Release 5
WorkflowThis page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). 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 -------------------------------------------------------------------
[a fhir:ServiceRequest ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "physiotherapy"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"physiotherapy\"> </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 ServiceRequest "physiotherapy" </p></div><p><b>identifier</b>: Placer: 20170201-0001</p><p><b>basedOn</b>: <span title=\" example to show how a CarePlan can be referenced from a request \"><a href=\"careplan-example-GPVisit.html\">CarePlan/gpvisit</a></span></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Physiotherapy of chest (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#34431008)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>occurrence</b>: Duration 15days, 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>authoredOn</b>: <span title=\" TimeStamp when order authorized \">2017-02-01T17:23:07Z</span></p><p><b>requester</b>: <a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"cystic-fibrosis\"> </a><blockquote><p/><p><a name=\"cystic-fibrosis\"> </a></p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>severity</b>: Mild <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255604002)</span></p><p><b>code</b>: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E84.0 "Cystic fibrosis with pulmonary manifestations")</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>onset</b>: 2012-11-12</p></blockquote></td></tr></table><p><b>relevantHistory</b>: <span title=\" demonstrating in this example the relevant history element using a contained resource for the purpose of this example only typically would reference an external resource \"><a name=\"signature\"> </a></span></p><blockquote><p/><p><a name=\"signature\"> </a></p><p><b>target</b>: <a href=\"servicerequest-example2.html\">ServiceRequest/physiotherapy/_history/1</a></p><p><b>recorded</b>: 2 Feb 2017, 4:23:07 am</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>2 Feb 2017, 4:23:07 am</td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td></tr></table></blockquote></div>"
] ; # demonstrating in this example the reason reference element using contained resources for the purpose of this example only typically this would be a separate independent resource
fhir:contained ( [
a fhir:Provenance ;
fhir:id [ fhir:v "signature" ] ;
fhir:target ( [
fhir:reference [ fhir:v "ServiceRequest/physiotherapy/_history/1" ]
] ) ;
fhir:recorded [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
fhir:agent ( [
fhir:role ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AUT" ]
] )
] ) ;
fhir:who [
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Dr Adam Careful" ]
]
] ) ;
fhir:signature ( [
fhir:type ( [
fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1.2.840.10065.1.12.1.1" ] ;
fhir:display [ fhir:v "Author's Signature" ]
] ) ;
fhir:when [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
fhir:who [
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Dr Adam Careful" ]
] ;
fhir:targetFormat [ fhir:v "application/fhir+xml" ] ;
fhir:sigFormat [ fhir:v "application/signature+xml" ] ;
fhir:data [ fhir:v "dGhpcyBibG9iIGlzIHNuaXBwZWQ="^^xsd:base64Binary ]
] )
] [
a fhir:Condition ;
fhir:id [ fhir:v "cystic-fibrosis" ] ;
fhir:clinicalStatus [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ]
] )
] ;
fhir:verificationStatus [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ]
] )
] ;
fhir:category ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "problem-list-item" ] ;
fhir:display [ fhir:v "Problem List Item" ]
] )
] ) ;
fhir:severity [
fhir:coding ( [
a sct:255604002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "255604002" ] ;
fhir:display [ fhir:v "Mild" ]
] )
] ;
fhir:code [
fhir:coding ( [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "E84.0" ] ;
fhir:display [ fhir:v "Cystic fibrosis with pulmonary manifestations" ]
] ) ;
fhir:text [ fhir:v "Cystic Fibrosis" ]
] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/example" ]
] ;
fhir:onset [ fhir:v "2012-11-12"^^xsd:date ]
] ) ; #
fhir:identifier ( [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PLAC" ] ;
fhir:display [ fhir:v "Placer Identifier" ]
] ) ;
fhir:text [ fhir:v "Placer" ]
] ;
fhir:system [ fhir:v "http://goodhealth.org/placer-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "20170201-0001" ]
] ) ; #
fhir:basedOn ( [
fhir:reference [ fhir:v "CarePlan/gpvisit" ]
] ) ; # example to show how a CarePlan can be referenced from a request
fhir:status [ fhir:v "completed"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:code [
fhir:concept [
fhir:coding ( [
a sct:34431008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "34431008" ] ;
fhir:display [ fhir:v "Physiotherapy of chest (regime/therapy)" ]
] )
]
] ; # Physiotherapy or home excercises would be a common use case for as needed. E.g. exercises for cystic fibrosis - "Chest therapy 1-4 times per day as needed to clear mucus"
fhir:subject [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:occurrence [
a fhir:Timing ;
fhir:repeat [
fhir:duration [ fhir:v "15"^^xsd:decimal ] ;
fhir:durationMax [ fhir:v "25"^^xsd:decimal ] ;
fhir:durationUnit [ fhir:v "min" ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:frequencyMax [ fhir:v "4"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]
]
] ; #
fhir:asNeeded [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "as needed to clear mucus" ]
] ; #
fhir:authoredOn [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime] ; # TimeStamp when order authorized
fhir:requester [
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Dr Adam Careful" ]
] ; #
fhir:reason ( [
fhir:reference [
fhir:reference [ fhir:v "#cystic-fibrosis" ]
]
] ) ; # demonstrating in this example the reason reference element using a contained resource for the purpose of this example only typically would reference an external resource
fhir:relevantHistory ( [
fhir:reference [ fhir:v "#signature" ] ;
fhir:display [ fhir:v "Author's Signature" ]
] )] . # demonstrating in this example the relevant history element using a contained resource for the purpose of this example only typically would reference an external resource
# -------------------------------------------------------------------------------------
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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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