R4 Draft for Comment
DiagnosticsThis page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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
{
"resourceType": "Bundle",
"id": "report",
"type": "collection",
"entry": [
{
"fullUrl": "https://example.com/base/DiagnosticReport/report",
"resource": {
"resourceType": "DiagnosticReport",
"id": "report",
"text": {
"status": "generated",
"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>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><p><b>performer</b>: <a>Molecular Diagnostic Laboratory</a></p><p><b>specimen</b>: <a>Bone marrow ID: MLD45-Z4-1234</a></p><p><b>result</b>: </p><ul><li><a>Observation/o1</a></li><li><a>Observation/o2</a></li><li><a>Observation/o3</a></li><li><a>Observation/o4</a></li><li><a>Observation/o5</a></li><li><a>Observation/o6</a></li><li><a>Observation/o7</a></li><li><a>Observation/o8</a></li><li><a>Observation/o9</a></li><li><a>Observation/o10</a></li><li><a>Observation/o11</a></li><li><a>Observation/o12</a></li><li><a>Observation/o13</a></li></ul></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition",
"valueReference": {
"reference": "Condition/c1"
}
}
],
"status": "final",
"code": {
"text": "comprehensive bone marrow report"
},
"subject": {
"reference": "Patient/genetics-example1",
"display": "Everywoman, Eve A, MRN: 123456789"
},
"effectiveDateTime": "2015-01-02T13:20:10+01:00",
"issued": "2015-01-06T13:20:10+01:00",
"performer": [
{
"reference": "Practitioner/genetics-example1",
"display": "Molecular Diagnostic Laboratory"
}
],
"specimen": [
{
"reference": "Specimen/genetics-example1",
"display": "Bone marrow ID: MLD45-Z4-1234"
}
],
"result": [
{
"reference": "Observation/o1"
},
{
"reference": "Observation/o2"
},
{
"reference": "Observation/o3"
},
{
"reference": "Observation/o4"
},
{
"reference": "Observation/o5"
},
{
"reference": "Observation/o6"
},
{
"reference": "Observation/o7"
},
{
"reference": "Observation/o8"
},
{
"reference": "Observation/o9"
},
{
"reference": "Observation/o10"
},
{
"reference": "Observation/o11"
},
{
"reference": "Observation/o12"
},
{
"reference": "Observation/o13"
}
]
}
},
{
"fullUrl": "https://example.com/base/Observation/o1",
"resource": {
"resourceType": "Observation",
"id": "o1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o1</p><p><b>status</b>: final</p><p><b>code</b>: Leukocytes [#/volume] in Blood <span>(Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes [#/volume] in Blood'})</span></p><p><b>value</b>: 31.9 K/ul</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "26464-8",
"display": "Leukocytes [#/volume] in Blood"
}
]
},
"valueQuantity": {
"value": 31.9,
"unit": "K/ul"
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o2",
"resource": {
"resourceType": "Observation",
"id": "o2",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o2</p><p><b>status</b>: final</p><p><b>code</b>: Hematocrit [Volume Fraction] of Blood <span>(Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit [Volume Fraction] of Blood'})</span></p><p><b>value</b>: 27 %</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "20570-8",
"display": "Hematocrit [Volume Fraction] of Blood"
}
]
},
"valueQuantity": {
"value": 27,
"unit": "%"
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o3",
"resource": {
"resourceType": "Observation",
"id": "o3",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o3</p><p><b>status</b>: final</p><p><b>code</b>: Platelets [#/volume] in Blood <span>(Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets [#/volume] in Blood'})</span></p><p><b>value</b>: 84 K/ul</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "26515-7",
"display": "Platelets [#/volume] in Blood"
}
]
},
"valueQuantity": {
"value": 84,
"unit": "K/ul"
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o4",
"resource": {
"resourceType": "Observation",
"id": "o4",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o4</p><p><b>status</b>: final</p><p><b>code</b>: 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></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75034-9",
"display": "NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o5",
"resource": {
"resourceType": "Observation",
"id": "o5",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o5</p><p><b>status</b>: final</p><p><b>code</b>: 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></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "54447-8",
"display": "FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o6",
"resource": {
"resourceType": "Observation",
"id": "o6",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o6</p><p><b>status</b>: final</p><p><b>code</b>: 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></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55201-8",
"display": "KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o7",
"resource": {
"resourceType": "Observation",
"id": "o7",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o7</p><p><b>status</b>: final</p><p><b>code</b>: Myeloblasts [#/volume] in Blood <span>(Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts [#/volume] in Blood'})</span></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30444-4",
"display": "Myeloblasts [#/volume] in Blood"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o8",
"resource": {
"resourceType": "Observation",
"id": "o8",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o8</p><p><b>status</b>: final</p><p><b>code</b>: 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></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47016-1",
"display": "CD4 Ag [Presence] in Tissue by Immune stain"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o9",
"resource": {
"resourceType": "Observation",
"id": "o9",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o9</p><p><b>status</b>: final</p><p><b>code</b>: 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></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "49464-1",
"display": "CD13 Ag [Presence] in Tissue by Immune stain"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o10",
"resource": {
"resourceType": "Observation",
"id": "o10",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o10</p><p><b>status</b>: final</p><p><b>code</b>: 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></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "49466-6",
"display": "CD2 Ag [Presence] in Tissue by Immune stain"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o11",
"resource": {
"resourceType": "Observation",
"id": "o11",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o11</p><p><b>status</b>: final</p><p><b>code</b>: 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></p><p><b>value</b>: 46,XX[20] <span>(Details )</span></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "33893-9",
"display": "Karyotype [Identifier] in Bone marrow Nominal"
}
]
},
"valueCodeableConcept": {
"text": "46,XX[20]"
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o12",
"resource": {
"resourceType": "Observation",
"id": "o12",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o12</p><p><b>status</b>: final</p><p><b>code</b>: MDS-associated genetic abnormalities <span>(Details )</span></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div>"
},
"status": "final",
"code": {
"text": "MDS-associated genetic abnormalities"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
}
},
{
"fullUrl": "https://example.com/base/Observation/o13",
"resource": {
"resourceType": "Observation",
"id": "o13",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: o13</p><p><b>status</b>: final</p><p><b>code</b>: AML-associated genetic abnormalities <span>(Details )</span></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div>"
},
"status": "final",
"code": {
"text": "AML-associated genetic abnormalities"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
]
}
}
}
]
}
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 4 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:57+1100. QA Page
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