Clinical Resources - FHIR v0.0.82

This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions

4.0 Clinical Resources

General

Resources that provide core clinical record keeping - focused on the content of the provider/patient encounter
Name	Aliases	Description
AdverseReaction		Records an unexpected reaction suspected to be related to the exposure of the reaction subject to a substance.
AllergyIntolerance	Adverse Sensitivity	Indicates the patient has a susceptibility to an adverse reaction upon exposure to a specified substance.
CarePlan	Care Team	Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
Condition		Use to record detailed information about conditions, problems or diagnoses recognized by a clinician. There are many uses including: recording a Diagnosis during an Encounter; populating a problem List or a Summary Statement, such as a Discharge Summary.
FamilyHistory		Significant health events and conditions for people related to the subject relevant in the context of care for the subject.
Procedure		An action that is performed on a patient. This can be a physical 'thing' like an operation, or less invasive like counseling or hypnotherapy.
Questionnaire	Form	A structured set of questions and their answers. The Questionnaire may contain questions, answers or both. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the underlying questions.

Medications & Immunizations
Support the medication & Immunization process
Name	Aliases	Description
Medication		Primarily used for identification and definition of Medication, but also covers ingredients and packaging.
MedicationPrescription		An order for both supply of the medication and the instructions for administration of the medicine to a patient.
MedicationAdministration		Describes the event of a patient being given a dose of a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
MedicationDispense		Dispensing a medication to a named patient. This includes a description of the supply provided and the instructions for administering the medication.
MedicationStatement		A record of medication being taken by a patient, or that the medication has been given to a patient where the record is the result of a report from the patient or another clinician.
Immunization		Immunization event information.
ImmunizationRecommendation		A patient's point-of-time immunization status and recommendation with optional supporting justification.

Diagnostics
Provider support for diagnostic services - lab, pathology, imaging, etc
Name	Aliases	Description
Observation	Vital Signs, Measurement, Results	Measurements and simple assertions made about a patient, device or other subject.
DiagnosticReport	Report, Test, Result, Results, Labs	The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretation, and formatted representation of diagnostic reports.
DiagnosticOrder	Report, Test, Result, Results, Labs	A request for a diagnostic investigation service to be performed.
ImagingStudy	Manifest, XDS-I summary	Manifest of a set of images produced in study. The set of images may include every image in the study, or it may be an incomplete sample, such as a list of key images.
Specimen		Sample for analysis.

Device Interactions
Support for reading measurements made by devices
DeviceObservationReport		Describes the data produced by a device at a point in time.

Additional Resources will be added in the future. A list of hypothesized resources can be found on the HL7 wiki . Feel free to add any you think are missing or engage with one of the HL7 Work Groups to submit a proposal to define a resource of particular interest.