Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). 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

Observation-example-f203-bicarbonate.ttl

Example Observation/f203 (Turtle)

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification )

Real-world patient - CO2 

@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 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/f203> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "f203"];
  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><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 &quot;f203&quot; </p></div><p><b>identifier</b>: id: 1304-03720-Bicarbonate</p><p><b>status</b>: final</p><p><b>code</b>: Bicarbonate [Moles/?volume] in Serum <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#1963-8; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#365722008 &quot;Bicarbonate level&quot;)</span></p><p><b>subject</b>: <a href=\"patient-f201.html\">Patient/f201: Roel</a> &quot;Roel&quot;</p><p><b>issued</b>: 05/04/2013 12:34:00 AM</p><p><b>performer</b>: <a href=\"practitioner-f202.html\">Practitioner/f202: Luigi Maas</a> &quot;Luigi Maas&quot;</p><p><b>value</b>: 28 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 258813002 = 'mM')</span></p><p><b>interpretation</b>: Serum bicarbonate level normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#166698001; <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N)</span></p><p><b>method</b>: enzymatic method <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>22</td><td>29</td><td>Normal Range <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://intranet.aumc.nl/labvalues" ];
     fhir:Identifier.value [ fhir:value "1304-03720-Bicarbonate" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:1963-8;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "1963-8" ];
       fhir:Coding.display [ fhir:value "Bicarbonate [Moles/?volume] in Serum" ]
     ], [
       fhir:index 1;
       a sct:365722008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "365722008" ];
       fhir:Coding.display [ fhir:value "Bicarbonate level" ]
     ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/f201>;
     fhir:Reference.reference [ fhir:value "Patient/f201" ];
     fhir:Reference.display [ fhir:value "Roel" ]
  ];
  fhir:Observation.issued [ fhir:value "2013-04-04T14:34:00+01:00"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Practitioner/f202>;
     fhir:Reference.reference [ fhir:value "Practitioner/f202" ];
     fhir:Reference.display [ fhir:value "Luigi Maas" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "28"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "mmol/L" ];
     fhir:Quantity.system [ fhir:value "http://snomed.info/sct" ];
     fhir:Quantity.code [ fhir:value "258813002" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:166698001;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "166698001" ];
       fhir:Coding.display [ fhir:value "Serum bicarbonate level normal" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "N" ]
     ]
  ];
  fhir:Observation.method [
     fhir:CodeableConcept.text [ fhir:value "enzymatic method" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "22"^^xsd:decimal ]
     ];
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "29"^^xsd:decimal ]
     ];
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
         fhir:Coding.code [ fhir:value "normal" ];
         fhir:Coding.display [ fhir:value "Normal Range" ]
       ]

[a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "f203"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"f203\"> </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 Observation &quot;f203&quot; </p></div><p><b>identifier</b>: id: 1304-03720-Bicarbonate</p><p><b>status</b>: <span title=\"  Bicarbonate was measured on April fourth  \">final</span></p><p><b>code</b>: Bicarbonate [Moles/?volume] in Serum <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#1963-8; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#365722008 &quot;Bicarbonate level&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example-f201-roel.html\">Patient/f201: Roel</a> &quot;Roel&quot;</p><p><b>issued</b>: 5 Apr 2013, 12:34:00 am</p><p><b>performer</b>: <a href=\"practitioner-example-f202-lm.html\">Practitioner/f202: Luigi Maas</a> &quot;Luigi Maas&quot;</p><p><b>value</b>: 28 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT code 258813002 = 'mM')</span></p><p><b>interpretation</b>: Serum bicarbonate level normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#166698001; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N)</span></p><p><b>method</b>: <span title=\"  The observation is complete  &amp;#10;  No reliability concerns  \">enzymatic method <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td><span title=\"  Healthy bicarbonate level ranges from 22mmol/L to 29mmol/L  \">22</span></td><td>29</td><td>Normal Range <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>"
  ] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "https://intranet.aumc.nl/labvalues"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "1304-03720-Bicarbonate" ] #    Does not exist   
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; #    Bicarbonate was measured on April fourth   
  fhir:code [
     fhir:coding ( [
       a loinc:1963-8 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "1963-8" ] ;
       fhir:display [ fhir:v "Bicarbonate [Moles/?volume] in Serum" ]
     ] [
       a sct:365722008 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "365722008" ] ;
       fhir:display [ fhir:v "Bicarbonate level" ]
     ] ) #    Kind of observation = Bicarbonate LOINC and SNOMED CT translations here - Note in the US the primary code will be LOINC per meaningful use.  Further SNOMED CT  has acceeded to LOINC being the primary coding system for vitals and anthropromorphic measures.  SNOMED CT is required in some countries such as the UK.  
  ] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/f201" ] ;
     fhir:display [ fhir:v "Roel" ]
  ] ; # 
  fhir:issued [ fhir:v "2013-04-04T14:34:00+01:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:reference [ fhir:v "Practitioner/f202" ] ;
     fhir:display [ fhir:v "Luigi Maas" ]
  ] ) ; # 
  fhir:value [
     a fhir:Quantity ;
     fhir:value [ fhir:v "28"^^xsd:decimal ] ; #    Bicarbonate=28mmol\/L   
     fhir:unit [ fhir:v "mmol/L" ] ;
     fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
     fhir:code [ fhir:v "258813002" ]
  ] ; # 
  fhir:interpretation ( [
     fhir:coding ( [
       a sct:166698001 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "166698001" ] ;
       fhir:display [ fhir:v "Serum bicarbonate level normal" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "N" ]
     ] )
  ] ) ; # 
  fhir:method [
     fhir:text [ fhir:v "enzymatic method" ] #    Method was enzymatic method   
  ] ; #    The observation is complete   ,    No reliability concerns   
  fhir:referenceRange ( [
     fhir:low [
       fhir:value [ fhir:v "22"^^xsd:decimal ]
     ] ; #    Healthy bicarbonate level ranges from 22mmol\/L to 29mmol\/L   
     fhir:high [
       fhir:value [ fhir:v "29"^^xsd:decimal ]
     ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/referencerange-meaning"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "normal" ] ;
         fhir:display [ fhir:v "Normal Range" ]
       ] )

     ]
  ] .

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

<http://hl7.org/fhir/Practitioner/f202> a fhir:Practitioner .

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

<http://hl7.org/fhir/Observation/f203.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Observation/f203.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.