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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 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 ------------------------------------------------------------------- [a fhir:Bundle; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f202"]; fhir:Bundle.type [ fhir:value "collection"]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/DiagnosticReport/f202" ]; fhir:Bundle.entry.resource <https://example.com/base/DiagnosticReport/f202> ], [ 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/f202> a fhir:DiagnosticReport; fhir:Resource.id [ fhir:value "f202"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://snomed.info/sct 104177005}\">Blood culture for bacteria, including anaerobic screen</span> (<span title=\"Codes: {http://snomed.info/sct 15220000}, {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory test</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN: 123456789 (OFFICIAL))</td></tr><tr><td>Reported</td><td>2013-03-11T10:28:00+01:00</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"observation-example-f206-staphylococcus.html\"><span title=\"Codes: {http://acmelabs.org 104177}, {http://loinc.org 600-7}\">Blood culture</span></a></td><td><span title=\"Codes: {http://snomed.info/sct 3092008}\">Staphylococcus aureus</span></td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation POS}\">Positive</span></td><td/></tr></table><p>Blood culture tested positive on staphylococcus aureus</p><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 428763004}\">Bacteremia due to staphylococcus</span></li></ul></div>" ]; fhir:DiagnosticReport.basedOn [ fhir:index 0; 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:15220000; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "15220000" ]; fhir:Coding.display [ fhir:value "Laboratory test" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "LAB" ] ] ]; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:104177005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "104177005" ]; fhir:Coding.display [ fhir:value "Blood culture for bacteria, including anaerobic screen" ] ] ]; fhir:DiagnosticReport.subject [ fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:DiagnosticReport.issued [ fhir:value "2013-03-11T10:28:00+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/f201" ]; fhir:Reference.display [ fhir:value "AUMC" ] ]; fhir:DiagnosticReport.result [ fhir:index 0; fhir:Reference.reference [ fhir:value "Observation/f206" ]; fhir:Reference.display [ fhir:value "Results for staphylococcus analysis on Roel's blood culture" ] ]; fhir:DiagnosticReport.conclusion [ fhir:value "Blood culture tested positive on staphylococcus aureus"]; fhir:DiagnosticReport.conclusionCode [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:428763004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "428763004" ]; fhir:Coding.display [ fhir:value "Bacteremia due to staphylococcus" ] ] ] . <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: ServiceRequest</b><a name=\"req\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest "req" </p></div><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Blood culture for bacteria, including anaerobic screen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#104177005)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example-f201-roel.html\">Patient/f201: Roel</a> "Roel"</p><p><b>encounter</b>: <a href=\"encounter-example-f203-20130311.html\">Encounter/f203: Roel's encounter on March elevanth 2013</a></p><p><b>requester</b>: <a href=\"practitioner-example-f201-ab.html\">Practitioner/f201: Dokter Bronsig</a> "Dokter Bronsig"</p></div>" ]; fhir:ServiceRequest.status [ fhir:value "active"]; fhir:ServiceRequest.intent [ fhir:value "original-order"]; fhir:ServiceRequest.code [ fhir:CodeableReference.concept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:104177005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "104177005" ]; fhir:Coding.display [ fhir:value "Blood culture for bacteria, including anaerobic screen" ] ] ] ]; fhir:ServiceRequest.subject [ fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:ServiceRequest.encounter [ fhir:Reference.reference [ fhir:value "Encounter/f203" ]; fhir:Reference.display [ fhir:value "Roel's encounter on March elevanth 2013" ] ]; fhir:ServiceRequest.requester [ fhir:Reference.reference [ fhir:value "Practitioner/f201" ]; fhir:Reference.display [ fhir:value "Dokter Bronsig" ] ] . # - ontology header ------------------------------------------------------------ [a owl:Ontology; owl:imports fhir:fhir.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.
FHIR ®© HL7.org 2011+. FHIR R5 Ballot hl7.fhir.core#5.0.0-ballot generated on Sat, Sep 10, 2022 05:02+1000.
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