FHIRsmith: Observation/Observation-KCHIPLabourObservationExample.json

FHIR IG analytics

Package	fhir.kisumuhie
Resource Type	Observation
Id	Observation-KCHIPLabourObservationExample.json
FHIR Version	R4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Observation KCHIPLabourObservationExample

Profile: KCHIP Labour Observation

status: Final

code: Labour Observations Panel

subject: Achieng Grace Odhiambo Female, DoB: 1990-04-23 ( http://moh.kenya/identifier/nationalID-no#12345678)

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = ANC Encounter; period = 2026-05-10 09:00:00+0300 --> 2026-05-10 10:00:00+0300

effective: 2026-05-21 04:30:00+0300

component
code: Onset of labour type
value: Spontaneous onset

component
code: Cervical dilation by pelvic exam
value: 6 cm (Details: UCUM codecm = 'cm')

component
code: Fetal Heart rate
value: 144 /min (Details: UCUM code/min = '/min')

component
code: Membrane status
value: Membranes ruptured

component
code: Colour of liquor after membrane rupture
value: Clear

Source1

{
  "resourceType": "Observation",
  "id": "KCHIPLabourObservationExample",
  "meta": {
    "profile": [
      "http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-labour-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code": "labour-panel",
        "display": "Labour Observations Panel"
      }
    ]
  },
  "subject": {
    "reference": "Patient/KisumuPatientExample"
  },
  "encounter": {
    "reference": "Encounter/KisumuEncounterExample"
  },
  "effectiveDateTime": "2026-05-21T04:30:00+03:00",
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
            "code": "labour-onset-type",
            "display": "Onset of labour type"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
            "code": "labour-spontaneous",
            "display": "Spontaneous onset"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "20745-6",
            "display": "Cervical dilation by pelvic exam"
          }
        ]
      },
      "valueQuantity": {
        "value": 6,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "55283-6",
            "display": "Fetal Heart rate"
          }
        ]
      },
      "valueQuantity": {
        "value": 144,
        "unit": "/min",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
            "code": "membrane-status",
            "display": "Membrane status"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
            "code": "membranes-ruptured",
            "display": "Membranes ruptured"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
            "code": "liquor-colour",
            "display": "Colour of liquor after membrane rupture"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
            "code": "liquor-clear",
            "display": "Clear"
          }
        ]
      }
    }
  ]
}