This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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
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)
Real-world patient - temperature (id = "f202")
<?xml version="1.0" encoding="UTF-8"?> <Observation xmlns="http://hl7.org/fhir"> <id value="f202"/> <!-- Oral temperature was measured on April fourth --><text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Observation</b> <a name="f202"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "f202" </p> </div> <p> <b> status</b> : <span title=" Oral temperature was measured on April fourth ">entered-in-error</span> </p> <p> <b> category</b> : <span title=" category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes. ">Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a> #vital-signs)</span> </span> </p> <p> <b> code</b> : Temperature <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme.lab#BT "Body temperature"; <a href="https://loinc.org/">LOINC</a> #8310-5 "Body temperature"; <a href="https://loinc.org/">LOINC</a> #8331-1 "Oral temperature"; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #56342008 "Temperature taking")</span> </p> <p> <b> subject</b> : <span title=" No identifier could be provided to this observation "><a href="patient-example-f201-roel.html">Patient/f201: Roel</a> "Roel"</span> </p> <p> <b> issued</b> : 04/04/2013 11:27:00 PM</p> <p> <b> performer</b> : <a href="practitioner-example-f201-ab.html">Practitioner/f201</a> "Dokter Bronsig"</p> <p> <b> value</b> : 39 degrees C<span style="background: LightGoldenRodYellow"> (Details: UCUM code Cel = 'Cel')</span> </p> <p> <b> interpretation</b> : High <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #H)</span> </p> <p> <b> bodySite</b> : <span title=" In the meantime a new oral temperature is measured &#10; http://www.ncbi.nlm.nih.gov/pmc/art icles/PMC3418963/ ">Oral cavity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #74262004)</span> </span> </p> <p> <b> method</b> : Oral temperature taking <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #89003005)</span> </p> <h3> ReferenceRanges</h3> <table class="grid"><tr> <td> -</td> <td> <b> High</b> </td> </tr> <tr> <td> *</td> <td> <span title=" 0..* Provides guide for interpretation ">38.2 degrees C</span> </td> </tr> </table> </div> </text> <status value="entered-in-error"/> <!-- category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes. --><category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <!-- Kind of observation = Temperature --><!-- local code here --><coding> <system value="http://acme.lab"/> <code value="BT"/> <display value="Body temperature"/> </coding> <!-- LOINC and SNOMED CT translations here - Note in the US the primary code will be LOINC per meaningful use. Further SNOMED CT has acceeded to LOINC being the primary coding system for vitals and anthropromorphic measures. SNOMED CT is required in some countries such as the UK. --><coding> <system value="http://loinc.org"/> <code value="8310-5"/> <display value="Body temperature"/> </coding> <!-- translation to more specific LOINC code (by system - ie oral temp) this example shows how the LOINC or method element could be used to convey the same information both not necessary in most cases --><coding> <system value="http://loinc.org"/> <code value="8331-1"/> <display value="Oral temperature"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="56342008"/> <display value="Temperature taking"/> </coding> <text value="Temperature"/> </code> <!-- No identifier could be provided to this observation --><subject> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <issued value="2013-04-04T13:27:00+01:00"/> <performer> <reference value="Practitioner/f201"/> </performer> <valueQuantity> <!-- Temperature=39 degrees Celsius --><value value="39"/> <unit value="degrees C"/> <system value="http://unitsofmeasure.org"/> <code value="Cel"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> </coding> </interpretation> <!-- In the meantime a new oral temperature is measured --><!-- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3418963/ --><bodySite> <coding> <system value="http://snomed.info/sct"/> <code value="74262004"/> <display value="Oral cavity"/> </coding> </bodySite> <method> <coding> <system value="http://snomed.info/sct"/> <code value="89003005"/> <display value="Oral temperature taking"/> </coding> </method> <referenceRange> <!-- 0..* Provides guide for interpretation --><high> <value value="38.2"/> <unit value="degrees C"/> </high> </referenceRange> </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.