Diagnosticreport-example-f001-bloodexam.xml

Real-world patient example (id = "f001")

Raw XML

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative</b>
      </p>
      <p>
        <b>name</b>: 
        <span title="Codes: {http://loinc.org 58410-2}">Complete blood count (hemogram) panel - Blood by Automated count</span>
      </p>
      <p>
        <b>status</b>: final_
      </p>
      <p>
        <b>issued</b>: 15-May 2013 19:32
      </p>
      <p>
        <b>subject</b>: P. van den Heuvel
      </p>
      <p>
        <b>performer</b>: Burgers University Medical Centre
      </p>
      <p>
        <b>identifier</b>: nr1239044 (official)
      </p>
      <p>
        <b>requestDetail</b>: P. van den Heuvel; L2381 (official); clinicalNotes: patient almost fainted during procedure
      </p>
      <p>
        <b>serviceCategory</b>: 
        <span title="Codes: {http://snomed.info/sct 252275004}, {http://hl7.org/fhir/v2/0074 HM}">Haematology test</span>
      </p>
      <p>
        <b>diagnostic[x]</b>: 2-Apr 2013
      </p>
      <p>
        <b>result</b>: 
      </p>
      <ul>
        <li>
          <a href="observation-example-f001-glucose.html">Glucose [Mass/volume] in Blood; 6.3 mmol/l; abnormal; applies: 2-Apr 2013 9:30 --&gt;
             5-Apr 2013 9:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection
             to forearm; 6323 (official); P. van de Heuvel; A. Langeveld</a>
        </li>
        <li>
          <a href="observation-example-f002-excess.html">Base excess in Blood by calculation; 12.6 mmol/l; abnormal; applies: 2-Apr 2013 10:30
             --&gt; 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein;
             Injection to forearm; 6324 (official); P. van de Heuvel; A. Langeveld</a>
        </li>
        <li>
          <a href="observation-example-f003-co2.html">Carbon dioxide [Partial pressure] in Blood; 6.2 mm[Hg]; abnormal; applies: 2-Apr 2013
             10:30 --&gt; 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm
             vein; Injection to forearm; 6325 (official); P. van de Heuvel; A. Langeveld</a>
        </li>
        <li>
          <a href="observation-example-f004-hemoglobin.html">Erythrocyte mean corpuscular hemoglobin concentration [Mass/volume]; 18.7 g/dl; abnormal;
             applies: 2-Apr 2013 10:30 --&gt; 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok;
             Superficial forearm vein; Injection to forearm; 6326 (official); P. van de Heuvel; A.
             Langeveld</a>
        </li>
        <li>
          <a href="observation-example-f005-hemoglobin.html">Hemoglobin [Mass/volume] in Venous blood; 7.2 g/dl; low; applies: 2-Apr 2013 10:30 --&gt;
             5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection
             to forearm; 6327 (official); P. van de Heuvel; A. Langeveld</a>
        </li>
      </ul>
      <p>
        <b>conclusion</b>: Core lab
      </p>
    </div>
  </text>
  <contained>
    <DiagnosticOrder id="req">
      <subject>
        <reference value="Patient/f001"/>
        <display value="P. van den Heuvel"/>
      </subject>
      <orderer>
        <reference value="Practitioner/f001"/>
        <display value="E.van den Broek"/>
      </orderer>
      <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/zorgportal/identifiers/labresults"/>
        <value value="L2381"/>
      </identifier>
      <encounter>
        <reference value="Encounter/f001"/>
      </encounter><!--   TODO Correcte verwijzing   -->
      <clinicalNotes value="patient almost fainted during procedure"/>
      <item>
        <code>
          <coding>
            <system value="http://loinc.org"/><!--     LOINC     -->
            <code value="58410-2"/>
            <display value="Complete blood count (hemogram) panel - Blood by Automated count"/>
          </coding>
        </code>
        <bodySite>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="14975008"/>
            <display value="Forearm structure"/>
          </coding>
        </bodySite>
      </item>
    </DiagnosticOrder>
  </contained>
  <name>
    <coding>
      <system value="http://loinc.org"/>
      <code value="58410-2"/>
      <display value="Complete blood count (hemogram) panel - Blood by Automated count"/>
    </coding>
  </name>
  <status value="final"/><!--    OID: 2.16.840.1.113883.4.642.1.7    -->
  <issued value="2013-05-15T19:32:52+01:00"/><!--    ISO 8601    -->
  <subject><!--    Linked to a RESOURCE Patient    --><!--    OID: 2.16.840.1.113883.4.642.1.4    -->
    <reference value="Patient/f001"/>
    <display value="P. van den Heuvel"/>
  </subject>
  <performer>
    <reference value="Organization/f001"/>
    <display value="Burgers University Medical Centre"/>
  </performer>
  <identifier>
    <use value="official"/>
    <system value="http://www.bmc.nl/zorgportal/identifiers/reports"/>
    <value value="nr1239044"/>
  </identifier>
  <requestDetail>
    <reference value="#req"/>
  </requestDetail>
  <serviceCategory>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="252275004"/>
      <display value="Haematology test"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="HM"/>
    </coding>
  </serviceCategory>
  <diagnosticDateTime value="2013-04-02"/>
  <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>