This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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 | Standards Status: Informative | Compartments: 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/Bundle/f202> a fhir:Bundle; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f202"]; fhir:Bundle.type [ fhir:value "collection"]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/DiagnosticReport/f202" ]; fhir:Bundle.entry.resource <https://example.com/base/DiagnosticReport/f202> ], [ fhir:index 1; fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/ServiceRequest/req" ]; fhir:Bundle.entry.resource <https://example.com/base/ServiceRequest/req> ] . <https://example.com/base/DiagnosticReport/f202> a fhir:DiagnosticReport; fhir:Resource.id [ fhir:value "f202"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span>Blood culture for bacteria, including anaerobic screen</span> (<span>Laboratory test</span>) </h2><table><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> 1960-03-13 ( BSN: 123456789 (OFFICIAL))</td></tr><tr><td>Reported</td><td>11 Mar. 2013, 8:28:00 pm</td></tr></table><p><b>Report Details</b></p><table><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Reported</b></td></tr><tr><td><a><span>Blood culture</span></a></td><td><span>Staphylococcus aureus</span></td><td><span>Positive</span></td><td/></tr></table><p>Blood culture tested positive on staphylococcus aureus</p><p><b>Coded Conclusions :</b></p><ul><li><span>Bacteremia due to staphylococcus</span></li></ul></div>" ]; fhir:DiagnosticReport.basedOn [ fhir:index 0; fhir:link <http://hl7.org/fhir/ServiceRequest/req>; fhir:Reference.reference [ fhir:value "ServiceRequest/req" ] ]; fhir:DiagnosticReport.status [ fhir:value "final"]; fhir:DiagnosticReport.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:15220000; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "15220000" ]; fhir:Coding.display [ fhir:value "Laboratory test" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "LAB" ] ] ]; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:104177005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "104177005" ]; fhir:Coding.display [ fhir:value "Blood culture for bacteria, including anaerobic screen" ] ] ]; 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.issued [ fhir:value "2013-03-11T10:28:00+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.performer [ fhir:index 0; fhir:link <http://hl7.org/fhir/Organization/f201>; fhir:Reference.reference [ fhir:value "Organization/f201" ]; fhir:Reference.display [ fhir:value "AUMC" ] ]; fhir:DiagnosticReport.result [ fhir:index 0; fhir:link <http://hl7.org/fhir/Observation/f206>; fhir:Reference.reference [ fhir:value "Observation/f206" ]; fhir:Reference.display [ fhir:value "Results for staphylococcus analysis on Roel's blood culture" ] ]; fhir:DiagnosticReport.conclusion [ fhir:value "Blood culture tested positive on staphylococcus aureus"]; fhir:DiagnosticReport.conclusionCode [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:428763004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "428763004" ]; fhir:Coding.display [ fhir:value "Bacteremia due to staphylococcus" ] ] ] . <http://hl7.org/fhir/ServiceRequest/req> a fhir:ServiceRequest . <http://hl7.org/fhir/Patient/f201> a fhir:Patient . <http://hl7.org/fhir/Organization/f201> a fhir:Organization . <http://hl7.org/fhir/Observation/f206> a fhir:Observation . <https://example.com/base/ServiceRequest/req> a fhir:ServiceRequest; fhir:Resource.id [ fhir:value "req"]; 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><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: <span>Blood culture for bacteria, including anaerobic screen</span></p><p><b>subject</b>: <a>Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><p><b>encounter</b>: <a>Roel's encounter on March elevanth 2013. Generated Summary: id: Encounter_Roel_20130311 (TEMP); status: completed; <span>inpatient encounter</span>; <span>Inpatient stay for nine days</span>; <span>High priority</span>; period: 2013-03-11 --> 2013-03-20</a></p><p><b>requester</b>: <a>Dokter Bronsig. Generated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24</a></p></div>" ]; fhir:ServiceRequest.status [ fhir:value "active"]; fhir:ServiceRequest.intent [ fhir:value "original-order"]; fhir:ServiceRequest.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:104177005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "104177005" ]; fhir:Coding.display [ fhir:value "Blood culture for bacteria, including anaerobic screen" ] ] ]; fhir:ServiceRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/f201>; fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:ServiceRequest.encounter [ fhir:link <http://hl7.org/fhir/Encounter/f203>; fhir:Reference.reference [ fhir:value "Encounter/f203" ]; fhir:Reference.display [ fhir:value "Roel's encounter on March elevanth 2013" ] ]; fhir:ServiceRequest.requester [ fhir:link <http://hl7.org/fhir/Practitioner/f201>; fhir:Reference.reference [ fhir:value "Practitioner/f201" ]; fhir:Reference.display [ fhir:value "Dokter Bronsig" ] ] . <http://hl7.org/fhir/Encounter/f203> a fhir:Encounter . <http://hl7.org/fhir/Practitioner/f201> a fhir:Practitioner . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/f202.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Bundle/f202.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.