Release 5 Draft Ballot

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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 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>  (no stated gender) 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> </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> <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 &quot;req&quot; </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>  &quot;Roel&quot;</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>  &quot;Dokter Bronsig&quot;</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.