Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version 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 R3

Diagnosticreport-example-f201-brainct.ttl

Example DiagnosticReport/f201 (Turtle)

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;
  fhir:nodeRole fhir:treeRoot;
  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\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>status</b>: final</p><p><b>category</b>: Radiology <span>(Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'RAD' = 'Radiology)</span></p><p><b>code</b>: CT of head-neck <span>(Details : {SNOMED CT code '429858000' = 'Computed tomography (CT) of head and neck', given as 'Computed tomography (CT) of head and neck'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>effective</b>: 01/12/2012 12:00:00 PM</p><p><b>issued</b>: 01/12/2012 12:00:00 PM</p><p><b>performer</b>: <a>Blijdorp MC</a></p><p><b>imagingStudy</b>: HEAD and NECK CT DICOM imaging study</p><p><b>conclusion</b>: CT brains: large tumor sphenoid/clivus.</p><p><b>conclusionCode</b>: Malignant tumor of craniopharyngeal duct <span>(Details : {SNOMED CT code '188340000' = 'Malignant tumor of craniopharyngeal duct', given as 'Malignant tumor of craniopharyngeal duct'})</span></p></div>"
  ];
  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" ]
     ]
  ];
  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.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: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: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 fhir:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "f201"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir: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><div><p>CT brains: large tumor sphenoid/clivus.</p>\n</div><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:contained ( [
     a fhir:ImagingStudy ;
     fhir:id [ fhir:v "is1" ] ;
     fhir:status [ fhir:v "available" ] ;
     fhir:subject [
       fhir:reference [ fhir:v "Patient/f201" ]
     ] ;
     fhir:description [ fhir:v "HEAD and NECK CT DICOM imaging study" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       a sct:394914008 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "394914008" ] ;
       fhir:display [ fhir:v "Radiology" ]
     ] [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "RAD" ]
     ] ) #    The request was honored by the Department of Radiology   
  ] ) ; #    No identifier or request details were available   
  fhir:code [
     fhir:coding ( [
       a sct:429858000 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "429858000" ] ;
       fhir:display [ fhir:v "Computed tomography (CT) of head and neck" ]
     ] ) ;
     fhir:text [ fhir:v "CT of head-neck" ]
  ] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/f201" ] ;
     fhir:display [ fhir:v "Roel" ]
  ] ; # 
  fhir:effective [ fhir:v "2012-12-01T12:00:00+01:00"^^xsd:dateTime] ; # 
  fhir:issued [ fhir:v "2012-12-01T12:00:00+01:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:reference [ fhir:v "Organization/f203" ] ;
     fhir:display [ fhir:v "Blijdorp MC" ]
  ] ) ; # 
  fhir:study ( [
     fhir:reference [ fhir:v "#is1" ]
  ] ) ; #    The actual CT imagenot available -  following reference used to demonstrate the usage of the element  
  fhir:conclusion [ fhir:v "CT brains: large tumor sphenoid/clivus."] ; # 
  fhir:conclusionCode ( [
     fhir:coding ( [
       a sct:188340000 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "188340000" ] ;
       fhir:display [ fhir:v "Malignant tumor of craniopharyngeal duct" ]
     ] )
  ] )] . # 


# -------------------------------------------------------------------------------------

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.