type: exampleresource: DiagnosticReportexample: diagnosticreport-example-lipid-panel
DiagnosticReport Example: diagnosticreport-example-lipid-panel
Narrative
Lipid Report for Wile. E. COYOTE (MRN: 23453) issued 3-Mar 2009 14:26
Test Units Value Reference Range Cholesterol mmol/L 6.3 <4.5 Triglyceride mmol/L 1.3 <2.0 HDL Cholesterol mmol/L 1.3 >1.5 LDL Chol. (calc) mmol/L 4.2 <3.0
Acme Laboratory, Inc signed: Dr Pete Pathologist
Example XML
<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
<id value="lipid-panel-example"/>
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/lipids-diagnostic-report"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<h3>Lipid Report for Wile. E. COYOTE (MRN: 23453) issued 3-Mar 2009 14:26</h3>
<pre>
Test Units Value Reference Range
Cholesterol mmol/L 6.3 <4.5
Triglyceride mmol/L 1.3 <2.0
HDL Cholesterol mmol/L 1.3 >1.5
LDL Chol. (calc) mmol/L 4.2 <3.0
</pre>
<p>Acme Laboratory, Inc signed: Dr Pete Pathologist</p>
</div>
</text>
<contained>
<!-- Cholesterol observation with profile reference -->
<Observation>
<id value="cholesterol"/>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="35200-5"/>
<display value="Cholesterol [Mass or Moles/volume] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="Patient/pat2"/>
</subject>
<effectiveDateTime value="2011-03-04T08:30:00+11:00"/>
<performer>
<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
<display value="Acme Laboratory, Inc"/>
</performer>
<valueQuantity>
<value value="6.3"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
</interpretation>
<note>
<text value="Patient reported having eaten fatty foods the day before."/>
</note>
<referenceRange>
<high>
<value value="4.5"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
<text value="High Risk at or above 4.5 mmol/L (Per Australian NHF Recommendations)"/>
</referenceRange>
</Observation>
</contained>
<contained>
<!-- Triglyceride observation -->
<Observation>
<id value="triglyceride"/>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="35217-9"/>
<display value="Triglyceride [Mass or Moles/volume] in Serum or Plasma"/>
</coding>
<text value="Triglyceride"/>
</code>
<subject>
<reference value="Patient/pat2"/>
</subject>
<effectiveDateTime value="2011-03-04T08:30:00+11:00"/>
<performer>
<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
<display value="Acme Laboratory, Inc"/>
</performer>
<valueQuantity>
<value value="1.3"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
</interpretation>
<referenceRange>
<high>
<value value="2.0"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
<text value="Normal range: less than 2.0 mmol/L"/>
</referenceRange>
</Observation>
</contained>
<!-- HDL Cholesterol observation -->
<contained>
<Observation>
<id value="hdlcholesterol"/>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="2085-9"/>
<display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/>
</coding>
<text value="Cholesterol in HDL"/>
</code>
<subject>
<reference value="Patient/pat2"/>
</subject>
<effectiveDateTime value="2011-03-04T08:30:00+11:00"/>
<performer>
<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
<display value="Acme Laboratory, Inc"/>
</performer>
<valueQuantity>
<value value="1.3"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="L"/>
<display value="Low"/>
</coding>
</interpretation>
<referenceRange>
<low>
<value value="1.5"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<text value="Desirable: greater than 1.5 mmol/L"/>
</referenceRange>
</Observation>
</contained>
<contained>
<!-- LDL Cholesterol observation -->
<Observation>
<id value="ldlcholesterol"/>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="13457-7"/>
<display value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation"/>
</coding>
<text value="LDL Chol. (Calc)"/>
</code>
<subject>
<reference value="Patient/pat2"/>
</subject>
<effectiveDateTime value="2011-03-04T08:30:00+11:00"/>
<performer>
<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
<display value="Acme Laboratory, Inc"/>
</performer>
<valueQuantity>
<value value="4.6"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
</interpretation>
<referenceRange>
<high>
<value value="3.0"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
<text value="Optimal: less than 3.0 mmol/L"/>
</referenceRange>
</Observation>
</contained>
<identifier>
<system value="http://acme.com/lab/reports"/>
<value value="5234342"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="HM"/>
<display value="Hematology"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="57698-3"/>
<display value="Lipid panel with direct LDL - Serum or Plasma"/>
</coding>
<text value="Lipid Panel"/>
</code>
<subject>
<reference value="Patient/pat2"/>
<display value="Wile E. Coyote"/>
</subject>
<effectiveDateTime value="2011-03-04T08:30:00+11:00"/>
<issued value="2013-01-27T11:45:33+11:00"/>
<performer>
<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
<display value="Acme Laboratory, Inc"/>
</performer>
<!-- References to contained observations -->
<result>
<reference value="#cholesterol"/>
</result>
<result>
<reference value="#triglyceride"/>
</result>
<result>
<reference value="#hdlcholesterol"/>
</result>
<result>
<reference value="#ldlcholesterol"/>
</result>
<!-- Contained resources -->
<conclusion value="Patient has elevated total cholesterol and LDL levels with borderline low HDL. Recommend lifestyle modifications and consideration of lipid-lowering therapy."/>
</DiagnosticReport>