HL7 FHIR® US Core Implementation Guide STU3 Release 3.1.1

This page is part of the US Core (v3.1.1: STU3) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

JSON Format: DiagnosticReport-urinalysis

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{
  "resourceType" : "DiagnosticReport",
  "id" : "urinalysis",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://loinc.org 24356-8}\">Complete Urinalysis</span> (<span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Amy V. Shaw </b>  1987-02-20 ( Medical Record Number: 1032702 (USUAL))</td></tr><tr><td>When For</td><td>2005-07-05</td></tr><tr><td>Reported</td><td>06/07/2005 10:45:33 AM</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>When For</b></td></tr><tr><td><a href=\"Observation-urine-color.html\"><span title=\"Codes: {http://loinc.org 5778-6}\">COLOR</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 371244009}\">Yellow</span></td><td>Yellow</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-clarity.html\"><span title=\"Codes: {http://loinc.org 32167-9}\">APPEARANCE</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 81858005}\">Hazy</span></td><td>Clear</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-glucose.html\"><span title=\"Codes: {http://loinc.org 25428-4}\">GLUCOSE</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 260385009}\">Negative</span></td><td>Negative</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-bilirubin.html\"><span title=\"Codes: {http://loinc.org 5770-3}\">BILIRUBIN</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 260385009}\">Negative</span></td><td>Negative</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-ketone.html\"><span title=\"Codes: {http://loinc.org 2514-8}\">KETONE</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 260385009}\">Negative</span></td><td>Negative</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-usg.html\"><span title=\"Codes: {http://loinc.org 5811-5}\">SPEC GRAV</span></a></td><td>1.017 {urine specific gravity}</td><td>1.003 {urine specific gravity} - 1.035 {urine specific gravity}</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-ph.html\"><span title=\"Codes: {http://loinc.org 5803-2}\">PH</span></a></td><td>6.0 (pH)</td><td>5.0 (pH) - 8.0 (pH)</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-protein.html\"><span title=\"Codes: {http://loinc.org 20454-5}\">PROTEIN</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 260385009}\">Negative</span></td><td>Negative</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urobilinogen.html\"><span title=\"Codes: {http://loinc.org 20405-7}\">UROBILINOGEN</span></a></td><td>0.3 mg/dL</td><td>0.1 mg/dL - 1.0 mg/dL</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-nitrite.html\"><span title=\"Codes: {http://loinc.org 5802-4}\">NITRITE</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 10828004}\">Positive</span></td><td>Negative</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-hemoglobin.html\"><span title=\"Codes: {http://loinc.org 5794-3}\">BLOOD</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 260405006}\">Trace</span></td><td>Negative</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-leukocyte-esterase.html\"><span title=\"Codes: {http://loinc.org 5799-2}\">LEUK ESTERASE</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 260348001}\">2+</span></td><td>Negative</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-sediment.html\"><span title=\"Codes: {http://loinc.org 11279-7}\">COMMENT</span></a></td><td>Recommend Urine Culture</td><td></td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-bacteria.html\"><span title=\"Codes: {http://loinc.org 25145-4}\">BACTERIA</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 260350009}\">4+</span></td><td>0-1+</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-epi-cells.html\"><span title=\"Codes: {http://loinc.org 5787-7}\">EPITHELIAL CELLS</span></a></td><td>1-5 cells/HPF</td><td>None Seen/HPF</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-wbcs.html\"><span title=\"Codes: {http://loinc.org 5821-4}\">WBC</span></a></td><td>20-30 cells/HPF</td><td>None Seen/HPF</td><td>2005-07-05</td></tr><tr><td><a href=\"Observation-urine-rbcs.html\"><span title=\"Codes: {http://loinc.org 13945-1}\">RBC</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 84638005}\">Occasional</span></td><td>None Seen/HPF</td><td>2005-07-05</td></tr></table></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "LAB",
          "display" : "Laboratory"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "24356-8",
        "display" : "Urinalysis complete panel - Urine"
      }
    ],
    "text" : "Complete Urinalysis"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "effectiveDateTime" : "2005-07-05",
  "issued" : "2005-07-06T11:45:33+11:00",
  "performer" : [
    {
      "reference" : "Organization/acme-lab",
      "display" : "Acme Laboratory, Inc"
    }
  ],
  "result" : [
    {
      "reference" : "Observation/urine-color",
      "display" : "COLOR=Yellow"
    },
    {
      "reference" : "Observation/urine-clarity",
      "display" : "APPEARANCE=Hazy"
    },
    {
      "reference" : "Observation/urine-glucose",
      "display" : "GLUCOSE=Negative"
    },
    {
      "reference" : "Observation/urine-bilirubin",
      "display" : "BILIRUBIN=Negative"
    },
    {
      "reference" : "Observation/urine-ketone",
      "display" : "KETONE=Negative"
    },
    {
      "reference" : "Observation/usg",
      "display" : "SPEC GRAV=1.017"
    },
    {
      "reference" : "Observation/urine-ph",
      "display" : "PH=6 (pH)"
    },
    {
      "reference" : "Observation/urine-protein",
      "display" : "PROTEIN=Negative"
    },
    {
      "reference" : "Observation/urobilinogen",
      "display" : "UROBILINOGEN=0.3 mg/dL"
    },
    {
      "reference" : "Observation/urine-nitrite",
      "display" : "NITRITE=Positive"
    },
    {
      "reference" : "Observation/urine-hemoglobin",
      "display" : "BLOOD=Trace"
    },
    {
      "reference" : "Observation/urine-leukocyte-esterase",
      "display" : "LEUK ESTERASE=2+e"
    },
    {
      "reference" : "Observation/urine-sediment",
      "display" : "COMMENT=Recommend Urine Culture"
    },
    {
      "reference" : "Observation/urine-bacteria",
      "display" : "BACTERIA=4+"
    },
    {
      "reference" : "Observation/urine-epi-cells",
      "display" : "EPITHELIAL CELLS=1-5 cells/HPF"
    },
    {
      "reference" : "Observation/urine-wbcs",
      "display" : "WBC=20-30 cells/HPF"
    },
    {
      "reference" : "Observation/urine-rbcs",
      "display" : "RBC=Occasional cells/HPF"
    }
  ]
}