This 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 . Page versions: R5 R4B
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)
Lipid profile (id = "lipids")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="lipids"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/lipids"/> <resource> <DiagnosticReport> <id value="lipids"/> <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> <pre> Test Units Value Reference Range Cholesterol mmol/L 6.3 <4.5 Triglyceride mmol/L 1.3 <2.0 HDL Cholesterol mmol/L 1.3 >1.5 LDL Chol. (calc) mmol/L 4.2 <3.0 </pre> <p> Acme Laboratory, Inc signed: Dr Pete Pathologist</p> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="5234342"/> </identifier> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> <code value="HM"/> </coding> </category> <!-- first, various administrative/context stuff --> <code> <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"/> </code> <subject> <reference value="Patient/pat2"/> </subject> <effectiveDateTime value="2011-03-04T08:30:00+11:00"/> <!-- all this report is final --><issued value="2013-01-27T11:45:33+11:00"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <!-- now the atomic results --><result id="1"> <reference value="Observation/cholesterol"/> </result> <result id="2"> <reference value="Observation/triglyceride"/> </result> <result id="3"> <reference value="Observation/hdlcholesterol"/> </result> <result id="4"> <reference value="Observation/ldlcholesterol"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/cholesterol"/> <resource> <Observation> <!-- all the data items (= Observations) are bundled along with 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 users steeped in v2, each observation roughly corresponds with an OBX, and the Diagnostic Report with an ORU_R01 message --><id value="cholesterol"/> <text> <status value="generated"/> <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 "cholesterol" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Cholesterol <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #35200-5 "Cholesterol [Moles/volume] in Serum or Plasma")</span> </p> <p> <b> subject</b> : <a href="patient-pat2.html">Patient/pat2</a> "Duck DONALD"</p> <p> <b> performer</b> : <a href="organization-1832473e-2fe0-452d-abe9-3cdb9879522f.html">Organization/1832473e-2fe0-452d-abe9-3cdb9879522f: Acme Laboratory, Inc</a> "Clinical Lab"</p> <p> <b> value</b> : 6.3 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </p> <h3> ReferenceRanges</h3> <table class="grid"><tr> <td> -</td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 4.5 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="35200-5"/> <display value="Cholesterol [Moles/volume] in Serum or Plasma"/> </coding> <text value="Cholesterol"/> </code> <subject> <reference value="Patient/pat2"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="6.3"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <referenceRange> <high> <value value="4.5"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/triglyceride"/> <resource> <Observation> <id value="triglyceride"/> <text> <status value="generated"/> <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 "triglyceride" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Triglyceride <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #35217-9 "Triglyceride [Moles/volume] in Serum or Plasma")</span> </p> <p> <b> subject</b> : <a href="patient-pat2.html">Patient/pat2</a> "Duck DONALD"</p> <p> <b> performer</b> : <a href="organization-1832473e-2fe0-452d-abe9-3cdb9879522f.html">Organization/1832473e-2fe0-452d-abe9-3cdb9879522f: Acme Laboratory, Inc</a> "Clinical Lab"</p> <p> <b> value</b> : 1.3 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </p> <h3> ReferenceRanges</h3> <table class="grid"><tr> <td> -</td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 2.0 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="35217-9"/> <display value="Triglyceride [Moles/volume] in Serum or Plasma"/> </coding> <text value="Triglyceride"/> </code> <subject> <reference value="Patient/pat2"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="1.3"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <referenceRange> <high> <value value="2.0"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/hdlcholesterol"/> <resource> <Observation> <id value="hdlcholesterol"/> <text> <status value="generated"/> <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 "hdlcholesterol" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : Cholesterol in HDL <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #2085-9 "HDL Cholesterol")</span> </p> <p> <b> subject</b> : <a href="patient-pat2.html">Patient/pat2</a> "Duck DONALD"</p> <p> <b> performer</b> : <a href="organization-1832473e-2fe0-452d-abe9-3cdb9879522f.html">Organization/1832473e-2fe0-452d-abe9-3cdb9879522f: Acme Laboratory, Inc</a> "Clinical Lab"</p> <p> <b> value</b> : 1.3 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </p> <h3> ReferenceRanges</h3> <table class="grid"><tr> <td> -</td> <td> <b> Low</b> </td> </tr> <tr> <td> *</td> <td> 1.5 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="2085-9"/> <display value="HDL Cholesterol"/> </coding> <text value="Cholesterol in HDL"/> </code> <subject> <reference value="Patient/pat2"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="1.3"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <referenceRange> <low> <value value="1.5"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://example.com/base/Observation/ldlcholesterol"/> <resource> <Observation> <id value="ldlcholesterol"/> <text> <status value="generated"/> <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 "ldlcholesterol" </p> </div> <p> <b> status</b> : final</p> <p> <b> code</b> : LDL Chol. (Calc) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #13457-7 "Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation")</span> </p> <p> <b> subject</b> : <a href="patient-pat2.html">Patient/pat2</a> "Duck DONALD"</p> <p> <b> performer</b> : <a href="organization-1832473e-2fe0-452d-abe9-3cdb9879522f.html">Organization/1832473e-2fe0-452d-abe9-3cdb9879522f: Acme Laboratory, Inc</a> "Clinical Lab"</p> <p> <b> value</b> : 4.6 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </p> <h3> ReferenceRanges</h3> <table class="grid"><tr> <td> -</td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> 3.0 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code mmol/L = 'mmol/L')</span> </td> </tr> </table> </div> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="13457-7"/> <display value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation"/> </coding> <text value="LDL Chol. (Calc)"/> </code> <subject> <reference value="Patient/pat2"/> </subject> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <valueQuantity> <value value="4.6"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <referenceRange> <high> <value value="3.0"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </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.