Release 4B
DiagnosticsThis page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
An example of a comprehensive bone marrow report
{
"resourceType": "Bundle",
"id": "comprehensive-bone-marrow-report",
"type": "collection",
"entry": [
{
"fullUrl": "https://example.com/base/DiagnosticReport/comprehensive-bone-marrow-report",
"resource": {
"resourceType": "DiagnosticReport",
"id": "comprehensive-bone-marrow-report",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: \">comprehensive bone marrow report</span> </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Eve Everywoman (OFFICIAL)</b> female, DoB: 1973-05-31 ( Social Security number: 444222222)</td></tr><tr><td>When For</td><td>2015-01-02T13:20:10+01:00</td></tr><tr><td>Reported</td><td>2015-01-06T13:20:10+01:00</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr><tr><td colspan=\"2\"><i>Observation</i></td></tr></table></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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o1" </p></div><p><b>status</b>: final</p><p><b>code</b>: Leukocytes [#/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#26464-8)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o2" </p></div><p><b>status</b>: final</p><p><b>code</b>: Hematocrit [Volume Fraction] of Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#20570-8)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o3" </p></div><p><b>status</b>: final</p><p><b>code</b>: Platelets [#/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#26515-7)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o4" </p></div><p><b>status</b>: final</p><p><b>code</b>: NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75034-9)</span></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o5" </p></div><p><b>status</b>: final</p><p><b>code</b>: FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#54447-8)</span></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260385009)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o6" </p></div><p><b>status</b>: final</p><p><b>code</b>: KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#55201-8)</span></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260385009)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o7" </p></div><p><b>status</b>: final</p><p><b>code</b>: Myeloblasts [#/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#30444-4)</span></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o8" </p></div><p><b>status</b>: final</p><p><b>code</b>: CD4 Ag [Presence] in Tissue by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#47016-1)</span></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o9" </p></div><p><b>status</b>: final</p><p><b>code</b>: CD13 Ag [Presence] in Tissue by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49464-1)</span></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o10" </p></div><p><b>status</b>: final</p><p><b>code</b>: CD2 Ag [Presence] in Tissue by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49466-6)</span></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260385009)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o11" </p></div><p><b>status</b>: final</p><p><b>code</b>: Karyotype [Identifier] in Bone marrow Nominal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33893-9)</span></p><p><b>value</b>: 46,XX[20] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o12" </p></div><p><b>status</b>: final</p><p><b>code</b>: MDS-associated genetic abnormalities <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260385009)</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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "o13" </p></div><p><b>status</b>: final</p><p><b>code</b>: AML-associated genetic abnormalities <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260385009)</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.
FHIR ®© HL7.org 2011+. FHIR Release 4B (v4.3.0) hl7.fhir.r4b.core#4.3.0 generated on Sat, May 28, 2022 12:55+1000.
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