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(v3.0.2:
STU
3).
(v3.3.0:
R4
Ballot
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| Orders and Observations Work Group | Maturity Level : N/A | Ballot Status : Informative | Compartments : Device , Encounter , Patient , Practitioner |
Real-world patient example
{
"resourceType": "DiagnosticReport",
"resourceType": "Bundle",
"id": "f001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>contained</b>: </p><p><b>identifier</b>: nr1239044 (OFFICIAL)</p><p><b>basedOn</b>: id: req; L2381; status: active; intent: original-order; Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span>; P. van den Heuvel; ????; Annotation: patient almost fainted during procedure</p><p><b>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = 'Haematology test', given as 'Haematology test'}; {http://hl7.org/fhir/v2/0074 code 'HM' = 'Hematology)</span></p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>issued</b>: 15/05/2013 7:32:52 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Burgers University Medical Centre</a></td></tr></table><p><b>result</b>: </p><ul><li><a>Observation/f001</a></li><li><a>Observation/f002</a></li><li><a>Observation/f003</a></li><li><a>Observation/f004</a></li><li><a>Observation/f005</a></li></ul><p><b>conclusion</b>: Core lab</p></div>"
},
"contained": [
"type": "collection",
"entry": [
{
"resourceType": "ProcedureRequest",
"id": "req",
"extension": [
{
"url": "http://example.org/bodysitecode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "14975008",
"display": "Forearm structure"
}
]
"fullUrl": "https://example.com/base/DiagnosticReport/f001",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>identifier</b>: nr1239044 (OFFICIAL)</p><p><b>basedOn</b>: <a>ServiceRequest/req</a></p><p><b>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = 'Haematology test', given as 'Haematology test'}; {http://hl7.org/fhir/v2/0074 code 'HM' = 'Hematology)</span></p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>issued</b>: 15/05/2013 7:32:52 PM</p><p><b>performer</b>: <a>Burgers University Medical Centre</a></p><p><b>result</b>: </p><ul><li><a>Observation/f001</a></li><li><a>Observation/f002</a></li><li><a>Observation/f003</a></li><li><a>Observation/f004</a></li><li><a>Observation/f005</a></li></ul><p><b>conclusion</b>: Core lab</p></div>"
},
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/zorgportal/identifiers/reports",
"value": "nr1239044"
}
}
],
"identifier": [
{
"system": "http://www.bmc.nl/zorgportal/identifiers/labresults",
"value": "L2381"
}
],
"status": "active",
"intent": "original-order",
"code": {
"coding": [
],
"basedOn": [
{
"system": "http://loinc.org",
"code": "58410-2",
"display": "Complete blood count (hemogram) panel - Blood by Automated count"
"reference": "ServiceRequest/req"
}
]
},
"subject": {
"reference": "Patient/f001",
"display": "P. van den Heuvel"
},
"context": {
"reference": "Encounter/f001"
},
"requester": {
"agent": {
"reference": "Practitioner/f001",
"display": "E.van den Broek"
}
},
"note": [
{
"text": "patient almost fainted during procedure"
}
]
}
],
"identifier": [
{
"use": "official",
"system": "http://www.bmc.nl/zorgportal/identifiers/reports",
"value": "nr1239044"
}
],
"basedOn": [
{
"reference": "#req"
}
],
"status": "final",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "252275004",
"display": "Haematology test"
},
{
"system": "http://hl7.org/fhir/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": [
{
"actor": {
"reference": "Organization/f001",
"display": "Burgers University Medical Centre"
],
"status": "final",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "252275004",
"display": "Haematology test"
},
{
"system": "http://hl7.org/fhir/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"
}
}
],
"result": [
{
"reference": "Observation/f001"
},
{
"reference": "Observation/f002"
},
{
"reference": "Observation/f003"
},
{
"reference": "Observation/f004"
},
{
"reference": "Observation/f005"
"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 with Details</b></p><p><b>id</b>: req</p><p><b>identifier</b>: 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>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>context</b>: <a>Encounter/f001</a></p><p><b>requester</b>: <a>E.van den Broek</a></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"
},
"context": {
"reference": "Encounter/f001"
},
"requester": {
"reference": "Practitioner/f001",
"display": "E.van den Broek"
},
"note": [
{
"text": "patient almost fainted during procedure"
}
]
}
}
],
"conclusion": "Core lab"
]
}
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.