Example Lipid Profile - FHIR v0.0.82

This page is part of the FHIR Specification (v0.0.82: DSTU 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

Example Lipid Profile

Describes how the lab report is used for a standard Lipid Profile - Cholesterol, Triglyceride and Cholesterol fractions. Uses LOINC codes

This profile was published on Sat, May 12, 2012 00:00+1000 as a draft by Grahame Grieve

Content

<DiagnosticReport xmlns="http://hl7.org/fhir">  <extension></extension> <modifierExtension></modifierExtension> <text></text> <contained></contained> <name> <coding> <code value="http://loinc.org"/> <system value="57698-3"/> </coding> <text value="Lipid panel with direct LDL - Serum or Plasma"/> </name> <status value="[code]"/> <issued value="[dateTime]"/> <subject></subject> <performer></performer> <identifier></identifier> <requestDetail></requestDetail> <serviceCategory></serviceCategory> <diagnostic[x]></diagnostic[x]> <specimen></specimen>  <result></result>  <result></result>  <result></result>  <result></result> <imagingStudy></imagingStudy> <image>  <extension></extension> <modifierExtension></modifierExtension> <comment value="[string]"/> <link></link> </image> <conclusion value="[string]"/> <codedDiagnosis></codedDiagnosis> <presentedForm></presentedForm> </DiagnosticReport>  <Observation xmlns="http://hl7.org/fhir">  <extension></extension> <modifierExtension></modifierExtension> <text></text> <contained></contained> <name> <coding> <code value="http://loinc.org"/> <system value="35200-5"/> </coding> <text value="Cholesterol"/> </name> <valueQuantity> 0..1 Quantity  <value value="[decimal]"/> <comparator value="[code]"/> <units>mmol/L<units/> <system>http://unitsofmeasure.org<system/> <code>mmol/L<code/> </valueQuantity> <interpretation value="[code]"/> <comments value="[string]"/> <applies[x]></applies[x]> <issued value="[instant]"/> <status value="[code]"/> <reliability>ok<reliability/> <bodySite></bodySite> <method></method> <identifier></identifier> <subject></subject> <specimen></specimen> <performer></performer> <referenceRange>  <extension></extension> <modifierExtension></modifierExtension> <low></low> <high>4.5 mmol/L<high/> <meaning></meaning> <age></age> </referenceRange> <related>  </related> </Observation>  <Observation xmlns="http://hl7.org/fhir">  <extension></extension> <modifierExtension></modifierExtension> <text></text> <contained></contained> <name> <coding> <code value="http://loinc.org"/> <system value="35217-9"/> </coding> <text value="Triglyceride"/> </name> <valueQuantity></valueQuantity> <interpretation value="[code]"/> <comments value="[string]"/> <applies[x]></applies[x]> <issued value="[instant]"/> <status value="[code]"/> <reliability>ok<reliability/> <bodySite></bodySite> <method></method> <identifier></identifier> <subject></subject> <specimen></specimen> <performer></performer> <referenceRange>  <extension></extension> <modifierExtension></modifierExtension> <low></low> <high></high> <meaning></meaning> <age></age> </referenceRange> <related>  </related> </Observation>  <Observation xmlns="http://hl7.org/fhir">  <extension></extension> <modifierExtension></modifierExtension> <text></text> <contained></contained> <name> <coding> <code value="http://loinc.org"/> <system value="2085-9"/> </coding> <text value="HDL Cholesterol"/> </name> <valueQuantity></valueQuantity> <interpretation value="[code]"/> <comments value="[string]"/> <applies[x]></applies[x]> <issued value="[instant]"/> <status value="[code]"/> <reliability>ok<reliability/> <bodySite></bodySite> <method></method> <identifier></identifier> <subject></subject> <specimen></specimen> <performer></performer> <referenceRange>  <extension></extension> <modifierExtension></modifierExtension> <low>1.5 mmol/L<low/> <high></high> <meaning></meaning> <age></age> </referenceRange> <related>  </related> </Observation>  <Observation xmlns="http://hl7.org/fhir">   <extension></extension> <modifierExtension></modifierExtension> <text></text> <contained></contained> <name></name> <valueQuantity></valueQuantity> <interpretation value="[code]"/> <comments value="[string]"/> <applies[x]></applies[x]> <issued value="[instant]"/> <status value="[code]"/> <reliability>ok<reliability/> <bodySite></bodySite> <method></method> <identifier></identifier> <subject></subject> <specimen></specimen> <performer></performer> <referenceRange>  <extension></extension> <modifierExtension></modifierExtension> <low></low> <high>3.0 mmol/L<high/> <meaning></meaning> <age></age> </referenceRange> <related>  </related> </Observation>  <extension>  <url value="http://hl7.org/fhir/Profilelipid-lab-profile#calculated"/> <valueBoolean value="[boolean]"/> </extension>

Example

Example Instance "Example for Profile Example Lipid Profile"

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"> 
      <h3>Lipid Report for Wile. E. COYOTE (MRN: 23453) issued 3-Mar 2009 14:26</h3>            
<!--   you could use ab html table here, but laboratories are still 
 using fixed text tables, and this will take decades to change...   -->
            <pre>
Test                  Units       Value       Reference Range
Cholesterol           mmol/L      6.3         &lt;4.5
Triglyceride          mmol/L      1.3         &lt;2.0
HDL Cholesterol       mmol/L      1.3         &gt;1.5
LDL Chol. (calc)      mmol/L      4.2         &lt;3.0
      </pre>
            <p>Acme Laboratory, Inc signed: Dr Pete Pathologist</p>
        </div>
    </text>
    <contained>
    <!--   
    all the data items (= Observations) are contained 
    in this diagnostic report. It would be equally 
      valid - and normal - for them to be separate trackable
      items. However for the purposes of this example, it's
    more convenient to have them here. For more discussion,
    see under &quot;Contained Resources&quot; on the Resource Definitions
    topic page   -->
    <!--   for users steeped in v2, each observation roughly corresponds with an 
      OBX, and the Diagnostic Report with an ORU_R01 message   -->
      <Observation id="cholesterol">
        <name>
          <coding>
            <system value="http://loinc.org"/>
            <code value="35200-5"/>
          </coding>
          <text value="Cholesterol"/>
        </name>
        <valueQuantity>
          <value value="6.3"/>
          <units value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <status value="final"/>
        <reliability value="ok"/>
        <referenceRange>
          <high>
            <value value="4.5"/>
            <units value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </contained> 
    <contained>  
      <Observation id="triglyceride">
        <name>
          <coding>
            <system value="http://loinc.org"/>
            <code value="35217-9"/>
          </coding>
          <text value="Triglyceride"/>
        </name>
        <valueQuantity>
          <value value="1.3"/>
          <units value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <status value="final"/>
        <reliability value="ok"/>
        <referenceRange>
          <high>
            <value value="2.0"/>
            <units value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </contained> 
    <contained>  
      <Observation id="hdlcholesterol">
        <name>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2085-9"/>
          </coding>
          <text value="Cholesterol in HDL"/>
        </name>
        <valueQuantity>
          <value value="1.3"/>
          <units value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <status value="final"/>
        <reliability value="ok"/>
        <referenceRange>
          <low>
            <value value="1.5"/>
            <units value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </low>
        </referenceRange>
      </Observation>
    </contained> 
    <contained>  
      <Observation id="ldlcholesterol">
        <name>
          <coding>
            <system value="http://loinc.org"/>
            <code value="13457-7"/>
          </coding>
          <text value="LDL Chol. (Calc)"/>
        </name>
        <valueQuantity>
          <value value="4.6"/>
          <units value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <status value="final"/>
        <reliability value="ok"/>
        <referenceRange>
          <high>
            <value value="3.0"/>
            <units value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </contained> 
  <!--   first, various administrative/context stuff   -->
  <name>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57698-3"/>
      <display value="Lipid panel with direct LDL - Serum or Plasma"/>
    </coding>
    <text value="Lipid Panel"/>
  </name>
  <status value="final"/> <!--   all this report is final   -->
  <issued value="2013-01-27T11:45:33+11:00"/>
  <subject>
    <reference value="Patient/pat2"/>
  </subject>
  <performer>
    <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
    <display value="Acme Laboratory, Inc"/>
  </performer>
  <identifier>
    <system value="http://acme.com/lab/reports"/>
    <value value="5234342"/>
  </identifier>
  <serviceCategory>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="HM"/>
    </coding>
  </serviceCategory>
  <diagnosticDateTime value="2011-03-04T08:30:00+11:00"/>
  <!--   now the atomic results   -->
  <result>
    <reference value="#cholesterol"/>
  </result>  
  <result>
    <reference value="#triglyceride"/>
  </result>
  <result>
    <reference value="#hdlcholesterol"/>
  </result>
  <result>
    <reference value="#ldlcholesterol"/>
  </result>
</DiagnosticReport>