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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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:DiagnosticReport;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "urinalysis"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "209563" ];
     fhir:Meta.lastUpdated [ fhir:value "2016-04-19T17:28:11.308+00:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport";
       fhir:index 0     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:DiagnosticReport.status [ fhir:value "final"];
  fhir:DiagnosticReport.category [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v2/0074" ];
       fhir:Coding.code [ fhir:value "LAB" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]     ]
  ];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:24356-8;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "24356-8" ];
       fhir:Coding.display [ fhir:value "Urinalysis complete panel - Urine" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Complete Urinalysis" ]
  ];
  fhir:DiagnosticReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/example" ];
     fhir:Reference.display [ fhir:value "Amy Shaw" ]
  ];
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2005-07-05"^^xsd:date];
  fhir:DiagnosticReport.issued [ fhir:value "2005-07-06T11:45:33+11:00"^^xsd:dateTime];
  fhir:DiagnosticReport.performer [
     fhir:index 0;
     fhir:DiagnosticReport.performer.actor [
       fhir:Reference.reference [ fhir:value "Organization/acme-lab" ];
       fhir:Reference.display [ fhir:value "Acme Laboratory, Inc" ]     ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/urine-color" ];
     fhir:Reference.display [ fhir:value "COLOR=Yellow" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Observation/urine-clarity" ];
     fhir:Reference.display [ fhir:value "APPEARANCE=Hazy" ]
  ], [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "Observation/urine-glucose" ];
     fhir:Reference.display [ fhir:value "GLUCOSE=Negative" ]
  ], [
     fhir:index 3;
     fhir:Reference.reference [ fhir:value "Observation/urine-bilirubin" ];
     fhir:Reference.display [ fhir:value "BILIRUBIN=Negative" ]
  ], [
     fhir:index 4;
     fhir:Reference.reference [ fhir:value "Observation/urine-ketone" ];
     fhir:Reference.display [ fhir:value "KETONE=Negative" ]
  ], [
     fhir:index 5;
     fhir:Reference.reference [ fhir:value "Observation/usg" ];
     fhir:Reference.display [ fhir:value "SPEC GRAV=1.017" ]
  ], [
     fhir:index 6;
     fhir:Reference.reference [ fhir:value "Observation/urine-ph" ];
     fhir:Reference.display [ fhir:value "PH=6 (pH)" ]
  ], [
     fhir:index 7;
     fhir:Reference.reference [ fhir:value "Observation/urine-protein" ];
     fhir:Reference.display [ fhir:value "PROTEIN=Negative" ]
  ], [
     fhir:index 8;
     fhir:Reference.reference [ fhir:value "Observation/urobilinogen" ];
     fhir:Reference.display [ fhir:value "UROBILINOGEN=0.3 mg/dL" ]
  ], [
     fhir:index 9;
     fhir:Reference.reference [ fhir:value "Observation/urine-nitrite" ];
     fhir:Reference.display [ fhir:value "NITRITE=Positive" ]
  ], [
     fhir:index 10;
     fhir:Reference.reference [ fhir:value "Observation/urine-hemoglobin" ];
     fhir:Reference.display [ fhir:value "BLOOD=Trace" ]
  ], [
     fhir:index 11;
     fhir:Reference.reference [ fhir:value "Observation/urine-leukocyte-esterase" ];
     fhir:Reference.display [ fhir:value "LEUK ESTERASE=2+e" ]
  ], [
     fhir:index 12;
     fhir:Reference.reference [ fhir:value "Observation/urine-sediment" ];
     fhir:Reference.display [ fhir:value "COMMENT=Recommend Urine Culture" ]
  ], [
     fhir:index 13;
     fhir:Reference.reference [ fhir:value "Observation/urine-bacteria" ];
     fhir:Reference.display [ fhir:value "BACTERIA=4+" ]
  ], [
     fhir:index 14;
     fhir:Reference.reference [ fhir:value "Observation/urine-epi-cells" ];
     fhir:Reference.display [ fhir:value "EPITHELIAL CELLS=1-5 cells/HPF" ]
  ], [
     fhir:index 15;
     fhir:Reference.reference [ fhir:value "Observation/urine-wbcs" ];
     fhir:Reference.display [ fhir:value "WBC=20-30 cells/HPF" ]
  ], [
     fhir:index 16;
     fhir:Reference.reference [ fhir:value "Observation/urine-rbcs" ];
     fhir:Reference.display [ fhir:value "RBC=Occasional cells/HPF" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.