FHIRsmith: Observation/Observation-em-ed-urinalysis-example.json

FHIR IG analytics

Package	ke.fhir.emergency
Resource Type	Observation
Id	Observation-em-ed-urinalysis-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-urinalysis-example

Profile: Observation - Emergency Urinalysis Dipstick

status: Final

category: Laboratory

code: Urinalysis dipstick panel

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 13:10:00+0300

performer: Practitioner Grace Wanjiru

component
code: Glucose
value: Negative

component
code: Ketones
value: Negative

component
code: Blood
value: 1+

component
code: Nitrite
value: Negative

component
code: Leukocytes
value: Negative

component
code: Protein
value: Negative

Source1

{
  "resourceType": "Observation",
  "id": "em-ed-urinalysis-example",
  "meta": {
    "profile": [
      "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-urinalysis-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-observation-code",
        "code": "urinalysis-dipstick"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat-0712345678"
  },
  "encounter": {
    "reference": "Encounter/em-ed-encounter-example"
  },
  "effectiveDateTime": "2026-06-29T13:10:00+03:00",
  "performer": [
    {
      "reference": "Practitioner/em-ed-nurse-example"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-analyte",
            "code": "glucose"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-result",
            "code": "negative",
            "display": "Negative"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-analyte",
            "code": "ketones"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-result",
            "code": "negative",
            "display": "Negative"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-analyte",
            "code": "blood"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-result",
            "code": "plus-1",
            "display": "1+"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-analyte",
            "code": "nitrite"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-result",
            "code": "negative",
            "display": "Negative"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-analyte",
            "code": "leukocytes"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-result",
            "code": "negative",
            "display": "Negative"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-analyte",
            "code": "protein"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-urinalysis-result",
            "code": "negative",
            "display": "Negative"
          }
        ]
      }
    }
  ]
}