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 R2
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Real-world patient example
{ "resourceType": "Bundle", "id": "f202", "type": "collection", "entry": [ { "fullUrl": "https://example.com/base/DiagnosticReport/f202", "resource": { "resourceType": "DiagnosticReport", "id": "f202", "text": { "status": "generated", "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>" }, "basedOn": [ { "reference": "ServiceRequest/req" } ], "status": "final", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "15220000", "display": "Laboratory test" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "LAB" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "104177005", "display": "Blood culture for bacteria, including anaerobic screen" } ] }, "subject": { "reference": "Patient/f201", "display": "Roel" }, "issued": "2013-03-11T10:28:00+01:00", "performer": [ { "reference": "Organization/f201", "display": "AUMC" } ], "result": [ { "reference": "Observation/f206", "display": "Results for staphylococcus analysis on Roel's blood culture" } ], "conclusion": "Blood culture tested positive on staphylococcus aureus", "conclusionCode": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "428763004", "display": "Bacteremia due to staphylococcus" } ] } ] } }, { "fullUrl": "https://example.com/base/ServiceRequest/req", "resource": { "resourceType": "ServiceRequest", "id": "req", "text": { "status": "generated", "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>" }, "status": "active", "intent": "original-order", "code": { "concept": { "coding": [ { "system": "http://snomed.info/sct", "code": "104177005", "display": "Blood culture for bacteria, including anaerobic screen" } ] } }, "subject": { "reference": "Patient/f201", "display": "Roel" }, "encounter": { "reference": "Encounter/f203", "display": "Roel's encounter on March elevanth 2013" }, "requester": { "reference": "Practitioner/f201", "display": "Dokter Bronsig" } } } ] }
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.