This page is part of the US Core (v3.0.1: STU3 Ballot 3) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions
XML Format: DiagnosticReport-urinalysis
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<DiagnosticReport xmlns="http://hl7.org/fhir"> <id value="urinalysis"/> <meta> <versionId value="209563"/> <lastUpdated value="2016-04-19T17:28:11.308+00:00"/> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: urinalysis</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/v2-0074 code 'LAB' = 'Laboratory', given as 'Laboratory'})</span></p><p><b>code</b>: Complete Urinalysis <span style="background: LightGoldenRodYellow">(Details : {LOINC code '24356-8' = 'Urinalysis complete panel - Urine', given as 'Urinalysis complete panel - Urine'})</span></p><p><b>subject</b>: <a href="Patient-example.html">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a></p><p><b>effective</b>: Jul 5, 2005 12:00:00 AM</p><p><b>issued</b>: Jul 5, 2005 8:45:33 PM</p><p><b>performer</b>: <a href="Organization-acme-lab.html">Acme Laboratory, Inc. Generated Summary: id: acme-lab; 1144221847, 12D4567890; active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a></p><p><b>result</b>: </p><ul><li><a href="Observation-urine-color.html">COLOR=Yellow. Generated Summary: id: urine-color; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5778-6}">COLOR</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.inbnm,fo/sct 371244009}">Yellow</span></a></li><li><a href="Observation-urine-clarity.html">APPEARANCE=Hazy. Generated Summary: id: urine-clarity; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 32167-9}">APPEARANCE</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 81858005}">Hazy</span></a></li><li><a href="Observation-urine-glucose.html">GLUCOSE=Negative. Generated Summary: id: urine-glucose; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 25428-4}">GLUCOSE</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 260385009}">Negative</span></a></li><li><a href="Observation-urine-bilirubin.html">BILIRUBIN=Negative. Generated Summary: id: urine-bilirubin; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5770-3}">BILIRUBIN</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 260385009}">Negative</span></a></li><li><a href="Observation-urine-ketone.html">KETONE=Negative. Generated Summary: id: urine-ketone; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 2514-8}">KETONE</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 260385009}">Negative</span></a></li><li><a href="Observation-usg.html">SPEC GRAV=1.017. Generated Summary: id: usg; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5811-5}">SPEC GRAV</span>; effective: Jul 5, 2005 12:00:00 AM; 1.017 {urine specific gravity}</a></li><li><a href="Observation-urine-ph.html">PH=6 (pH). Generated Summary: id: urine-ph; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5803-2}">PH</span>; effective: Jul 5, 2005 12:00:00 AM; 6.0 (pH)</a></li><li><a href="Observation-urine-protein.html">PROTEIN=Negative. Generated Summary: id: urine-protein; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 20454-5}">PROTEIN</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 260385009}">Negative</span></a></li><li><a href="Observation-urobilinogen.html">UROBILINOGEN=0.3 mg/dL. Generated Summary: id: urobilinogen; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 20405-7}">UROBILINOGEN</span>; effective: Jul 5, 2005 12:00:00 AM; 0.3 mg/dL</a></li><li><a href="Observation-urine-nitrite.html">NITRITE=Positive. Generated Summary: id: urine-nitrite; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5802-4}">NITRITE</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 10828004}">Positive</span></a></li><li><a href="Observation-urine-hemoglobin.html">BLOOD=Trace. Generated Summary: id: urine-hemoglobin; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5794-3}">BLOOD</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 260405006}">Trace</span></a></li><li><a href="Observation-urine-leukocyte-esterase.html">LEUK ESTERASE=2+e. Generated Summary: id: urine-leukocyte-esterase; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5799-2}">LEUK ESTERASE</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 260348001}">2+</span></a></li><li><a href="Observation-urine-sediment.html">COMMENT=Recommend Urine Culture. Generated Summary: id: urine-sediment; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 11279-7}">COMMENT</span>; effective: Jul 5, 2005 12:00:00 AM; value: Recommend Urine Culture</a></li><li><a href="Observation-urine-bacteria.html">BACTERIA=4+. Generated Summary: id: urine-bacteria; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 25145-4}">BACTERIA</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 260350009}">4+</span></a></li><li><a href="Observation-urine-epi-cells.html">EPITHELIAL CELLS=1-5 cells/HPF. Generated Summary: id: urine-epi-cells; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5787-7}">EPITHELIAL CELLS</span>; effective: Jul 5, 2005 12:00:00 AM; </a></li><li><a href="Observation-urine-wbcs.html">WBC=20-30 cells/HPF. Generated Summary: id: urine-wbcs; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5821-4}">WBC</span>; effective: Jul 5, 2005 12:00:00 AM; </a></li><li><a href="Observation-urine-rbcs.html">RBC=Occasional cells/HPF. Generated Summary: id: urine-rbcs; <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 13945-1}">RBC</span>; effective: Jul 5, 2005 12:00:00 AM; <span title="Codes: {http://snomed.info/sct 84638005}">Occasional</span></a></li></ul></div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> <code value="LAB"/> <display value="Laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="24356-8"/> <display value="Urinalysis complete panel - Urine"/> </coding> <text value="Complete Urinalysis"/> </code> <subject> <reference value="Patient/example"/> <display value="Amy Shaw"/> </subject> <effectiveDateTime value="2005-07-05"/> <issued value="2005-07-06T11:45:33+11:00"/> <performer> <reference value="Organization/acme-lab"/> <display value="Acme Laboratory, Inc"/> </performer> <result> <reference value="Observation/urine-color"/> <display value="COLOR=Yellow"/> </result> <result> <reference value="Observation/urine-clarity"/> <display value="APPEARANCE=Hazy"/> </result> <result> <reference value="Observation/urine-glucose"/> <display value="GLUCOSE=Negative"/> </result> <result> <reference value="Observation/urine-bilirubin"/> <display value="BILIRUBIN=Negative"/> </result> <result> <reference value="Observation/urine-ketone"/> <display value="KETONE=Negative"/> </result> <result> <reference value="Observation/usg"/> <display value="SPEC GRAV=1.017"/> </result> <result> <reference value="Observation/urine-ph"/> <display value="PH=6 (pH)"/> </result> <result> <reference value="Observation/urine-protein"/> <display value="PROTEIN=Negative"/> </result> <result> <reference value="Observation/urobilinogen"/> <display value="UROBILINOGEN=0.3 mg/dL"/> </result> <result> <reference value="Observation/urine-nitrite"/> <display value="NITRITE=Positive"/> </result> <result> <reference value="Observation/urine-hemoglobin"/> <display value="BLOOD=Trace"/> </result> <result> <reference value="Observation/urine-leukocyte-esterase"/> <display value="LEUK ESTERASE=2+e"/> </result> <result> <reference value="Observation/urine-sediment"/> <display value="COMMENT=Recommend Urine Culture"/> </result> <result> <reference value="Observation/urine-bacteria"/> <display value="BACTERIA=4+"/> </result> <result> <reference value="Observation/urine-epi-cells"/> <display value="EPITHELIAL CELLS=1-5 cells/HPF"/> </result> <result> <reference value="Observation/urine-wbcs"/> <display value="WBC=20-30 cells/HPF"/> </result> <result> <reference value="Observation/urine-rbcs"/> <display value="RBC=Occasional cells/HPF"/> </result> </DiagnosticReport>