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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
An exam finding using pattern 3 described in the "Using Codes in Observation" Section
{ "resourceType": "Observation", "id": "abdo-tender", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: abdo-tender</p><p><b>status</b>: final</p><p><b>category</b>: Exam <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'exam' = 'Exam', given as 'Exam'})</span></p><p><b>code</b>: Abdominal tenderness <span>(Details : {SNOMED CT code '43478001' = 'Abdominal tenderness', given as 'Abdominal tenderness (finding)'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>effective</b>: 02/04/2018 10:30:10 AM --> (ongoing)</p><p><b>issued</b>: 03/04/2018 3:30:10 PM</p><p><b>value</b>: true</p><p><b>interpretation</b>: Abnormal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'A' = 'Abnormal', given as 'Abnormal'})</span></p></div>" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "exam", "display": "Exam" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "43478001", "display": "Abdominal tenderness (finding)" } ], "text": "Abdominal tenderness" }, "subject": { "reference": "Patient/example" }, "encounter": { "reference": "Encounter/example" }, "effectivePeriod": { "start": "2018-04-02T10:30:10+01:00" }, "issued": "2018-04-03T15:30:10+01:00", "valueBoolean": true, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "A", "display": "Abnormal" } ], "text": "Abnormal" } ] }
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.