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FHIR IG analytics

Packagefhir.paciosampledata
Resource TypeDiagnosticReport
IdDiagnosticReport-betsysmith-johnson01-diagnosticReport-coag-01.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: DiagnosticReport betsysmith-johnson01-diagnosticReport-coag-01

Coagulation Panel (Laboratory)

SubjectSmith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)
When For2025-05-03 08:30:00+1100
Performer Organization Metro Hospital Emergency Department

Report Details

CodeValueReference RangeFlags
Prothrombin time13.2 s (Details: UCUM codes = 's')11 s - 13 sFinal, High
INR in Platelet poor plasma by Coagulation assay1.1 ratio (Details: UCUM code1 = '1')0.9 ratio - 1.1 ratioFinal, Normal
aPTT in Blood by Coagulation assay28.5 s (Details: UCUM codes = 's')25 s - 35 sFinal, Normal
Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma1.8 mg/L (Details: UCUM codemg/L = 'mg/L')<0.5 mg/LFinal, High
Platelets [#/volume] in Blood by Automated count285 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL')150 10*3/uL - 400 10*3/uLFinal, Normal
Thrombin time16.8 s (Details: UCUM codes = 's')14 s - 18 sFinal, Normal
Coagulation factor VIII activity actual/normal in Platelet poor plasma by Coagulation assay145 % (Details: UCUM code% = '%')50 % - 150 %Final, Normal
Antithrombin actual/normal in Platelet poor plasma by Chromogenic method92 % (Details: UCUM code% = '%')80 % - 120 %Final, Normal
Protein C Ag actual/normal in Platelet poor plasma by Immunoassay88 % (Details: UCUM code% = '%')70 % - 130 %Final, Normal
Protein S Free Ag actual/normal in Platelet poor plasma by Immunoassay85 % (Details: UCUM code% = '%')60 % - 130 %Final, Normal

Coagulation profile shows evidence of acute thrombotic state with elevated fibrinogen and D-dimer, ongoing fibrinolysis following stroke, and hypercoagulable state typical in acute cerebrovascular events.


Source1

{
  "resourceType": "DiagnosticReport",
  "id": "betsysmith-johnson01-diagnosticReport-coag-01",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "LAB",
          "display": "Laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "57021-8",
        "display": "CBC W Auto Differential panel - Blood"
      }
    ],
    "text": "Coagulation Panel"
  },
  "subject": {
    "reference": "Patient/patient-betsysmith-johnson01",
    "display": "Betsy Smith-Johnson"
  },
  "effectiveDateTime": "2025-05-03T08:30:00+11:00",
  "performer": [
    {
      "reference": "Organization/org-ED-Metro-Hospital"
    }
  ],
  "result": [
    {
      "reference": "Observation/betsysmith-johnson01-obs-pt-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-inr-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-aptt-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-ddimer-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-platelet-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-thrombin-time-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-factor-viii-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-antithrombin-iii-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-protein-c-coag-panel"
    },
    {
      "reference": "Observation/betsysmith-johnson01-obs-protein-s-coag-panel"
    }
  ],
  "conclusion": "Coagulation profile shows evidence of acute thrombotic state with elevated fibrinogen and D-dimer, ongoing fibrinolysis following stroke, and hypercoagulable state typical in acute cerebrovascular events."
}