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

XML Format: DiagnosticReport-urinalysis

Download Raw xml


<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="urinalysis"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="LAB"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="24356-8"/>
      <display value="Urinalysis complete panel - Urine"/>
    </coding>
    <text value="Complete Urinalysis"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
    <display value="Amy Shaw"/>
  </subject>
  <effectiveDateTime value="2005-07-05"/>
  <issued value="2005-07-06T11:45:33+11:00"/>
  <performer>
    <reference value="Organization/acme-lab"/>
    <display value="Acme Laboratory, Inc"/>
  </performer>
  <result>
    <reference value="Observation/urine-color"/>
    <display value="COLOR=Yellow"/>
  </result>
  <result>
    <reference value="Observation/urine-clarity"/>
    <display value="APPEARANCE=Hazy"/>
  </result>
  <result>
    <reference value="Observation/urine-glucose"/>
    <display value="GLUCOSE=Negative"/>
  </result>
  <result>
    <reference value="Observation/urine-bilirubin"/>
    <display value="BILIRUBIN=Negative"/>
  </result>
  <result>
    <reference value="Observation/urine-ketone"/>
    <display value="KETONE=Negative"/>
  </result>
  <result>
    <reference value="Observation/usg"/>
    <display value="SPEC GRAV=1.017"/>
  </result>
  <result>
    <reference value="Observation/urine-ph"/>
    <display value="PH=6 (pH)"/>
  </result>
  <result>
    <reference value="Observation/urine-protein"/>
    <display value="PROTEIN=Negative"/>
  </result>
  <result>
    <reference value="Observation/urobilinogen"/>
    <display value="UROBILINOGEN=0.3 mg/dL"/>
  </result>
  <result>
    <reference value="Observation/urine-nitrite"/>
    <display value="NITRITE=Positive"/>
  </result>
  <result>
    <reference value="Observation/urine-hemoglobin"/>
    <display value="BLOOD=Trace"/>
  </result>
  <result>
    <reference value="Observation/urine-leukocyte-esterase"/>
    <display value="LEUK ESTERASE=2+e"/>
  </result>
  <result>
    <reference value="Observation/urine-sediment"/>
    <display value="COMMENT=Recommend Urine Culture"/>
  </result>
  <result>
    <reference value="Observation/urine-bacteria"/>
    <display value="BACTERIA=4+"/>
  </result>
  <result>
    <reference value="Observation/urine-epi-cells"/>
    <display value="EPITHELIAL CELLS=1-5 cells/HPF"/>
  </result>
  <result>
    <reference value="Observation/urine-wbcs"/>
    <display value="WBC=20-30 cells/HPF"/>
  </result>
  <result>
    <reference value="Observation/urine-rbcs"/>
    <display value="RBC=Occasional cells/HPF"/>
  </result>
</DiagnosticReport>