QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.1)

QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions

Observation/example

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{
  "resourceType" : "Observation",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Hemoglobin [Mass/volume] in Venous blood <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '30350-3' = 'Hemoglobin [Mass/volume] in Venous blood', given as 'Hemoglobin [Mass/volume] in Venous blood'})</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Generated Summary: id: example; status: in-progress; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99223}\">Inpatient Hospital Care</span></a></p><p><b>effective</b>: Apr 2, 2013 9:30:10 AM --&gt; Apr 5, 2013 9:30:10 AM</p><p><b>issued</b>: Apr 3, 2013 2:30:10 PM</p><p><b>value</b>: 7.2 g/dl<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g/dL = 'g/dL')</span></p><p><b>interpretation</b>: Below low normal <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0078 code 'L' = 'Low', given as 'Low'})</span></p><p><b>bodySite</b>: Superficial forearm vein <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '308046002' = 'Superficial forearm vein', given as 'Superficial forearm vein'})</span></p><p><b>method</b>: Injection to forearm <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '120220003' = 'Injection to forearm', given as 'Injection to forearm'})</span></p><p><b>specimen</b>: <a href=\"Specimen-example.html\">Generated Summary: id: example; <span title=\"Codes: {http://snomed.info/sct 122555007}\">Venous blood specimen</span>; receivedTime: Mar 4, 2011 7:03:00 AM</a></p><p><b>derivedFrom</b>: <a href=\"Observation-example.html\">Generated Summary: id: example; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 30350-3}\">Hemoglobin [Mass/volume] in Venous blood</span>; effective: Apr 2, 2013 9:30:10 AM --&gt; Apr 5, 2013 9:30:10 AM; issued: Apr 3, 2013 2:30:10 PM; 7.2 g/dl; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0078 L}\">Below low normal</span>; <span title=\"Codes: {http://snomed.info/sct 308046002}\">Superficial forearm vein</span>; <span title=\"Codes: {http://snomed.info/sct 120220003}\">Injection to forearm</span></a></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = 'bp-s', given as 'Systolic Blood pressure'})</span></p><p><b>value</b>: 107 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: Normal <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0078 code 'N' = 'Normal', given as 'normal'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})</span></p><p><b>value</b>: 60 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: Below low normal <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0078 code 'L' = 'Low', given as 'low'})</span></p></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "33586001",
            "display" : "Sitting position (finding)"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-delta",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1250004",
            "display" : "Decreased (qualifier value)"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "30350-3",
        "display" : "Hemoglobin [Mass/volume] in Venous blood"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "effectivePeriod" : {
    "start" : "2013-04-02T10:30:10+01:00",
    "end" : "2013-04-05T10:30:10+01:00"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "valueQuantity" : {
    "value" : 7.2,
    "unit" : "g/dl",
    "system" : "http://unitsofmeasure.org",
    "code" : "g/dL"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0078",
          "code" : "L",
          "display" : "Low"
        }
      ],
      "text" : "Below low normal"
    }
  ],
  "bodySite" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "308046002",
        "display" : "Superficial forearm vein"
      }
    ]
  },
  "method" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "120220003",
        "display" : "Injection to forearm"
      }
    ]
  },
  "specimen" : {
    "reference" : "Specimen/example"
  },
  "derivedFrom" : [
    {
      "reference" : "Observation/example"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8480-6",
            "display" : "Systolic blood pressure"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "271649006",
            "display" : "Systolic blood pressure"
          },
          {
            "system" : "http://acme.org/devices/clinical-codes",
            "code" : "bp-s",
            "display" : "Systolic Blood pressure"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 107,
        "unit" : "mmHg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0078",
              "code" : "N",
              "display" : "normal"
            }
          ],
          "text" : "Normal"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8462-4",
            "display" : "Diastolic blood pressure"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 60,
        "unit" : "mmHg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0078",
              "code" : "L",
              "display" : "low"
            }
          ],
          "text" : "Below low normal"
        }
      ]
    }
  ]
}