Release 4B

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

Bundle-comprehensive-bone-marrow-report.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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 &quot;o1&quot; </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 &quot;o2&quot; </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 &quot;o3&quot; </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 &quot;o4&quot; </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 &quot;o5&quot; </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 &quot;o6&quot; </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 &quot;o7&quot; </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 &quot;o8&quot; </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 &quot;o9&quot; </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 &quot;o10&quot; </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 &quot;o11&quot; </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 &quot;o12&quot; </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 &quot;o13&quot; </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.