This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw XML (canonical form + also see XML Format Specification)
Example of a clinical gender observation. For a discussion on representing a patient's gender the Patient Resource. (id = "clinical-gender")
<?xml version="1.0" encoding="UTF-8"?> <Observation xmlns="http://hl7.org/fhir"> <id value="clinical-gender"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : clinical-gender</p> <p/> <p> <b> category</b> : <span> Social History</span> </p> <p> <b> code</b> : <span> Gender identity</span> </p> <p> <b> subject</b> : <a> Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a> </p> <p> <b> encounter</b> : <a> Generated Summary: id: example; status: in-progress; <span> inpatient encounter</span> </a> </p> <p> <b> effective</b> : 2018-02-01</p> <p> <b> performer</b> : <a> Generated Summary: id: example; id: 23; active; Adam Careful </a> </p> <p> <b> value</b> : <span> Feminism in boy</span> </p> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="social-history"/> <display value="Social History"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <!-- 0..1 Identity of the terminology system --> <code value="76691-5"/> <!-- 0..1 Symbol in syntax defined by the system --> <display value="Gender identity"/> <!-- 0..1 Representation defined by the system --> </coding> <text value="Gender identity"/> <!-- 0..1 Plain text representation of the concept --> </code> <subject> <reference value="Patient/example"/> </subject> <encounter> <reference value="Encounter/example"/> </encounter> <effectiveDateTime value="2018-02-01"/> <performer> <!-- 0..* Reference(Practitioner|PractitionerRole|Organization| CareTeam|Patient|RelatedPerson)Who is responsible for the observation --> <reference value="Practitioner/example"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <!-- 0..1 Identity of the terminology system --> <code value="191788006"/> <!-- 0..1 Symbol in syntax defined by the system --> <display value="Feminism in boy (finding)"/> <!-- 0..1 Representation defined by the system --> </coding> <text value="Feminism in boy"/> <!-- 0..1 Plain text representation of the concept --> </valueCodeableConcept> </Observation>
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.