Observation-example-vp-oyster.xml

Example of an Observations made about a location - an oyster farm (id = "vp-oyster")

<Observation xmlns="http://hl7.org/fhir">
  <id value="vp-oyster"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : vp-oyster</p> <p> <b> identifier</b> : 20171014-1234 (OFFICIAL)</p> <p> <b> status</b> : preliminary</p> <p> <b> code</b> : OYSTER TESTING <span> (Details : {LOINC code '41857-4' = 'Vibrio parahaemolyticus DNA [Presence] in Unspecified
           specimen by Probe and target amplification method', given as 'Vibrio parahaemolyticus
           DNA [Presence] in Unspecified specimen by Probe and target amplification method'}; {http://sonomacou
          nty.ca.gov/Health/Public-Health/Laboratory/test-codes code 'VP MULTI PCR' = 'VP MULTI PCR',
           given as 'VP MULTI PCR'})</span> </p> <p> <b> subject</b> : Sonoma oyster farm</p> <p> <b> effective</b> : 12/10/2017</p> <p> <b> issued</b> : 14/10/2017 11:11:24 PM</p> <p> <b> performer</b> : <a> A. Langeveld</a> </p> <p> <b> value</b> : POSITIVE <span> (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive (qualifier value)'};
           {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes code 'POSITIVE'
           = 'POSITIVE', given as 'POSITIVE'})</span> </p> <p> <b> interpretation</b> : Abnormal <span> (Details : {http://hl7.org/fhir/v2/0078 code 'A' = 'Abnormal', given as 'Abnormal'})</span> </p> <p> <b> specimen</b> : Live Oysters Acc#20171014-1234</p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Text</b> </td> </tr> <tr> <td> *</td> <td> NEGATIVE</td> </tr> </table> </div> </text> <identifier> 
    <use value="official"/> 
    <system value="http://sonomacounty.ca.gov/Health/Public-Health/Laboratory"/> 
    <value value="20171014-1234"/> 
  </identifier> 
  <status value="preliminary"/> 
  <!--    
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED
      -and/or the source system may provides its own "local" code, which may be less or
   more granular than LOINC.
  In this example there is only local codes
      -->
  <code> 
    <!--    Should use a  proper LOINC code     -->
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="41857-4"/> 
      <display value="Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification
       method"/> 
    </coding> 
    <!--    here is the local code    -->
    <coding> 
      <system value="http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes"/> 
      <code value="VP MULTI PCR"/> 
      <display value="VP MULTI PCR"/> 
    </coding> 
    <text value="OYSTER TESTING"/> 
  </code> 
  <subject> 
    <!--    reference value="Location/oyster-farm"/    -->
    <display value="Sonoma oyster farm"/> 
  </subject> 
  <effectiveDateTime value="2017-10-12"/> 
  <issued value="2017-10-14T23:11:24Z"/> 
  <performer> 
    <reference value="Practitioner/f005"/> 
    <display value="A. Langeveld"/> 
  </performer> 
  <!--    results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive
      -->
  <valueCodeableConcept> 
    <!--    SNOMED CT codes    -->
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="10828004"/> 
      <display value="Positive (qualifier value)"/> 
    </coding> 
    <!--    local code translation    -->
    <coding> 
      <system value="http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes"/> 
      <code value="POSITIVE"/> 
      <display value="POSITIVE"/> 
    </coding> 
    <text value="POSITIVE"/> 
  </valueCodeableConcept> 
  <interpretation> 
    <coding> 
      <system value="http://hl7.org/fhir/v2/0078"/> 
      <code value="A"/> 
      <display value="Abnormal"/> 
    </coding> 
  </interpretation> 
  <specimen> 
    <display value="Live Oysters Acc#20171014-1234"/> 
  </specimen> 
  <referenceRange> 
    <text value="NEGATIVE"/> 
  </referenceRange> 
</Observation>