This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
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An example of a genetics test report with Family member history
@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/dg2> a fhir:Bundle; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "dg2"]; fhir:Bundle.type [ fhir:value "collection"]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/DiagnosticReport/dg2" ]; fhir:Bundle.entry.resource <https://example.com/base/DiagnosticReport/dg2> ], [ fhir:index 1; fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/FamilyMemberHistory/f1-genetics" ]; fhir:Bundle.entry.resource <https://example.com/base/FamilyMemberHistory/f1-genetics> ] . <https://example.com/base/DiagnosticReport/dg2> a fhir:DiagnosticReport; fhir:Resource.id [ fhir:value "dg2"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h3>Genetic test Report for Marry Chalmers (MRN: 12345) </h3>\n <pre>\n Gene DNAVariation Status Interpretation\n BRCA1 Negative\n BRCA2 185delAG Positive Pathogenic\n </pre>\n <p> Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc </p>\n <p> Issued: 2015-05-26T15:30:10+01:00</p>\n <p> FamilyMemeberHistory: Mother </p>\n <pre>\n Gene DNAVariation Status\n BRCA2 185delAG Positive\n </pre>\n <p> Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc </p>\n </div>" ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory" ]; fhir:Extension.valueReference [ fhir:link <http://hl7.org/fhir/FamilyMemberHistory/f1-genetics>; fhir:Reference.reference [ fhir:value "FamilyMemberHistory/f1-genetics" ] ] ]; 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 loinc:55233-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "55233-1" ]; fhir:Coding.display [ fhir:value "Genetic analysis master panel" ] ] ]; fhir:DiagnosticReport.subject [ fhir:link <http://hl7.org/fhir/Patient/example>; fhir:Reference.reference [ fhir:value "Patient/example" ]; fhir:Reference.display [ fhir:value "Peter James Chalmers(MRN: 12345)" ] ]; fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2015-05-26T15:30:10+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.issued [ fhir:value "2014-05-16T10:28:00+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:link <http://hl7.org/fhir/Practitioner/genetics-example2>; fhir:Reference.reference [ fhir:value "Practitioner/genetics-example2" ]; fhir:Reference.display [ fhir:value "Molecular Diagnostic Laboratory" ] ]; fhir:DiagnosticReport.specimen [ fhir:index 0; fhir:link <http://hl7.org/fhir/Specimen/genetics-example2>; fhir:Reference.reference [ fhir:value "Specimen/genetics-example2" ]; fhir:Reference.display [ fhir:value "Molecular Specimen ID: MLD45-Z4-1234" ] ]; fhir:DiagnosticReport.result [ fhir:index 0; fhir:link <http://hl7.org/fhir/Observation/ob-genetics-3-1>; fhir:Reference.reference [ fhir:value "Observation/ob-genetics-3-1" ]; fhir:Reference.display [ fhir:value "Genetic analysis for BRAC -1" ] ], [ fhir:index 1; fhir:link <http://hl7.org/fhir/Observation/ob-genetics-3-2>; fhir:Reference.reference [ fhir:value "Observation/ob-genetics-3-2" ]; fhir:Reference.display [ fhir:value "Genetic analysis for BRAC -2" ] ] . <http://hl7.org/fhir/FamilyMemberHistory/f1-genetics> a fhir:FamilyMemberHistory . <http://hl7.org/fhir/Patient/example> a fhir:Patient . <http://hl7.org/fhir/Practitioner/genetics-example2> a fhir:Practitioner . <http://hl7.org/fhir/Specimen/genetics-example2> a fhir:Specimen . <http://hl7.org/fhir/Observation/ob-genetics-3-1> a fhir:Observation . <http://hl7.org/fhir/Observation/ob-genetics-3-2> a fhir:Observation . <https://example.com/base/FamilyMemberHistory/f1-genetics> a fhir:FamilyMemberHistory; fhir:Resource.id [ fhir:value "f1-genetics"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div><p>Resource "f1-genetics" </p></div><p><b>observation</b>: <a>Observation/dgf1</a></p><p><b>status</b>: completed</p><p><b>patient</b>: <a>Patient/example</a> "Peter CHALMERS"</p><p><b>relationship</b>: Mother <span> (<a>RoleCode</a>#MTH)</span></p></div>" ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation" ]; fhir:Extension.valueReference [ fhir:link <http://hl7.org/fhir/Observation/dgf1>; fhir:Reference.reference [ fhir:value "Observation/dgf1" ] ] ]; fhir:FamilyMemberHistory.status [ fhir:value "completed"]; fhir:FamilyMemberHistory.patient [ fhir:link <http://hl7.org/fhir/Patient/example>; fhir:Reference.reference [ fhir:value "Patient/example" ] ]; fhir:FamilyMemberHistory.relationship [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ]; fhir:Coding.code [ fhir:value "MTH" ]; fhir:Coding.display [ fhir:value "Mother" ] ] ] . <http://hl7.org/fhir/Observation/dgf1> a fhir:Observation . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/dg2.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Bundle/dg2.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.