Release 5 Preview #3

Diagnosticreport-example-f202-bloodculture.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

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

Real-world patient example (id = "f202")

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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="f202"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/f202"/> 
    <resource> 
      <DiagnosticReport> <!--    No identifier was available    --><id value="f202"/> 
        <text> <status value="generated"/> <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> </text> <basedOn> 
          <reference value="ServiceRequest/req"/> 
        </basedOn> 
        <status value="final"/> 
        <category> <!--    Lab test    --><coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="15220000"/> 
            <display value="Laboratory test"/> 
          </coding> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> 
            <code value="LAB"/> 
          </coding> 
        </category> 
        <code> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="104177005"/> 
            <display value="Blood culture for bacteria, including anaerobic screen"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/f201"/> 
          <display value="Roel"/> 
        </subject> 
        <issued value="2013-03-11T10:28:00+01:00"/> 
        <performer> 
          <reference value="Organization/f201"/> 
          <display value="AUMC"/> 
        </performer> 
        <result> 
          <reference value="Observation/f206"/> 
          <display value="Results for staphylococcus analysis on Roel's blood culture"/> 
        </result> 
        <conclusion value="Blood culture tested positive on staphylococcus aureus"/> 
        <conclusionCode> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="428763004"/> 
            <display value="Bacteremia due to staphylococcus"/> 
          </coding> 
        </conclusionCode> 
      </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</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> </text> <status value="active"/> 
        <intent value="original-order"/> 
        <code> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="104177005"/> 
            <display value="Blood culture for bacteria, including anaerobic screen"/> 
          </coding> 
        </code> 
        <subject> 
          <reference value="Patient/f201"/> 
          <display value="Roel"/> 
        </subject> 
        <encounter> 
          <reference value="Encounter/f203"/> 
          <display value="Roel's encounter on March elevanth 2013"/> 
        </encounter> 
        <requester> 
            <reference value="Practitioner/f201"/> 
            <display value="Dokter Bronsig"/> 
        </requester> 
      </ServiceRequest> 
    </resource> 
  </entry> 
</Bundle> 

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.