FHIR Release 3 (STU) Current Build

Diagnosticreport-genetics-comprehensive-bone-marrow-report.xml

Orders and Observations Work Group Maturity Level : N/A Ballot Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner

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An example of a comprehensive bone marrow report (id = "report")

(Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes [#/volume] in Blood'})(Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit [Volume Fraction] of Blood'})(Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets [#/volume] in Blood'})id: o4; status: final; NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal (Details : {LOINC code '75034-9' = 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal', given as 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal'})id: o5; status: final; FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative (Details : {LOINC code '54447-8' = 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative', given as 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})id: o6; status: final; KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative (Details : {LOINC code '55201-8' = 'KIT gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})(Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts [#/volume] in Blood'})(Details : {LOINC code '47016-1' = 'CD4 Ag [Presence] in Tissue by Immune stain', given as 'CD4 Ag [Presence] in Tissue by Immune stain'})(Details : {LOINC code '49464-1' = 'CD13 Ag [Presence] in Tissue by Immune stain', given as 'CD13 Ag [Presence] in Tissue by Immune stain'})(Details : {LOINC code '49466-6' = 'CD2 Ag [Presence] in Tissue by Immune stain', given as 'CD2 Ag [Presence] in Tissue by Immune stain'})(Details : {LOINC code '33893-9' = 'Karyotype [Identifier] in Bone marrow Nominal', given as 'Karyotype [Identifier] in Bone marrow Nominal'})
<?xml version="1.0" encoding="UTF-8"?>
<Bundle xmlns="http://hl7.org/fhir">
  <id value="report"/> 
  <type value="collection"/> 
  <entry> 
    <fullUrl value="https://example.com/base/DiagnosticReport/report"/> 
    <resource> 
      <DiagnosticReport> 
        <id value="report"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : report</p> <p> <b> status</b> : final</p> <p> <b> code</b> : comprehensive bone marrow report <span> (Details )</span> </p> <p> <b> subject</b> : <a> Everywoman, Eve A, MRN: 123456789</a> </p> <p> <b> effective</b> : Jan 2, 2015 1:20:10 PM</p> <p> <b> issued</b> : Jan 6, 2015 1:20:10 PM</p> <p> <b> performer</b> : <a> Molecular Diagnostic Laboratory</a> </p> <p> <b> specimen</b> : <a> Bone marrow ID: MLD45-Z4-1234</a> </p> <p> <b> result</b> : </p> <ul> <li> <a> Observation/o1</a> </li> <li> <a> Observation/o2</a> </li> <li> <a> Observation/o3</a> </li> <li> <a> Observation/o4</a> </li> <li> <a> Observation/o5</a> </li> <li> <a> Observation/o6</a> </li> <li> <a> Observation/o7</a> </li> <li> <a> Observation/o8</a> </li> <li> <a> Observation/o9</a> </li> <li> <a> Observation/o10</a> </li> <li> <a> Observation/o11</a> </li> <li> <a> Observation/o12</a> </li> <li> <a> Observation/o13</a> </li> </ul> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition">
          <valueReference> 
            <reference value="Condition/c1"/> 
          </valueReference> 
        </extension> 
        <status value="final"/> 
        <code> 
          <text value="comprehensive bone marrow report"/> 
        </code> 
        <subject> 
          <reference value="Patient/genetics-example1"/> 
          <display value="Everywoman, Eve A, MRN: 123456789"/> 
        </subject> 
        <effectiveDateTime value="2015-01-02T13:20:10+01:00"/> 
        <issued value="2015-01-06T13:20:10+01:00"/> 
        <performer> 
          <reference value="Practitioner/genetics-example1"/> 
          <display value="Molecular Diagnostic Laboratory"/> 
        </performer> 
        <specimen> 
          <reference value="Specimen/genetics-example1"/> 
          <display value="Bone marrow ID: MLD45-Z4-1234"/> 
        </specimen> 
        <result> 
          <reference value="Observation/o1"/> 
        </result> 
        <result> 
          <reference value="Observation/o2"/> 
        </result> 
        <result> 
          <reference value="Observation/o3"/> 
        </result> 
        <result> 
          <reference value="Observation/o4"/> 
        </result> 
        <result> 
          <reference value="Observation/o5"/> 
        </result> 
        <result> 
          <reference value="Observation/o6"/> 
        </result> 
        <result> 
          <reference value="Observation/o7"/> 
        </result> 
        <result> 
          <reference value="Observation/o8"/> 
        </result> 
        <result> 
          <reference value="Observation/o9"/> 
        </result> 
        <result> 
          <reference value="Observation/o10"/> 
        </result> 
        <result> 
          <reference value="Observation/o11"/> 
        </result> 
        <result> 
          <reference value="Observation/o12"/> 
        </result> 
        <result> 
          <reference value="Observation/o13"/> 
        </result> 
      </DiagnosticReport> 
    </resource> 
  </entry> 
  <entry> 
    <fullUrl value="https://example.com/base/Observation/o1"/> 
    <resource> 
      <Observation> 
        <id value="o1"/> 
        <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o1</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Leukocytes [#/volume] in Blood <span> (Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes
                 [#/volume] in Blood'})</span> </p> <p> <b> value</b> : 31.9 K/ul</p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="26464-8"/>             <display value="Leukocytes [#/volume] in Blood"/>           </coding>         </code>         <valueQuantity>           <value value="31.9"/>           <unit value="K/ul"/>         </valueQuantity>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o2"/>     <resource>       <Observation>         <id value="o2"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o2</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Hematocrit [Volume Fraction] of Blood <span> (Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit
                 [Volume Fraction] of Blood'})</span> </p> <p> <b> value</b> : 27 %</p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="20570-8"/>             <display value="Hematocrit [Volume Fraction] of Blood"/>           </coding>         </code>         <valueQuantity>           <value value="27"/>           <unit value="%"/>         </valueQuantity>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o3"/>     <resource>       <Observation>         <id value="o3"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o3</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Platelets [#/volume] in Blood <span> (Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets
                 [#/volume] in Blood'})</span> </p> <p> <b> value</b> : 84 K/ul</p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="26515-7"/>             <display value="Platelets [#/volume] in Blood"/>           </coding>         </code>         <valueQuantity>           <value value="84"/>           <unit value="K/ul"/>         </valueQuantity>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o4"/>     <resource>       <Observation>         <id value="o4"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o4</p> <p> <b> status</b> : final</p> <p> <b> code</b> : NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal               <span> (Details : {LOINC code '75034-9' = 'NPM1 gene mutations found [Identifier] in Bone marrow
                 by Molecular genetics method Nominal', given as 'NPM1 gene mutations found [Identifier]
                 in Bone marrow by Molecular genetics method Nominal'})</span> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="75034-9"/>             <display value="NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"/>           </coding>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="10828004"/>             <display value="Positive"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o5"/>     <resource>       <Observation>         <id value="o5"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o5</p> <p> <b> status</b> : final</p> <p> <b> code</b> : FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span> (Details : {LOINC code '54447-8' = 'FLT3 gene mutation analysis in Bone marrow by Molecular
                 genetics method Narrative', given as 'FLT3 gene mutation analysis in Bone marrow by Molecular
                 genetics method Narrative'})</span> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="54447-8"/>             <display value="FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>           </coding>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="260385009"/>             <display value="Negative"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o6"/>     <resource>       <Observation>         <id value="o6"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o6</p> <p> <b> status</b> : final</p> <p> <b> code</b> : KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative <span> (Details : {LOINC code '55201-8' = 'KIT gene mutation analysis in Blood or Tissue by Molecular
                 genetics method Narrative', given as 'KIT gene mutation analysis in Bone marrow by Molecular
                 genetics method Narrative'})</span> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="55201-8"/>             <display value="KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>           </coding>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="260385009"/>             <display value="Negative"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o7"/>     <resource>       <Observation>         <id value="o7"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o7</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Myeloblasts [#/volume] in Blood <span> (Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts
                 [#/volume] in Blood'})</span> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="30444-4"/>             <display value="Myeloblasts [#/volume] in Blood"/>           </coding>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="10828004"/>             <display value="Positive"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o8"/>     <resource>       <Observation>         <id value="o8"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o8</p> <p> <b> status</b> : final</p> <p> <b> code</b> : CD4 Ag [Presence] in Tissue by Immune stain <span> (Details : {LOINC code '47016-1' = 'CD4 Ag [Presence] in Tissue by Immune stain', given
                 as 'CD4 Ag [Presence] in Tissue by Immune stain'})</span> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="47016-1"/>             <display value="CD4 Ag [Presence] in Tissue by Immune stain"/>           </coding>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="10828004"/>             <display value="Positive"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o9"/>     <resource>       <Observation>         <id value="o9"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o9</p> <p> <b> status</b> : final</p> <p> <b> code</b> : CD13 Ag [Presence] in Tissue by Immune stain <span> (Details : {LOINC code '49464-1' = 'CD13 Ag [Presence] in Tissue by Immune stain', given
                 as 'CD13 Ag [Presence] in Tissue by Immune stain'})</span> </p> <p> <b> value</b> : Positive <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="49464-1"/>             <display value="CD13 Ag [Presence] in Tissue by Immune stain"/>           </coding>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="10828004"/>             <display value="Positive"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o10"/>     <resource>       <Observation>         <id value="o10"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o10</p> <p> <b> status</b> : final</p> <p> <b> code</b> : CD2 Ag [Presence] in Tissue by Immune stain <span> (Details : {LOINC code '49466-6' = 'CD2 Ag [Presence] in Tissue by Immune stain', given
                 as 'CD2 Ag [Presence] in Tissue by Immune stain'})</span> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="49466-6"/>             <display value="CD2 Ag [Presence] in Tissue by Immune stain"/>           </coding>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="260385009"/>             <display value="Negative"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o11"/>     <resource>       <Observation>         <id value="o11"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o11</p> <p> <b> status</b> : final</p> <p> <b> code</b> : Karyotype [Identifier] in Bone marrow Nominal <span> (Details : {LOINC code '33893-9' = 'Karyotype [Identifier] in Bone marrow Nominal', given
                 as 'Karyotype [Identifier] in Bone marrow Nominal'})</span> </p> <p> <b> value</b> : 46,XX[20] <span> (Details )</span> </p> </div> </text> <status value="final"/> 
        <code>           <coding>             <system value="http://loinc.org"/>             <code value="33893-9"/>             <display value="Karyotype [Identifier] in Bone marrow Nominal"/>           </coding>         </code>         <valueCodeableConcept>           <text value="46,XX[20]"/>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o12"/>     <resource>       <Observation>         <id value="o12"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o12</p> <p> <b> status</b> : final</p> <p> <b> code</b> : MDS-associated genetic abnormalities <span> (Details )</span> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <status value="final"/>         <code>           <text value="MDS-associated genetic abnormalities"/>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="260385009"/>             <display value="Negative"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry>   <entry>     <fullUrl value="https://example.com/base/Observation/o13"/>     <resource>       <Observation>         <id value="o13"/>         <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : o13</p> <p> <b> status</b> : final</p> <p> <b> code</b> : AML-associated genetic abnormalities <span> (Details )</span> </p> <p> <b> value</b> : Negative <span> (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span> </p> </div> </text> <status value="final"/>         <code>           <text value="AML-associated genetic abnormalities"/>         </code>         <valueCodeableConcept>           <coding>             <system value="http://snomed.info/sct"/>             <code value="260385009"/>             <display value="Negative"/>           </coding>         </valueCodeableConcept>       </Observation>     </resource>   </entry> 


</
DiagnosticReport


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.