This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Example of a multi-select values/answers Observation with individual answers/values as components (id = "alcohol-type")
<Observation xmlns="http://hl7.org/fhir"> <id value="alcohol-type"/> <!-- the mandatory quality flags: --><text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : alcohol-type</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Social History <span> (Details : {http://hl7.org/fhir/observation-category code 'social-history' = 'Social History', given as 'Social History'})</span> </p> <p> <b> code</b> : Type of alcohol consumed <span> (Details : {http://acme-rehab.org code 'alcohol-type' = 'alcohol-type', given as 'Type of alcohol consumed'})</span> </p> <p> <b> subject</b> : <a> Peter James Chalmers</a> </p> <p> <b> effective</b> : 11/12/2014 4:44:16 AM</p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : alcohol-type <span> (Details : {http://acme-rehab.org code 'alcohol-type' = 'alcohol-type)</span> </p> <p> <b> value</b> : Wine <span> (Details : {SNOMED CT code '35748005' = 'Wine', given as 'Wine (substance)'})</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : alcohol-type <span> (Details : {http://acme-rehab.org code 'alcohol-type' = 'alcohol-type)</span> </p> <p> <b> value</b> : Beer <span> (Details : {SNOMED CT code '53410008' = 'Beer', given as 'Beer (substance)'})</span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : alcohol-type <span> (Details : {http://acme-rehab.org code 'alcohol-type' = 'alcohol-type)</span> </p> <p> <b> value</b> : Liquor <span> (Details : {SNOMED CT code '6524003' = 'Distilled spirits', given as ' Distilled spirits (substance)'})</span> </p> </blockquote> </div> </text> <status value="final"/> <!-- Observations are often coded in multiple code systems. - LOINC - or SNOMED -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC. In this example there is only local codes --><category> <coding> <system value="http://hl7.org/fhir/observation-category"/> <code value="social-history"/> <display value="Social History"/> </coding> <text value="Social History"/> </category> <code> <!-- Local - unable to identify a proper LOINC code --><coding> <system value="http://acme-rehab.org"/> <code value="alcohol-type"/> <display value="Type of alcohol consumed"/> </coding> <text value="Type of alcohol consumed"/> </code> <subject> <reference value="Patient/example"/> <display value="Peter James Chalmers"/> </subject> <effectiveDateTime value="2014-12-11T04:44:16Z"/> <!-- When the code is the same as component.code the value element must be empty per invariant obs-7 --><!-- Using components since multi-select values/answers share the same attributes (such as id, performer, effective date, status, comment.. --><!-- answer 1 --><component> <!-- component.code is same as code --><code> <!-- Local - unable to identify a proper LOINC code --><coding> <system value="http://acme-rehab.org"/> <code value="alcohol-type"/> </coding> </code> <!-- coded value using SNONED-CT, could also use a local code here or only text --><valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="35748005"/> <display value="Wine (substance)"/> </coding> <text value="Wine"/> </valueCodeableConcept> </component> <!-- answer 2 --><component> <!-- component.code is same as code --><code> <!-- Local - unable to identify a proper LOINC code --><coding> <system value="http://acme-rehab.org"/> <code value="alcohol-type"/> </coding> </code> <!-- coded value using SNONED-CT, could also use a local code here or only text --><valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="53410008"/> <display value="Beer (substance)"/> </coding> <text value="Beer"/> </valueCodeableConcept> </component> <!-- answer 3 --><component> <!-- component.code is same as code --><code> <!-- Local - unable to identify a proper LOINC code --><coding> <system value="http://acme-rehab.org"/> <code value="alcohol-type"/> </coding> </code> <!-- coded value using SNONED-CT, could also use a local code here or only text --><valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="6524003"/> <display value=" Distilled spirits (substance)"/> </coding> <text value="Liquor"/> </valueCodeableConcept> </component> </Observation>
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.