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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner |
Raw JSON (canonical form + also see JSON Format Specification)
Real-world patient example
{ "resourceType" : "Bundle", "id" : "f202", "type" : "collection", "entry" : [{ "fullUrl" : "https://example.com/base/DiagnosticReport/f202", "resource" : { "resourceType" : "DiagnosticReport", "id" : "f202", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport f202</b></p><a name=\"f202\"> </a><a name=\"hcf202\"> </a><a name=\"f202-en-US\"> </a><h2><span title=\"Codes:{http://snomed.info/sct 104177005}\">Blood culture for bacteria, including anaerobic screen</span> (<span title=\"Codes:{http://snomed.info/sct 15220000}, {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory test</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Roel(official) male, DoB: 1960-03-13 ( BSN:\u00a0123456789\u00a0(use:\u00a0official,\u00a0))</td></tr><tr><td>Reported</td><td>2013-03-11T10:28:00+01:00</td></tr><tr><td>Performer</td><td> <a href=\"organization-example-f201-aumc.html\">AUMC</a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"observation-example-f206-staphylococcus.html\"><span title=\"Codes:{http://acmelabs.org 104177}, {http://loinc.org 600-7}\">Blood culture</span></a></td><td><span title=\"Codes:{http://snomed.info/sct 3092008}\">Staphylococcus aureus</span></td><td>final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation POS}\">Positive</span></td></tr></table><div><p>Blood culture tested positive on staphylococcus aureus</p>\n</div><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 428763004}\">Bacteremia caused by Staphylococcus aureus</span></li></ul></div>" }, "basedOn" : [{ "reference" : "ServiceRequest/req" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "15220000", "display" : "Laboratory test" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0074", "code" : "LAB" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "104177005", "display" : "Blood culture for bacteria, including anaerobic screen" }] }, "subject" : { "reference" : "Patient/f201", "display" : "Roel" }, "issued" : "2013-03-11T10:28:00+01:00", "performer" : [{ "reference" : "Organization/f201", "display" : "AUMC" }], "result" : [{ "reference" : "Observation/f206", "display" : "Results for staphylococcus analysis on Roel's blood culture" }], "conclusion" : "Blood culture tested positive on staphylococcus aureus", "conclusionCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "428763004", "display" : "Bacteremia caused by Staphylococcus aureus" }] }] } }, { "fullUrl" : "https://example.com/base/ServiceRequest/req", "resource" : { "resourceType" : "ServiceRequest", "id" : "req", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest req</b></p><a name=\"req\"> </a><a name=\"hcreq\"> </a><a name=\"req-en-US\"> </a><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><h3>Codes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 104177005}\">Blood culture for bacteria, including anaerobic screen</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example-f201-roel.html\">Roel</a></p><p><b>encounter</b>: <a href=\"encounter-example-f203-20130311.html\">Roel's encounter on March elevanth 2013</a></p><p><b>requester</b>: <a href=\"practitioner-example-f201-ab.html\">Dokter Bronsig</a></p></div>" }, "status" : "active", "intent" : "original-order", "code" : { "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "104177005", "display" : "Blood culture for bacteria, including anaerobic screen" }] } }, "subject" : { "reference" : "Patient/f201", "display" : "Roel" }, "encounter" : { "reference" : "Encounter/f203", "display" : "Roel's encounter on March elevanth 2013" }, "requester" : { "reference" : "Practitioner/f201", "display" : "Dokter Bronsig" } } }] }
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Sun, Nov 3, 2024 02:45+0000.
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