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Packagefhir.ph.core
Resource TypeObservation
IdObservation-observation-pain-acs.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation observation-pain-acs

status: Final

category: Survey

code: Pain severity - 0-10 verbal numeric rating [Score] - Reported

subject: Juan Carlos Dela Cruz (official) Male, DoB: 1981-03-15 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#63-584789845-5)

encounter: Encounter: identifier = http://pgh.gov.ph/fhir/Identifier/encounter-id#ENC-2026-0612-001; status = finished; class = emergency (ActCode#EMER); type = emergency; priority = emergency; period = 2026-06-12 08:30:00+0800 --> 2026-06-12 10:30:00+0800

effective: 2026-06-12 08:30:00+0800

performer: Practitioner Maria Clara Santos (official)

value: 8 score (Details: UCUM code{score} = '{score}')

interpretation: Critical high

note:

Patient reports crushing substernal chest pain radiating to left arm.

Source1

{
  "resourceType": "Observation",
  "id": "observation-pain-acs",
  "meta": {
    "profile": [
      "https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey",
          "display": "Survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "72514-3",
        "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-acs-example"
  },
  "encounter": {
    "reference": "Encounter/encounter-ed-example"
  },
  "effectiveDateTime": "2026-06-12T08:30:00+08:00",
  "performer": [
    {
      "reference": "Practitioner/practitioner-ed-example"
    }
  ],
  "valueQuantity": {
    "value": 8,
    "unit": "score",
    "system": "http://unitsofmeasure.org",
    "code": "{score}"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "HH",
          "display": "Critical high"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Patient reports crushing substernal chest pain radiating to left arm."
    }
  ]
}