Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Diagnosticreport-example-f001-bloodexam.xml

Example DiagnosticReport/f001 (XML)

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner

Raw XML ( canonical form + also see XML Format Specification )

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

<?xml version="1.0" encoding="UTF-8"?>


  
  
  
    
    
      
        (Details : {SNOMED CT code '252275004' = 'Haematology test', given as 'Haematology test'};
                 {http://terminology.hl7.org/CodeSystem/v2-0074 code 'HM' = 'Hematology)(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'})
          
          
          
        
        
          
        
        
        
          
            
            
            
          
          
            
            
          
        
        
          
            
            
            
          
        
        
          
          
        
        
        
          
          
        
        
          
        
        
          
        
        
          
        
        
          
        
        
          
        
        
      
    
  
  
    
    
      
        
        (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'})
          
            
              
              
              
            
          
        
        
          
          
        
        
        
        
          
            
            
            
          
        
        
          
          
        
        
          
        
        
            
            
        
        
          
        
      
    
  

<Bundle xmlns="http://hl7.org/fhir">
  <id value="f001"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/f001"/> 
    <resource> 
      <DiagnosticReport>     <!--     ISO 8601     -->    <!--     OID: 2.16.840.1.113883.4.642.1.7     --><id value="f001"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2> <span title="Codes: {http://loinc.org 58410-2}">Complete blood count (hemogram) panel - Blood by Automated count</span>  (<span title="Codes: {http://snomed.info/sct 252275004}, {http://terminology.hl7.org/CodeSystem/v2-0074
               HM}">Haematology test</span> ) </h2> <table class="grid"><tr> <td> Subject</td> <td> <b> Pieter van de Heuvel </b>  male, DoB: 1944-11-17 ( id: 738472983 (use: USUAL))</td> </tr> <tr> <td> Reported</td> <td> 2013-05-15T19:32:52+01:00</td> </tr> <tr> <td> Identifier:</td> <td>  id: nr1239044 (use: OFFICIAL)</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> Flags</b> </td> <td> <b> When For</b> </td> <td> <b> Reported</b> </td> </tr> <tr> <td> <a href="observation-example-f001-glucose.html"><span title="Codes: {http://loinc.org 15074-8}">Glucose [Moles/volume] in Blood</span> </a> </td> <td> 6.3 mmol/l</td> <td> 3.1 mmol/l - 6.2 mmol/l</td> <td> <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span> </td> <td> 2013-04-02T09:30:10+01:00</td> <td> 2013-04-03T15:30:10+01:00</td> </tr> <tr> <td> <a href="observation-example-f002-excess.html"><span title="Codes: {http://loinc.org 11555-0}">Base excess in Blood by calculation</span> </a> </td> <td> 12.6 mmol/l</td> <td> 7.1 mmol/l - 11.2 mmol/l</td> <td> <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span> </td> <td> 2013-04-02T10:30:10+01:00</td> <td> 2013-04-03T15:30:10+01:00</td> </tr> <tr> <td> <a href="observation-example-f003-co2.html"><span title="Codes: {http://loinc.org 11557-6}">Carbon dioxide in blood</span> </a> </td> <td> 6.2 kPa</td> <td> 4.8 kPa - 6.0 kPa</td> <td> <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span> </td> <td> 2013-04-02T10:30:10+01:00</td> <td> 2013-04-03T15:30:10+01:00</td> </tr> <tr> <td> <a href="observation-example-f004-erythrocyte.html"><span title="Codes: {http://loinc.org 789-8}">Erythrocytes [#/volume] in Blood by Automated count</span> </a> </td> <td> 4.12 10^12/L</td> <td> <div> <p> 12-14 y Male: 4.4 - 5.2  x  10^12/L ; 12-14 y Female: 4.2 - 4.8  x  10^12/L ; 15-17
                       y Male: 4.6 - 5.4  x  10^12/L ; 15-17 y Female: 4.2 - 4.8  x  10^12/L ; 18-64 y
                       Male: 4.6 - 5.4  x  10^12/L ; 18-64 y Female: 4.0 - 4.8  x  10^12/L ; 65-74 y Male:
                       4.3 - 5.3  x  10^12/L ; 65-74 y Female: 4.1 - 4.9  x  10^12/L</p> 
</div> </td> <td> <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}">Low</span> </td> <td> 2013-04-02T10:30:10+01:00</td> <td> 2013-04-03T15:30:10+01:00</td> </tr> <tr> <td> <a href="observation-example-f005-hemoglobin.html"><span title="Codes: {http://loinc.org 718-7}">Hemoglobin [Mass/volume] in Blood</span> </a> </td> <td> 7.2 g/dl</td> <td> 7.5 g/dl - 10 g/dl</td> <td> <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}">Low</span> </td> <td> 2013-04-05T10:30:10+01:00</td> <td> 2013-04-05T15:30:10+01:00</td> </tr> </table> <div> <p> Core lab</p> </div> </div> </text> <identifier>           <use value="official"/>           <system value="http://www.bmc.nl/zorgportal/identifiers/reports"/>           <value value="nr1239044"/>         </identifier>         <basedOn>           <reference value="ServiceRequest/req"/>         </basedOn>         <status value="final"/>         <category>           <coding>             <system value="http://snomed.info/sct"/>             <code value="252275004"/>             <display value="Haematology test"/>           </coding>           <coding>             <system value="http://terminology.hl7.org/CodeSystem/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>         <subject>           <reference value="Patient/f001"/>           <display value="P. van den Heuvel"/>         </subject>         <issued value="2013-05-15T19:32:52+01:00"/>         <performer>           <reference value="Organization/f001"/>           <display value="Burgers University Medical Centre"/>         </performer>         <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>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/ServiceRequest/req"/>     <resource>       <ServiceRequest>         <id value="req"/>         <text> <status value="generated"/> <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 &quot;req&quot; </p> </div> <p> <b> identifier</b> : id: L2381</p> <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> Complete blood count (hemogram) panel - Blood by Automated count <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #58410-2)</span> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-f001-pieter.html">Patient/f001: P. van den Heuvel</a>  &quot;Pieter VAN DE HEUVEL&quot;</p> <p> <b> encounter</b> : <a href="encounter-example-f001-heart.html">Encounter/f001</a> </p> <p> <b> requester</b> : <a href="practitioner-example-f001-evdb.html">Practitioner/f001: E.van den Broek</a>  &quot;Eric VAN DEN BROEK&quot;</p> <p> <b> note</b> : patient almost fainted during procedure</p> </div> </text> <extension url="http://example.org/bodysitecode">
          <valueCodeableConcept>             <coding>               <system value="http://snomed.info/sct"/>               <code value="14975008"/>               <display value="Forearm structure"/>             </coding>           </valueCodeableConcept>         </extension>         <identifier>           <system value="http://www.bmc.nl/zorgportal/identifiers/labresults"/>           <value value="L2381"/>         </identifier>         <status value="active"/>         <intent value="original-order"/>         <code>          <concept>           <coding>             <system value="http://loinc.org"/>             <code value="58410-2"/>             <display value="Complete blood count (hemogram) panel - Blood by Automated count"/>           </coding>           </concept>         </code>         <subject>           <reference value="Patient/f001"/>           <display value="P. van den Heuvel"/>         </subject>         <encounter>           <reference value="Encounter/f001"/>         </encounter>         <requester>             <reference value="Practitioner/f001"/>             <display value="E.van den Broek"/>         </requester>         <note>           <text value="patient almost fainted during procedure"/>         </note>       </ServiceRequest>     </resource>   </entry> 


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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.