This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
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)
An example of a comprehensive bone marrow report (id = "comprehensive-bone-marrow-report")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="comprehensive-bone-marrow-report"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/comprehensive-bone-marrow-report"/> <resource> <DiagnosticReport> <id value="comprehensive-bone-marrow-report"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2> <span title="Codes: ">comprehensive bone marrow report</span> </h2> <table class="grid"><tr> <td> Subject</td> <td> <b> Eve Everywoman (OFFICIAL)</b> female, DoB: 1973-05-31 ( Social Security number: 444222222)</td> </tr> <tr> <td> When For</td> <td> 2015-01-02T13:20:10+01:00</td> </tr> <tr> <td> Reported</td> <td> 2015-01-06T13:20:10+01:00</td> </tr> </table> <p> <b> Report Details</b> </p> <table class="grid"><tr> <td> <b> Code</b> </td> <td> <b> Value</b> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> <tr> <td colspan="2"><i> Observation</i> </td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"> <valueReference> <reference value="Condition/c1"/> </valueReference> </extension> <status value="final"/> <code> <text value="comprehensive bone marrow report"/> </code> <subject> <reference value="Patient/genetics-example1"/> <display value="Everywoman, Eve A, MRN: 123456789"/> </subject> <effectiveDateTime value="2015-01-02T13:20:10+01:00"/> <issued value="2015-01-06T13:20:10+01:00"/> <performer> <reference value="Practitioner/genetics-example1"/> <display value="Molecular Diagnostic Laboratory"/> </performer> <specimen> <reference value="Specimen/genetics-example1"/> <display value="Bone marrow ID: MLD45-Z4-1234"/> </specimen> <result> <reference value="Observation/o1"/> </result> <result> <reference value="Observation/o2"/> </result> <result> <reference value="Observation/o3"/> </result> <result> <reference value="Observation/o4"/> </result> <result> <reference value="Observation/o5"/> </result> <result> <reference value="Observation/o6"/> </result> <result> <reference value="Observation/o7"/> </result> <result> <reference value="Observation/o8"/> </result> <result> <reference value="Observation/o9"/> </result> <result> <reference value="Observation/o10"/> </result> <result> <reference value="Observation/o11"/> </result> <result> <reference value="Observation/o12"/> </result> <result> <reference value="Observation/o13"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o1"/> <resource> <Observation> <id value="o1"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o1" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Leukocytes [#/volume] in Blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #26464-8)</span> </p> <p> <b> value</b> : 31.9 K/ul</p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="26464-8"/> <display value="Leukocytes [#/volume] in Blood"/> </coding> </code> <valueQuantity> <value value="31.9"/> <unit value="K/ul"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o2"/> <resource> <Observation> <id value="o2"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o2" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Hematocrit [Volume Fraction] of Blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #20570-8)</span> </p> <p> <b> value</b> : 27 %</p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="20570-8"/> <display value="Hematocrit [Volume Fraction] of Blood"/> </coding> </code> <valueQuantity> <value value="27"/> <unit value="%"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o3"/> <resource> <Observation> <id value="o3"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o3" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Platelets [#/volume] in Blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #26515-7)</span> </p> <p> <b> value</b> : 84 K/ul</p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="26515-7"/> <display value="Platelets [#/volume] in Blood"/> </coding> </code> <valueQuantity> <value value="84"/> <unit value="K/ul"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o4"/> <resource> <Observation> <id value="o4"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o4" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #75034-9)</span> </p> <p> <b> value</b> : Positive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #10828004)</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="75034-9"/> <display value="NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="10828004"/> <display value="Positive"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o5"/> <resource> <Observation> <id value="o5"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o5" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #54447-8)</span> </p> <p> <b> value</b> : Negative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #260385009)</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="54447-8"/> <display value="FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="260385009"/> <display value="Negative"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o6"/> <resource> <Observation> <id value="o6"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o6" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #55201-8)</span> </p> <p> <b> value</b> : Negative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #260385009)</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="55201-8"/> <display value="KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="260385009"/> <display value="Negative"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o7"/> <resource> <Observation> <id value="o7"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o7" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Myeloblasts [#/volume] in Blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #30444-4)</span> </p> <p> <b> value</b> : Positive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #10828004)</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="30444-4"/> <display value="Myeloblasts [#/volume] in Blood"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="10828004"/> <display value="Positive"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o8"/> <resource> <Observation> <id value="o8"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o8" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : CD4 Ag [Presence] in Tissue by Immune stain <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #47016-1)</span> </p> <p> <b> value</b> : Positive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #10828004)</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="47016-1"/> <display value="CD4 Ag [Presence] in Tissue by Immune stain"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="10828004"/> <display value="Positive"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o9"/> <resource> <Observation> <id value="o9"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o9" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : CD13 Ag [Presence] in Tissue by Immune stain <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #49464-1)</span> </p> <p> <b> value</b> : Positive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #10828004)</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="49464-1"/> <display value="CD13 Ag [Presence] in Tissue by Immune stain"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="10828004"/> <display value="Positive"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o10"/> <resource> <Observation> <id value="o10"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o10" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : CD2 Ag [Presence] in Tissue by Immune stain <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #49466-6)</span> </p> <p> <b> value</b> : Negative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #260385009)</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="49466-6"/> <display value="CD2 Ag [Presence] in Tissue by Immune stain"/> </coding> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="260385009"/> <display value="Negative"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o11"/> <resource> <Observation> <id value="o11"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o11" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Karyotype [Identifier] in Bone marrow Nominal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #33893-9)</span> </p> <p> <b> value</b> : 46,XX[20] <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="33893-9"/> <display value="Karyotype [Identifier] in Bone marrow Nominal"/> </coding> </code> <valueCodeableConcept> <text value="46,XX[20]"/> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o12"/> <resource> <Observation> <id value="o12"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o12" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : MDS-associated genetic abnormalities <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> value</b> : Negative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #260385009)</span> </p> </div> </text> <status value="final"/> <code> <text value="MDS-associated genetic abnormalities"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="260385009"/> <display value="Negative"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/o13"/> <resource> <Observation> <id value="o13"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "o13" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : AML-associated genetic abnormalities <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> value</b> : Negative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #260385009)</span> </p> </div> </text> <status value="final"/> <code> <text value="AML-associated genetic abnormalities"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="260385009"/> <display value="Negative"/> </coding> </valueCodeableConcept> </Observation> </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.