Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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

Observation-example-abdo-tender.xml

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)

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An exam finding using pattern 3 described in the "Using Codes in Observation" Section (id = "abdo-tender")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="abdo-tender"/> 


  <text> <status value="generated"/> <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 --&gt; (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> </text> <status value="final"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
      <code value="exam"/> 
      <display value="Exam"/> 
    </coding> 
  </category> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="43478001"/> 
      <display value="Abdominal tenderness (finding)"/> 
    </coding> 
    <text value="Abdominal tenderness"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <encounter> 
    <reference value="Encounter/example"/> 
  </encounter> 
  <effectivePeriod> 
    <start value="2018-04-02T10:30:10+01:00"/> 
  </effectivePeriod> 
  <issued value="2018-04-03T15:30:10+01:00"/> 
  <valueBoolean value="true"/> 
  <interpretation> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
      <code value="A"/> 
      <display value="Abnormal"/> 
    </coding> 
    <text value="Abnormal"/> 
  </interpretation> 
</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.