This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). 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": "f001", "type": "collection", "entry": [ { "fullUrl": "https://example.com/base/DiagnosticReport/f001", "resource": { "resourceType": "DiagnosticReport", "id": "f001", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://loinc.org 58410-2}\">Complete blood count (hemogram) panel - Blood by Automated count</span> (<span title=\"Codes: {http://snomed.info/sct 252275004}, {http://terminology.hl7.org/CodeSystem/v2-0074 HM}\">Haematology test</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Pieter van de Heuvel </b> male, DoB: 1944-11-17 ( id: 738472983 (USUAL))</td></tr><tr><td>Reported</td><td>2013-05-15T19:32:52+01:00</td></tr><tr><td>Identifier:</td><td> id: nr1239044 (OFFICIAL)</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td><td><b>When For</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"observation-example-f001-glucose.html\"><span title=\"Codes: {http://loinc.org 15074-8}\">Glucose [Moles/volume] in Blood</span></a></td><td>6.3 mmol/l</td><td>3.1 mmol/l - 6.2 mmol/l</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2013-04-02T09:30:10+01:00</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-example-f002-excess.html\"><span title=\"Codes: {http://loinc.org 11555-0}\">Base excess in Blood by calculation</span></a></td><td>12.6 mmol/l</td><td>7.1 mmol/l - 11.2 mmol/l</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2013-04-02T10:30:10+01:00</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-example-f003-co2.html\"><span title=\"Codes: {http://loinc.org 11557-6}\">Carbon dioxide in blood</span></a></td><td>6.2 kPa</td><td>4.8 kPa - 6.0 kPa</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2013-04-02T10:30:10+01:00</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-example-f004-erythrocyte.html\"><span title=\"Codes: {http://loinc.org 789-8}\">Erythrocytes [#/volume] in Blood by Automated count</span></a></td><td>4.12 10^12/L</td><td> 12-14 y Male: 4.4 - 5.2 x 10^12/L ; 12-14 y Female: 4.2 - 4.8 x 10^12/L ; 15-17 y Male: 4.6 - 5.4 x 10^12/L ; 15-17 y Female: 4.2 - 4.8 x 10^12/L ; 18-64 y Male: 4.6 - 5.4 x 10^12/L ; 18-64 y Female: 4.0 - 4.8 x 10^12/L ; 65-74 y Male: 4.3 - 5.3 x 10^12/L ; 65-74 y Female: 4.1 - 4.9 x 10^12/L </td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></td><td>2013-04-02T10:30:10+01:00</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-example-f005-hemoglobin.html\"><span title=\"Codes: {http://loinc.org 718-7}\">Hemoglobin [Mass/volume] in Blood</span></a></td><td>7.2 g/dl</td><td>7.5 g/dl - 10 g/dl</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></td><td>2013-04-05T10:30:10+01:00</td><td>2013-04-05T15:30:10+01:00</td></tr></table><p>Core lab</p></div>" }, "identifier": [ { "use": "official", "system": "http://www.bmc.nl/zorgportal/identifiers/reports", "value": "nr1239044" } ], "basedOn": [ { "reference": "ServiceRequest/req" } ], "status": "final", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "252275004", "display": "Haematology test" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "HM" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "58410-2", "display": "Complete blood count (hemogram) panel - Blood by Automated count" } ] }, "subject": { "reference": "Patient/f001", "display": "P. van den Heuvel" }, "issued": "2013-05-15T19:32:52+01:00", "performer": [ { "reference": "Organization/f001", "display": "Burgers University Medical Centre" } ], "result": [ { "reference": "Observation/f001" }, { "reference": "Observation/f002" }, { "reference": "Observation/f003" }, { "reference": "Observation/f004" }, { "reference": "Observation/f005" } ], "conclusion": "Core lab" } }, { "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: ServiceRequest</b><a name=\"req\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest "req" </p></div><p><b>identifier</b>: id: L2381</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Complete blood count (hemogram) panel - Blood by Automated count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#58410-2)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example-f001-pieter.html\">Patient/f001: P. van den Heuvel</a> "Pieter VAN DE HEUVEL"</p><p><b>encounter</b>: <a href=\"encounter-example-f001-heart.html\">Encounter/f001</a></p><p><b>requester</b>: <a href=\"practitioner-example-f001-evdb.html\">Practitioner/f001: E.van den Broek</a> "Eric VAN DEN BROEK"</p><p><b>note</b>: patient almost fainted during procedure</p></div>" }, "extension": [ { "url": "http://example.org/bodysitecode", "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "14975008", "display": "Forearm structure" } ] } } ], "identifier": [ { "system": "http://www.bmc.nl/zorgportal/identifiers/labresults", "value": "L2381" } ], "status": "active", "intent": "original-order", "code": { "concept": { "coding": [ { "system": "http://loinc.org", "code": "58410-2", "display": "Complete blood count (hemogram) panel - Blood by Automated count" } ] } }, "subject": { "reference": "Patient/f001", "display": "P. van den Heuvel" }, "encounter": { "reference": "Encounter/f001" }, "requester": { "reference": "Practitioner/f001", "display": "E.van den Broek" }, "note": [ { "text": "patient almost fainted during procedure" } ] } } ] }
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.
FHIR ®© HL7.org 2011+. FHIR R5 Ballot hl7.fhir.core#5.0.0-ballot generated on Sat, Sep 10, 2022 05:02+1000.
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