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| 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 )
Example of an Observations made about a location - an oyster farm
{
"resourceType": "Observation",
"id": "vp-oyster",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "vp-oyster" </p></div><p><b>identifier</b>: id: 20171014-1234 (OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: OYSTER TESTING <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#41857-4 "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method"; test-codes#VP MULTI PCR "VP MULTI PCR")</span></p><p><b>subject</b>: <span>: Sonoma oyster farm</span></p><p><b>effective</b>: 2017-10-12</p><p><b>issued</b>: 15/10/2017 10:11:24 AM</p><p><b>performer</b>: <a href=\"practitioner-f005.html\">Practitioner/f005: A. Langeveld</a> "Langeveld ANNE"</p><p><b>value</b>: POSITIVE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004 "Positive (qualifier value)"; result-codes#POSITIVE)</span></p><p><b>interpretation</b>: Abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#A)</span></p><p><b>specimen</b>: <span>: Live Oysters Acc#20171014-1234</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>NEGATIVE</td></tr></table></div>"
"resourceType" : "Observation",
"id" : "vp-oyster",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"vp-oyster\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "vp-oyster" </p></div><p><b>identifier</b>: id: 20171014-1234 (use: OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: <span title=\" \n Observations are often coded in multiple code systems.\n - LOINC\n\t\t- or SNOMED\n -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC.\n\tIn this example there is only local codes\n \">OYSTER TESTING <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#41857-4 "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method"; test-codes#VP MULTI PCR "VP MULTI PCR")</span></span></p><p><b>subject</b>: <span>: Sonoma oyster farm</span></p><p><b>effective</b>: 2017-10-12</p><p><b>issued</b>: 15 Oct 2017, 10:11:24 am</p><p><b>performer</b>: <a href=\"practitioner-example-f005-al.html\">Practitioner/f005: A. Langeveld</a> "Langeveld ANNE"</p><p><b>value</b>: <span title=\" results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive \">POSITIVE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004 "Positive (qualifier value)"; result-codes#POSITIVE)</span></span></p><p><b>interpretation</b>: Abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#A)</span></p><p><b>specimen</b>: <a name=\"group1\"> </a></p><blockquote><p/><p><a name=\"group1\"> </a></p><p><b>type</b>: animal</p><p><b>membership</b>: enumerated</p><blockquote><p><b>member</b></p><p><b>entity</b>: <a href=\"#bed1\">#bed1</a></p></blockquote><blockquote><p><b>member</b></p><p><b>entity</b>: <a href=\"#bed2\">#bed2</a></p></blockquote></blockquote><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>NEGATIVE</td></tr></table></div>"
},
"identifier": [
{
"use": "official",
"system": "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory",
"value": "20171014-1234"
}
],
"status": "preliminary",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "41857-4",
"display": "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method"
},
{
"system": "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes",
"code": "VP MULTI PCR",
"display": "VP MULTI PCR"
}
],
"text": "OYSTER TESTING"
"contained" : [{
"resourceType" : "Specimen",
"id" : "bed1",
"note" : [{
"text" : "Live Oysters Acc#20171014-1234 from Bed 1"
}]
},
"subject": {
"display": "Sonoma oyster farm"
{
"resourceType" : "Specimen",
"id" : "bed2",
"note" : [{
"text" : "Live Oysters Acc#20171014-1234 from Bed 2"
}]
},
"effectiveDateTime": "2017-10-12",
"issued": "2017-10-14T23:11:24Z",
"performer": [
{
"resourceType" : "Group",
"id" : "group1",
"type" : "animal",
"membership" : "enumerated",
"member" : [{
"entity" : {
"reference" : "#bed1"
}
},
{
"reference": "Practitioner/f005",
"display": "A. Langeveld"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"display": "Positive (qualifier value)"
},
{
"system": "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes",
"code": "POSITIVE",
"display": "POSITIVE"
"entity" : {
"reference" : "#bed2"
}
],
"text": "POSITIVE"
},
"interpretation": [
}]
}],
"identifier" : [{
"use" : "official",
"system" : "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory",
"value" : "20171014-1234"
}],
"status" : "preliminary",
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "41857-4",
"display" : "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "A",
"display": "Abnormal"
}
]
}
],
"specimen": {
"display": "Live Oysters Acc#20171014-1234"
"system" : "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes",
"code" : "VP MULTI PCR",
"display" : "VP MULTI PCR"
}],
"text" : "OYSTER TESTING"
},
"referenceRange": [
"subject" : {
"display" : "Sonoma oyster farm"
},
"effectiveDateTime" : "2017-10-12",
"issued" : "2017-10-14T23:11:24Z",
"performer" : [{
"reference" : "Practitioner/f005",
"display" : "A. Langeveld"
}],
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "10828004",
"display" : "Positive (qualifier value)"
},
{
"text": "NEGATIVE"
}
]
"system" : "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes",
"code" : "POSITIVE",
"display" : "POSITIVE"
}],
"text" : "POSITIVE"
},
"interpretation" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "A",
"display" : "Abnormal"
}]
}],
"specimen" : {
"reference" : "#group1"
},
"referenceRange" : [{
"text" : "NEGATIVE"
}]
}
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.
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FHIR
Release
4B
(v4.3.0)
hl7.fhir.r4b.core#4.3.0
R5
hl7.fhir.core#5.0.0-draft-final
generated
on
Sat,
May
28,
2022
12:56+1000.
Wed,
Mar
1,
2023
23:07+1100.
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