R6 Ballot (2nd Draft)

Publish-box (todo)

Example Observation/clinical-gender (XML)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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"?>

<!--   Clinical Gender Observation example see patient.html#gender   --><Observation xmlns="http://hl7.org/fhir">
  <id value="clinical-gender"/> 
  <status value="final"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
      <code value="social-history"/> 
      <display value="Social History"/> 
    </coding> 
  </category> 
  <!--   0..1 Plain text representation of the concept   -->
  <code> 
    <!--   0..1 Representation defined by the system   -->
    <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"/> 
    </coding> 
    <text value="Gender identity"/> 
  </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|RelatedPers
    on)Who is responsible for the observation   -->
    <reference value="Practitioner/example"/> 
  </performer> 
  <!--   0..1 Plain text representation of the concept   -->
  <valueCodeableConcept> 
    <!--   0..1 Representation defined by the system   -->
    <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)"/> 
    </coding> 
    <text value="Feminism in boy"/> 
  </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.