit [Volume Fraction] of Blood <span> (Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit
                 [Volume Fraction] of Blood'})</span> </p> <p> <b> value</b> : 27 %</p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o3"/> 
    <resource> 
      <Observation> 
        <id value="o3"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o3</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Platelets [#/volume] in Blood <span> (Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets
                 [#/volume] in Blood'})</span> </p> <p> <b> value</b> : 84 K/ul</p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o4"/> 
    <resource> 
      <Observation> 
        <id value="o4"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o4</p> <p> <b> status</b> : final</p> <p> <b> code</b> : 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> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o5"/> 
    <resource> 
      <Observation> 
        <id value="o5"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o5</p> <p> <b> status</b> : final</p> <p> <b> code</b> : 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> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o6"/> 
    <resource> 
      <Observation> 
        <id value="o6"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o6</p> <p> <b> status</b> : final</p> <p> <b> code</b> : 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> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o7"/> 
    <resource> 
      <Observation> 
        <id value="o7"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o7</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Myeloblasts [#/volume] in Blood <span> (Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts
                 [#/volume] in Blood'})</span> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o8"/> 
    <resource> 
      <Observation> 
        <id value="o8"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o8</p> <p> <b> status</b> : final</p> <p> <b> code</b> : 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> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o9"/> 
    <resource> 
      <Observation> 
        <id value="o9"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o9</p> <p> <b> status</b> : final</p> <p> <b> code</b> : 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> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o10"/> 
    <resource> 
      <Observation> 
        <id value="o10"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o10</p> <p> <b> status</b> : final</p> <p> <b> code</b> : 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> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o11"/> 
    <resource> 
      <Observation> 
        <id value="o11"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o11</p> <p> <b> status</b> : final</p> <p> <b> code</b> : 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> </p> <p> <b> value</b> : 46,XX[20] <span> (Details )</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o12"/> 
    <resource> 
      <Observation> 
        <id value="o12"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o12</p> <p> <b> status</b> : final</p> <p> <b> code</b> : MDS-associated genetic abnormalities <span> (Details )</span> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o13"/> 
    <resource> 
      <Observation> 
        <id value="o13"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o13</p> <p> <b> status</b> : final</p> <p> <b> code</b> : AML-associated genetic abnormalities <span> (Details )</span> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <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> 
    </resource> 
  </entry> 
</Bundle> 

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.