Bundle document - Referto di Medicina di Laboratorio - HL7 FHIR Implementation Guide Laboratory Report v0.2.0

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

This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.2.0: Release 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle document - Referto di Medicina di Laboratorio

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

Generated Narrative: Composition

Resource Composition "2ae95a5c-9094-41a3-a437-ce6d34c55a54" (Language "it-IT")

Profile: Composition - Lab Report

Security Labels:

DataEnterer
url
dataEnterer
value: See above (urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803d)
url
TempoCompilazione
value: 2023-02-25 10:45:00+0100

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

status: FINAL

type: Referto di laboratorio (LOINC#11502-2 "Laboratory report")

category: Hematology studies (set) (LOINC#18723-7)

encounter: See above (urn:uuid:7b06368c-7089-4f66-acc8-29e1fcbd31f6)

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

author: See above (urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803c)

title: Referto di Laboratorio

Attesters

Mode

Time

Party

Legal (CompositionAttestationMode#legal)

2023-02-25 12:45:00+0100

See above (urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803c)

custodian: See above (urn:uuid:5fd3f1a6-b2c8-44cb-8237-0b5f0a81f2a8)

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

See above (urn:uuid:7e2f354b-de83-4472-bd07-1571cdb50fde)

Additional Document Content

2. urn:uuid:56f19992-e73e-45b5-bbdd-6d9aeb60b15a (DiagnosticReport/56f19992-e73e-45b5-bbdd-6d9aeb60b15a)

Laboratory report (Hematology studies (set))
Subject Not done yet
When For 2023-02-25 11:45:00+0100 --> 2023-02-25 12:45:00+0100
Reported 2023-02-25 12:45:00+0100
Identifier: urn:uuid:10b545ea-725c-446d-9b95-8aeb444eddf3 (use: OFFICIAL)
Report Details
Code Value When For
Hematology studies (set) 70 mg/dL 2022-10-25 13:35:00+0100
Coded Conclusions :
Blood glucose normal

3. urn:uuid:7e2f354b-de83-4472-bd07-1571cdb50fde (Observation/7e2f354b-de83-4472-bd07-1571cdb50fde)

Generated Narrative: Observation
Resource Observation "7e2f354b-de83-4472-bd07-1571cdb50fde"
Profile: Observation Document - Lab Report
status: FINAL
category: Laboratory (Observation Category Codes#laboratory)
code: Hematology studies (set) (LOINC#18723-7)
subject: See above (urn:uuid:8472931c-fbd0-437b-9ed1-4f66472c78b5)
encounter: See above (urn:uuid:7b06368c-7089-4f66-acc8-29e1fcbd31f6)
effective: 2022-10-25 13:35:00+0100
performer: See above (urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803c)
value: 70 mg/dL (Details: UCUM code mg/dL = 'mg/dL')
specimen: See above (urn:uuid:168d4960-0a0b-43af-8025-180f0965f325)
device: See above (urn:uuid:168d4960-0a0b-43af-8025-180f0965f324)
derivedFrom: See above (urn:uuid:059927b1-7e17-409e-ae60-68cc3c0b3aea)

4. urn:uuid:8472931c-fbd0-437b-9ed1-4f66472c78b5 (Patient/8472931c-fbd0-437b-9ed1-4f66472c78b5)

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

5. urn:uuid:7b06368c-7089-4f66-acc8-29e1fcbd31f6 (Encounter/7b06368c-7089-4f66-acc8-29e1fcbd31f6)

Not done yet

6. urn:uuid:168d4960-0a0b-43af-8025-180f0965f325 (Specimen/168d4960-0a0b-43af-8025-180f0965f325)

Generated Narrative: Specimen
Resource Specimen "168d4960-0a0b-43af-8025-180f0965f325"
Profile: Specimen - Lab Report
type: Whole blood (SpecimenType#BLD)
subject: See above (urn:uuid:8472931c-fbd0-437b-9ed1-4f66472c78b5)
Collections
- BodySite
* Anterior surface of arm (SNOMED CT#7311008)
container

7. urn:uuid:463ae6fe-60d4-4b38-84b3-1008e0925678 (ServiceRequest/463ae6fe-60d4-4b38-84b3-1008e0925678)

Generated Narrative: ServiceRequest
Resource ServiceRequest "463ae6fe-60d4-4b38-84b3-1008e0925678"
Profile: ServiceRequest - Lab Report
identifier: 12345 (period: 2023-03-15 --> 2023-04-15)
requisition: 1300A4000000248
status: COMPLETED
intent: ORDER
category: Laboratory procedure (SNOMED CT#108252007)
priority: ROUTINE
code: Leukocyte poor blood preparation (SNOMED CT#5357009)
subject: See above (urn:uuid:8472931c-fbd0-437b-9ed1-4f66472c78b5)
authoredOn: 2023-03-15
specimen: See above (urn:uuid:168d4960-0a0b-43af-8025-180f0965f325)

8. urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803c (PractitionerRole/dc5842a1-83b6-43c7-b063-75ae989b803c)

Generated Narrative: PractitionerRole
Resource PractitionerRole "dc5842a1-83b6-43c7-b063-75ae989b803c"
Profile: PractitionerRole - Lab Report
identifier: http://esempio_policlinico.it/codiceEmatologo/12345 (use: OFFICIAL)
active: true
practitioner: See above (urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803d)
organization: See above (urn:uuid:5fd3f1a6-b2c8-44cb-8237-0b5f0a81f2a8)
code: Generalist Medical Practitioners (unknown#2211)
specialty: Clinical hematology (SNOMED CT#394803006)

9. urn:uuid:dc5842a1-83b6-43c7-b063-75ae989b803d (Practitioner/dc5842a1-83b6-43c7-b063-75ae989b803d)

Generated Narrative: Practitioner
Resource Practitioner "dc5842a1-83b6-43c7-b063-75ae989b803d"
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

10. urn:uuid:134a0bb1-aa0a-46b9-aa1e-a5d0e379e77c (Practitioner/134a0bb1-aa0a-46b9-aa1e-a5d0e379e77c)

Generated Narrative: Practitioner
Resource Practitioner "134a0bb1-aa0a-46b9-aa1e-a5d0e379e77c"
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

11. urn:uuid:5fd3f1a6-b2c8-44cb-8237-0b5f0a81f2a8 (Organization/5fd3f1a6-b2c8-44cb-8237-0b5f0a81f2a8)

Generated Narrative: Organization
Resource Organization "5fd3f1a6-b2c8-44cb-8237-0b5f0a81f2a8"
Profile: Organization - Lab Report
identifier: http://hl7.it/sid/fls/120201, http://hl7.it/sid/vda/asl/201
active: true
type: Azienda Sanitaria Locale (HL7 Italia - Tipo di Entità#asl)
name: Azienda Sanitara Locale Roma 1
Contacts
- Telecom
* ph: 06 123456

12. urn:uuid:ae0365ea-d8a1-45e0-a39d-f14fac4ccfe8 (Organization/ae0365ea-d8a1-45e0-a39d-f14fac4ccfe8)

Generated Narrative: Organization
Resource Organization "ae0365ea-d8a1-45e0-a39d-f14fac4ccfe8"
Profile: Organization operatore sanitario/socio sanitario - Lab Report
identifier: http://hl7.it/sid/fls/020101
active: true
type: Azienda Sanitaria Locale (HL7 Italia - Tipo di Entità#asl)
name: AZIENDA U.S.L. VALLE D'AOSTA
Contacts
- Telecom Address
* ph: (0165) 5431, fax: (0165) 544587, protocollo@pec.ausl.vda.it, http://www.ausl.vda.it VIA GUIDO REY 1 AOSTA VALLE D'AOSTA 11100 IT

13. urn:uuid:f148e54a-2046-4534-b9e9-54e7e9632224 (Location/f148e54a-2046-4534-b9e9-54e7e9632224)

Generated Narrative: Location
Resource Location "f148e54a-2046-4534-b9e9-54e7e9632224"
Profile: Location - Lab Report
identifier: 123456 (use: USUAL)
status: ACTIVE
name: Policlinico di Roma
alias: Poliambulatorio di Roma, Ospedale universitario di Roma
type: Hospital (RoleCode#HOSP)
address: ROMA 00144

14. urn:uuid:168d4960-0a0b-43af-8025-180f0965f324 (Device/168d4960-0a0b-43af-8025-180f0965f324)

Generated Narrative: Device
Resource Device "168d4960-0a0b-43af-8025-180f0965f324"
Profile: Device - Lab Report

15. urn:uuid:059927b1-7e17-409e-ae60-68cc3c0b3aea (DocumentReference/059927b1-7e17-409e-ae60-68cc3c0b3aea)

Generated Narrative: DocumentReference
Resource DocumentReference "059927b1-7e17-409e-ae60-68cc3c0b3aea"
Profile: Media - Lab Report

IG © 2022+ HL7 Italia. Package hl7.fhir.it.lab-report#0.2.0 based on FHIR 4.0.1. Generated 2024-03-08
Links: Table of Contents | QA Report