QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)

This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Example: Observation-example

Formats: Narrative, XML, JSON, Turtle

Generated Narrative with Details

id: example

meta:

status: final

category: Vital Signs (Details : {http://hl7.org/fhir/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Hemoglobin [Mass/volume] in Venous blood (Details : {LOINC code '30350-3' = 'Hemoglobin [Mass/volume] in Venous blood', given as 'Hemoglobin [Mass/volume] in Venous blood'})

subject: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 25/12/1974;

context: Generated Summary: id: example; status: in-progress; inpatient encounter; Inpatient Hospital Care

effective: 02/04/2013 8:30:10 PM --> 05/04/2013 8:30:10 PM

issued: 04/04/2013 1:30:10 AM

value: 7.2 g/dl (Details: UCUM code g/dL = 'g/dL')

interpretation: Below low normal (Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'Low'})

bodySite: Superficial forearm vein (Details : {SNOMED CT code '308046002' = 'Structure of superficial forearm vein (body structure)', given as 'Superficial forearm vein'})

method: Injection to forearm (Details : {SNOMED CT code '120220003' = 'Injection to forearm', given as 'Injection to forearm'})

specimen: Generated Summary: id: example; Venous blood specimen; receivedTime: 04/03/2011 6:03:00 PM

Relateds

-Target
*Generated Summary: id: example; Vital Signs; Hemoglobin [Mass/volume] in Venous blood; effective: 02/04/2013 8:30:10 PM --> 05/04/2013 8:30:10 PM; issued: 04/04/2013 1:30:10 AM; 7.2 g/dl; Below low normal; Superficial forearm vein; Injection to forearm

component

code: Systolic blood pressure (Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = 'SAP - Systolic arterial pressure', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = 'bp-s', given as 'Systolic Blood pressure'})

value: 107 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

interpretation: Normal (Details : {http://hl7.org/fhir/v2/0078 code 'N' = 'Normal', given as 'normal'})

component

code: Diastolic blood pressure (Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})

value: 60 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

interpretation: Below low normal (Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'low'})