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Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
An Example of a report with multiple specimen and panels
{ "resourceType": "DiagnosticReport", "id": "ghp", "meta": { "lastUpdated": "2015-08-16T10:35:23Z" }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ghp</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>identifier</b>: ghp-example</p><p><b>status</b>: final</p><p><b>code</b>: General Health Profile <span>(Details : {http://acme.com/labs/reports code 'GHP' = 'GHP', given as 'General Health Profile'})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>effective</b>: 16/08/2015 6:40:17 AM</p><p><b>issued</b>: 17/08/2015 6:40:17 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Acme Laboratory, Inc</a></td></tr></table><p><b>specimen</b>: </p><ul><li>Red Top Tube. Generated Summary: id: rtt; 20150816-00124; Serum sample <span>(Details : {SNOMED CT code '119364003' = 'Serum specimen', given as 'Serum sample'})</span>; ????</li><li>Lavender Top Tube. Generated Summary: id: ltt; 20150816-00124; Blood specimen with EDTA <span>(Details : {SNOMED CT code '445295009' = 'Blood specimen with EDTA', given as 'Blood specimen with EDTA'})</span>; ????</li><li>Urine Sample. Generated Summary: id: urine; 20150816-00124; Urine specimen <span>(Details : {SNOMED CT code '122575003' = 'Urine specimen', given as 'Urine specimen'})</span>; ????</li></ul><p><b>result</b>: </p><ul><li>Chemistry Panel. Generated Summary: id: p1; status: final; Comprehensive metabolic 2000 panel - Serum or Plasma <span>(Details : {LOINC code '24323-8' = 'Comprehensive metabolic 2000 panel - Serum or Plasma', given as 'Comprehensive metabolic 2000 panel - Serum or Plasma'})</span>; effective: 16/08/2015 6:40:17 AM; issued: 17/08/2015 6:40:17 AM; Acme Laboratory, Inc</li><li>CBC. Generated Summary: id: p2; status: final; Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span>; effective: 16/08/2015 6:40:17 AM; issued: 17/08/2015 6:40:17 AM; Acme Laboratory, Inc</li><li>Urinalysis. Generated Summary: id: p3; status: final; Urinalysis macro (dipstick) panel - Urine <span>(Details : {LOINC code '24357-6' = 'Urinalysis macro (dipstick) panel - Urine', given as 'Urinalysis macro (dipstick) panel - Urine'})</span>; effective: 16/08/2015 6:40:17 AM; issued: 17/08/2015 6:40:17 AM; Acme Laboratory, Inc</li></ul></div>" }, "contained": [ { "resourceType": "Specimen", "id": "rtt", "accessionIdentifier": { "system": "http://acme.com/labs/accession-ids", "value": "20150816-00124" }, "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "119364003", "display": "Serum sample" } ] }, "subject": { "reference": "Patient/pat2" }, "collection": { "collector": { "reference": "Practitioner/f202" }, "collectedDateTime": "2015-08-16T06:40:17Z" }, "container": [ { "type": { "coding": [ { "system": "http://acme.com/labs", "code": "SST", "display": "Serum Separator Tube" } ] } } ] }, { "resourceType": "Specimen", "id": "ltt", "accessionIdentifier": { "system": "http://acme.com/labs/accession-ids", "value": "20150816-00124" }, "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "445295009", "display": "Blood specimen with EDTA" } ] }, "subject": { "reference": "Patient/pat2" }, "collection": { "collector": { "reference": "Practitioner/f202" }, "collectedDateTime": "2015-08-16T06:40:17Z" }, "container": [ { "type": { "coding": [ { "system": "http://acme.com/labs", "code": "LTT", "display": "Lavender Top Tube" } ] } } ] }, { "resourceType": "Specimen", "id": "urine", "accessionIdentifier": { "system": "http://acme.com/labs/accession-ids", "value": "20150816-00124" }, "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "122575003", "display": "Urine specimen" } ] }, "subject": { "reference": "Patient/pat2" }, "collection": { "collector": { "reference": "Practitioner/f202" }, "collectedDateTime": "2015-08-16T06:40:17Z" }, "container": [ { "type": { "coding": [ { "system": "http://acme.com/labs", "code": "UCUP", "display": "100mL sterile cup" } ] } } ] }, { "resourceType": "Observation", "id": "p2", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "58410-2", "display": "Complete blood count (hemogram) panel - Blood by Automated count" } ] }, "effectiveDateTime": "2015-08-16T06:40:17Z", "issued": "2015-08-17T06:40:17Z", "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "specimen": { "reference": "#ltt", "display": "Lavender Top Tube" }, "related": [ { "type": "has-member", "target": { "reference": "#r1" } }, { "type": "has-member", "target": { "reference": "#r2" } }, { "type": "has-member", "target": { "reference": "#r3" } }, { "type": "has-member", "target": { "reference": "#r4" } }, { "type": "has-member", "target": { "reference": "#r5" } }, { "type": "has-member", "target": { "reference": "#r6" } }, { "type": "has-member", "target": { "reference": "#r7" } }, { "type": "has-member", "target": { "reference": "#r8" } }, { "type": "has-member", "target": { "reference": "#r9" } }, { "type": "has-member", "target": { "reference": "#r10" } }, { "type": "has-member", "target": { "reference": "#r11" } }, { "type": "has-member", "target": { "reference": "#r12" } }, { "type": "has-member", "target": { "reference": "#r13" } }, { "type": "has-member", "target": { "reference": "#r14" } }, { "type": "has-member", "target": { "reference": "#r15" } }, { "type": "has-member", "target": { "reference": "#r16" } }, { "type": "has-member", "target": { "reference": "#r17" } } ] }, { "resourceType": "Observation", "id": "r1", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "718-7", "display": "Hemoglobin [Mass/volume] in Blood" } ], "text": "Haemoglobin" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 176, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "referenceRange": [ { "low": { "value": 135, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "high": { "value": 180, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" } } ] }, { "resourceType": "Observation", "id": "r2", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "789-8", "display": "Erythrocytes [#/volume] in Blood by Automated count" } ], "text": "Red Cell Count" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 5.9, "unit": "x10*12/L", "system": "http://unitsofmeasure.org", "code": "10*12/L" }, "referenceRange": [ { "low": { "value": 4.2, "unit": "x10*12/L", "system": "http://unitsofmeasure.org", "code": "10*12/L" }, "high": { "value": 6.0, "unit": "x10*12/L", "system": "http://unitsofmeasure.org", "code": "10*12/L" } } ] }, { "resourceType": "Observation", "id": "r3", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "4544-3", "display": "Hematocrit [Volume Fraction] of Blood by Automated count" } ], "text": "Haematocrit" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 55, "unit": "%" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 38, "unit": "%" }, "high": { "value": 52, "unit": "%" } } ] }, { "resourceType": "Observation", "id": "r4", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "787-2", "display": "Erythrocyte mean corpuscular volume [Entitic volume] by Automated count" } ], "text": "Mean Cell Volume" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 99, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 80, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" }, "high": { "value": 98, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" } } ] }, { "resourceType": "Observation", "id": "r5", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "785-6", "display": "Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count" } ], "text": "Mean Cell Haemoglobin" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 36, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "H" } ] }, "referenceRange": [ { "low": { "value": 27, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" }, "high": { "value": 35, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" } } ] }, { "resourceType": "Observation", "id": "r6", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "777-3", "display": "Platelets [#/volume] in Blood by Automated count" } ], "text": "Platelet Count" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 444, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "low": { "value": 150, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 450, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r7", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "6690-2", "display": "Leukocytes [#/volume] in Blood by Automated count" } ], "text": "White Cell Count" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 4.6, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "low": { "value": 4.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 11.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r8", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "770-8", "display": "Neutrophils/100 leukocytes in Blood by Automated count" } ], "text": "Neutrophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r9", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "751-8", "display": "Neutrophils [#/volume] in Blood by Automated count" } ], "text": "Neutrophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "LL" } ] }, "referenceRange": [ { "low": { "value": 2.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 7.5, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r10", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "736-9", "display": "Lymphocytes/100 leukocytes in Blood by Automated count" } ], "text": "Lymphocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r11", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "731-0", "display": "Lymphocytes [#/volume] in Blood by Automated count" } ], "text": "Lymphocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "L" } ] }, "referenceRange": [ { "low": { "value": 1.1, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 4.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r12", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "5905-5", "display": "Monocytes/100 leukocytes in Blood by Automated count" } ], "text": "Monocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r13", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "742-7", "display": "Monocytes [#/volume] in Blood by Automated count" } ], "text": "Monocytes" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.9, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "low": { "value": 0.2, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 1.0, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r14", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "713-8", "display": "Eosinophils/100 leukocytes in Blood by Automated count" } ], "text": "Eosinophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r15", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "711-2", "display": "Eosinophils [#/volume] in Blood by Automated count" } ], "text": "Eosinophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.92, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "interpretation": { "coding": [ { "system": "http://hl7.org/fhir/v2/0078", "code": "HH" } ] }, "referenceRange": [ { "low": { "value": 0.04, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "high": { "value": 0.40, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "r16", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "706-2", "display": "Basophils/100 leukocytes in Blood by Automated count" } ], "text": "Basophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 20, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } }, { "resourceType": "Observation", "id": "r17", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "704-7", "display": "Basophils [#/volume] in Blood by Automated count" } ], "text": "Basophils" }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "valueQuantity": { "value": 0.92, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" }, "referenceRange": [ { "high": { "value": 0.21, "unit": "x10*9/L", "system": "http://unitsofmeasure.org", "code": "10*9/L" } } ] }, { "resourceType": "Observation", "id": "p1", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "24323-8", "display": "Comprehensive metabolic 2000 panel - Serum or Plasma" } ] }, "effectiveDateTime": "2015-08-16T06:40:17Z", "issued": "2015-08-17T06:40:17Z", "performer": [ { "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Laboratory, Inc" } ], "specimen": { "reference": "#rtt", "display": "Red Top Tube" }, "related": [ { "type": "has-member", "target": { "reference": "#o1" } }, { "type": "has-member", "target": { "reference": "#o2" } }, { "type": "has-member", "target": { "reference": "#o3" } }, { "type": "has-member", "target": { "reference": "#o4" } }, { "type": "has-member", "target": { "reference": "#o5" } }, { "type": "has-member", "target": { "reference": "#o6" } }, { "type": "has-member", "target": { "reference": "#o7" } }, { "type": "has-member", "target": { "reference": "#o8" } }, { "type": "has-member", "target": { "reference": "#o9" } }, { "type": "has-member", "target": { "reference": "#o10" } }, { "type": "has-member", "target": { "reference": "#o11" } }, { "type": "has-member", "target": { "reference": "#o12" } }, { "type": "has-member", "target": { "reference": "#o13" } }, { "type": "has-member", "target": { "reference": "#o14" } }, { "type": "has-member", "target": { "reference": "#o15" } }, { "type": "has-member", "target": { "reference": "#o16" } }, { "type": "has-member", "target": { "reference": "#o17" } }, { "type": "has-member", "target": { "reference": "#o18" } }, { "type": "has-member", "target": { "reference": "#o19" } }, { "type": "has-member", "target": { "reference": "#o20" } }, { "type": "has-member", "target": { 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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.