Release 4 R5 Final QA

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0-draft-final: Final QA Preview for R5 - Mixed Normative and STU see ballot notes ) in it's permanent home (it will always be available at this URL). ). 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

Allergyintolerance-nkla.ttl

Example ServiceRequest/physiotherapy (Turtle)

Patient Care 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 )

No Known Latext Allergy 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 -------------------------------------------------------------------

<http://hl7.org/fhir/AllergyIntolerance/nkla> a fhir:AllergyIntolerance;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "nkla"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>No Known Latex Allergy</p>\n      <p>recordedDate:2015-08-06</p>\n    </div>"
  ];
  fhir:AllergyIntolerance.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]

[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 &quot;physiotherapy&quot; </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> &quot;Peter CHALMERS&quot;</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> &quot;Adam CAREFUL&quot;</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/4.0.0/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/4.0.0/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/4.0.0/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/4.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E84.0 &quot;Cystic fibrosis with pulmonary manifestations&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</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/4.0.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</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> &quot;Adam CAREFUL&quot;</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)" ]
       ] )

     ]
  ];
  fhir:AllergyIntolerance.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]

  ] ; #    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:AllergyIntolerance.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:716184000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "716184000" ];
       fhir:Coding.display [ fhir:value "No Known Latex Allergy (situation)" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "No Known Latex Allergy" ]
  ];
  fhir:AllergyIntolerance.patient [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:AllergyIntolerance.recordedDate [ fhir:value "2015-08-06T15:37:31-06:00"^^xsd:dateTime];
  fhir:AllergyIntolerance.recorder [
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ]
  ] .

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

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

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

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

  ] ; # 
  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.