Diagnosticreport-example-f001-bloodexam.xml

Real-world patient example (id = "f001")

  
    
    
      
        
      
      
        : 
        
      
      
        : final_
      
      
        : 15-May 2013 19:32
      
      
        : P. van den Heuvel
      
      
        : Burgers University Medical Centre
      
      
        : nr1239044 (official)
      
      
        : P. van den Heuvel; L2381 (official); clinicalNotes: patient almost fainted during procedure
      
      
        : 
        
      
      
        : 2-Apr 2013
      
      
        : 
      
      
        
          Glucose [Mass/volume] in Blood; 6.3 mmol/l; abnormal; applies: 2-Apr 2013 9:30 -->
             5-Apr 2013 9:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection
             to forearm; 6323 (official); P. van de Heuvel; A. Langeveld
        
        
          Base excess in Blood by calculation; 12.6 mmol/l; abnormal; applies: 2-Apr 2013 10:30
             --> 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein;
             Injection to forearm; 6324 (official); P. van de Heuvel; A. Langeveld
        
        
          Carbon dioxide [Partial pressure] in Blood; 6.2 mm[Hg]; abnormal; applies: 2-Apr 2013
             10:30 --> 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm
             vein; Injection to forearm; 6325 (official); P. van de Heuvel; A. Langeveld
        
        
          Erythrocyte mean corpuscular hemoglobin concentration [Mass/volume]; 18.7 g/dl; abnormal;
             applies: 2-Apr 2013 10:30 --> 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok;
             Superficial forearm vein; Injection to forearm; 6326 (official); P. van de Heuvel; A.
             Langeveld
        
        
          Hemoglobin [Mass/volume] in Venous blood; 7.2 g/dl; low; applies: 2-Apr 2013 10:30 -->
             5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection
             to forearm; 6327 (official); P. van de Heuvel; A. Langeveld
        
      
      
        : Core lab
      
    
  
  
    
      
        
        
      
      
        
        
      
      
        
        
        
      
      
        
      
      
      
        
          
            
            
            
          
        
        
          
            
            
            
          
        
      

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="f001"/>
  <text><status value="generated"/><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>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = '252275004', 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>effective</b>: 02/04/2013</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>request</b>: id: req; P. van den Heuvel; L2381 (OFFICIAL); patient almost fainted during procedure
         <span>(Details )</span></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></text><contained>
    <DiagnosticOrder>
      <id value="req"/>
      <subject>
        <reference value="Patient/f001"/>
        <display value="P. van den Heuvel"/>
      </subject>
      <orderer>
        <reference value="Practitioner/f001"/>
        <display value="E.van den Broek"/>
      </orderer>
      <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/zorgportal/identifiers/labresults"/>
        <value value="L2381"/>
      </identifier>
      <encounter>
        <reference value="Encounter/f001"/>
      <!--    TODO Correcte verwijzing    -->
      </encounter>
      <reason>
        <text value="patient almost fainted during procedure"/>
      </reason>
      <item>
        <code>
          <coding>
            <system value="http://loinc.org"/>
          <!--      LOINC      -->
            <code value="58410-2"/>
            <display value="Complete blood count (hemogram) panel - Blood by Automated count"/>
          </coding>
        </code>
        <bodySite>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="14975008"/>
            <display value="Forearm structure"/>
          </coding>
        </bodySite>
      </item>
    </DiagnosticOrder>
  
  
    
      
      
      
    
  
  
  
  
    
    
  
  
    
    
  
  
    
    
    
  
  
    
  
  
    
      
      
      
    
    
      
      
    
  
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  

  </contained>
  <identifier>
    <use value="official"/>
    <system value="http://www.bmc.nl/zorgportal/identifiers/reports"/>
    <value value="nr1239044"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="252275004"/>
      <display value="Haematology test"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/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>
<!--     ISO 8601     -->
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van den Heuvel"/>
  </subject>
  <effectiveDateTime value="2013-04-02"/>
<!--     OID: 2.16.840.1.113883.4.642.1.7     -->
  <issued value="2013-05-15T19:32:52+01:00"/>
  <performer>
    <reference value="Organization/f001"/>
    <display value="Burgers University Medical Centre"/>
  </performer>
  <request>
    <reference value="#req"/>
  </request>
  <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>

</

DiagnosticReport

>