This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). 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
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
An exam finding using pattern 3 described in the "Using Codes in Observation" Section
{ "resourceType": "Observation", "id": "abdo-tender", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p/><p><b>category</b>: <span>Exam</span></p><p><b>code</b>: <span>Abdominal tenderness</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Generated Summary: status: in-progress; <span>inpatient encounter</span></a></p><p><b>effective</b>: 2 Apr. 2018, 7:30:10 pm --> (ongoing)</p><p><b>issued</b>: 4 Apr. 2018, 12:30:10 am</p><p><b>value</b>: true</p><p><b>interpretation</b>: <span>Abnormal</span></p></div>" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "exam", "display": "Exam" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "43478001", "display": "Abdominal tenderness (finding)" } ], "text": "Abdominal tenderness" }, "subject": { "reference": "Patient/example" }, "encounter": { "reference": "Encounter/example" }, "effectivePeriod": { "start": "2018-04-02T10:30:10+01:00" }, "issued": "2018-04-03T15:30:10+01:00", "valueBoolean": true, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "A", "display": "Abnormal" } ], "text": "Abnormal" } ] }
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.