This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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 XML (canonical form + also see XML Format Specification)
Real-world patient example (id = "f202")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="f202"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/f202"/> <resource> <DiagnosticReport> <!-- 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> basedOn</b> : <a> ServiceRequest/req</a> </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://terminology.hl7.org/CodeSystem/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> <p> <b> performer</b> : <a> AUMC</a> </p> <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> conclusionCode</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> <basedOn> <reference value="ServiceRequest/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://terminology.hl7.org/CodeSystem/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> <reference value="Organization/f201"/> <display value="AUMC"/> </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"/> <conclusionCode> <coding> <system value="http://snomed.info/sct"/> <code value="428763004"/> <display value="Bacteremia due to staphylococcus"/> </coding> </conclusionCode> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://example.com/base/ServiceRequest/req"/> <resource> <ServiceRequest> <id value="req"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : req</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</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> encounter</b> : <a> Roel's encounter on March elevanth 2013</a> </p> <p> <b> requester</b> : <a> Dokter Bronsig</a> </p> </div> </text> <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> <encounter> <reference value="Encounter/f203"/> <display value="Roel's encounter on March elevanth 2013"/> </encounter> <requester> <reference value="Practitioner/f201"/> <display value="Dokter Bronsig"/> </requester> </ServiceRequest> </resource> </entry> </Bundle>
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.