This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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 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:DiagnosticReport; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f201"]; 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 429858000}\">CT of head-neck</span> (<span title=\"Codes: {http://snomed.info/sct 394914008}, {http://terminology.hl7.org/CodeSystem/v2-0074 RAD}\">Radiology</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>When For</td><td>2012-12-01T12:00:00+01:00</td></tr><tr><td>Reported</td><td>2012-12-01T12:00:00+01:00</td></tr></table><p><b>Report Details</b></p><p>CT brains: large tumor sphenoid/clivus.</p><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 188340000}\">Malignant tumor of craniopharyngeal duct</span></li></ul></div>" ]; fhir:DomainResource.contained [ a fhir:ImagingStudy; fhir:index 0; fhir:Resource.id [ fhir:value "is1" ]; fhir:ImagingStudy.status [ fhir:value "available" ]; fhir:ImagingStudy.subject [ fhir:Reference.reference [ fhir:value "Patient/f201" ] ]; fhir:ImagingStudy.description [ fhir:value "HEAD and NECK CT DICOM imaging study" ] ]; fhir:DiagnosticReport.status [ fhir:value "final"]; fhir:DiagnosticReport.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:394914008; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "394914008" ]; fhir:Coding.display [ fhir:value "Radiology" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "RAD" ] ] ]; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:429858000; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "429858000" ]; fhir:Coding.display [ fhir:value "Computed tomography (CT) of head and neck" ] ]; fhir:CodeableConcept.text [ fhir:value "CT of head-neck" ] ]; fhir:DiagnosticReport.subject [ fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.issued [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/f203" ]; fhir:Reference.display [ fhir:value "Blijdorp MC" ] ]; fhir:DiagnosticReport.study [ fhir:index 0; fhir:Reference.reference [ fhir:value "#is1" ] ]; fhir:DiagnosticReport.conclusion [ fhir:value "CT brains: large tumor sphenoid/clivus."]; fhir:DiagnosticReport.conclusionCode [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:188340000; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "188340000" ]; fhir:Coding.display [ fhir:value "Malignant tumor of craniopharyngeal duct" ] ] ]] . # - 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.