Release 5 Preview #3

Diagnosticreport-example-f202-bloodculture.json

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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>Blood culture for bacteria, including anaerobic screen</span> (<span>Laboratory test</span>) </h2><table><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b>  1960-03-13 ( BSN: 123456789 (OFFICIAL))</td></tr><tr><td>Reported</td><td>Mar 11, 2013 10:28:00 AM</td></tr></table><p><b>Report Details</b></p><table><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><span>Blood culture</span></a></td><td><span>Staphylococcus aureus</span></td><td><span>Positive</span></td><td/></tr></table><p>Blood culture tested positive on staphylococcus aureus</p><p><b>Coded Conclusions :</b></p><ul><li><span>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><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: <span>Blood culture for bacteria, including anaerobic screen</span></p><p><b>subject</b>: <a>Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><p><b>encounter</b>: <a>Roel's encounter on March elevanth 2013. Generated Summary: id: Encounter_Roel_20130311 (TEMP); status: completed; <span>inpatient encounter</span>; <span>Inpatient stay for nine days</span>; <span>High priority</span>; period: 2013-03-11 --&gt; 2013-03-20</a></p><p><b>requester</b>: <a>Dokter Bronsig. Generated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24</a></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"
        },
        "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.