This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "f202"] ; # fhir:type [ fhir:v "collection"] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "https://example.com/base/DiagnosticReport/f202"^^xsd:anyURI ] ; fhir:resource ( <https://example.com/base/DiagnosticReport/f202> ) ] [ fhir:fullUrl [ fhir:v "https://example.com/base/ServiceRequest/req"^^xsd:anyURI ] ; fhir:resource ( <https://example.com/base/ServiceRequest/req> ) ] )] . # <https://example.com/base/DiagnosticReport/f202> a fhir:DiagnosticReport ; fhir:id [ fhir:v "f202"] ; # No identifier was available fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir: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 (use: 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><div><p>Blood culture tested positive on staphylococcus aureus</p>\n</div><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:basedOn ( [ fhir:reference [ fhir:v "ServiceRequest/req" ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ fhir:coding ( [ a sct:15220000 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "15220000" ] ; fhir:display [ fhir:v "Laboratory test" ] ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ; fhir:code [ fhir:v "LAB" ] ] ) # Lab test ] ) ; # fhir:code [ fhir:coding ( [ a sct:104177005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "104177005" ] ; fhir:display [ fhir:v "Blood culture for bacteria, including anaerobic screen" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/f201" ] ; fhir:display [ fhir:v "Roel" ] ] ; # fhir:issued [ fhir:v "2013-03-11T10:28:00+01:00"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Organization/f201" ] ; fhir:display [ fhir:v "AUMC" ] ] ) ; # fhir:result ( [ fhir:reference [ fhir:v "Observation/f206" ] ; fhir:display [ fhir:v "Results for staphylococcus analysis on Roel's blood culture" ] ] ) ; # fhir:conclusion [ fhir:v "Blood culture tested positive on staphylococcus aureus"] ; # fhir:conclusionCode ( [ fhir:coding ( [ a sct:428763004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "428763004" ] ; fhir:display [ fhir:v "Bacteremia due to staphylococcus" ] ] ) ] ) . # <https://example.com/base/ServiceRequest/req> a fhir:ServiceRequest ; fhir:id [ fhir:v "req"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir: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:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "original-order"] ; # fhir:code [ fhir:concept [ fhir:coding ( [ a sct:104177005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "104177005" ] ; fhir:display [ fhir:v "Blood culture for bacteria, including anaerobic screen" ] ] ) ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/f201" ] ; fhir:display [ fhir:v "Roel" ] ] ; # fhir:encounter [ fhir:reference [ fhir:v "Encounter/f203" ] ; fhir:display [ fhir:v "Roel's encounter on March elevanth 2013" ] ] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/f201" ] ; fhir:display [ fhir:v "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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:06+1100.
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