Diagnostics
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| Orders and Observations Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Device , Encounter , Patient , Practitioner |
Raw Turtle (+ also see Turtle/RDF Format Specification )
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/DiagnosticReport/f201> a fhir:DiagnosticReport;[a fhir:DiagnosticReport; fhir:nodeRole fhir:treeRoot;fhir:Resource.id [ fhir:value "f201"];fhir:Resource.id [ fhir:value "f201"]; # fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ];fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://snomed.info/sct 429858000}\">CT of head-neck</span> (<span title=\"Codes: {http://snomed.info/sct 394914008}, {http://terminology.hl7.org/CodeSystem/v2-0074 RAD}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN: 123456789 (OFFICIAL))</td></tr><tr><td>When For</td><td>2012-12-01T12:00:00+01:00</td></tr><tr><td>Reported</td><td>2012-12-01T12:00:00+01:00</td></tr></table><p><b>Report Details</b></p><p>CT brains: large tumor sphenoid/clivus.</p><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 188340000}\">Malignant tumor of craniopharyngeal duct</span></li></ul></div>" ]; fhir:DiagnosticReport.status [ fhir:value "final"];fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://snomed.info/sct 429858000}\">CT of head-neck</span> (<span title=\"Codes: {http://snomed.info/sct 394914008}, {http://terminology.hl7.org/CodeSystem/v2-0074 RAD}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN: 123456789 (use: OFFICIAL))</td></tr><tr><td>When For</td><td>2012-12-01T12:00:00+01:00</td></tr><tr><td>Reported</td><td>2012-12-01T12:00:00+01:00</td></tr></table><p><b>Report Details</b></p><p>CT brains: large tumor sphenoid/clivus.</p><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 188340000}\">Malignant tumor of craniopharyngeal duct</span></li></ul></div>" ]; # fhir:DomainResource.contained [ a fhir:ImagingStudy; fhir:index 0; fhir:Resource.id [ fhir:value "is1" ]; fhir:ImagingStudy.status [ fhir:value "available" ]; fhir:ImagingStudy.subject [ fhir:Reference.reference [ fhir:value "Patient/f201" ] ]; fhir:ImagingStudy.description [ fhir:value "HEAD and NECK CT DICOM imaging study" ] ]; # fhir:DiagnosticReport.status [ fhir:value "final"]; # fhir:DiagnosticReport.category [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:394914008; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "394914008" ]; fhir:Coding.display [ fhir:value "Radiology" ] ], [ fhir:index 1; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ]; fhir:Coding.code [ fhir:value "RAD" ]] ];] # The request was honored by the Department of Radiology ]; # No identifier or request details were available fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:429858000; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "429858000" ]; fhir:Coding.display [ fhir:value "Computed tomography (CT) of head and neck" ] ]; fhir:CodeableConcept.text [ fhir:value "CT of head-neck" ]];]; # 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.effectiveDateTime [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime]; fhir:DiagnosticReport.issued [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime];]; # fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime]; # fhir:DiagnosticReport.issued [ fhir:value "2012-12-01T12:00:00+01:00"^^xsd:dateTime]; # fhir:DiagnosticReport.performer [ fhir:index 0;fhir:link <http://hl7.org/fhir/Organization/f203>;fhir:Reference.reference [ fhir:value "Organization/f203" ]; fhir:Reference.display [ fhir:value "Blijdorp MC" ]]; fhir:DiagnosticReport.imagingStudy []; # fhir:DiagnosticReport.study [ fhir:index 0;fhir:Reference.display [ fhir:value "HEAD and NECK CT DICOM imaging study" ] ]; fhir:DiagnosticReport.conclusion [ fhir:value "CT brains: large tumor sphenoid/clivus."];fhir:Reference.reference [ fhir:value "#is1" ] ]; # The actual CT imagenot available - following reference used to demonstrate the usage of the element fhir:DiagnosticReport.conclusion [ fhir:value "CT brains: large tumor sphenoid/clivus."]; # fhir:DiagnosticReport.conclusionCode [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:188340000; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "188340000" ]; fhir:Coding.display [ fhir:value "Malignant tumor of craniopharyngeal duct" ] ]] . <http://hl7.org/fhir/Patient/f201> a fhir:Patient . <http://hl7.org/fhir/Organization/f203> a fhir:Organization .]] . # # - ontology header ------------------------------------------------------------<http://hl7.org/fhir/DiagnosticReport/f201.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/DiagnosticReport/f201.ttl> .[a owl:Ontology; owl:imports fhir:fhir.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.
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FHIR
Release
4B
(v4.3.0)
hl7.fhir.r4b.core#4.3.0
R5
Ballot
hl7.fhir.core#5.0.0-snapshot3
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May
28,
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Dec
14,
2022
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