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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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Example of an Observations made about a location - an oyster farm
@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 "vp-oyster"] ; # 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=\"vp-oyster\"> </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 "vp-oyster" </p></div><p><b>identifier</b>: id: 20171014-1234 (use: OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: <span title=\" \n Observations are often coded in multiple code systems.\n - LOINC\n - or SNOMED\n -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC.\n In this example there is only local codes\n \">OYSTER TESTING <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#41857-4 "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method"; test-codes#VP MULTI PCR "VP MULTI PCR")</span></span></p><p><b>subject</b>: <span>: Sonoma oyster farm</span></p><p><b>effective</b>: 2017-10-12</p><p><b>issued</b>: 15 Oct 2017, 10:11:24 am</p><p><b>performer</b>: <a href=\"practitioner-example-f005-al.html\">Practitioner/f005: A. Langeveld</a> "Langeveld ANNE"</p><p><b>value</b>: <span title=\" results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive \">POSITIVE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004 "Positive (qualifier value)"; result-codes#POSITIVE)</span></span></p><p><b>interpretation</b>: Abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#A)</span></p><p><b>specimen</b>: <a name=\"group1\"> </a></p><blockquote><p/><p><a name=\"group1\"> </a></p><p><b>type</b>: animal</p><p><b>membership</b>: enumerated</p><blockquote><p><b>member</b></p><p><b>entity</b>: <a href=\"#bed1\">#bed1</a></p></blockquote><blockquote><p><b>member</b></p><p><b>entity</b>: <a href=\"#bed2\">#bed2</a></p></blockquote></blockquote><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>NEGATIVE</td></tr></table></div>" ] ; # fhir:contained ( [ a fhir:Specimen ; fhir:id [ fhir:v "bed1" ] ; fhir:note ( [ fhir:text [ fhir:v "Live Oysters Acc#20171014-1234 from Bed 1" ] ] ) ] [ a fhir:Specimen ; fhir:id [ fhir:v "bed2" ] ; fhir:note ( [ fhir:text [ fhir:v "Live Oysters Acc#20171014-1234 from Bed 2" ] ] ) ] [ a fhir:Group ; fhir:id [ fhir:v "group1" ] ; fhir:type [ fhir:v "animal" ] ; fhir:membership [ fhir:v "enumerated" ] ; fhir:member ( [ fhir:entity [ fhir:reference [ fhir:v "#bed1" ] ] ] [ fhir:entity [ fhir:reference [ fhir:v "#bed2" ] ] ] ) ] ) ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory"^^xsd:anyURI ] ; fhir:value [ fhir:v "20171014-1234" ] ] ) ; # fhir:status [ fhir:v "preliminary"] ; # fhir:code [ fhir:coding ( [ a loinc:41857-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "41857-4" ] ; fhir:display [ fhir:v "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method" ] ] [ fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes"^^xsd:anyURI ] ; fhir:code [ fhir:v "VP MULTI PCR" ] ; fhir:display [ fhir:v "VP MULTI PCR" ] ] ) ; # Should use a proper LOINC code fhir:text [ fhir:v "OYSTER TESTING" ] ] ; # # 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:subject [ fhir:display [ fhir:v "Sonoma oyster farm" ] # reference value=\"Location\/oyster-farm\"\/ ] ; # fhir:effective [ fhir:v "2017-10-12"^^xsd:date] ; # fhir:issued [ fhir:v "2017-10-14T23:11:24Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/f005" ] ; fhir:display [ fhir:v "A. Langeveld" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ a sct:10828004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "10828004" ] ; fhir:display [ fhir:v "Positive (qualifier value)" ] ] [ fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes"^^xsd:anyURI ] ; fhir:code [ fhir:v "POSITIVE" ] ; fhir:display [ fhir:v "POSITIVE" ] ] ) ; # SNOMED CT codes fhir:text [ fhir:v "POSITIVE" ] ] ; # results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive fhir:interpretation ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ; fhir:code [ fhir:v "A" ] ; fhir:display [ fhir:v "Abnormal" ] ] ) ] ) ; # fhir:specimen [ fhir:reference [ fhir:v "#group1" ] ] ; # fhir:referenceRange ( [ fhir:text [ fhir:v "NEGATIVE" ] ] )] . # # -------------------------------------------------------------------------------------
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.
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