HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use Italy flag

HL7 FHIR Implementation Guide Laboratory Report, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/lab-report/ and changes regularly. See the Directory of published versions

Example Bundle: Microbiologia - DiagnosticReport - Observation - Specimen

Bundle Bundle-Lab-Esempio-2 of type transaction


Entry 1 - fullUrl = urn:uuid:82c40e48-8ed5-43bd-a990-ae9b16d2f641

Resource DiagnosticReport:

Coltura e suscettibilità batterica aerobica e anaerobica (Laboratory studies (set))

SubjectMaria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)
When For2022-10-25 13:35:00+0100
Performer PractitionerRole Generalist Medical Practitioners
Identifier urn:uuid:10b545ea-725c-446d-9b95-8aeb444eddf3 (use: official, )

Report Details

CodeValueFlags
Esami di laboratorioFinal
Studi di marcatori cellulariFinal
Coltura AnaerobiNo growthFinal

Request:

POST /DiagnosticReport

Entry 2 - fullUrl = urn:uuid:20e0ab9e-2ce4-431a-adfb-6a727bd49355

Resource Observation:

status: Final

category: Laboratory

code: Ciprofloxacin [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: <=0.5 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Susceptible

Request:

POST /Observation

Entry 3 - fullUrl = urn:uuid:25c5aa73-387d-4b80-9245-8e1adfa470f5

Resource Observation:

status: Final

category: Laboratory

code: Microscopic observation [Identifier] in Specimen by Gram stain

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: Gram-negative rods

hasMember: Observation

Request:

POST /Observation

Entry 4 - fullUrl = urn:uuid:297c84f2-28d6-41b5-a270-6f563ef0fdfc

Resource Observation:

status: Final

category: Laboratory

code: Studi di marcatori cellulari

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

hasMember:

Request:

POST /Observation

Entry 5 - fullUrl = urn:uuid:2b209d21-dc7b-4267-a089-d3b61667945a

Resource Observation:

status: Final

category: Laboratory

code: Leukocytes [Presence] in Specimen by Gram stain

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: Non osservati.

Request:

POST /Observation

Entry 6 - fullUrl = urn:uuid:333b62b2-47b0-43b5-9745-abec1f0c4656

Resource Observation:

status: Final

category: Laboratory

code: Esami di laboratorio

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

hasMember:

Request:

POST /Observation

Entry 7 - fullUrl = urn:uuid:31747c3c-0a07-4937-9529-378140609e96

Resource Observation:

status: Final

category: Laboratory

code: Bacterial susceptibility panel

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

hasMember:

Request:

POST /Observation

Entry 8 - fullUrl = urn:uuid:424aba49-cc38-4207-b9a0-c484062ecb26

Resource Observation:

status: Final

category: Laboratory

code: Bacteria identified in Specimen by Aerobe culture

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: Klebsiella oxytoca

hasMember:

Request:

POST /Observation

Entry 9 - fullUrl = urn:uuid:4bc004e5-e77b-46c7-b0d5-3dfa127b48b4

Resource Observation:

status: Final

category: Laboratory

code: Bacterial susceptibility panel

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

hasMember:

Request:

POST /Observation

Entry 10 - fullUrl = urn:uuid:4edf70e9-b332-4804-a3bf-5d1c14e9f892

Resource Observation:

status: Final

category: Laboratory

code: Ampicillin [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: >16 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Resistant

Request:

POST /Observation

Entry 11 - fullUrl = urn:uuid:516884c4-8a1f-4e5b-8492-a7dd190f1fb0

Resource Observation:

status: Final

category: Laboratory

code: Microscopic observation [Identifier] in Specimen by Gram stain

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: Gram-positive bacterium

hasMember: Observation

Request:

POST /Observation

Entry 12 - fullUrl = urn:uuid:60f23552-dfb9-4142-95a2-911a41180c78

Resource Observation:

status: Final

category: Laboratory

code: Oxacillin [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: 0.5 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Susceptible

Request:

POST /Observation

Entry 13 - fullUrl = urn:uuid:652d16a5-91d9-40fb-9c5c-3950683e5d9f

Resource Observation:

status: Final

category: Laboratory

code: Cephalothin [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: <=2 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Susceptible

Request:

POST /Observation

Entry 14 - fullUrl = urn:uuid:6b103ad8-1870-45bb-884a-86675ad404f1

Resource Observation:

status: Final

category: Laboratory

code: Bacteria identified in Specimen by Aerobe culture

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: Staphylococcus aureus

hasMember:

Request:

POST /Observation

Entry 15 - fullUrl = urn:uuid:848e01c5-1565-4708-92c3-304418a43a40

Resource Observation:

status: Final

category: Laboratory

code: Vancomycin [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: <=1 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Susceptible

Request:

POST /Observation

Entry 16 - fullUrl = urn:uuid:9018b020-6e21-4afa-9131-5832132092c1

Resource Observation:

status: Final

category: Laboratory

code: Quantità osservata

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: +

Request:

POST /Observation

Entry 17 - fullUrl = urn:uuid:a99f7742-c77d-4650-918b-1e9a6e28cefd

Resource Observation:

status: Final

category: Laboratory

code: Crescita di microrganismi

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: ++

Request:

POST /Observation

Entry 18 - fullUrl = urn:uuid:f2831756-1436-11ee-be56-0242ac120002

Resource Observation:

status: Final

category: Laboratory

code: Imipenem [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: <=1 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Susceptible

Request:

POST /Observation

Entry 19 - fullUrl = urn:uuid:ccf32a29-d9f5-435a-9c67-e59d7104adff

Resource Observation:

status: Final

category: Laboratory

code: levoFLOXacin [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: >4 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Resistant

Request:

POST /Observation

Entry 20 - fullUrl = urn:uuid:e271a348-4f54-4667-86ed-d9ecfb7430f6

Resource Observation:

status: Final

category: Laboratory

code: Coltura Anaerobi

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: No growth

Request:

POST /Observation

Entry 21 - fullUrl = urn:uuid:ed8a917b-2e94-4aa9-b824-5dceee2deb90

Resource Observation:

status: Final

category: Laboratory

code: Crescita di microrganismi

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: Scanty growth

Request:

POST /Observation

Entry 22 - fullUrl = urn:uuid:f2e48d96-a153-46b3-a15b-58b5aa761853

Resource Observation:

status: Final

category: Laboratory

code: Quantità osservata

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: ++

Request:

POST /Observation

Entry 23 - fullUrl = urn:uuid:20e0ab9e-2ce4-431b-adfb-6a727bd49355

Resource Observation:

status: Final

category: Laboratory

code: Gentamicin [Susceptibility]

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: >8 ug/mL (Details: UCUM codeug/mL = 'ug/mL')

interpretation: Resistant

Request:

POST /Observation

Entry 24 - fullUrl = urn:uuid:2ae95a5c-9094-41a3-a437-ce6d34c55a54

Resource Composition:

Language: it-IT

Profile: Composition - Lab Report

Security Label: N (Details: [not stated] code N)

DataEnterer

identifier: urn:uuid:10b545ea-725c-446d-9b95-8aeb444eddf3 (use: official, )

status: Final

type: Referto di laboratorio

category: Hematology studies (set)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

date: 2022-03-30 11:24:26+0100

author: PractitionerRole Generalist Medical Practitioners

title: Referto di Laboratorio

Attesters

-ModeTimeParty
*Legal2023-02-25 12:45:00+0100PractitionerRole Generalist Medical Practitioners

custodian: Organization Azienda Sanitara Locale Roma 1

Request:

POST /Composition

Entry 25 - fullUrl = urn:uuid:8472931c-fbd0-437b-9ed1-4f66472c78b5

Resource Patient:

Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)


Contact Detail
Emergency Contact:
  • Luigi Rossi
  • ph: 3312345567
Emergency Contact:
  • Maria Bianchi
  • ph: 3311234598
Links:
Professione del pazienteDirigenti della magistratura
Titolo di Studio del pazienteGiuridico economico aziendale
Codice comune e/o stato di nascitaItalia
Patient Birth PlaceVia della Vittoria, 1 Milano 20100 IT

Request:

POST /Patient

Entry 26 - fullUrl = urn:uuid:168d4960-0a0b-43af-8025-180f0965f324

Resource Device:

Request:

POST /Device

Entry 27 - fullUrl = urn:uuid:134a0bb1-aa0a-46b9-aa1e-a5d0e379e77c

Resource Practitioner:

identifier: http://hl7.it/sid/codiceFiscale/NFRPRV80A01H501G (use: official, )

name: Prova Infermiere

telecom: infermiere.prova@policlinico.it, ph: 331793553(Work)

gender: Male

Request:

POST /Practitioner

Entry 28 - fullUrl = urn:uuid:7b06368c-7089-4f66-acc8-29e1fcbd31f6

Resource Encounter:

status: completed

class: ambulatory

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

basedOn: ServiceRequest Leukocyte poor blood preparation

Participants

-Type
*Secondary performer

Locations

-Location
*Location Policlinico di Roma

Request:

POST /Encounter

Entry 29 - fullUrl = urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803c

Resource PractitionerRole:

identifier: http://esempio_policlinico.it/codiceEmatologo/12345 (use: official, )

active: true

practitioner: Practitioner Prova Medico

organization: Organization Azienda Sanitara Locale Roma 1

code: Generalist Medical Practitioners

specialty: Clinical hematology

Request:

POST /PractitionerRole

Entry 30 - fullUrl = urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803d

Resource Practitioner:

identifier: http://hl7.it/sid/codiceFiscale/MDCPRV80A01H501G (use: official, )

name: Prova Medico

telecom: medico.prova@policlinico.it, ph: 331793423(Work)

gender: Male

Request:

POST /Practitioner

Entry 31 - fullUrl = urn:uuid:463ae6fe-60d4-4b38-84b3-1008e0925678

Resource ServiceRequest:

identifier: 12345 (, period: 2023-03-15 --> 2023-04-15)

requisition: 1300A4000000248

status: Completed

intent: Order

category: Laboratory procedure

priority: Routine

code: No display for ServiceRequest.code (concept: Leukocyte poor blood preparation)

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

authoredOn: 2023-03-15

specimen: Specimen: type = Whole blood

Request:

POST /ServiceRequest

Entry 32 - fullUrl = urn:uuid:5fd3f1a6-b2c8-44cb-8237-0b5f0a81f2a8

Resource Organization:

identifier: http://hl7.it/sid/fls/120201, http://hl7.it/sid/vda/asl/201

active: true

type: Azienda Sanitaria Locale

name: Azienda Sanitara Locale Roma 1

Contacts

-Telecom
*ph: 06 123456

Request:

POST /Organization

Entry 33 - fullUrl = urn:uuid:7e2f354b-de83-4472-bd07-1571cdb50fde

Resource Observation:

status: Final

category: Laboratory

code: Hematology studies (set)

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: 70 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

specimen: Specimen: type = Whole blood

device: Device

derivedFrom: Media: status = completed; type = Image; created[x] = 2023-06-21; issued = 2023-06-21 14:56:18+0000; height = 128; width = 128

Request:

POST /Observation

Entry 34 - fullUrl = urn:uuid:ae0365ea-d8a1-45e0-a39d-f14fac4ccfe8

Resource Organization:

identifier: http://hl7.it/sid/fls/020101

active: true

type: Azienda Sanitaria Locale

name: AZIENDA U.S.L. VALLE D'AOSTA

contact

telecom: ph: (0165) 5431, fax: (0165) 544587, protocollo@pec.ausl.vda.it, http://www.ausl.vda.it

address: VIA GUIDO REY 1 AOSTA VALLE D'AOSTA 11100 IT

Request:

POST /Organization

Entry 35 - fullUrl = urn:uuid:f148e54a-2046-4534-b9e9-54e7e9632224

Resource Location:

identifier: 123456 (use: usual, )

status: Active

name: Policlinico di Roma

alias: Poliambulatorio di Roma, Ospedale universitario di Roma

type: Hospital

address: ROMA 00144

Request:

POST /Location

Entry 36 - fullUrl = urn:uuid:168d4960-0a0b-43af-8025-180f0965f325

Resource Specimen:

type: Whole blood

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

Collections

-BodySite
*No display for Specimen.collection.bodySite (concept: Anterior surface of arm)

container

Request:

POST /Specimen

Entry 37 - fullUrl = urn:uuid:168d4960-0a0b-43af-8025-180f0965f326

Resource Substance:

status: Active

code: No display for Substance.code (concept: Sodium fluoride (substance))

Request:

POST /Specimen

Entry 38 - fullUrl = urn:uuid:a7d1b3b0-9aee-4bc7-b0f2-46d441ba6246

Resource Observation:

status: Final

category: Laboratory

code: Albumin [Mass/volume] in Serum or Plasma by Electrophoresis

subject: Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)

effective: 2022-10-25 13:35:00+0100

performer: PractitionerRole Generalist Medical Practitioners

value: 5 g/dL (Details: UCUM codeg/dL = 'g/dL')

derivedFrom: Media: status = completed; type = Image; created[x] = 2023-06-21; issued = 2023-06-21 14:56:18+0000; height = 128; width = 128

Request:

POST /Observation

Entry 39 - fullUrl = urn:uuid:059927b1-7e17-409e-ae60-68cc3c0b3aea

Resource DocumentReference:

Request:

POST /Media