Diagnostics
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| 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": "f202",
"type": "collection",
"entry": [
{
"fullUrl": "https://example.com/base/DiagnosticReport/f202",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f202",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://snomed.info/sct 104177005}\">Blood culture for bacteria, including anaerobic screen</span> (<span title=\"Codes: {http://snomed.info/sct 15220000}, {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory test</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN: 123456789 (OFFICIAL))</td></tr><tr><td>Reported</td><td>2013-03-11T10:28:00+01:00</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>Flags</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"observation-f206.html\"><span title=\"Codes: {http://acmelabs.org 104177}, {http://loinc.org 600-7}\">Blood culture</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 3092008}\">Staphylococcus aureus</span></td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation POS}\">Positive</span></td><td/></tr></table><p>Blood culture tested positive on staphylococcus aureus</p><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 428763004}\">Bacteremia due to staphylococcus</span></li></ul></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/req"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "15220000",
"display": "Laboratory test"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "104177005",
"display": "Blood culture for bacteria, including anaerobic screen"
}
]
},
"subject": {
"reference": "Patient/f201",
"display": "Roel"
},
"issued": "2013-03-11T10:28:00+01:00",
"performer": [
{
"reference": "Organization/f201",
"display": "AUMC"
}
],
"result": [
{
"reference": "Observation/f206",
"display": "Results for staphylococcus analysis on Roel's blood culture"
}
],
"conclusion": "Blood culture tested positive on staphylococcus aureus",
"conclusionCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "428763004",
"display": "Bacteremia due to staphylococcus"
}
]
}
]
}
},
{
"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>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Blood culture for bacteria, including anaerobic screen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#104177005)</span></p><p><b>subject</b>: <a href=\"patient-f201.html\">Patient/f201: Roel</a> "Roel"</p><p><b>encounter</b>: <a href=\"encounter-f203.html\">Encounter/f203: Roel's encounter on March elevanth 2013</a></p><p><b>requester</b>: <a href=\"practitioner-f201.html\">Practitioner/f201: Dokter Bronsig</a> "Dokter Bronsig"</p></div>"
},
"status": "active",
"intent": "original-order",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "104177005",
"display": "Blood culture for bacteria, including anaerobic screen"
}
]
},
"subject": {
"reference": "Patient/f201",
"display": "Roel"
},
"encounter": {
"reference": "Encounter/f203",
"display": "Roel's encounter on March elevanth 2013"
"resourceType" : "Bundle",
"id" : "f202",
"type" : "collection",
"entry" : [{
"fullUrl" : "https://example.com/base/DiagnosticReport/f202",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "f202",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://snomed.info/sct 104177005}\">Blood culture for bacteria, including anaerobic screen</span> (<span title=\"Codes: {http://snomed.info/sct 15220000}, {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory test</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN: 123456789 (use: OFFICIAL))</td></tr><tr><td>Reported</td><td>2013-03-11T10:28:00+01:00</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>Flags</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"observation-example-f206-staphylococcus.html\"><span title=\"Codes: {http://acmelabs.org 104177}, {http://loinc.org 600-7}\">Blood culture</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 3092008}\">Staphylococcus aureus</span></td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation POS}\">Positive</span></td><td/></tr></table><div><p>Blood culture tested positive on staphylococcus aureus</p>\n</div><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 428763004}\">Bacteremia due to staphylococcus</span></li></ul></div>"
},
"basedOn" : [{
"reference" : "ServiceRequest/req"
}],
"status" : "final",
"category" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "15220000",
"display" : "Laboratory test"
},
"requester": {
"reference": "Practitioner/f201",
"display": "Dokter Bronsig"
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "LAB"
}]
}],
"code" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "104177005",
"display" : "Blood culture for bacteria, including anaerobic screen"
}]
},
"subject" : {
"reference" : "Patient/f201",
"display" : "Roel"
},
"issued" : "2013-03-11T10:28:00+01:00",
"performer" : [{
"reference" : "Organization/f201",
"display" : "AUMC"
}],
"result" : [{
"reference" : "Observation/f206",
"display" : "Results for staphylococcus analysis on Roel's blood culture"
}],
"conclusion" : "Blood culture tested positive on staphylococcus aureus",
"conclusionCode" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "428763004",
"display" : "Bacteremia due to staphylococcus"
}]
}]
}
},
{
"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: ServiceRequest</b><a name=\"req\"> </a></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 ServiceRequest "req" </p></div><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Blood culture for bacteria, including anaerobic screen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#104177005)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example-f201-roel.html\">Patient/f201: Roel</a> "Roel"</p><p><b>encounter</b>: <a href=\"encounter-example-f203-20130311.html\">Encounter/f203: Roel's encounter on March elevanth 2013</a></p><p><b>requester</b>: <a href=\"practitioner-example-f201-ab.html\">Practitioner/f201: Dokter Bronsig</a> "Dokter Bronsig"</p></div>"
},
"status" : "active",
"intent" : "original-order",
"code" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "104177005",
"display" : "Blood culture for bacteria, including anaerobic screen"
}]
}
},
"subject" : {
"reference" : "Patient/f201",
"display" : "Roel"
},
"encounter" : {
"reference" : "Encounter/f203",
"display" : "Roel's encounter on March elevanth 2013"
},
"requester" : {
"reference" : "Practitioner/f201",
"display" : "Dokter Bronsig"
}
}
]
}]
}
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.
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2011+.
FHIR
Release
4B
(v4.3.0)
hl7.fhir.r4b.core#4.3.0
R5
hl7.fhir.core#5.0.0-draft-final
generated
on
Sat,
May
28,
2022
12:54+1000.
Wed,
Mar
1,
2023
23:06+1100.
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