This page is part of the FHIR Specification (v3.0.2: STU 3). 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 | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
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 ------------------------------------------------------------------- <http://hl7.org/fhir/DiagnosticReport/f202> a fhir:DiagnosticReport; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f202"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f202</p><p><b>contained</b>: </p><p><b>basedOn</b>: id: req; status: active; intent: original-order; Blood culture for bacteria, including anaerobic screen <span>(Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})</span>; Roel; Roel's encounter on March eleventh 2013</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory test <span>(Details : {SNOMED CT code '15220000' = 'Laboratory test', given as 'Laboratory test'}; {http://hl7.org/fhir/v2/0074 code 'LAB' = 'Laboratory)</span></p><p><b>code</b>: Blood culture for bacteria, including anaerobic screen <span>(Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: 11/03/2013 10:28:00 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>AUMC</a></td></tr></table><p><b>result</b>: <a>Results for staphylococcus analysis on Roel's blood culture</a></p><p><b>conclusion</b>: Blood culture tested positive on staphylococcus aureus</p><p><b>codedDiagnosis</b>: Bacteremia due to staphylococcus <span>(Details : {SNOMED CT code '428763004' = 'Bacteremia due to Staphylococcus aureus', given as 'Bacteremia due to staphylococcus'})</span></p></div>" ]; fhir:DomainResource.contained [ a fhir:ProcedureRequest; fhir:index 0; fhir:Resource.id [ fhir:value "req" ]; fhir:ProcedureRequest.status [ fhir:value "active" ]; fhir:ProcedureRequest.intent [ fhir:value "original-order" ]; fhir:ProcedureRequest.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:104177005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "104177005" ]; fhir:Coding.display [ fhir:value "Blood culture for bacteria, including anaerobic screen" ] ] ]; fhir:ProcedureRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/f201>; fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:ProcedureRequest.context [ fhir:link <http://hl7.org/fhir/Encounter/f203>; fhir:Reference.reference [ fhir:value "Encounter/f203" ]; fhir:Reference.display [ fhir:value "Roel's encounter on March eleventh 2013" ] ]; fhir:ProcedureRequest.requester [ fhir:ProcedureRequest.requester.agent [ fhir:link <http://hl7.org/fhir/Practitioner/f201>; fhir:Reference.reference [ fhir:value "Practitioner/f201" ]; fhir:Reference.display [ fhir:value "Dokter Bronsig" ] ] ] ]; fhir:DiagnosticReport.basedOn [ fhir:index 0; fhir:Reference.reference [ fhir:value "#req" ] ]; fhir:DiagnosticReport.status [ fhir:value "final"]; fhir:DiagnosticReport.category [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:15220000; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "15220000" ]; fhir:Coding.display [ fhir:value "Laboratory test" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v2/0074" ]; fhir:Coding.code [ fhir:value "LAB" ] ] ]; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:104177005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "104177005" ]; fhir:Coding.display [ fhir:value "Blood culture for bacteria, including anaerobic screen" ] ] ]; fhir:DiagnosticReport.subject [ fhir:link <http://hl7.org/fhir/Patient/f201>; fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:DiagnosticReport.issued [ fhir:value "2013-03-11T10:28:00+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:DiagnosticReport.performer.actor [ fhir:link <http://hl7.org/fhir/Organization/f201>; fhir:Reference.reference [ fhir:value "Organization/f201" ]; fhir:Reference.display [ fhir:value "AUMC" ] ] ]; fhir:DiagnosticReport.result [ fhir:index 0; fhir:link <http://hl7.org/fhir/Observation/f206>; fhir:Reference.reference [ fhir:value "Observation/f206" ]; fhir:Reference.display [ fhir:value "Results for staphylococcus analysis on Roel's blood culture" ] ]; fhir:DiagnosticReport.conclusion [ fhir:value "Blood culture tested positive on staphylococcus aureus"]; fhir:DiagnosticReport.codedDiagnosis [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:428763004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "428763004" ]; fhir:Coding.display [ fhir:value "Bacteremia due to staphylococcus" ] ] ] . <http://hl7.org/fhir/Patient/f201> a fhir:Patient . <http://hl7.org/fhir/Encounter/f203> a fhir:Encounter . <http://hl7.org/fhir/Practitioner/f201> a fhir:Practitioner . <http://hl7.org/fhir/Organization/f201> a fhir:Organization . <http://hl7.org/fhir/Observation/f206> a fhir:Observation . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/DiagnosticReport/f202.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://hl7.org/fhir/STU3/DiagnosticReport/f202.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.