FHIRsmith: Observation/Observation-em-ed-abcde-circulation-example.json

FHIR IG analytics

Package	ke.fhir.emergency
Resource Type	Observation
Id	Observation-em-ed-abcde-circulation-example.json
FHIR Version	R4

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Narrative

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

Generated Narrative: Observation em-ed-abcde-circulation-example

Profile: Observation - Emergency ABCDE Assessment

Emergency No Findings On Exam: false

status: Final

category: Exam

code: Circulation

subject: Amina Atieno Female, DoB: 1992-05-16 ( http://hie.go.ke/fhir/identifier/patient-official-id#33445566)

encounter: Encounter: extension = Government insurance,Ambulance,Non-ambulatory,Acute,false,,; identifier = http://hie.go.ke/fhir/identifier/hospital-registration-number#KNH-ED-2026-004417; status = finished; class = emergency (ActCode#EMER); priority = Orange - Very urgent; period = 2026-06-29 12:40:00+0300 --> 2026-06-29 14:10:00+0300

effective: 2026-06-29 12:46:00+0300

performer: Practitioner Sarah Njoroge

value: Delayed capillary refill, cool peripheries

component
code: Circulation - capillary refill time
value: 4 seconds (Details: UCUM codes = 's')

component
code: Circulation - skin findings
value: Cool, pale

component
code: Circulation - jugular venous distension
value: false

component
code: Circulation - pulse quality/asymmetry
value: Weak

component
code: Circulation - IV fluids given (volume)
value: 500 mL (Details: UCUM codemL = 'mL')

component
code: Circulation - IV fluids given (type)
value: Normal saline

component
code: Circulation - blood ordered
value: true

component
code: Circulation - ECG done
value: true

Source1

{
  "resourceType": "Observation",
  "id": "em-ed-abcde-circulation-example",
  "meta": {
    "profile": [
      "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-abcde-assessment-observation"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-no-findings-on-exam",
      "valueBoolean": false
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "exam"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-component",
        "code": "circulation",
        "display": "Circulation"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat-0712345678"
  },
  "encounter": {
    "reference": "Encounter/em-ed-encounter-example"
  },
  "effectiveDateTime": "2026-06-29T12:46:00+03:00",
  "performer": [
    {
      "reference": "Practitioner/em-practitioner-example"
    }
  ],
  "valueCodeableConcept": {
    "text": "Delayed capillary refill, cool peripheries"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "capillary-refill-seconds"
          }
        ]
      },
      "valueQuantity": {
        "value": 4,
        "unit": "seconds",
        "system": "http://unitsofmeasure.org",
        "code": "s"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "skin-findings"
          }
        ]
      },
      "valueCodeableConcept": {
        "text": "Cool, pale"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "jvd"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "pulses"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-vital-qualitative-state",
            "code": "weak",
            "display": "Weak"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "fluids-given-volume"
          }
        ]
      },
      "valueQuantity": {
        "value": 500,
        "unit": "mL",
        "system": "http://unitsofmeasure.org",
        "code": "mL"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "fluids-type"
          }
        ]
      },
      "valueCodeableConcept": {
        "text": "Normal saline"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "blood-ordered"
          }
        ]
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
            "code": "ecg-done"
          }
        ]
      },
      "valueBoolean": true
    }
  ]
}