This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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 R2
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Real-world patient example
{ "resourceType": "Bundle", "id": "f202", "type": "collection", "entry": [ { "fullUrl": "https://example.com/base/DiagnosticReport/f202", "resource": { "resourceType": "DiagnosticReport", "id": "f202", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span>Blood culture for bacteria, including anaerobic screen</span> (<span>Laboratory test</span>) </h2><table><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> 1960-03-13 ( BSN: 123456789 (OFFICIAL))</td></tr><tr><td>Reported</td><td>11/03/2013 8:28:00 PM</td></tr></table><p><b>Report Details</b></p><table><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Reported</b></td></tr><tr><td><a><span>Blood culture</span></a></td><td><span>Staphylococcus aureus</span></td><td><span>Positive</span></td><td/></tr></table><p>Blood culture tested positive on staphylococcus aureus</p><p><b>Coded Conclusions :</b></p><ul><li><span>Bacteremia due to staphylococcus</span></li></ul></div>" }, "basedOn": [ { "reference": "ServiceRequest/req" } ], "status": "final", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "15220000", "display": "Laboratory test" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "LAB" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "104177005", "display": "Blood culture for bacteria, including anaerobic screen" } ] }, "subject": { "reference": "Patient/f201", "display": "Roel" }, "issued": "2013-03-11T10:28:00+01:00", "performer": [ { "reference": "Organization/f201", "display": "AUMC" } ], "result": [ { "reference": "Observation/f206", "display": "Results for staphylococcus analysis on Roel's blood culture" } ], "conclusion": "Blood culture tested positive on staphylococcus aureus", "conclusionCode": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "428763004", "display": "Bacteremia due to staphylococcus" } ] } ] } }, { "fullUrl": "https://example.com/base/ServiceRequest/req", "resource": { "resourceType": "ServiceRequest", "id": "req", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: req</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: <span>Blood culture for bacteria, including anaerobic screen</span></p><p><b>subject</b>: <a>Roel. Generated Summary: id: f201; BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); ph: +31612345678(MOBILE), ph: +31201234567(HOME); gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><p><b>encounter</b>: <a>Roel's encounter on March elevanth 2013. Generated Summary: id: f203; id: Encounter_Roel_20130311 (TEMP); status: completed; <span>inpatient encounter</span>; <span>Inpatient stay for nine days</span>; <span>High priority</span>; period: 2013-03-11 --> 2013-03-20; <span>The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.</span></a></p><p><b>requester</b>: <a>Dokter Bronsig. Generated Summary: id: f201; UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); ph: +31715269111(WORK); gender: male; birthDate: 1956-12-24</a></p></div>" }, "status": "active", "intent": "original-order", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "104177005", "display": "Blood culture for bacteria, including anaerobic screen" } ] }, "subject": { "reference": "Patient/f201", "display": "Roel" }, "encounter": { "reference": "Encounter/f203", "display": "Roel's encounter on March elevanth 2013" }, "requester": { "reference": "Practitioner/f201", "display": "Dokter Bronsig" } } } ] }
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.