Release 5 Preview #3

Diagnosticreport-example-f001-bloodexam.ttl

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

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

Real-world patient example

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://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/Bundle/f001> a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "f001"];
  fhir:Bundle.type [ fhir:value "collection"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/DiagnosticReport/f001" ];
     fhir:Bundle.entry.resource <https://example.com/base/DiagnosticReport/f001>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://example.com/base/ServiceRequest/req" ];
     fhir:Bundle.entry.resource <https://example.com/base/ServiceRequest/req>
  ] .

<https://example.com/base/DiagnosticReport/f001> a fhir:DiagnosticReport;
  fhir:Resource.id [ fhir:value "f001"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span>Complete blood count (hemogram) panel - Blood by Automated count</span> (<span>Haematology test</span>) </h2><table><tr><td>Subject</td><td><b>Pieter van de Heuvel </b>  1944-11-17 ( id: 738472983 (USUAL))</td></tr><tr><td>Reported</td><td>May 15, 2013 7:32:52 PM</td></tr><tr><td>Identifier:</td><td> id: nr1239044 (OFFICIAL)</td></tr></table><p><b>Report Details</b></p><table><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Reference Range</b></td><td><b>Flags</b></td><td><b>When For</b></td><td><b>Reported</b></td></tr><tr><td><a><span>Glucose [Moles/volume] in Blood</span></a></td><td>6.3 mmol/l</td><td>3.1 mmol/l - 6.2 mmol/l</td><td><span>High</span></td><td>Apr 2, 2013 9:30:10 AM --&gt; (ongoing)</td><td>Apr 3, 2013 3:30:10 PM</td></tr><tr><td><a><span>Base excess in Blood by calculation</span></a></td><td>12.6 mmol/l</td><td>7.1 mmol/l - 11.2 mmol/l</td><td><span>High</span></td><td>Apr 2, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</td><td>Apr 3, 2013 3:30:10 PM</td></tr><tr><td><a><span>Carbon dioxide in blood</span></a></td><td>6.2 kPa</td><td>4.8 kPa - 6.0 kPa</td><td><span>High</span></td><td>Apr 2, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</td><td>Apr 3, 2013 3:30:10 PM</td></tr><tr><td><a><span>Erythrocytes [#/volume] in Blood by Automated count</span></a></td><td>4.12 10^12/L</td><td> 12-14 y Male: 4.4 - 5.2  x  10^12/L ; 12-14 y Female: 4.2 - 4.8  x  10^12/L ; 15-17 y Male: 4.6 - 5.4  x  10^12/L ; 15-17 y Female: 4.2 - 4.8  x  10^12/L ; 18-64 y Male: 4.6 - 5.4  x  10^12/L ; 18-64 y Female: 4.0 - 4.8  x  10^12/L ; 65-74 y Male: 4.3 - 5.3  x  10^12/L ; 65-74 y Female: 4.1 - 4.9  x  10^12/L       </td><td><span>Low</span></td><td>Apr 2, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</td><td>Apr 3, 2013 3:30:10 PM</td></tr><tr><td><a><span>Hemoglobin [Mass/volume] in Blood</span></a></td><td>7.2 g/dl</td><td>7.5 g/dl - 10 g/dl</td><td><span>Low</span></td><td>Apr 5, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</td><td>Apr 5, 2013 3:30:10 PM</td></tr></table><p>Core lab</p></div>"
  ];
  fhir:DiagnosticReport.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://www.bmc.nl/zorgportal/identifiers/reports" ];
     fhir:Identifier.value [ fhir:value "nr1239044" ]
  ];
  fhir:DiagnosticReport.basedOn [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/ServiceRequest/req>;
     fhir:Reference.reference [ fhir:value "ServiceRequest/req" ]
  ];
  fhir:DiagnosticReport.status [ fhir:value "final"];
  fhir:DiagnosticReport.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:252275004;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "252275004" ];
       fhir:Coding.display [ fhir:value "Haematology test" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "HM" ]
     ]
  ];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:58410-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "58410-2" ];
       fhir:Coding.display [ fhir:value "Complete blood count (hemogram) panel - Blood by Automated count" ]
     ]
  ];
  fhir:DiagnosticReport.subject [
     fhir:link <http://hl7.org/fhir/Patient/f001>;
     fhir:Reference.reference [ fhir:value "Patient/f001" ];
     fhir:Reference.display [ fhir:value "P. van den Heuvel" ]
  ];
  fhir:DiagnosticReport.issued [ fhir:value "2013-05-15T19:32:52+01:00"^^xsd:dateTime];
  fhir:DiagnosticReport.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/f001>;
     fhir:Reference.reference [ fhir:value "Organization/f001" ];
     fhir:Reference.display [ fhir:value "Burgers University Medical Centre" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Observation/f001>;
     fhir:Reference.reference [ fhir:value "Observation/f001" ]
  ], [
     fhir:index 1;
     fhir:link <http://hl7.org/fhir/Observation/f002>;
     fhir:Reference.reference [ fhir:value "Observation/f002" ]
  ], [
     fhir:index 2;
     fhir:link <http://hl7.org/fhir/Observation/f003>;
     fhir:Reference.reference [ fhir:value "Observation/f003" ]
  ], [
     fhir:index 3;
     fhir:link <http://hl7.org/fhir/Observation/f004>;
     fhir:Reference.reference [ fhir:value "Observation/f004" ]
  ], [
     fhir:index 4;
     fhir:link <http://hl7.org/fhir/Observation/f005>;
     fhir:Reference.reference [ fhir:value "Observation/f005" ]
  ];
  fhir:DiagnosticReport.conclusion [ fhir:value "Core lab"] .

<http://hl7.org/fhir/ServiceRequest/req> a fhir:ServiceRequest .

<http://hl7.org/fhir/Patient/f001> a fhir:Patient .

<http://hl7.org/fhir/Organization/f001> a fhir:Organization .

<http://hl7.org/fhir/Observation/f001> a fhir:Observation .

<http://hl7.org/fhir/Observation/f002> a fhir:Observation .

<http://hl7.org/fhir/Observation/f003> a fhir:Observation .

<http://hl7.org/fhir/Observation/f004> a fhir:Observation .

<http://hl7.org/fhir/Observation/f005> a fhir:Observation .

<https://example.com/base/ServiceRequest/req> a fhir:ServiceRequest;
  fhir:Resource.id [ fhir:value "req"];
  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><p><b>identifier</b>: id: L2381</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>code</b>: <span>Complete blood count (hemogram) panel - Blood by Automated count</span></p><p><b>subject</b>: <a>P. van den Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; <span>Getrouwd</span>; multipleBirth</a></p><p><b>encounter</b>: <a>Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>requester</b>: <a>E.van den Broek. Generated Summary: id: 938273695 (OFFICIAL), id: 129IDH4OP733 (USUAL); Eric van den broek (OFFICIAL); Phone: 0205568263, E.M.vandenbroek@bmc.nl, Fax: 0205664440; gender: male; birthDate: 1975-12-07</a></p><p><b>note</b>: patient almost fainted during procedure</p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://example.org/bodysitecode" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:14975008;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "14975008" ];
         fhir:Coding.display [ fhir:value "Forearm structure" ]
       ]
     ]
  ];
  fhir:ServiceRequest.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://www.bmc.nl/zorgportal/identifiers/labresults" ];
     fhir:Identifier.value [ fhir:value "L2381" ]
  ];
  fhir:ServiceRequest.status [ fhir:value "active"];
  fhir:ServiceRequest.intent [ fhir:value "original-order"];
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:58410-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "58410-2" ];
       fhir:Coding.display [ fhir:value "Complete blood count (hemogram) panel - Blood by Automated count" ]
     ]
  ];
  fhir:ServiceRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/f001>;
     fhir:Reference.reference [ fhir:value "Patient/f001" ];
     fhir:Reference.display [ fhir:value "P. van den Heuvel" ]
  ];
  fhir:ServiceRequest.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/f001>;
     fhir:Reference.reference [ fhir:value "Encounter/f001" ]
  ];
  fhir:ServiceRequest.requester [
     fhir:link <http://hl7.org/fhir/Practitioner/f001>;
     fhir:Reference.reference [ fhir:value "Practitioner/f001" ];
     fhir:Reference.display [ fhir:value "E.van den Broek" ]
  ];
  fhir:ServiceRequest.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "patient almost fainted during procedure" ]
  ] .

<http://hl7.org/fhir/Encounter/f001> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/f001> a fhir:Practitioner .

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

<http://hl7.org/fhir/Bundle/f001.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Bundle/f001.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.