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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<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"/>
  </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://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>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/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>
    <actor>
      <reference value="Organization/acme-lab"/>
      <display value="Acme Laboratory, Inc"/>
    </actor>
  </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>