FHIR Release 3 (STU)
DiagnosticsThis 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: R4 R3
| Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
An example of a comprehensive bone marrow report
{
"resourceType": "DiagnosticReport",
"id": "report",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: report</p><p><b>contained</b>: , , , , , , , , , , , , </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><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Molecular Diagnostic Laboratory</a></td></tr></table><p><b>specimen</b>: <a>Bone marrow ID: MLD45-Z4-1234</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Leukocytes [#/volume] in Blood <span>(Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes [#/volume] in Blood'})</span>; 31.9 K/ul</li><li>id: o2; status: final; Hematocrit [Volume Fraction] of Blood <span>(Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit [Volume Fraction] of Blood'})</span>; 27 %</li><li>id: o3; status: final; Platelets [#/volume] in Blood <span>(Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets [#/volume] in Blood'})</span>; 84 K/ul</li><li>id: o4; status: final; 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>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o5; status: final; 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>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o6; status: final; 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>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o7; status: final; Myeloblasts [#/volume] in Blood <span>(Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts [#/volume] in Blood'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o8; status: final; 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>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o9; status: final; 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>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o10; status: final; 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>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o11; status: final; 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>; 46,XX[20] <span>(Details )</span></li><li>id: o12; status: final; MDS-associated genetic abnormalities <span>(Details )</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o13; status: final; AML-associated genetic abnormalities <span>(Details )</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li></ul></div>"
},
"contained": [
{
"resourceType": "Observation",
"id": "o1",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "26464-8",
"display": "Leukocytes [#/volume] in Blood"
}
]
},
"valueQuantity": {
"value": 31.9,
"unit": "K/ul"
}
},
{
"resourceType": "Observation",
"id": "o2",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "20570-8",
"display": "Hematocrit [Volume Fraction] of Blood"
}
]
},
"valueQuantity": {
"value": 27,
"unit": "%"
}
},
{
"resourceType": "Observation",
"id": "o3",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "26515-7",
"display": "Platelets [#/volume] in Blood"
}
]
},
"valueQuantity": {
"value": 84,
"unit": "K/ul"
}
},
{
"resourceType": "Observation",
"id": "o4",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75034-9",
"display": "NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
},
{
"resourceType": "Observation",
"id": "o5",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "54447-8",
"display": "FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
},
{
"resourceType": "Observation",
"id": "o6",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55201-8",
"display": "KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
},
{
"resourceType": "Observation",
"id": "o7",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30444-4",
"display": "Myeloblasts [#/volume] in Blood"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
},
{
"resourceType": "Observation",
"id": "o8",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47016-1",
"display": "CD4 Ag [Presence] in Tissue by Immune stain"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
},
{
"resourceType": "Observation",
"id": "o9",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "49464-1",
"display": "CD13 Ag [Presence] in Tissue by Immune stain"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
},
{
"resourceType": "Observation",
"id": "o10",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "49466-6",
"display": "CD2 Ag [Presence] in Tissue by Immune stain"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
},
{
"resourceType": "Observation",
"id": "o11",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "33893-9",
"display": "Karyotype [Identifier] in Bone marrow Nominal"
}
]
},
"valueCodeableConcept": {
"text": "46,XX[20]"
}
},
{
"resourceType": "Observation",
"id": "o12",
"status": "final",
"code": {
"text": "MDS-associated genetic abnormalities"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
},
{
"resourceType": "Observation",
"id": "o13",
"status": "final",
"code": {
"text": "AML-associated genetic abnormalities"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
}
],
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition",
"valueReference": {
"reference": "c1"
}
}
],
"status": "final",
"code": {
"text": "comprehensive bone marrow report"
},
"subject": {
"reference": "Patient/genetics-example1",
"display": "Everywoman, Eve A, MRN: 123456789"
},
"effectiveDateTime": "2015-01-02T13:20:10+01:00",
"issued": "2015-01-06T13:20:10+01:00",
"performer": [
{
"actor": {
"reference": "Practitioner/genetics-example1",
"display": "Molecular Diagnostic Laboratory"
}
}
],
"specimen": [
{
"reference": "Specimen/genetics-example1",
"display": "Bone marrow ID: MLD45-Z4-1234"
}
],
"result": [
{
"reference": "#o1"
},
{
"reference": "#o2"
},
{
"reference": "#o3"
},
{
"reference": "#o4"
},
{
"reference": "#o5"
},
{
"reference": "#o6"
},
{
"reference": "#o7"
},
{
"reference": "#o8"
},
{
"reference": "#o9"
},
{
"reference": "#o10"
},
{
"reference": "#o11"
},
{
"reference": "#o12"
},
{
"reference": "#o13"
}
]
}
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.
®© HL7.org 2011+. FHIR Release 3 (STU; v3.0.2-11200) generated on Thurs, Oct 24, 2019 11:53+1100. QA Page
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