FHIRsmith: Observation/Observation-em-ed-high-risk-signs-example.json

FHIR IG analytics

Package	ke.fhir.emergency
Resource Type	Observation
Id	Observation-em-ed-high-risk-signs-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-high-risk-signs-example

Profile: Observation - Emergency High-Risk Signs

status: Final

category: Survey

code: High-risk signs assessment

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 12:41:00+0300

performer: Practitioner Grace Wanjiru

value: true

component
code: Heart rate <60 or >130
value: false

component
code: Respiratory rate <10 or >30
value: false

component
code: SpO2 <92% on room air
value: false

component
code: Not alert (AVPU)
value: false

component
code: Stridor, voice change, or unable to swallow
value: false

component
code: Respiratory distress (grunting in child, retractions, cyanosis)
value: false

component
code: Poor perfusion, weak pulse, capillary refill >3 sec, MAP <65mmHg
value: true

component
code: Vomits everything, cannot eat or drink
value: false

Source1

{
  "resourceType": "Observation",
  "id": "em-ed-high-risk-signs-example",
  "meta": {
    "profile": [
      "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-high-risk-signs-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-observation-code",
        "code": "high-risk-signs-assessment"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat-0712345678"
  },
  "encounter": {
    "reference": "Encounter/em-ed-encounter-example"
  },
  "effectiveDateTime": "2026-06-29T12:41:00+03:00",
  "performer": [
    {
      "reference": "Practitioner/em-ed-nurse-example"
    }
  ],
  "valueBoolean": true,
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "abnormal-heart-rate"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "abnormal-respiratory-rate"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "low-spo2"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "not-alert"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "stridor-or-swallow-difficulty"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "respiratory-distress"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "poor-perfusion"
          }
        ]
      },
      "valueBoolean": true
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign",
            "code": "cannot-eat-or-drink"
          }
        ]
      },
      "valueBoolean": false
    }
  ]
}