FHIR Release 3 (STU)

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: R4 R3 R2

Diagnosticreport-example-lipids.xml

Orders and Observations Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

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Lipid profile (id = "lipids")

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="lipids"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">


      <h3> Lipid Report for Wile. E. COYOTE (MRN: 23453) issued 3-Mar 2009 14:26</h3> 


      <pre> 
Test                  Units       Value       Reference Range
Cholesterol           mmol/L      6.3         &lt;4.5
Triglyceride          mmol/L      1.3         &lt;2.0
HDL Cholesterol       mmol/L      1.3         &gt;1.5
LDL Chol. (calc)      mmol/L      4.2         &lt;3.0
      </pre> 


      <p> Acme Laboratory, Inc signed: Dr Pete Pathologist</p> 


    </div> 
  </text> 
  <contained> 
    <Observation> 
    <!--  
    all the data items (= Observations) are contained
    in this diagnostic report. It would be equally
      valid - and normal - for them to be separate trackable
      items. However for the purposes of this example, it's
    more convenient to have them here. For more discussion,
    see under "Contained Resources" on the Resource Definitions
    topic page      -->
    <!--      for users steeped in v2, each observation roughly corresponds with an
      OBX, and the Diagnostic Report with an ORU_R01 message      -->
      <id value="cholesterol"/> 
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="14647-2"/> 
          <display value="Cholesterol [Moles/​volume] in Serum or Plasma"/> 
        </coding> 
        <text value="Cholesterol"/> 
      </code> 
      <subject> 
        <reference value="Patient/pat2"/> 
      </subject> 
      <performer> 
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
        <display value="Acme Laboratory, Inc"/> 
      </performer> 
      <valueQuantity> 
        <value value="6.3"/> 
        <unit value="mmol/L"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mmol/L"/> 
      </valueQuantity> 
      <referenceRange> 
        <high> 
          <value value="4.5"/> 
          <unit value="mmol/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mmol/L"/> 
        </high> 
      </referenceRange> 
    </Observation> 
  </contained> 
  <contained> 
    <Observation> 
      <id value="triglyceride"/> 
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="14927-8"/> 
          <display value="Triglyceride [Moles/​volume] in Serum or Plasma"/> 
        </coding> 
        <text value="Triglyceride"/> 
      </code> 
      <subject> 
        <reference value="Patient/pat2"/> 
      </subject> 
      <performer> 
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
        <display value="Acme Laboratory, Inc"/> 
      </performer> 
      <valueQuantity> 
        <value value="1.3"/> 
        <unit value="mmol/L"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mmol/L"/> 
      </valueQuantity> 
      <referenceRange> 
        <high> 
          <value value="2.0"/> 
          <unit value="mmol/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mmol/L"/> 
        </high> 
      </referenceRange> 
    </Observation> 
  </contained> 
  <contained> 
    <Observation> 
      <id value="hdlcholesterol"/> 
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="2085-9"/> 
          <display value="Cholesterol in HDL [Moles/​volume] in Serum or Plasma"/> 
        </coding> 
        <text value="Cholesterol in HDL"/> 
      </code> 
      <subject> 
        <reference value="Patient/pat2"/> 
      </subject> 
      <performer> 
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
        <display value="Acme Laboratory, Inc"/> 
      </performer> 
      <valueQuantity> 
        <value value="1.3"/> 
        <unit value="mmol/L"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mmol/L"/> 
      </valueQuantity> 
      <referenceRange> 
        <low> 
          <value value="1.5"/> 
          <unit value="mmol/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mmol/L"/> 
        </low> 
      </referenceRange> 
    </Observation> 
  </contained> 
  <contained> 
    <Observation> 
      <id value="ldlcholesterol"/> 
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="39469-2"/> 
          <display value="Cholesterol in LDL [Moles/​volume] in Serum or Plasma by calculation"/> 
        </coding> 
        <text value="LDL Chol. (Calc)"/> 
      </code> 
      <subject> 
        <reference value="Patient/pat2"/> 
      </subject> 
      <performer> 
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
        <display value="Acme Laboratory, Inc"/> 
      </performer> 
      <valueQuantity> 
        <value value="4.6"/> 
        <unit value="mmol/L"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mmol/L"/> 
      </valueQuantity> 
      <referenceRange> 
        <high> 
          <value value="3.0"/> 
          <unit value="mmol/L"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mmol/L"/> 
        </high> 
      </referenceRange> 
    </Observation> 
  </contained> 
  <identifier> 
    <system value="http://acme.com/lab/reports"/> 
    <value value="5234342"/> 
  </identifier> 
  <status value="final"/> 
  <category> 
    <coding> 
      <system value="http://hl7.org/fhir/v2/0074"/> 
      <code value="HM"/> 
    </coding> 
  </category> 
<!--      first, various administrative/context stuff      -->
  <code> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="24331-1"/> 
      <display value="Lipid 1996 panel - Serum or Plasma"/> 
    </coding> 
    <text value="Lipid Panel"/> 
  </code> 
  <subject> 
    <reference value="Patient/pat2"/> 
  </subject> 
  <effectiveDateTime value="2011-03-04T08:30:00+11:00"/> 
<!--      all this report is final      -->
  <issued value="2013-01-27T11:45:33+11:00"/> 
  <performer> 
    <actor> 
      <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> 
      <display value="Acme Laboratory, Inc"/> 
    </actor> 
  </performer> 
<!--      now the atomic results      -->
  <result> 
    <reference value="#cholesterol"/> 
  </result> 
  <result> 
    <reference value="#triglyceride"/> 
  </result> 
  <result> 
    <reference value="#hdlcholesterol"/> 
  </result> 
  <result> 
    <reference value="#ldlcholesterol"/> 
  </result> 
</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.