US Core Implementation Guide STU 2

This page is part of the US Core (v2.0.0: STU2) based on FHIR R3. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

DiagnosticReport urinalysis

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{
  "resourceType" : "DiagnosticReport",
  "id" : "urinalysis",
  "meta" : {
    "versionId" : "209563",
    "lastUpdated" : "2016-04-19T17:28:11.308+00:00",
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<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://hl7.org/fhir/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: 20/02/2007</a></p><p><b>effective</b>: 05/07/2005</p><p><b>issued</b>: 06/07/2005 11:45:33 AM</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="Organization-acme-lab.html">Acme Laboratory, Inc. Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title="Codes: {http://hl7.org/fhir/organization-type prov}">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a></td></tr></table><p><b>result</b>: </p><ul><li><a href="Observation-urine-color.html">COLOR=Yellow. Generated Summary: id: urine-color; <span title="Codes: {http://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5778-6}">COLOR</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 32167-9}">APPEARANCE</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 25428-4}">GLUCOSE</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5770-3}">BILIRUBIN</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 2514-8}">KETONE</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5811-5}">SPEC GRAV</span>; effective: 05/07/2005; 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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5803-2}">PH</span>; effective: 05/07/2005; 6.0 (pH)</a></li><li><a href="Observation-urine-protein.html">PROTEIN=Negative. Generated Summary: id: urine-protein; <span title="Codes: {http://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 20454-5}">PROTEIN</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 20405-7}">UROBILINOGEN</span>; effective: 05/07/2005; 0.3 mg/dL</a></li><li><a href="Observation-urine-nitrite.html">NITRITE=Positive. Generated Summary: id: urine-nitrite; <span title="Codes: {http://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5802-4}">NITRITE</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5794-3}">BLOOD</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5799-2}">LEUK ESTERASE</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 11279-7}">COMMENT</span>; effective: 05/07/2005; value: Recommend Urine Culture</a></li><li><a href="Observation-urine-bacteria.html">BACTERIA=4+. Generated Summary: id: urine-bacteria; <span title="Codes: {http://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 25145-4}">BACTERIA</span>; effective: 05/07/2005; <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://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5787-7}">EPITHELIAL CELLS</span>; effective: 05/07/2005; </a></li><li><a href="Observation-urine-wbcs.html">WBC=20-30 cells/HPF. Generated Summary: id: urine-wbcs; <span title="Codes: {http://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 5821-4}">WBC</span>; effective: 05/07/2005; </a></li><li><a href="Observation-urine-rbcs.html">RBC=Occasional cells/HPF. Generated Summary: id: urine-rbcs; <span title="Codes: {http://hl7.org/fhir/observation-category laboratory}">Laboratory</span>; <span title="Codes: {http://loinc.org 13945-1}">RBC</span>; effective: 05/07/2005; <span title="Codes: {http://snomed.info/sct 84638005}">Occasional</span></a></li></ul></div>"
  },
  "status" : "final",
  "category" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/v2/0074",
        "code" : "LAB",
        "display" : "Laboratory"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "24356-8",
        "display" : "Urinalysis complete panel - Urine"
      }
    ],
    "text" : "Complete Urinalysis"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "effectiveDateTime" : "2005-07-05",
  "issued" : "2005-07-06T11:45:33+11:00",
  "performer" : [
    {
      "actor" : {
        "reference" : "Organization/acme-lab",
        "display" : "Acme Laboratory, Inc"
      }
    }
  ],
  "result" : [
    {
      "reference" : "Observation/urine-color",
      "display" : "COLOR=Yellow"
    },
    {
      "reference" : "Observation/urine-clarity",
      "display" : "APPEARANCE=Hazy"
    },
    {
      "reference" : "Observation/urine-glucose",
      "display" : "GLUCOSE=Negative"
    },
    {
      "reference" : "Observation/urine-bilirubin",
      "display" : "BILIRUBIN=Negative"
    },
    {
      "reference" : "Observation/urine-ketone",
      "display" : "KETONE=Negative"
    },
    {
      "reference" : "Observation/usg",
      "display" : "SPEC GRAV=1.017"
    },
    {
      "reference" : "Observation/urine-ph",
      "display" : "PH=6 (pH)"
    },
    {
      "reference" : "Observation/urine-protein",
      "display" : "PROTEIN=Negative"
    },
    {
      "reference" : "Observation/urobilinogen",
      "display" : "UROBILINOGEN=0.3 mg/dL"
    },
    {
      "reference" : "Observation/urine-nitrite",
      "display" : "NITRITE=Positive"
    },
    {
      "reference" : "Observation/urine-hemoglobin",
      "display" : "BLOOD=Trace"
    },
    {
      "reference" : "Observation/urine-leukocyte-esterase",
      "display" : "LEUK ESTERASE=2+e"
    },
    {
      "reference" : "Observation/urine-sediment",
      "display" : "COMMENT=Recommend Urine Culture"
    },
    {
      "reference" : "Observation/urine-bacteria",
      "display" : "BACTERIA=4+"
    },
    {
      "reference" : "Observation/urine-epi-cells",
      "display" : "EPITHELIAL CELLS=1-5 cells/HPF"
    },
    {
      "reference" : "Observation/urine-wbcs",
      "display" : "WBC=20-30 cells/HPF"
    },
    {
      "reference" : "Observation/urine-rbcs",
      "display" : "RBC=Occasional cells/HPF"
    }
  ]
}