This page is part of the FHIR Specification (v3.0.2: STU 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 | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Real-world patient example (id = "f202")
<DiagnosticReport xmlns="http://hl7.org/fhir"><!-- No identifier was available --><id value="f202"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : f202</p> <p> <b> contained</b> : </p> <p> <b> basedOn</b> : id: req; status: active; intent: original-order; Blood culture for bacteria, including anaerobic screen <span> (Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})</span> ; Roel; Roel's encounter on March eleventh 2013</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Laboratory test <span> (Details : {SNOMED CT code '15220000' = 'Laboratory test', given as 'Laboratory test'}; {http://hl7.org/fhir/v2/0074 code 'LAB' = 'Laboratory)</span> </p> <p> <b> code</b> : Blood culture for bacteria, including anaerobic screen <span> (Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})</span> </p> <p> <b> subject</b> : <a> Roel</a> </p> <p> <b> issued</b> : 11/03/2013 10:28:00 AM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> AUMC</a> </td> </tr> </table> <p> <b> result</b> : <a> Results for staphylococcus analysis on Roel's blood culture</a> </p> <p> <b> conclusion</b> : Blood culture tested positive on staphylococcus aureus</p> <p> <b> codedDiagnosis</b> : Bacteremia due to staphylococcus <span> (Details : {SNOMED CT code '428763004' = 'Bacteremia due to Staphylococcus aureus', given as 'Bacteremia due to staphylococcus'})</span> </p> </div> </text> <contained> <ProcedureRequest> <id value="req"/> <status value="active"/> <intent value="original-order"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="104177005"/> <display value="Blood culture for bacteria, including anaerobic screen"/> </coding> </code> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <context> <reference value="Encounter/f203"/> <display value="Roel's encounter on March eleventh 2013"/> </context> <requester> <agent> <reference value="Practitioner/f201"/> <display value="Dokter Bronsig"/> </agent> </requester> </ProcedureRequest> </contained> <basedOn> <reference value="#req"/> </basedOn> <status value="final"/> <category> <!-- Lab test --> <coding> <system value="http://snomed.info/sct"/> <code value="15220000"/> <display value="Laboratory test"/> </coding> <coding> <system value="http://hl7.org/fhir/v2/0074"/> <code value="LAB"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="104177005"/> <display value="Blood culture for bacteria, including anaerobic screen"/> </coding> </code> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <issued value="2013-03-11T10:28:00+01:00"/> <performer> <actor> <reference value="Organization/f201"/> <display value="AUMC"/> </actor> </performer> <result> <reference value="Observation/f206"/> <display value="Results for staphylococcus analysis on Roel's blood culture"/> </result> <conclusion value="Blood culture tested positive on staphylococcus aureus"/> <codedDiagnosis> <coding> <system value="http://snomed.info/sct"/> <code value="428763004"/> <display value="Bacteremia due to staphylococcus"/> </coding> </codedDiagnosis> </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.