This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. 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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