R4 Ballot #1 (Mixed Normative/Trial use)

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 R3 R2

FHIR Infrastructure Work GroupMaturity Level: N/ABallot Status: Informative

The FHIR specification defines a set of resources, and an infrastructure for handling resources. In order to use FHIR to create solutions for integration requirements, implementers must map their problems to resources and their content.

The Resource List provides views of the resources organized in several different ways, and is the primary entry point to the resources.

This page describes the resources and their functional intent in more detail to assist implementers to understand their purpose and scope, and their supporting classifications.

Where to find common concepts in this specification:

Concept Example Where to find
Clinical Findings
Laboratory ResultsBlood panels such as CBC with Differential, Liver Panel, etc.DiagnosticReport with Observations
Imaging Study FindingsCT Scans, MRI, Plain Radiographs, Ultrasounds)DiagnosticReport (some with Observations)
Diagnostic Test ResultsEKG, pulmonary function test, EEGObservations (and maybe a DiagnosticReport)
Vital SignsTemperature, Blood Pressure, Heart Rate, Respiratory RateObservation
Other Physical Exam FindingsAuscultation findingsObservation
Pulmonary Artery Catheter readingsPulmonary artery pressureObservation
Patient Problems, Allergies and Adverse Events
AllergyFood or drug allergiesAllergyIntolerance
Clinical DiagnosisDiabetes, Congestive Heart FailureCondition
Adverse EventAdverse reaction to an agent, falls, adverse surgical events, hospital infectionsAdverseEvent
Patient History
Chief ComplaintCough, Pain, Fever, FatigueCondition
Past Surgical HistoryAppendectomy, Hernia repairProcedure
Past Medical HistoryDiabetes, Congestive heart failureCondition
MAR (Medication Administration Record)Warfarin 5mg PO administered on 12/10/2013 at 3pmMedicationAdministration
Home MedsWarfarin 5mg, 30 day supply, dispensed on 12/01/2013MedicationStatement
Social HistorySexual behavior, Smoking status, Alcohol intake, Illicit drug useObservation
Family HistoryMother has diabetesFamilyMemberHistory
Signs & Symptomsfrom a review of systems- Pain, FeverCondition
Suggested Physician Orders
Proposal for a laboratory testA blood panel, a stool analysisServiceRequest
Proposal for an imaging procedureCT Scan, MRI, X-RaysServiceRequest
Proposed Diet OrderAn oral diet orderNutritionOrder
Proposed respiratory orderOxygen deliveryNot done yet
Proposed MedicationsAspirin, LisinoprilMedicationRequest
Proposed SupplyWheel Chair, Food TraySupplyRequest
Interdisciplinary Care Planning
Patient GoalReduce risk of falls, lose weightGoal (as part of a CarePlan)
InterventionPatient assessmentsServiceRequest

In addition, to the information on this page, see also Common Use Cases.

The following frameworks are provided for helping to understand the set of resources provided in this specification: