This page is part of the FHIR Specification (v4.1.0: Release 4B 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: 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 = "f202")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="f202"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/f202"/> <resource> <DiagnosticReport> <!-- No identifier was available --><id value="f202"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2> <span> Blood culture for bacteria, including anaerobic screen</span> (<span> Laboratory test</span> ) </h2> <table> <tr> <td> Subject</td> <td> <b> Roel(OFFICIAL)</b> 1960-03-13 ( BSN: 123456789 (OFFICIAL))</td> </tr> <tr> <td> Reported</td> <td> 11 Mar. 2013, 8:28:00 pm</td> </tr> </table> <p> <b> Report Details</b> </p> <table> <tr> <td> <b> Code</b> </td> <td> <b> Value</b> </td> <td> <b> Flags</b> </td> <td> <b> Reported</b> </td> </tr> <tr> <td> <a> <span> Blood culture</span> </a> </td> <td> <span> Staphylococcus aureus</span> </td> <td> <span> Positive</span> </td> <td/> </tr> </table> <p> Blood culture tested positive on staphylococcus aureus</p> <p> <b> Coded Conclusions :</b> </p> <ul> <li> <span> Bacteremia due to staphylococcus</span> </li> </ul> </div> </text> <basedOn> <reference value="ServiceRequest/req"/> </basedOn> <status value="final"/> <category> <!-- Lab test --><coding> <system value="http://snomed.info/sct"/> <code value="15220000"/> <display value="Laboratory test"/> </coding> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> <code value="LAB"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="104177005"/> <display value="Blood culture for bacteria, including anaerobic screen"/> </coding> </code> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <issued value="2013-03-11T10:28:00+01:00"/> <performer> <reference value="Organization/f201"/> <display value="AUMC"/> </performer> <result> <reference value="Observation/f206"/> <display value="Results for staphylococcus analysis on Roel's blood culture"/> </result> <conclusion value="Blood culture tested positive on staphylococcus aureus"/> <conclusionCode> <coding> <system value="http://snomed.info/sct"/> <code value="428763004"/> <display value="Bacteremia due to staphylococcus"/> </coding> </conclusionCode> </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</b> </p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</p> <p> <b> code</b> : <span> Blood culture for bacteria, including anaerobic screen</span> </p> <p> <b> subject</b> : <a> Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span> Legally married</span> ; </a> </p> <p> <b> encounter</b> : <a> Roel's encounter on March elevanth 2013. Generated Summary: id: Encounter_Roel_20130311 (TEMP); status: finished; <span> inpatient encounter</span> ; <span> Inpatient stay for nine days</span> ; <span> High priority</span> ; period: 2013-03-11 --> 2013-03-20; <span> The patient seems to suffer from bilateral pneumonia and renal insufficiency, most likely due to chemotherapy.</span> </a> </p> <p> <b> requester</b> : <a> Dokter Bronsig. Generated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24</a> </p> </div> </text> <status value="active"/> <intent value="original-order"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="104177005"/> <display value="Blood culture for bacteria, including anaerobic screen"/> </coding> </code> <subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <encounter> <reference value="Encounter/f203"/> <display value="Roel's encounter on March elevanth 2013"/> </encounter> <requester> <reference value="Practitioner/f201"/> <display value="Dokter Bronsig"/> </requester> </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.