Diagnostics
This
page
is
part
of
the
Continuous
Integration
Build
of
FHIR
Specification
(v4.0.1:
R4
-
Mixed
Normative
and
STU
)
in
it's
permanent
home
(it
will
always
(will
be
available
incorrect/inconsistent
at
this
URL).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
times).
See
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
| Responsible Owner: Orders and Observations Work Group | Standards Status : Informative | Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification )
Example of an Observations made about a location - an oyster farm
@prefix fhir: <http://hl7.org/fhir/> .@prefix loinc: <http://loinc.org/rdf#> .@prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @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/vp-oyster> a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "vp-oyster"]; 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>: vp-oyster</p><p><b>identifier</b>: 20171014-1234 (OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: OYSTER TESTING <span>(Details : {LOINC code '41857-4' = 'Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method', given as 'Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method'}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes code 'VP MULTI PCR' = 'VP MULTI PCR', given as 'VP MULTI PCR'})</span></p><p><b>subject</b>: Sonoma oyster farm</p><p><b>effective</b>: 12/10/2017</p><p><b>issued</b>: 14/10/2017 11:11:24 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: POSITIVE <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive (qualifier value)'}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes code 'POSITIVE' = 'POSITIVE', given as 'POSITIVE'})</span></p><p><b>interpretation</b>: Abnormal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'A' = 'Abnormal', given as 'Abnormal'})</span></p><p><b>specimen</b>: Live Oysters Acc#20171014-1234</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>NEGATIVE</td></tr></table></div>" ]; fhir:Observation.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.system [ fhir:value "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory" ]; fhir:Identifier.value [ fhir:value "20171014-1234" ] ]; fhir:Observation.status [ fhir:value "preliminary"]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:41857-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "41857-4" ]; fhir:Coding.display [ fhir:value "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes" ]; fhir:Coding.code [ fhir:value "VP MULTI PCR" ]; fhir:Coding.display [ fhir:value "VP MULTI PCR" ] ]; fhir:CodeableConcept.text [ fhir:value "OYSTER TESTING" ] ]; fhir:Observation.subject [ fhir:Reference.display [ fhir:value "Sonoma oyster farm" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2017-10-12"^^xsd:date]; fhir:Observation.issued [ fhir:value "2017-10-14T23:11:24Z"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:link <http://hl7.org/fhir/Practitioner/f005>; fhir:Reference.reference [ fhir:value "Practitioner/f005" ]; fhir:Reference.display [ fhir:value "A. Langeveld" ] ]; fhir:Observation.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:10828004; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "10828004" ]; fhir:Coding.display [ fhir:value "Positive (qualifier value)" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes" ]; fhir:Coding.code [ fhir:value "POSITIVE" ]; fhir:Coding.display [ fhir:value "POSITIVE" ] ]; fhir:CodeableConcept.text [ fhir:value "POSITIVE" ] ]; 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:Observation.specimen [ fhir:Reference.display [ fhir:value "Live Oysters Acc#20171014-1234" ] ]; fhir:Observation.referenceRange [ fhir:index 0; fhir:Observation.referenceRange.text [ fhir:value "NEGATIVE" ] ] . <http://hl7.org/fhir/Practitioner/f005> a fhir:Practitioner .# This is an example of Observations made about something other than a patient - namely a location# - ontology header ------------------------------------------------------------<http://hl7.org/fhir/Observation/vp-oyster> a fhir:Observation ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "vp-oyster"] ; # fhir:contained ( [ a fhir:Specimen ; fhir:id [ fhir:v "bed1" ] ; fhir:note ( [ fhir:text [ fhir:v "Live Oysters Acc#20171014-1234 from Bed 1" ] ] ) ] [ a fhir:Specimen ; fhir:id [ fhir:v "bed2" ] ; fhir:note ( [ fhir:text [ fhir:v "Live Oysters Acc#20171014-1234 from Bed 2" ] ] ) ] [ a fhir:Group ; fhir:id [ fhir:v "group1" ] ; fhir:type [ fhir:v "animal" ] ; fhir:membership [ fhir:v "enumerated" ] ; fhir:member ( [ fhir:entity [ fhir:l <#bed1> ; fhir:reference [ fhir:v "#bed1" ] ] ] [ fhir:entity [ fhir:l <#bed2> ; fhir:reference [ fhir:v "#bed2" ] ] ] ) ] ) ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory"^^xsd:anyURI ; fhir:l <http://sonomacounty.ca.gov/Health/Public-Health/Laboratory> ] ; fhir:value [ fhir:v "20171014-1234" ] ] ) ; # fhir:status [ fhir:v "preliminary"] ; # fhir:code [ fhir:coding ( [ a loinc:41857-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l <http://loinc.org> ] ; fhir:code [ fhir:v "41857-4" ] ; fhir:display [ fhir:v "Vibrio parahaemolyticus DNA [Presence] in Specimen by NAA with probe detection" ] ] [ fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes"^^xsd:anyURI ; fhir:l <http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes> ] ; fhir:code [ fhir:v "VP MULTI PCR" ] ; fhir:display [ fhir:v "VP MULTI PCR" ] ] ) ; # Should use a proper LOINC code fhir:text [ fhir:v "OYSTER TESTING" ] ] ; # # Observations are often coded in multiple code systems. # - LOINC # - or SNOMED # -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC. # In this example there is only local codes # fhir:subject [ fhir:display [ fhir:v "Sonoma oyster farm" ] # reference value=\"Location\/oyster-farm\"\/ ] ; # fhir:effective [ a fhir:DateTime ; fhir:v "2017-10-12"^^xsd:date ] ; # fhir:issued [ fhir:v "2017-10-14T23:11:24Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:l <http://hl7.org/fhir/Practitioner/f005> ; fhir:reference [ fhir:v "Practitioner/f005" ] ; fhir:display [ fhir:v "A. Langeveld" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ a sct:10828004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l <http://snomed.info/sct> ] ; fhir:code [ fhir:v "10828004" ] ; fhir:display [ fhir:v "Positive (qualifier value)" ] ] [ fhir:system [ fhir:v "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes"^^xsd:anyURI ; fhir:l <http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes> ] ; fhir:code [ fhir:v "POSITIVE" ] ; fhir:display [ fhir:v "POSITIVE" ] ] ) ; # SNOMED CT codes fhir:text [ fhir:v "POSITIVE" ] ] ; # results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive fhir:interpretation ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation> ] ; fhir:code [ fhir:v "A" ] ; fhir:display [ fhir:v "Abnormal" ] ] ) ] ) ; # fhir:specimen [ fhir:l <#group1> ; fhir:reference [ fhir:v "#group1" ] ] ; # fhir:referenceRange ( [ fhir:text [ fhir:v "NEGATIVE" ] ] ) . #<http://hl7.org/fhir/Observation/vp-oyster.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Observation/vp-oyster.ttl> .<http://hl7.org/fhir/Practitioner/f005> a fhir:Practitioner . # -------------------------------------------------------------------------------------
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
Release
4
(Technical
Correction
#1)
(v4.0.1)
R6
hl7.fhir.core#6.0.0-ballot3
generated
on
Fri,
Sat,
Nov
1,
2019
09:36+1100.
QA
Page
8,
2025
11:28+0000.
Links:
Search
|
Version
History
|
Table
of
Contents
|
Credits
Glossary
|
QA
|
Compare
to
R3
R4
|
Compare
to
R5
|
Compare
to
Last
Ballot
|
|
Propose
a
change