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