Example of a multi-select values/answers Observation with individual answers/values as components
@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 -------------------------------------------------------------------
#
# This is an example of a multi-select values/answers as a single observatio using components to group the multiple answers
#
[a fhir:Observation ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "alcohol-type"] ; #
fhir:status [ fhir:v "final"] ; # the mandatory quality flags:
fhir:category ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "social-history" ] ;
fhir:display [ fhir:v "Social History" ]
] ) ;
fhir:text [ fhir:v "Social History" ]
] ) ; #
# Observations are often coded in multiple code systems.
# - LOINC
# - or SNOMED
# -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC.
# In this example there is only local codes
#
fhir:code [
fhir:coding ( [
fhir:system [ fhir:v "http://acme-rehab.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "alcohol-type" ] ;
fhir:display [ fhir:v "Type of alcohol consumed" ]
] ) ; # Local - unable to identify a proper LOINC code
fhir:text [ fhir:v "Type of alcohol consumed" ]
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/example" ] ;
fhir:display [ fhir:v "Peter James Chalmers" ]
] ; #
fhir:effective [ fhir:v "2014-12-11T04:44:16Z"^^xsd:dateTime] ; #
fhir:component ( [
fhir:code [
fhir:coding ( [
fhir:system [ fhir:v "http://acme-rehab.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "alcohol-type" ]
] ) # Local - unable to identify a proper LOINC code
] ; # component.code is same as code
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:35748005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "35748005" ] ;
fhir:display [ fhir:v "Wine (substance)" ]
] ) ;
fhir:text [ fhir:v "Wine" ]
] # coded value using SNONED-CT, could also use a local code here or only text
] [
fhir:code [
fhir:coding ( [
fhir:system [ fhir:v "http://acme-rehab.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "alcohol-type" ]
] ) # Local - unable to identify a proper LOINC code
] ; # component.code is same as code
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:53410008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "53410008" ] ;
fhir:display [ fhir:v "Beer (substance)" ]
] ) ;
fhir:text [ fhir:v "Beer" ]
] # coded value using SNONED-CT, could also use a local code here or only text
] [
fhir:code [
fhir:coding ( [
fhir:system [ fhir:v "http://acme-rehab.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "alcohol-type" ]
] ) # Local - unable to identify a proper LOINC code
] ; # component.code is same as code
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:6524003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "6524003" ] ;
fhir:display [ fhir:v "Distilled spirits (substance)" ]
] ) ;
fhir:text [ fhir:v "Liquor" ]
] # coded value using SNONED-CT, could also use a local code here or only text
] )] . # When the code is the same as component.code the value element must be empty per invariant obs-7
# , Using components since multi-select values/answers share the same attributes (such as id, performer, effective date, status, comment.. , answer 1
# -------------------------------------------------------------------------------------
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.