This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Real-world patient example (id = "f001")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="f001"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/f001"/> <resource> <DiagnosticReport> <!-- 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> identifier</b> : nr1239044 (OFFICIAL)</p> <p> <b> basedOn</b> : <a> ServiceRequest/req</a> </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://terminology.hl7.org/CodeSystem/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> <p> <b> performer</b> : <a> Burgers University Medical Centre</a> </p> <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> <identifier> <use value="official"/> <system value="http://www.bmc.nl/zorgportal/identifiers/reports"/> <value value="nr1239044"/> </identifier> <basedOn> <reference value="ServiceRequest/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://terminology.hl7.org/CodeSystem/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> <reference value="Organization/f001"/> <display value="Burgers University Medical Centre"/> </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> </resource> </entry> <entry> <fullUrl value="https://example.com/base/ServiceRequest/req"/> <resource> <ServiceRequest> <id value="req"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : req</p> <p> <b> identifier</b> : L2381</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</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> encounter</b> : <a> Encounter/f001</a> </p> <p> <b> requester</b> : <a> E.van den Broek</a> </p> <p> <b> note</b> : patient almost fainted during procedure</p> </div> </text> <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> <encounter> <reference value="Encounter/f001"/> </encounter> <requester> <reference value="Practitioner/f001"/> <display value="E.van den Broek"/> </requester> <note> <text value="patient almost fainted during procedure"/> </note> </ServiceRequest> </resource> </entry> </Bundle>
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.