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: R5 R4B R4 R3 R2

Diagnosticreport-example-f001-bloodexam.xml

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

Raw XML (canonical form)

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Real-world patient example (id = "f001")

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <!--     ISO 8601     -->
  <!--     OID: 2.16.840.1.113883.4.642.1.7     -->
  <id value="f001"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : f001</p> <p> <b> contained</b> : </p> <p> <b> identifier</b> : nr1239044 (OFFICIAL)</p> <p> <b> basedOn</b> : id: req; L2381; status: active; intent: original-order; Complete blood count (hemogram)
         panel - Blood by Automated count <span> (Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated
           count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span> ; P. van den Heuvel; ????; Annotation: patient almost fainted during procedure</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Haematology test <span> (Details : {SNOMED CT code '252275004' = 'Haematology test', given as 'Haematology test'};
           {http://hl7.org/fhir/v2/0074 code 'HM' = 'Hematology)</span> </p> <p> <b> code</b> : Complete blood count (hemogram) panel - Blood by Automated count <span> (Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated
           count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span> </p> <p> <b> subject</b> : <a> P. van den Heuvel</a> </p> <p> <b> issued</b> : 15/05/2013 7:32:52 PM</p> <h3> Performers</h3> <table> <tr> <td> -</td> <td> <b> Actor</b> </td> </tr> <tr> <td> *</td> <td> <a> Burgers University Medical Centre</a> </td> </tr> </table> <p> <b> result</b> : </p> <ul> <li> <a> Observation/f001</a> </li> <li> <a> Observation/f002</a> </li> <li> <a> Observation/f003</a> </li> <li> <a> Observation/f004</a> </li> <li> <a> Observation/f005</a> </li> </ul> <p> <b> conclusion</b> : Core lab</p> </div> </text> <contained> 
    <ProcedureRequest> 
      <id value="req"/> 
      <extension url="http://example.org/bodysitecode">
        <valueCodeableConcept> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="14975008"/> 
            <display value="Forearm structure"/> 
          </coding> 
        </valueCodeableConcept> 
      </extension> 
      <identifier> 
        <system value="http://www.bmc.nl/zorgportal/identifiers/labresults"/> 
        <value value="L2381"/> 
      </identifier> 
      <status value="active"/> 
      <intent value="original-order"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="58410-2"/> 
          <display value="Complete blood count (hemogram) panel - Blood by Automated count"/> 
        </coding> 
      </code> 
      <subject> 
        <reference value="Patient/f001"/> 
        <display value="P. van den Heuvel"/> 
      </subject> 
      <context> 
        <reference value="Encounter/f001"/> 
      </context> 
      <requester> 
        <agent> 
          <reference value="Practitioner/f001"/> 
          <display value="E.van den Broek"/> 
        </agent> 
      </requester> 
      <note> 
        <text value="patient almost fainted during procedure"/> 
      </note> 
    </ProcedureRequest> 
  </contained> 
  <identifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/zorgportal/identifiers/reports"/> 
    <value value="nr1239044"/> 
  </identifier> 
  <basedOn> 
    <reference value="#req"/> 
  </basedOn> 
  <status value="final"/> 
  <category> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="252275004"/> 
      <display value="Haematology test"/> 
    </coding> 
    <coding> 
      <system value="http://hl7.org/fhir/v2/0074"/> 
      <code value="HM"/> 
    </coding> 
  </category> 
  <code> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="58410-2"/> 
      <display value="Complete blood count (hemogram) panel - Blood by Automated count"/> 
    </coding> 
  </code> 
  <subject> 
    <reference value="Patient/f001"/> 
    <display value="P. van den Heuvel"/> 
  </subject> 
  <issued value="2013-05-15T19:32:52+01:00"/> 
  <performer> 
    <actor> 
      <reference value="Organization/f001"/> 
      <display value="Burgers University Medical Centre"/> 
    </actor> 
  </performer> 
  <result> 
    <reference value="Observation/f001"/> 
  </result> 
  <result> 
    <reference value="Observation/f002"/> 
  </result> 
  <result> 
    <reference value="Observation/f003"/> 
  </result> 
  <result> 
    <reference value="Observation/f004"/> 
  </result> 
  <result> 
    <reference value="Observation/f005"/> 
  </result> 
  <conclusion value="Core lab"/> 
</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.