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(v5.0.0:
R5
-
STU
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Example
Observation/herd1
(XML)
Raw
XML
(
canonical
form
+
also
see
XML
Format
Specification
)
Jump
past
Narrative
An
example
of
a
herd
screening
ELISA
assay
for
Mycoplasmal
Pneumonia
in
Pigs.
(id
=
"herd1")
<?xml version="1.0" encoding="UTF-8"?>
<Observation xmlns="http://hl7.org/fhir">
<id value="herd1"/>
display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
1px solid #8da1b4; border-radius: 5px; line-height: 60% category code is A code that classifies the general type of observation being
made. This is used for searching, sorting and display purposes.
Observations are often coded in multiple code systems.
- LOINC provides codes of varying granularity (though not usefully more specific
in this particular case) and more generic LOINCs can be mapped to more specific
codes as shown here
- snomed provides a clinically relevant code that is usually less granular
than LOINC
- the source system provides its own code, which may be less or more granular
than LOINC
#80219-9 "Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by
Immunoassay"; clinical-codes#Mycoplasma "Mycoplasma") In FHIR, units may be represented twice. Once in the
agreed human representation, and once in a coded form.
Both is best, since it's not always possible to infer
one from the other in code.
When a computable unit is provided, UCUM (http://unitsofmeasure.org)
is always preferred, but it doesn't provide notional units (such as
"tablet"), etc. For these, something else is required (e.g. SNOMED
CT)
<!-- category code is A code that classifies the general type of observation being
made. This is used for searching, sorting and display purposes. -->
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<!--
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80219-9"/>
<display value="Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay"/>
</coding>
<coding>
<system value="http://acme.org/devices/clinical-codes"/>
<code value="Mycoplasma"/>
<display value="Mycoplasma"/>
</coding>
<text value="Mycoplasma hyopneumoniae - MHP"/>
</code>
<subject>
<reference value="Group/herd1"/>
</subject>
<encounter>
<display value="part of a health assurance program"/>
</encounter>
<effectiveDateTime value="2017-11-20"/>
<!-- In FHIR, units may be represented twice. Once in the
<valueQuantity>
<value value="0.2"/>
<unit value="% (sample/positive control)"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="NEG"/>
<display value="Negative"/>
</coding>
<text value="Negative"/>
</interpretation>
<specimen>
<reference value="Specimen/pooled-serum"/>
<display value="30 serum"/>
</specimen>
<referenceRange>
<text value=">0.4 Positive; 0.3 to 0.4 Suspect < 0.3 Negative"/>
</referenceRange>
</
Observation
>
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.