R5 Final QA

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

Example Observation/example (Turtle)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification)

Simple Weight Example

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://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 -------------------------------------------------------------------

[a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"example\"> </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 &quot;example&quot; </p></div><p><b>status</b>: <span title=\"   the mandatory quality flags:   \">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. \">Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</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    \">Body Weight <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#29463-7; <a href=\"https://loinc.org/\">LOINC</a>#3141-9 &quot;Body weight Measured&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#27113001 &quot;Body weight&quot;; clinical-codes#body-weight)</span></span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href=\"encounter-example.html\">Encounter/example</a></p><p><b>effective</b>: 2016-03-28</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    &quot;tablet&quot;), etc. For these, something else is required (e.g. SNOMED CT)\n     \">185 lbs<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code [lb_av] = 'lb_av')</span></span></p></div>"
  ] ; #     the mandatory quality flags:    
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "vital-signs" ] ;
       fhir:display [ fhir:v "Vital Signs" ]
     ] )
  ] ) ; #    category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes.  
  fhir:code [
     fhir:coding ( [
       a loinc:29463-7 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "29463-7" ] ;
       fhir:display [ fhir:v "Body Weight" ] #   more generic methodless LOINC  
     ] [
       a loinc:3141-9 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "3141-9" ] ;
       fhir:display [ fhir:v "Body weight Measured" ] #   translation is more specific method = measured LOINC  
     ] [
       a sct:27113001 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "27113001" ] ;
       fhir:display [ fhir:v "Body weight" ]
     ] [
       fhir:system [ fhir:v "http://acme.org/devices/clinical-codes"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "body-weight" ] ;
       fhir:display [ fhir:v "Body Weight" ]
     ] ) #     LOINC - always recommended to have a LOINC code    
  ] ; #    
#    Observations are often coded in multiple code systems.
#      - 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
#      - snomed provides a clinically relevant code that is usually less granular than LOINC
#      - the source system provides its own code, which may be less or more granular than LOINC
#     
  fhir:subject [
     fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:encounter [
     fhir:reference [ fhir:v "Encounter/example" ]
  ] ; # 
  fhir:effective [ fhir:v "2016-03-28"^^xsd:date] ; # 
  fhir:value [
     a fhir:Quantity ;
     fhir:value [ fhir:v "185"^^xsd:decimal ] ;
     fhir:unit [ fhir:v "lbs" ] ;
     fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
     fhir:code [ fhir:v "[lb_av]" ]
  ]] . #     In FHIR, units may be represented twice. Once in the
#    agreed human representation, and once in a coded form.
#    Both is best, since it's not always possible to infer
#    one from the other in code.
#
#    When a computable unit is provided, UCUM (http://unitsofmeasure.org)
#    is always preferred, but it doesn't provide notional units (such as
#    "tablet"), etc. For these, something else is required (e.g. SNOMED CT)
#      

# -------------------------------------------------------------------------------------


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.