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Packageke.fhir.emergency
Resource TypeObservation
IdObservation-em-vitals-hr-example.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation em-vitals-hr-example

Emergency Vital Sign Qualitative State: Weak

Emergency Clinical Guidance Message: Weak, rapid pulse. Reassess perfusion and prepare for shock management.

Emergency Vital Sign Age Group: Adult

status: Final

category: Vital Signs

code: Heart rate

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

encounter: Encounter: identifier = http://hie.go.ke/fhir/identifier/incident-id#INC-20260629120000-0712345678-abc123; status = finished; class = Emergency medical services field response (Emergency Encounter Class#FLD); type = Scene and transport care; priority = Orange - Very urgent; period = 2026-06-29 12:08:00+0300 --> 2026-06-29 12:38:00+0300

effective: 2026-06-29 12:15:00+0300

performer: Practitioner Sarah Njoroge

value: 128 beats/minute (Details: UCUM code/min = '/min')

interpretation: High

Source1

{
  "resourceType": "Observation",
  "id": "em-vitals-hr-example",
  "meta": {
    "profile": [
      "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-vital-signs-observation"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-qualitative-state",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-vital-qualitative-state",
            "code": "weak",
            "display": "Weak"
          }
        ]
      }
    },
    {
      "url": "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-clinical-guidance-message",
      "valueString": "Weak, rapid pulse. Reassess perfusion and prepare for shock management."
    },
    {
      "url": "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-vital-age-group",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-age-group",
            "code": "adult",
            "display": "Adult"
          }
        ]
      }
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://localhost:8085/fhir/CodeSystem/vital-signs-loinc-cs",
        "code": "8867-4",
        "display": "Heart rate"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat-0712345678"
  },
  "encounter": {
    "reference": "Encounter/em-poc-encounter-example"
  },
  "effectiveDateTime": "2026-06-29T12:15:00+03:00",
  "performer": [
    {
      "reference": "Practitioner/em-practitioner-example"
    }
  ],
  "valueQuantity": {
    "value": 128,
    "unit": "beats/minute",
    "system": "http://unitsofmeasure.org",
    "code": "/min"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "H",
          "display": "High"
        }
      ]
    }
  ]
}