Diagnosticreport-example-f001-bloodexam.json

Real-world patient example

{
  "resourceType": "DiagnosticReport",
  "text": {
    "status": "generated",
    "div": "<div>\n      <p>\n        <b>Generated Narrative</b>\n      </p>\n      <p>\n        <b>name</b>: \n        <span title=\"Codes: {http://loinc.org 58410-2}\">Complete blood count (hemogram) panel - Blood by Automated count</span>\n      </p>\n      <p>\n        <b>status</b>: final_\n      </p>\n      <p>\n        <b>issued</b>: 15-May 2013 19:32\n      </p>\n      <p>\n        <b>subject</b>: P. van den Heuvel\n      </p>\n      <p>\n        <b>performer</b>: Burgers University Medical Centre\n      </p>\n      <p>\n        <b>identifier</b>: nr1239044 (official)\n      </p>\n      <p>\n        <b>requestDetail</b>: P. van den Heuvel; L2381 (official); clinicalNotes: patient almost fainted during procedure\n      </p>\n      <p>\n        <b>serviceCategory</b>: \n        <span title=\"Codes: {http://snomed.info/sct 252275004}, {http://hl7.org/fhir/v2/0074 HM}\">Haematology test</span>\n      </p>\n      <p>\n        <b>diagnostic[x]</b>: 2-Apr 2013\n      </p>\n      <p>\n        <b>result</b>: \n      </p>\n      <ul>\n        <li>\n          <a href=\"observation-example-f001-glucose.html\">Glucose [Mass/volume] in Blood; 6.3 mmol/l; abnormal; applies: 2-Apr 2013 9:30 --&gt; 5-Apr 2013 9:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection to forearm; 6323 (official); P. van de Heuvel; A. Langeveld</a>\n        </li>\n        <li>\n          <a href=\"observation-example-f002-excess.html\">Base excess in Blood by calculation; 12.6 mmol/l; abnormal; applies: 2-Apr 2013 10:30 --&gt; 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection to forearm; 6324 (official); P. van de Heuvel; A. Langeveld</a>\n        </li>\n        <li>\n          <a href=\"observation-example-f003-co2.html\">Carbon dioxide [Partial pressure] in Blood; 6.2 mm[Hg]; abnormal; applies: 2-Apr 2013 10:30 --&gt; 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection to forearm; 6325 (official); P. van de Heuvel; A. Langeveld</a>\n        </li>\n        <li>\n          <a href=\"observation-example-f004-hemoglobin.html\">Erythrocyte mean corpuscular hemoglobin concentration [Mass/volume]; 18.7 g/dl; abnormal; applies: 2-Apr 2013 10:30 --&gt; 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection to forearm; 6326 (official); P. van de Heuvel; A. Langeveld</a>\n        </li>\n        <li>\n          <a href=\"observation-example-f005-hemoglobin.html\">Hemoglobin [Mass/volume] in Venous blood; 7.2 g/dl; low; applies: 2-Apr 2013 10:30 --&gt; 5-Apr 2013 10:30; issued: 3-Apr 2013 15:30; final_; ok; Superficial forearm vein; Injection to forearm; 6327 (official); P. van de Heuvel; A. Langeveld</a>\n        </li>\n      </ul>\n      <p>\n        <b>conclusion</b>: Core lab\n      </p>\n    </div>"
  },
  "contained": [
    {
      "resourceType": "DiagnosticOrder",
      "id": "req",
      "subject": {
        "reference": "Patient/f001",
        "display": "P. van den Heuvel"
      },
      "orderer": {
        "reference": "Practitioner/f001",
        "display": "E.van den Broek"
      },
      "identifier": [
        {
          "use": "official",
          "system": "http://www.bmc.nl/zorgportal/identifiers/labresults",
          "value": "L2381"
        }
      ],
      "encounter": {
        "reference": "Encounter/f001"
      },
      "clinicalNotes": "patient almost fainted during procedure",
      "item": [
        {
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "58410-2",
                "display": "Complete blood count (hemogram) panel - Blood by Automated count"
              }
            ]
          },
          "bodySite": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "14975008",
                "display": "Forearm structure"
              }
            ]
          }
        }
      ]
    }
  ],
  "name": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "58410-2",
        "display": "Complete blood count (hemogram) panel - Blood by Automated count"
      }
    ]
  },
  "status": "final",
  "issued": "2013-05-15T19:32:52+01:00",
  "subject": {
    "reference": "Patient/f001",
    "display": "P. van den Heuvel"
  },
  "performer": {
    "reference": "Organization/f001",
    "display": "Burgers University Medical Centre"
  },
  "identifier": {
    "use": "official",
    "system": "http://www.bmc.nl/zorgportal/identifiers/reports",
    "value": "nr1239044"
  },
  "requestDetail": [
    {
      "reference": "#req"
    }
  ],
  "serviceCategory": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "252275004",
        "display": "Haematology test"
      },
      {
        "system": "http://hl7.org/fhir/v2/0074",
        "code": "HM"
      }
    ]
  },
  "diagnosticDateTime": "2013-04-02",
  "result": [
    {
      "reference": "Observation/f001"
    },
    {
      "reference": "Observation/f002"
    },
    {
      "reference": "Observation/f003"
    },
    {
      "reference": "Observation/f004"
    },
    {
      "reference": "Observation/f005"
    }
  ],
  "conclusion": "Core lab"
}