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 loinc: <http://loinc.org/owl#> . @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/f001> a fhir:DiagnosticReport; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f001"]; 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>: f001</p><p><b>contained</b>: </p><p><b>identifier</b>: nr1239044 (OFFICIAL)</p><p><b>basedOn</b>: id: req; L2381; status: active; intent: original-order; Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span>; P. van den Heuvel; ????; Annotation: patient almost fainted during procedure</p><p><b>status</b>: final</p><p><b>category</b>: Haematology test <span>(Details : {SNOMED CT code '252275004' = 'Haematology test', given as 'Haematology test'}; {http://hl7.org/fhir/v2/0074 code 'HM' = 'Hematology)</span></p><p><b>code</b>: Complete blood count (hemogram) panel - Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van den Heuvel</a></p><p><b>issued</b>: 15/05/2013 7:32:52 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Burgers University Medical Centre</a></td></tr></table><p><b>result</b>: </p><ul><li><a>Observation/f001</a></li><li><a>Observation/f002</a></li><li><a>Observation/f003</a></li><li><a>Observation/f004</a></li><li><a>Observation/f005</a></li></ul><p><b>conclusion</b>: Core lab</p></div>" ]; fhir:DomainResource.contained [ a fhir:ProcedureRequest; fhir:index 0; fhir:Resource.id [ fhir:value "req" ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/bodysitecode" ]; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:14975008; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "14975008" ]; fhir:Coding.display [ fhir:value "Forearm structure" ] ] ] ]; fhir:ProcedureRequest.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://www.bmc.nl/zorgportal/identifiers/labresults" ]; fhir:Identifier.value [ fhir:value "L2381" ] ]; fhir:ProcedureRequest.status [ fhir:value "active" ]; fhir:ProcedureRequest.intent [ fhir:value "original-order" ]; fhir:ProcedureRequest.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:58410-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "58410-2" ]; fhir:Coding.display [ fhir:value "Complete blood count (hemogram) panel - Blood by Automated count" ] ] ]; fhir:ProcedureRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/f001>; fhir:Reference.reference [ fhir:value "Patient/f001" ]; fhir:Reference.display [ fhir:value "P. van den Heuvel" ] ]; fhir:ProcedureRequest.context [ fhir:link <http://hl7.org/fhir/Encounter/f001>; fhir:Reference.reference [ fhir:value "Encounter/f001" ] ]; fhir:ProcedureRequest.requester [ fhir:ProcedureRequest.requester.agent [ fhir:link <http://hl7.org/fhir/Practitioner/f001>; fhir:Reference.reference [ fhir:value "Practitioner/f001" ]; fhir:Reference.display [ fhir:value "E.van den Broek" ] ] ]; fhir:ProcedureRequest.note [ fhir:index 0; fhir:Annotation.text [ fhir:value "patient almost fainted during procedure" ] ] ]; fhir:DiagnosticReport.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.system [ fhir:value "http://www.bmc.nl/zorgportal/identifiers/reports" ]; fhir:Identifier.value [ fhir:value "nr1239044" ] ]; 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:252275004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "252275004" ]; fhir:Coding.display [ fhir:value "Haematology test" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v2/0074" ]; fhir:Coding.code [ fhir:value "HM" ] ] ]; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:58410-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "58410-2" ]; fhir:Coding.display [ fhir:value "Complete blood count (hemogram) panel - Blood by Automated count" ] ] ]; fhir:DiagnosticReport.subject [ fhir:link <http://hl7.org/fhir/Patient/f001>; fhir:Reference.reference [ fhir:value "Patient/f001" ]; fhir:Reference.display [ fhir:value "P. van den Heuvel" ] ]; fhir:DiagnosticReport.issued [ fhir:value "2013-05-15T19:32:52+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:DiagnosticReport.performer.actor [ fhir:link <http://hl7.org/fhir/Organization/f001>; fhir:Reference.reference [ fhir:value "Organization/f001" ]; fhir:Reference.display [ fhir:value "Burgers University Medical Centre" ] ] ]; fhir:DiagnosticReport.result [ fhir:index 0; fhir:link <http://hl7.org/fhir/Observation/f001>; fhir:Reference.reference [ fhir:value "Observation/f001" ] ], [ fhir:index 1; fhir:link <http://hl7.org/fhir/Observation/f002>; fhir:Reference.reference [ fhir:value "Observation/f002" ] ], [ fhir:index 2; fhir:link <http://hl7.org/fhir/Observation/f003>; fhir:Reference.reference [ fhir:value "Observation/f003" ] ], [ fhir:index 3; fhir:link <http://hl7.org/fhir/Observation/f004>; fhir:Reference.reference [ fhir:value "Observation/f004" ] ], [ fhir:index 4; fhir:link <http://hl7.org/fhir/Observation/f005>; fhir:Reference.reference [ fhir:value "Observation/f005" ] ]; fhir:DiagnosticReport.conclusion [ fhir:value "Core lab"] . <http://hl7.org/fhir/Patient/f001> a fhir:Patient . <http://hl7.org/fhir/Encounter/f001> a fhir:Encounter . <http://hl7.org/fhir/Practitioner/f001> a fhir:Practitioner . <http://hl7.org/fhir/Organization/f001> a fhir:Organization . <http://hl7.org/fhir/Observation/f001> a fhir:Observation . <http://hl7.org/fhir/Observation/f002> a fhir:Observation . <http://hl7.org/fhir/Observation/f003> a fhir:Observation . <http://hl7.org/fhir/Observation/f004> a fhir:Observation . <http://hl7.org/fhir/Observation/f005> a fhir:Observation . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/DiagnosticReport/f001.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://hl7.org/fhir/STU3/DiagnosticReport/f001.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.