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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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An example of a herd screening ELISA assay for Mycoplasmal Pneumonia in Pigs.
@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 xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "herd1"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"herd1\"> </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 Observation "herd1" </p></div><p><b>status</b>: <span title=\" the mandatory status \">final</span></p><p><b>category</b>: <span title=\" category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes. \">Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></span></p><p><b>code</b>: <span title=\" \n Observations are often coded in multiple code systems.\n - LOINC provides codes of varying granularity (though not usefully more specific in this particular case) and more generic LOINCs can be mapped to more specific codes as shown here\n - snomed provides a clinically relevant code that is usually less granular than LOINC\n - the source system provides its own code, which may be less or more granular than LOINC\n \">Mycoplasma hyopneumoniae - MHP <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80219-9 "Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay"; clinical-codes#Mycoplasma "Mycoplasma")</span></span></p><p><b>subject</b>: <span title=\" subject is a herd of 2500 breding sows \"><a href=\"group-example-herd1.html\">Group/herd1</a> "Breeding herd"</span></p><p><b>encounter</b>: <span>: part of a health assurance program</span></p><p><b>effective</b>: 2017-11-20</p><p><b>value</b>: <span title=\" In FHIR, units may be represented twice. Once in the\n agreed human representation, and once in a coded form.\n Both is best, since it's not always possible to infer\n one from the other in code.\n\n When a computable unit is provided, UCUM (http://unitsofmeasure.org)\n is always preferred, but it doesn't provide notional units (such as\n "tablet"), etc. For these, something else is required (e.g. SNOMED CT)\n \">0.2 % (sample/positive control)<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></span></p><p><b>interpretation</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#NEG)</span></p><p><b>specimen</b>: <span title=\" Specimen is a pooled serology sample of 30 animals. \"><a href=\"specimen-example-pooled-serum.html\">Specimen/pooled-serum: 30 serum</a></span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>>0.4 Positive; 0.3 to 0.4 Suspect < 0.3 Negative</td></tr></table></div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ]; fhir:Coding.code [ fhir:value "laboratory" ]; fhir:Coding.display [ fhir:value "Laboratory" ] ]; fhir:CodeableConcept.text [ fhir:value "Laboratory" ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:80219-9; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "80219-9" ]; fhir:Coding.display [ fhir:value "Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://acme.org/devices/clinical-codes" ]; fhir:Coding.code [ fhir:value "Mycoplasma" ]; fhir:Coding.display [ fhir:value "Mycoplasma" ] ]; fhir:CodeableConcept.text [ fhir:value "Mycoplasma hyopneumoniae - MHP" ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Group/herd1" ] ]; fhir:Observation.encounter [ fhir:Reference.display [ fhir:value "part of a health assurance program" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2017-11-20"^^xsd:date]; fhir:Observation.valueQuantity [ fhir:Quantity.value [ fhir:value "0.2"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "% (sample/positive control)" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "%" ] ]; fhir:Observation.interpretation [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ]; fhir:Coding.code [ fhir:value "NEG" ]; fhir:Coding.display [ fhir:value "Negative" ] ]; fhir:CodeableConcept.text [ fhir:value "Negative" ] ]; fhir:Observation.specimen [ fhir:Reference.reference [ fhir:value "Specimen/pooled-serum" ]; fhir:Reference.display [ fhir:value "30 serum" ] ]; fhir:Observation.referenceRange [ fhir:index 0; fhir:Observation.referenceRange.text [ fhir:value ">0.4 Positive; 0.3 to 0.4 Suspect < 0.3 Negative" ] ]] . # - 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.