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 R4 R3 R2
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)
Real-world patient example (id = "f001")
<?xml version="1.0" encoding="UTF-8"?> <Bundle xmlns="http://hl7.org/fhir"> <id value="f001"/> <type value="collection"/> <entry> <fullUrl value="https://example.com/base/DiagnosticReport/f001"/> <resource> <DiagnosticReport> <!-- ISO 8601 --><!-- OID: 2.16.840.1.113883.4.642.1.7 --><id value="f001"/> <text> <status value="generated"/> <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> </text> <identifier> <use value="official"/> <system value="http://www.bmc.nl/zorgportal/identifiers/reports"/> <value value="nr1239044"/> </identifier> <basedOn> <reference value="ServiceRequest/req"/> </basedOn> <status value="final"/> <category> <coding> <system value="http://snomed.info/sct"/> <code value="252275004"/> <display value="Haematology test"/> </coding> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> <code value="HM"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="58410-2"/> <display value="Complete blood count (hemogram) panel - Blood by Automated count"/> </coding> </code> <subject> <reference value="Patient/f001"/> <display value="P. van den Heuvel"/> </subject> <issued value="2013-05-15T19:32:52+01:00"/> <performer> <reference value="Organization/f001"/> <display value="Burgers University Medical Centre"/> </performer> <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> </resource> </entry> <entry> <fullUrl value="https://example.com/base/ServiceRequest/req"/> <resource> <ServiceRequest> <id value="req"/> <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 "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> </text> <extension url="http://example.org/bodysitecode"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="14975008"/> <display value="Forearm structure"/> </coding> </valueCodeableConcept> </extension> <identifier> <system value="http://www.bmc.nl/zorgportal/identifiers/labresults"/> <value value="L2381"/> </identifier> <status value="active"/> <intent value="original-order"/> <code> <coding> <system value="http://loinc.org"/> <code value="58410-2"/> <display value="Complete blood count (hemogram) panel - Blood by Automated count"/> </coding> </code> <subject> <reference value="Patient/f001"/> <display value="P. van den Heuvel"/> </subject> <encounter> <reference value="Encounter/f001"/> </encounter> <requester> <reference value="Practitioner/f001"/> <display value="E.van den Broek"/> </requester> <note> <text value="patient almost fainted during procedure"/> </note> </ServiceRequest> </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.