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 
. 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 JSON (canonical form + also see JSON Format Specification)
Real-world patient example
{
"resourceType": "Bundle",
"id": "f001",
"type": "collection",
"entry": [
{
"fullUrl": "https://example.com/base/DiagnosticReport/f001",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://loinc.org 58410-2}\">Complete blood count (hemogram) panel - Blood by Automated count</span> (<span title=\"Codes: {http://snomed.info/sct 252275004}, {http://terminology.hl7.org/CodeSystem/v2-0074 HM}\">Haematology test</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Pieter van de Heuvel </b> male, DoB: 1944-11-17 ( id: 738472983 (USUAL))</td></tr><tr><td>Reported</td><td>2013-05-15T19:32:52+01:00</td></tr><tr><td>Identifier:</td><td> id: nr1239044 (OFFICIAL)</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td><td><b>When For</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"observation-f001.html\"><span title=\"Codes: {http://loinc.org 15074-8}\">Glucose [Moles/volume] in Blood</span></a></td><td>6.3 mmol/l</td><td>3.1 mmol/l - 6.2 mmol/l</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2013-04-02T09:30:10+01:00 --> (ongoing)</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-f002.html\"><span title=\"Codes: {http://loinc.org 11555-0}\">Base excess in Blood by calculation</span></a></td><td>12.6 mmol/l</td><td>7.1 mmol/l - 11.2 mmol/l</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2013-04-02T10:30:10+01:00 --> 2013-04-05T10:30:10+01:00</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-f003.html\"><span title=\"Codes: {http://loinc.org 11557-6}\">Carbon dioxide in blood</span></a></td><td>6.2 kPa</td><td>4.8 kPa - 6.0 kPa</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2013-04-02T10:30:10+01:00 --> 2013-04-05T10:30:10+01:00</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-f004.html\"><span title=\"Codes: {http://loinc.org 789-8}\">Erythrocytes [#/volume] in Blood by Automated count</span></a></td><td>4.12 10^12/L</td><td> 12-14 y Male: 4.4 - 5.2 x 10^12/L ; 12-14 y Female: 4.2 - 4.8 x 10^12/L ; 15-17 y Male: 4.6 - 5.4 x 10^12/L ; 15-17 y Female: 4.2 - 4.8 x 10^12/L ; 18-64 y Male: 4.6 - 5.4 x 10^12/L ; 18-64 y Female: 4.0 - 4.8 x 10^12/L ; 65-74 y Male: 4.3 - 5.3 x 10^12/L ; 65-74 y Female: 4.1 - 4.9 x 10^12/L</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></td><td>2013-04-02T10:30:10+01:00 --> 2013-04-05T10:30:10+01:00</td><td>2013-04-03T15:30:10+01:00</td></tr><tr><td><a href=\"observation-f005.html\"><span title=\"Codes: {http://loinc.org 718-7}\">Hemoglobin [Mass/volume] in Blood</span></a></td><td>7.2 g/dl</td><td>7.5 g/dl - 10 g/dl</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></td><td>2013-04-05T10:30:10+01:00 --> 2013-04-05T10:30:10+01:00</td><td>2013-04-05T15:30:10+01:00</td></tr></table><p>Core lab</p></div>"
},
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/zorgportal/identifiers/reports",
"value": "nr1239044"
}
],
"basedOn": [
{
"reference": "ServiceRequest/req"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "252275004",
"display": "Haematology test"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "HM"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "58410-2",
"display": "Complete blood count (hemogram) panel - Blood by Automated count"
}
]
},
"subject": {
"reference": "Patient/f001",
"display": "P. van den Heuvel"
},
"issued": "2013-05-15T19:32:52+01:00",
"performer": [
{
"reference": "Organization/f001",
"display": "Burgers University Medical Centre"
}
],
"result": [
{
"reference": "Observation/f001"
},
{
"reference": "Observation/f002"
},
{
"reference": "Observation/f003"
},
{
"reference": "Observation/f004"
},
{
"reference": "Observation/f005"
}
],
"conclusion": "Core lab"
}
},
{
"fullUrl": "https://example.com/base/ServiceRequest/req",
"resource": {
"resourceType": "ServiceRequest",
"id": "req",
"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 "req" </p></div><p><b>identifier</b>: id: L2381</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#58410-2)</span></p><p><b>subject</b>: <a href=\"patient-f001.html\">Patient/f001: P. van den Heuvel</a> "Pieter VAN DE HEUVEL"</p><p><b>encounter</b>: <a href=\"encounter-f001.html\">Encounter/f001</a></p><p><b>requester</b>: <a href=\"practitioner-f001.html\">Practitioner/f001: E.van den Broek</a> "Eric VAN DEN BROEK"</p><p><b>note</b>: patient almost fainted during procedure</p></div>"
},
"extension": [
{
"url": "http://example.org/bodysitecode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "14975008",
"display": "Forearm structure"
}
]
}
}
],
"identifier": [
{
"system": "http://www.bmc.nl/zorgportal/identifiers/labresults",
"value": "L2381"
}
],
"status": "active",
"intent": "original-order",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "58410-2",
"display": "Complete blood count (hemogram) panel - Blood by Automated count"
}
]
},
"subject": {
"reference": "Patient/f001",
"display": "P. van den Heuvel"
},
"encounter": {
"reference": "Encounter/f001"
},
"requester": {
"reference": "Practitioner/f001",
"display": "E.van den Broek"
},
"note": [
{
"text": "patient almost fainted during procedure"
}
]
}
}
]
}
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 12:54+1000.
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