Observation-example-clinical-gender.xml

Example of a clinical gender observation. For a discussion on representing a patient's gender the Patient Resource. (id = "clinical-gender")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="clinical-gender"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p/>  <p> <b> category</b> : <span> Social History</span> </p> <p> <b> code</b> : <span> Gender identity</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> : 2018-02-01</p> <p> <b> performer</b> : <a> Generated Summary: id: 23; active; Adam Careful </a> </p> <p> <b> value</b> : <span> Feminism in boy</span> </p> </div> </text> <status value="final"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
      <code value="social-history"/> 
      <display value="Social History"/> 
    </coding> 
  </category> 
  <code> 
    <coding> 
      <system value="http://loinc.org"/> 
      <!--    0..1 Identity of the terminology system    -->
      <code value="76691-5"/> 
      <!--    0..1 Symbol in syntax defined by the system    -->
      <display value="Gender identity"/> 
      <!--    0..1 Representation defined by the system    -->
    </coding> 
    <text value="Gender identity"/> 
    <!--    0..1 Plain text representation of the concept    -->
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <encounter> 
    <reference value="Encounter/example"/> 
  </encounter> 
  <effectiveDateTime value="2018-02-01"/> 
  <performer> 
    <!--    0..* Reference(Practitioner|PractitionerRole|Organization|     CareTeam|Patient|RelatedPerson)Who
     is responsible for the observation    -->
    <reference value="Practitioner/example"/> 
  </performer> 
  <valueCodeableConcept> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <!--    0..1 Identity of the terminology system    -->
      <code value="191788006"/> 
      <!--    0..1 Symbol in syntax defined by the system    -->
      <display value="Feminism in boy (finding)"/> 
      <!--    0..1 Representation defined by the system    -->
    </coding> 
    <text value="Feminism in boy"/> 
    <!--    0..1 Plain text representation of the concept    -->
  </valueCodeableConcept> 
</Observation>