FHIR Release 3 (STU)
DiagnosticsThis page is part of the FHIR Specification (v3.0.2: STU 3). 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: R4 R3
| Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
An example of a comprehensive bone marrow report
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/owl#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/DiagnosticReport/report> a fhir:DiagnosticReport;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "report"];
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>: report</p><p><b>contained</b>: , , , , , , , , , , , , </p><p><b>status</b>: final</p><p><b>code</b>: comprehensive bone marrow report <span>(Details )</span></p><p><b>subject</b>: <a>Everywoman, Eve A, MRN: 123456789</a></p><p><b>effective</b>: 02/01/2015 1:20:10 PM</p><p><b>issued</b>: 06/01/2015 1:20:10 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Molecular Diagnostic Laboratory</a></td></tr></table><p><b>specimen</b>: <a>Bone marrow ID: MLD45-Z4-1234</a></p><p><b>result</b>: </p><ul><li>id: o1; status: final; Leukocytes [#/volume] in Blood <span>(Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes [#/volume] in Blood'})</span>; 31.9 K/ul</li><li>id: o2; status: final; Hematocrit [Volume Fraction] of Blood <span>(Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit [Volume Fraction] of Blood'})</span>; 27 %</li><li>id: o3; status: final; Platelets [#/volume] in Blood <span>(Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets [#/volume] in Blood'})</span>; 84 K/ul</li><li>id: o4; status: final; NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal <span>(Details : {LOINC code '75034-9' = 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal', given as 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o5; status: final; FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span>(Details : {LOINC code '54447-8' = 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative', given as 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o6; status: final; KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span>(Details : {LOINC code '55201-8' = 'KIT gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o7; status: final; Myeloblasts [#/volume] in Blood <span>(Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts [#/volume] in Blood'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o8; status: final; CD4 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '47016-1' = 'CD4 Ag [Presence] in Tissue by Immune stain', given as 'CD4 Ag [Presence] in Tissue by Immune stain'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o9; status: final; CD13 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '49464-1' = 'CD13 Ag [Presence] in Tissue by Immune stain', given as 'CD13 Ag [Presence] in Tissue by Immune stain'})</span>; Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></li><li>id: o10; status: final; CD2 Ag [Presence] in Tissue by Immune stain <span>(Details : {LOINC code '49466-6' = 'CD2 Ag [Presence] in Tissue by Immune stain', given as 'CD2 Ag [Presence] in Tissue by Immune stain'})</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o11; status: final; Karyotype [Identifier] in Bone marrow Nominal <span>(Details : {LOINC code '33893-9' = 'Karyotype [Identifier] in Bone marrow Nominal', given as 'Karyotype [Identifier] in Bone marrow Nominal'})</span>; 46,XX[20] <span>(Details )</span></li><li>id: o12; status: final; MDS-associated genetic abnormalities <span>(Details )</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li><li>id: o13; status: final; AML-associated genetic abnormalities <span>(Details )</span>; Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></li></ul></div>"
];
fhir:DomainResource.contained [
a fhir:Observation;
fhir:index 0;
fhir:Resource.id [ fhir:value "o1" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:26464-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "26464-8" ];
fhir:Coding.display [ fhir:value "Leukocytes [#/volume] in Blood" ]
]
];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "31.9"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "K/ul" ]
]
], [
a fhir:Observation;
fhir:index 1;
fhir:Resource.id [ fhir:value "o2" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:20570-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "20570-8" ];
fhir:Coding.display [ fhir:value "Hematocrit [Volume Fraction] of Blood" ]
]
];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "27"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "%" ]
]
], [
a fhir:Observation;
fhir:index 2;
fhir:Resource.id [ fhir:value "o3" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:26515-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "26515-7" ];
fhir:Coding.display [ fhir:value "Platelets [#/volume] in Blood" ]
]
];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "84"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "K/ul" ]
]
], [
a fhir:Observation;
fhir:index 3;
fhir:Resource.id [ fhir:value "o4" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:75034-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "75034-9" ];
fhir:Coding.display [ fhir:value "NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:10828004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "10828004" ];
fhir:Coding.display [ fhir:value "Positive" ]
]
]
], [
a fhir:Observation;
fhir:index 4;
fhir:Resource.id [ fhir:value "o5" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:54447-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "54447-8" ];
fhir:Coding.display [ fhir:value "FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:260385009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "260385009" ];
fhir:Coding.display [ fhir:value "Negative" ]
]
]
], [
a fhir:Observation;
fhir:index 5;
fhir:Resource.id [ fhir:value "o6" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:55201-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "55201-8" ];
fhir:Coding.display [ fhir:value "KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:260385009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "260385009" ];
fhir:Coding.display [ fhir:value "Negative" ]
]
]
], [
a fhir:Observation;
fhir:index 6;
fhir:Resource.id [ fhir:value "o7" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:30444-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "30444-4" ];
fhir:Coding.display [ fhir:value "Myeloblasts [#/volume] in Blood" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:10828004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "10828004" ];
fhir:Coding.display [ fhir:value "Positive" ]
]
]
], [
a fhir:Observation;
fhir:index 7;
fhir:Resource.id [ fhir:value "o8" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:47016-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "47016-1" ];
fhir:Coding.display [ fhir:value "CD4 Ag [Presence] in Tissue by Immune stain" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:10828004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "10828004" ];
fhir:Coding.display [ fhir:value "Positive" ]
]
]
], [
a fhir:Observation;
fhir:index 8;
fhir:Resource.id [ fhir:value "o9" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:49464-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "49464-1" ];
fhir:Coding.display [ fhir:value "CD13 Ag [Presence] in Tissue by Immune stain" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:10828004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "10828004" ];
fhir:Coding.display [ fhir:value "Positive" ]
]
]
], [
a fhir:Observation;
fhir:index 9;
fhir:Resource.id [ fhir:value "o10" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:49466-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "49466-6" ];
fhir:Coding.display [ fhir:value "CD2 Ag [Presence] in Tissue by Immune stain" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:260385009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "260385009" ];
fhir:Coding.display [ fhir:value "Negative" ]
]
]
], [
a fhir:Observation;
fhir:index 10;
fhir:Resource.id [ fhir:value "o11" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:33893-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "33893-9" ];
fhir:Coding.display [ fhir:value "Karyotype [Identifier] in Bone marrow Nominal" ]
]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "46,XX[20]" ]
]
], [
a fhir:Observation;
fhir:index 11;
fhir:Resource.id [ fhir:value "o12" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.text [ fhir:value "MDS-associated genetic abnormalities" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:260385009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "260385009" ];
fhir:Coding.display [ fhir:value "Negative" ]
]
]
], [
a fhir:Observation;
fhir:index 12;
fhir:Resource.id [ fhir:value "o13" ];
fhir:Observation.status [ fhir:value "final" ];
fhir:Observation.code [
fhir:CodeableConcept.text [ fhir:value "AML-associated genetic abnormalities" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:260385009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "260385009" ];
fhir:Coding.display [ fhir:value "Negative" ]
]
]
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "c1" ]
]
];
fhir:DiagnosticReport.status [ fhir:value "final"];
fhir:DiagnosticReport.code [
fhir:CodeableConcept.text [ fhir:value "comprehensive bone marrow report" ]
];
fhir:DiagnosticReport.subject [
fhir:link <http://hl7.org/fhir/Patient/genetics-example1>;
fhir:Reference.reference [ fhir:value "Patient/genetics-example1" ];
fhir:Reference.display [ fhir:value "Everywoman, Eve A, MRN: 123456789" ]
];
fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2015-01-02T13:20:10+01:00"^^xsd:dateTime];
fhir:DiagnosticReport.issued [ fhir:value "2015-01-06T13:20:10+01:00"^^xsd:dateTime];
fhir:DiagnosticReport.performer [
fhir:index 0;
fhir:DiagnosticReport.performer.actor [
fhir:link <http://hl7.org/fhir/Practitioner/genetics-example1>;
fhir:Reference.reference [ fhir:value "Practitioner/genetics-example1" ];
fhir:Reference.display [ fhir:value "Molecular Diagnostic Laboratory" ]
]
];
fhir:DiagnosticReport.specimen [
fhir:index 0;
fhir:link <http://hl7.org/fhir/Specimen/genetics-example1>;
fhir:Reference.reference [ fhir:value "Specimen/genetics-example1" ];
fhir:Reference.display [ fhir:value "Bone marrow ID: MLD45-Z4-1234" ]
];
fhir:DiagnosticReport.result [
fhir:index 0;
fhir:Reference.reference [ fhir:value "#o1" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "#o2" ]
], [
fhir:index 2;
fhir:Reference.reference [ fhir:value "#o3" ]
], [
fhir:index 3;
fhir:Reference.reference [ fhir:value "#o4" ]
], [
fhir:index 4;
fhir:Reference.reference [ fhir:value "#o5" ]
], [
fhir:index 5;
fhir:Reference.reference [ fhir:value "#o6" ]
], [
fhir:index 6;
fhir:Reference.reference [ fhir:value "#o7" ]
], [
fhir:index 7;
fhir:Reference.reference [ fhir:value "#o8" ]
], [
fhir:index 8;
fhir:Reference.reference [ fhir:value "#o9" ]
], [
fhir:index 9;
fhir:Reference.reference [ fhir:value "#o10" ]
], [
fhir:index 10;
fhir:Reference.reference [ fhir:value "#o11" ]
], [
fhir:index 11;
fhir:Reference.reference [ fhir:value "#o12" ]
], [
fhir:index 12;
fhir:Reference.reference [ fhir:value "#o13" ]
] .
<http://hl7.org/fhir/Patient/genetics-example1> a fhir:Patient .
<http://hl7.org/fhir/Practitioner/genetics-example1> a fhir:Practitioner .
<http://hl7.org/fhir/Specimen/genetics-example1> a fhir:Specimen .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/DiagnosticReport/report.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://hl7.org/fhir/STU3/DiagnosticReport/report.ttl> .
# -------------------------------------------------------------------------------------
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.
®© HL7.org 2011+. FHIR Release 3 (STU; v3.0.2-11200) generated on Thurs, Oct 24, 2019 11:53+1100. QA Page
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