HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use

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: Bundle document - Referto di Medicina di Laboratorio

Document Details

Profile: Bundle - Lab Report

Final Document at 2022-03-30 11:24:26+0100 by PractitionerRole Generalist Medical Practitioners for Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E) in encounter Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100

Document Subject

Profile: Patient - Lab Report

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

Contact Detail | ph: 3331245678 maria.rossi@mail.com Via della Libertà, 52 Milano 20100 IT (home)
Emergency Contact: | Luigi Rossi ph: 3312345567
Emergency Contact: | Maria Bianchi ph: 3311234598
Links: | General Practitioner: Organization AZIENDA U.S.L. VALLE D'AOSTA
Professione del paziente | Dirigenti della magistratura
Titolo di Studio del paziente | Giuridico economico aziendale
Codice comune e/o stato di nascita | Italia
Patient Birth Place | Via della Vittoria, 1 Milano 20100 IT

Document Content

## Laboratory studies (set)

### Esame del sangue

- Esame | Metodo utilizzato per l'esame | Materiale utilizzato per l'esame | Risultato dell'esame | Commenti e note | Unità di Misura | Range di Riferimento | Criteri per il range di riferimento | Interpretazione | Allegati multimediali
  --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
  Microalbumina massa/volume in urine |  | Urine | 20 |  | mg/L | 0 - 20 |  | N |

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:56f19992-e73e-45b5-bbdd-6d9aeb60b15a

Resource DiagnosticReport:

> Profile: DiagnosticReport - Lab Report

> ## Laboratory report (Hematology studies (set))

> Subject | Maria Rossi Female, DoB: 1971-05-01 ( http://hl7.it/sid/codiceFiscale#RSSMRA71E01F205E)
> When For | 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100
> Reported | 2023-02-25 12:45:00+0100
> Performer | PractitionerRole Generalist Medical Practitioners
> Identifier | urn:uuid:10b545ea-725c-446d-9b95-8aeb444eddf3 (use: official, )

> Report Details

> Code | Value | Flags | When For
> Hematology studies (set) | 70 mg/dL (Details: UCUM codemg/dL = 'mg/dL') | Final | 2022-10-25 13:35:00+0100

> Coded Conclusions:

> - Blood glucose normal

Entry 3 - fullUrl = urn:uuid:7e2f354b-de83-4472-bd07-1571cdb50fde

Resource Observation:

> Profile: Observation Document - Lab Report

> 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

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

Resource Patient:

> Profile: Patient - Lab Report

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

> Contact Detail | ph: 3331245678 maria.rossi@mail.com Via della Libertà, 52 Milano 20100 IT (home)
> Emergency Contact: | Luigi Rossi ph: 3312345567
> Emergency Contact: | Maria Bianchi ph: 3311234598
> Links: | General Practitioner: Organization AZIENDA U.S.L. VALLE D'AOSTA
> Professione del paziente | Dirigenti della magistratura
> Titolo di Studio del paziente | Giuridico economico aziendale
> Codice comune e/o stato di nascita | Italia
> Patient Birth Place | Via della Vittoria, 1 Milano 20100 IT

Entry 5 - fullUrl = urn:uuid:7b06368c-7089-4f66-acc8-29e1fcbd31f6

Resource Encounter:

> Profile: Encounter - Lab Report

> 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

Entry 6 - fullUrl = urn:uuid:168d4960-0a0b-43af-8025-180f0965f325

Resource Specimen:

> Profile: Specimen - Lab Report

> 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

Entry 7 - fullUrl = urn:uuid:463ae6fe-60d4-4b38-84b3-1008e0925678

Resource ServiceRequest:

> Profile: ServiceRequest - Lab Report

> 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

Entry 8 - fullUrl = urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803c

Resource PractitionerRole:

> Profile: PractitionerRole - Lab Report

> 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

Entry 9 - fullUrl = urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803d

Resource Practitioner:

> Profile: Practitioner - Lab Report

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

> name: Prova Medico

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

> gender: Male

Entry 10 - fullUrl = urn:uuid:134a0bb1-aa0a-46b9-aa1e-a5d0e379e77c

Resource Practitioner:

> Profile: Practitioner - Lab Report

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

> name: Prova Infermiere

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

> gender: Male

Entry 11 - fullUrl = urn:uuid:5fd3f1a6-b2c8-44cb-8237-0b5f0a81f2a8

Resource Organization:

> Profile: Organization - Lab Report

> 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

Entry 12 - fullUrl = urn:uuid:ae0365ea-d8a1-45e0-a39d-f14fac4ccfe8

Resource Organization:

> Profile: Organization operatore sanitario/socio sanitario - Lab Report

> 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

Entry 13 - fullUrl = urn:uuid:f148e54a-2046-4534-b9e9-54e7e9632224

Resource Location:

> Profile: Location - Lab Report

> identifier: 123456 (use: usual, )

> status: Active

> name: Policlinico di Roma

> alias: Poliambulatorio di Roma, Ospedale universitario di Roma

> type: Hospital

> address: ROMA 00144

Entry 14 - fullUrl = urn:uuid:168d4960-0a0b-43af-8025-180f0965f324

Resource Device:

> Profile: Device - Lab Report

Entry 15 - fullUrl = urn:uuid:059927b1-7e17-409e-ae60-68cc3c0b3aea

Resource DocumentReference:

> Profile: Media - Lab Report