FHIR Release 3 (STU)

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

Diagnosticreport-example-f201-brainct.ttl

Orders and Observations Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

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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/f201> a fhir:DiagnosticReport;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "f201"];
  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>: f201</p><p><b>status</b>: final</p><p><b>category</b>: Radiology <span>(Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'}; {http://hl7.org/fhir/v2/0074 code 'RAD' = 'Radiology)</span></p><p><b>code</b>: CT of head-neck <span>(Details : {SNOMED CT code '429858000' = 'Computed tomography (CT) of head and neck', given as 'Computed tomography (CT) of head and neck'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>effective</b>: 01/12/2012 12:00:00 PM</p><p><b>issued</b>: 01/12/2012 12:00:00 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Blijdorp MC</a></td></tr></table><p><b>imagingStudy</b>: HEAD and NECK CT DICOM imaging study</p><p><b>conclusion</b>: CT brains: large tumor sphenoid/clivus.</p><p><b>codedDiagnosis</b>: Malignant tumor of craniopharyngeal duct <span>(Details : {SNOMED CT code '188340000' = 'Malignant tumor of craniopharyngeal duct', given as 'Malignant tumor of craniopharyngeal duct'})</span></p></div>"
  ];
  fhir:DiagnosticReport.status [ fhir:value "final"];
  fhir:DiagnosticReport.category [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:394914008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "394914008" ];
       fhir:Coding.display [ fhir:value "Radiology" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v2/0074" ];
       fhir:Coding.code [ fhir:value "RAD" ]
     ]
  ];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:429858000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "429858000" ];
       fhir:Coding.display [ fhir:value "Computed tomography (CT) of head and neck" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "CT of head-neck" ]
  ];
  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.effectiveDateTime [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime];
  fhir:DiagnosticReport.issued [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime];
  fhir:DiagnosticReport.performer [
     fhir:index 0;
     fhir:DiagnosticReport.performer.actor [
       fhir:link <http://hl7.org/fhir/Organization/f203>;
       fhir:Reference.reference [ fhir:value "Organization/f203" ];
       fhir:Reference.display [ fhir:value "Blijdorp MC" ]
     ]
  ];
  fhir:DiagnosticReport.imagingStudy [
     fhir:index 0;
     fhir:Reference.display [ fhir:value "HEAD and NECK CT DICOM imaging study" ]
  ];
  fhir:DiagnosticReport.conclusion [ fhir:value "CT brains: large tumor sphenoid/clivus."];
  fhir:DiagnosticReport.codedDiagnosis [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:188340000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "188340000" ];
       fhir:Coding.display [ fhir:value "Malignant tumor of craniopharyngeal duct" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/f201> a fhir:Patient .

<http://hl7.org/fhir/Organization/f203> a fhir:Organization .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/DiagnosticReport/f201.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://hl7.org/fhir/STU3/DiagnosticReport/f201.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.