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| Orders and Observations Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson |
Raw XML ( canonical form + also see XML Format Specification )
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 with Details</b> </p> <p> <b> id</b> : clinical-gender</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Social History <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'social-history'= 'Social History', given as 'Social History'})(Details : {SNOMED CT code '191788006' = 'Feminism in boy', given as 'Feminism in boy= 'Social History', given as 'Social History'})</span> </p> <p> <b> code</b> : Gender identity <span> (Details : {LOINC code '76691-5' = 'Gender identity', given as 'Gender identity'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> encounter</b> : <a> Encounter/example</a> </p> <p> <b> effective</b> : 2018-02-01</p> <p> <b> performer</b> : <a> Practitioner/example</a> </p> <p> <b> value</b> : Feminism in boy <span> (Details : {SNOMED CT code '191788006' = 'Feminism in boy', given as 'Feminism in boy (finding)'})</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 >
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.