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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 )
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 with Details</b></p><p><b>id</b>: abdo-tender</p><p><b>status</b>: final</p><p><b>category</b>: Exam <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'exam' = 'Exam', given as 'Exam'})</span></p><p><b>code</b>: Abdominal tenderness <span>(Details : {SNOMED CT code '43478001' = 'Abdominal tenderness', given as 'Abdominal tenderness (finding)'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>effective</b>: 02/04/2018 10:30:10 AM --> (ongoing)</p><p><b>issued</b>: 03/04/2018 3:30:10 PM</p><p><b>value</b>: true</p><p><b>interpretation</b>: Abnormal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'A' = 'Abnormal', given as 'Abnormal'})</span></p></div>"
"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 "abdo-tender" </p></div><p><b>status</b>: final</p><p><b>category</b>: Exam <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-observation-category.html\">Observation Category Codes</a>#exam)</span></p><p><b>code</b>: Abdominal tenderness <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#43478001 "Abdominal tenderness (finding)")</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>encounter</b>: <a href=\"encounter-example.html\">Encounter/example</a></p><p><b>effective</b>: 2018-04-02T10:30:10+01:00 --> (ongoing)</p><p><b>issued</b>: 04/04/2018 12:30:10 AM</p><p><b>value</b>: true</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></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.