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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 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 ------------------------------------------------------------------- [a fhir:Observation ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "alcohol-type"] ; # 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=\"alcohol-type\"> </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 "alcohol-type" </p></div><p><b>status</b>: <span title=\" the mandatory quality flags: \">final</span></p><p><b>category</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 \">Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></span></p><p><b>code</b>: Type of alcohol consumed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (acme-rehab.org#alcohol-type)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example: Peter James Chalmers</a> "Peter CHALMERS"</p><p><b>effective</b>: 2014-12-11T04:44:16Z</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\" component.code is same as code \">alcohol-type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (acme-rehab.org#alcohol-type)</span></span></p><p><b>value</b>: <span title=\" coded value using SNONED-CT, could also use a local code here or only text \">Wine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#35748005 "Wine (substance)")</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\" component.code is same as code \">alcohol-type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (acme-rehab.org#alcohol-type)</span></span></p><p><b>value</b>: <span title=\" coded value using SNONED-CT, could also use a local code here or only text \">Beer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#53410008 "Beer (substance)")</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\" component.code is same as code \">alcohol-type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (acme-rehab.org#alcohol-type)</span></span></p><p><b>value</b>: <span title=\" coded value using SNONED-CT, could also use a local code here or only text \">Liquor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6524003 "Distilled spirits (substance)")</span></span></p></blockquote></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 "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.
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