This page is part of the FHIR Specification (v4.4.0: R5 Preview #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
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
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Real-world patient example
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/rdf#> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/Bundle/f001> a fhir:Bundle; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f001"]; fhir:Bundle.type [ fhir:value "collection"]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/DiagnosticReport/f001" ]; fhir:Bundle.entry.resource <https://example.com/base/DiagnosticReport/f001> ], [ fhir:index 1; fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/ServiceRequest/req" ]; fhir:Bundle.entry.resource <https://example.com/base/ServiceRequest/req> ] . <https://example.com/base/DiagnosticReport/f001> a fhir:DiagnosticReport; fhir:Resource.id [ fhir:value "f001"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>identifier</b>: nr1239044 (OFFICIAL)</p><p><b>basedOn</b>: <a>ServiceRequest/req</a></p><p><b>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = 'Haematology test', given as 'Haematology test'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'HM' = 'Hematology)</span></p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>issued</b>: 16/05/2013 4:32:52 AM</p><p><b>performer</b>: <a>Burgers University Medical Centre</a></p><p><b>result</b>: </p><ul><li><a>Observation/f001</a></li><li><a>Observation/f002</a></li><li><a>Observation/f003</a></li><li><a>Observation/f004</a></li><li><a>Observation/f005</a></li></ul><p><b>conclusion</b>: Core lab</p></div>" ]; fhir:DiagnosticReport.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.system [ fhir:value "http://www.bmc.nl/zorgportal/identifiers/reports" ]; fhir:Identifier.value [ fhir:value "nr1239044" ] ]; fhir:DiagnosticReport.basedOn [ fhir:index 0; fhir:link <http://hl7.org/fhir/ServiceRequest/req>; fhir:Reference.reference [ fhir:value "ServiceRequest/req" ] ]; fhir:DiagnosticReport.status [ fhir:value "final"]; fhir:DiagnosticReport.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:252275004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "252275004" ]; fhir:Coding.display [ fhir:value "Haematology test" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "HM" ] ] ]; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:58410-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "58410-2" ]; fhir:Coding.display [ fhir:value "Complete blood count (hemogram) panel - Blood by Automated count" ] ] ]; fhir:DiagnosticReport.subject [ fhir:link <http://hl7.org/fhir/Patient/f001>; fhir:Reference.reference [ fhir:value "Patient/f001" ]; fhir:Reference.display [ fhir:value "P. van den Heuvel" ] ]; fhir:DiagnosticReport.issued [ fhir:value "2013-05-15T19:32:52+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:link <http://hl7.org/fhir/Organization/f001>; fhir:Reference.reference [ fhir:value "Organization/f001" ]; fhir:Reference.display [ fhir:value "Burgers University Medical Centre" ] ]; fhir:DiagnosticReport.result [ fhir:index 0; fhir:link <http://hl7.org/fhir/Observation/f001>; fhir:Reference.reference [ fhir:value "Observation/f001" ] ], [ fhir:index 1; fhir:link <http://hl7.org/fhir/Observation/f002>; fhir:Reference.reference [ fhir:value "Observation/f002" ] ], [ fhir:index 2; fhir:link <http://hl7.org/fhir/Observation/f003>; fhir:Reference.reference [ fhir:value "Observation/f003" ] ], [ fhir:index 3; fhir:link <http://hl7.org/fhir/Observation/f004>; fhir:Reference.reference [ fhir:value "Observation/f004" ] ], [ fhir:index 4; fhir:link <http://hl7.org/fhir/Observation/f005>; fhir:Reference.reference [ fhir:value "Observation/f005" ] ]; fhir:DiagnosticReport.conclusion [ fhir:value "Core lab"] . <http://hl7.org/fhir/ServiceRequest/req> a fhir:ServiceRequest . <http://hl7.org/fhir/Patient/f001> a fhir:Patient . <http://hl7.org/fhir/Organization/f001> a fhir:Organization . <http://hl7.org/fhir/Observation/f001> a fhir:Observation . <http://hl7.org/fhir/Observation/f002> a fhir:Observation . <http://hl7.org/fhir/Observation/f003> a fhir:Observation . <http://hl7.org/fhir/Observation/f004> a fhir:Observation . <http://hl7.org/fhir/Observation/f005> a fhir:Observation . <https://example.com/base/ServiceRequest/req> a fhir:ServiceRequest; fhir:Resource.id [ fhir:value "req"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: req</p><p><b>identifier</b>: L2381</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>encounter</b>: <a>Encounter/f001</a></p><p><b>requester</b>: <a>E.van den Broek</a></p><p><b>note</b>: patient almost fainted during procedure</p></div>" ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/bodysitecode" ]; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:14975008; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "14975008" ]; fhir:Coding.display [ fhir:value "Forearm structure" ] ] ] ]; fhir:ServiceRequest.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://www.bmc.nl/zorgportal/identifiers/labresults" ]; fhir:Identifier.value [ fhir:value "L2381" ] ]; fhir:ServiceRequest.status [ fhir:value "active"]; fhir:ServiceRequest.intent [ fhir:value "original-order"]; fhir:ServiceRequest.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:58410-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "58410-2" ]; fhir:Coding.display [ fhir:value "Complete blood count (hemogram) panel - Blood by Automated count" ] ] ]; fhir:ServiceRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/f001>; fhir:Reference.reference [ fhir:value "Patient/f001" ]; fhir:Reference.display [ fhir:value "P. van den Heuvel" ] ]; fhir:ServiceRequest.encounter [ fhir:link <http://hl7.org/fhir/Encounter/f001>; fhir:Reference.reference [ fhir:value "Encounter/f001" ] ]; fhir:ServiceRequest.requester [ fhir:link <http://hl7.org/fhir/Practitioner/f001>; fhir:Reference.reference [ fhir:value "Practitioner/f001" ]; fhir:Reference.display [ fhir:value "E.van den Broek" ] ]; fhir:ServiceRequest.note [ fhir:index 0; fhir:Annotation.text [ fhir:value "patient almost fainted during procedure" ] ] . <http://hl7.org/fhir/Encounter/f001> a fhir:Encounter . <http://hl7.org/fhir/Practitioner/f001> a fhir:Practitioner . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/f001.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Bundle/f001.ttl> . # -------------------------------------------------------------------------------------
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.