This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). 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 exam finding using pattern 3 described in the "Using Codes in Observation" Section
@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/Observation/abdo-tender> a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "abdo-tender"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>category</b>: <span>Exam</span></p><p><b>code</b>: <span>Abdominal tenderness</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Generated Summary: status: in-progress; <span>inpatient encounter</span></a></p><p><b>effective</b>: 2 Apr. 2018, 7:30:10 pm --> (ongoing)</p><p><b>issued</b>: 4 Apr. 2018, 12:30:10 am</p><p><b>value</b>: true</p><p><b>interpretation</b>: <span>Abnormal</span></p></div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ]; fhir:Coding.code [ fhir:value "exam" ]; fhir:Coding.display [ fhir:value "Exam" ] ] ]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:43478001; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "43478001" ]; fhir:Coding.display [ fhir:value "Abdominal tenderness (finding)" ] ]; fhir:CodeableConcept.text [ fhir:value "Abdominal tenderness" ] ]; fhir:Observation.subject [ fhir:link <http://hl7.org/fhir/Patient/example>; fhir:Reference.reference [ fhir:value "Patient/example" ] ]; fhir:Observation.encounter [ fhir:link <http://hl7.org/fhir/Encounter/example>; fhir:Reference.reference [ fhir:value "Encounter/example" ] ]; fhir:Observation.effectivePeriod [ fhir:Period.start [ fhir:value "2018-04-02T10:30:10+01:00"^^xsd:dateTime ] ]; fhir:Observation.issued [ fhir:value "2018-04-03T15:30:10+01:00"^^xsd:dateTime]; fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean]; fhir:Observation.interpretation [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ]; fhir:Coding.code [ fhir:value "A" ]; fhir:Coding.display [ fhir:value "Abnormal" ] ]; fhir:CodeableConcept.text [ fhir:value "Abnormal" ] ] . <http://hl7.org/fhir/Patient/example> a fhir:Patient . <http://hl7.org/fhir/Encounter/example> a fhir:Encounter . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Observation/abdo-tender.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Observation/abdo-tender.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.