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FHIR IG analytics

Packagehl7.fhir.us.qicore.r4
Resource TypeObservation
IdObservation-example.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation example

Observation Body Position: Sitting position (finding)

status: Final

category: Vital Signs

code: Hemoglobin [Mass/volume] in Venous blood

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.

effective: 2013-04-02 10:30:10+0100 --> 2013-04-05 10:30:10+0100

issued: 2013-04-03 15:30:10+0100

performer: Practitioner

value: 7.2 g/dl (Details: UCUM codeg/dL = 'g/dL')

interpretation: Below low normal

bodySite: Superficial forearm vein

method: Injection to forearm

derivedFrom: Observation Hemoglobin [Mass/volume] in Venous blood

component

code: Systolic blood pressure

value: 107 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

interpretation: Normal

component

code: Diastolic blood pressure

value: 60 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

interpretation: Below low normal

Source1

{
  "resourceType": "Observation",
  "id": "example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "33586001",
            "display": "Sitting position (finding)"
          }
        ]
      }
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs",
          "display": "Vital Signs"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "30350-3",
        "display": "Hemoglobin [Mass/volume] in Venous blood"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "effectivePeriod": {
    "start": "2013-04-02T10:30:10+01:00",
    "end": "2013-04-05T10:30:10+01:00"
  },
  "issued": "2013-04-03T15:30:10+01:00",
  "performer": [
    {
      "reference": "Practitioner/example",
      "display": "Practitioner"
    }
  ],
  "valueQuantity": {
    "value": 7.2,
    "unit": "g/dl",
    "system": "http://unitsofmeasure.org",
    "code": "g/dL"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0078",
          "code": "L",
          "display": "Low"
        }
      ],
      "text": "Below low normal"
    }
  ],
  "bodySite": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "308046002",
        "display": "Superficial forearm vein"
      }
    ]
  },
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "120220003",
        "display": "Injection to forearm"
      }
    ]
  },
  "derivedFrom": [
    {
      "reference": "Observation/example"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8480-6",
            "display": "Systolic blood pressure"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "271649006",
            "display": "Systolic blood pressure"
          }
        ]
      },
      "valueQuantity": {
        "value": 107,
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0078",
              "code": "N",
              "display": "normal"
            }
          ],
          "text": "Normal"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8462-4",
            "display": "Diastolic blood pressure"
          }
        ]
      },
      "valueQuantity": {
        "value": 60,
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0078",
              "code": "L",
              "display": "low"
            }
          ],
          "text": "Below low normal"
        }
      ]
    }
  ]
}