This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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An example of an order for home physiotherapy
@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/ServiceRequest/physiotherapy> a fhir:ServiceRequest; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "physiotherapy"]; 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>: physiotherapy</p><p><b>contained</b>: , </p><p><b>identifier</b>: Placer = 20170201-0001</p><p><b>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: Physiotherapy of chest (regime/therapy) <span>(Details : {SNOMED CT code '34431008' = 'Physiotherapy of chest', given as 'Physiotherapy of chest (regime/therapy) '})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>occurrence</b>: Duration 15days, Do 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span>(Details )</span></p><p><b>authoredOn</b>: 01/02/2017 5:23:07 PM</p><p><b>requester</b>: <a>Dr Adam Careful</a></p><p><b>reasonReference</b>: id: cystic-fibrosis; Active <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)</span>; Confirmed <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span>; Problem List Item <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span>; Mild <span>(Details : {SNOMED CT code '255604002' = 'Mild', given as 'Mild'})</span>; Cystic Fibrosis <span>(Details : {http://hl7.org/fhir/sid/icd-10-cm code 'E84.0' = 'E84.0', given as 'Cystic fibrosis with pulmonary manifestations'})</span>; onset: 12/11/2012</p><p><b>relevantHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p></div>" ]; fhir:DomainResource.contained [ a fhir:Provenance; fhir:index 0; fhir:Resource.id [ fhir:value "signature" ]; fhir:Provenance.target [ fhir:index 0; fhir:link <http://hl7.org/fhir/ServiceRequest/physiotherapy/_history/1>; fhir:Reference.reference [ fhir:value "ServiceRequest/physiotherapy/_history/1" ] ]; fhir:Provenance.recorded [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime ]; fhir:Provenance.agent [ fhir:index 0; fhir:Provenance.agent.role [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ]; fhir:Coding.code [ fhir:value "AUT" ] ] ]; fhir:Provenance.agent.who [ fhir:link <http://hl7.org/fhir/Practitioner/example>; fhir:Reference.reference [ fhir:value "Practitioner/example" ]; fhir:Reference.display [ fhir:value "Dr Adam Careful" ] ] ]; fhir:Provenance.signature [ fhir:index 0; fhir:Signature.type [ fhir:index 0; fhir:Coding.system [ fhir:value "urn:iso-astm:E1762-95:2013" ]; fhir:Coding.code [ fhir:value "1.2.840.10065.1.12.1.1" ]; fhir:Coding.display [ fhir:value "Author's Signature" ] ]; fhir:Signature.when [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime ]; fhir:Signature.who [ fhir:link <http://hl7.org/fhir/Practitioner/example>; fhir:Reference.reference [ fhir:value "Practitioner/example" ]; fhir:Reference.display [ fhir:value "Dr Adam Careful" ] ]; fhir:Signature.targetFormat [ fhir:value "application/fhir+xml" ]; fhir:Signature.sigFormat [ fhir:value "application/signature+xml" ]; fhir:Signature.data [ fhir:value "dGhpcyBibG9iIGlzIHNuaXBwZWQ="^^xsd:base64Binary ] ] ], [ a fhir:Condition; fhir:index 1; fhir:Resource.id [ fhir:value "cystic-fibrosis" ]; fhir:Condition.clinicalStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ]; fhir:Coding.code [ fhir:value "active" ] ] ]; fhir:Condition.verificationStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ]; fhir:Coding.code [ fhir:value "confirmed" ] ] ]; fhir:Condition.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ]; fhir:Coding.code [ fhir:value "problem-list-item" ]; fhir:Coding.display [ fhir:value "Problem List Item" ] ] ]; fhir:Condition.severity [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:255604002; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "255604002" ]; fhir:Coding.display [ fhir:value "Mild" ] ] ]; fhir:Condition.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ]; fhir:Coding.code [ fhir:value "E84.0" ]; fhir:Coding.display [ fhir:value "Cystic fibrosis with pulmonary manifestations" ] ]; fhir:CodeableConcept.text [ fhir:value "Cystic Fibrosis" ] ]; fhir:Condition.subject [ fhir:link <http://hl7.org/fhir/Patient/example>; fhir:Reference.reference [ fhir:value "Patient/example" ] ]; fhir:Condition.onsetDateTime [ fhir:value "2012-11-12"^^xsd:date ] ]; fhir:ServiceRequest.identifier [ fhir:index 0; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ]; fhir:Coding.code [ fhir:value "PLAC" ]; fhir:Coding.display [ fhir:value "Placer Identifier" ] ]; fhir:CodeableConcept.text [ fhir:value "Placer" ] ]; fhir:Identifier.system [ fhir:value "http://goodhealth.org/placer-ids" ]; fhir:Identifier.value [ fhir:value "20170201-0001" ] ]; fhir:ServiceRequest.basedOn [ fhir:index 0; fhir:link <http://hl7.org/fhir/CarePlan/gpvisit>; fhir:Reference.reference [ fhir:value "CarePlan/gpvisit" ] ]; fhir:ServiceRequest.status [ fhir:value "completed"]; fhir:ServiceRequest.intent [ fhir:value "order"]; fhir:ServiceRequest.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:34431008; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "34431008" ]; fhir:Coding.display [ fhir:value "Physiotherapy of chest (regime/therapy) " ] ] ]; fhir:ServiceRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/example>; fhir:Reference.reference [ fhir:value "Patient/example" ] ]; fhir:ServiceRequest.occurrenceTiming [ fhir:Timing.repeat [ fhir:Timing.repeat.duration [ fhir:value "15"^^xsd:decimal ]; fhir:Timing.repeat.durationMax [ fhir:value "25"^^xsd:decimal ]; fhir:Timing.repeat.durationUnit [ fhir:value "min" ]; fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.frequencyMax [ fhir:value "4"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ]; fhir:ServiceRequest.asNeededCodeableConcept [ fhir:CodeableConcept.text [ fhir:value "as needed to clear mucus" ] ]; fhir:ServiceRequest.authoredOn [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime]; fhir:ServiceRequest.requester [ fhir:link <http://hl7.org/fhir/Practitioner/example>; fhir:Reference.reference [ fhir:value "Practitioner/example" ]; fhir:Reference.display [ fhir:value "Dr Adam Careful" ] ]; fhir:ServiceRequest.reasonReference [ fhir:index 0; fhir:Reference.reference [ fhir:value "#cystic-fibrosis" ] ]; fhir:ServiceRequest.relevantHistory [ fhir:index 0; fhir:Reference.reference [ fhir:value "#signature" ]; fhir:Reference.display [ fhir:value "Author's Signature" ] ] . <http://hl7.org/fhir/ServiceRequest/physiotherapy/_history/1> a fhir:ServiceRequest . <http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner . <http://hl7.org/fhir/Patient/example> a fhir:Patient . <http://hl7.org/fhir/CarePlan/gpvisit> a fhir:CarePlan . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/ServiceRequest/physiotherapy.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/ServiceRequest/physiotherapy.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.