GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

Observation-example.json

Raw JSON (canonical form)

Simple Weight Example

{
  "resourceType": "Observation",
  "id": "example",
  "text": {
    "fhir_comments": [
      "    the mandatory quality flags:    "
    ],
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://hl7.org/fhir/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Weight Measured <span>(Details : {LOINC code '3141-9' = 'Body weight Measured', given as 'Weight Measured'}; {SNOMED CT code '27113001' = '27113001', given as 'Body weight'}; {http://acme.org/devices/clinical-codes code 'body-weight' = '??', given as 'Body Weight'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>value</b>: 185 lbs<span> (Details: http://unitsofmeasure.org code [lb_av] = '??')</span></p></div>"
  },
  "status": "final",
  "category": {
    "fhir_comments": [
      "   category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes.  "
    ],
    "coding": [
      {
        "system": "http://hl7.org/fhir/observation-category",
        "code": "vital-signs",
        "display": "Vital Signs"
      }
    ]
  },
  "code": {
    "fhir_comments": [
      "   \n    Observations are often coded in multiple code systems.\n      - LOINC provides a very specific code (though not usefully more specific in this particular case)\n      - snomed provides a clinically relevant code that is usually less granular than LOINC\n      - the source system provides its own code, which may be less or more granular than LOINC\n     "
    ],
    "coding": [
      {
        "fhir_comments": [
          "    LOINC - always recommended to have a LOINC code    "
        ],
        "system": "http://loinc.org",
        "code": "3141-9",
        "display": "Weight Measured"
      },
      {
        "fhir_comments": [
          "    SNOMED CT Codes - becoming more common    "
        ],
        "system": "http://snomed.info/sct",
        "code": "27113001",
        "display": "Body weight"
      },
      {
        "fhir_comments": [
          "    Also, a local code specific to the source system    "
        ],
        "system": "http://acme.org/devices/clinical-codes",
        "code": "body-weight",
        "display": "Body Weight"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "valueQuantity": {
    "fhir_comments": [
      "    In FHIR, units may be represented twice. Once in the\n    agreed human representation, and once in a coded form.\n    Both is best, since it's not always possible to infer\n    one from the other in code.\n\n    When a computable unit is provided, UCUM (http://unitsofmeasure.org)\n    is always preferred, but it doesn't provide notional units (such as\n    \"tablet\"), etc. For these, something else is required (e.g. SNOMED CT)\n      "
    ],
    "value": 185,
    "unit": "lbs",
    "system": "http://unitsofmeasure.org",
    "code": "[lb_av]"
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.