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Packagehl7.fhir.us.uscdi-scd
Resource TypeObservation
IdObservation-maya-johnson-pain-score.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation maya-johnson-pain-score

status: Final

category: Vital Signs, SCD Pain Assessment, Vital Signs

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

subject: Maya Renée Johnson (official) Female, DoB: 1996-04-15 ( Medical Record Number: SCD-2024-00142 (use: usual, ))

encounter: Encounter: status = finished; class = emergency (ActCode#EMER); type = Emergency room admission (procedure); period = 2024-11-14 02:30:00-0600 --> 2024-11-14 10:15:00-0600; reasonCode = Sickle cell crisis (disorder)

effective: 2024-11-14 02:45:00-0600

value: 9

interpretation: Severe pain — 9/10 NRS. IV opioid analgesia initiated.

ReferenceRanges

-HighText
*3 {score}Mild: 1-3; Moderate: 4-6; Severe: 7-10

Source1

{
  "resourceType": "Observation",
  "id": "maya-johnson-pain-score",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-vital-signs"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs",
          "display": "Vital Signs"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/us/uscdi-scd/CodeSystem/scd-observation-category-cs",
          "code": "scd-pain-assessment",
          "display": "SCD Pain Assessment"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "38208-5",
        "display": "Pain severity - 0-10 verbal numeric rating [NRS]"
      }
    ]
  },
  "subject": {
    "reference": "Patient/maya-johnson-patient"
  },
  "encounter": {
    "reference": "Encounter/maya-johnson-ed-encounter"
  },
  "effectiveDateTime": "2024-11-14T02:45:00-06:00",
  "valueInteger": 9,
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "H",
          "display": "High"
        }
      ],
      "text": "Severe pain — 9/10 NRS. IV opioid analgesia initiated."
    }
  ],
  "referenceRange": [
    {
      "high": {
        "value": 3,
        "unit": "{score}"
      },
      "text": "Mild: 1-3; Moderate: 4-6; Severe: 7-10"
    }
  ]
}