This
page
is
part
of
the
FHIR
Specification
(v1.0.2:
DSTU
(v3.0.2:
STU
2).
3).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
R3
R2
| Orders and Observations Work Group | Maturity Level : N/A | Ballot Status : Informative | Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson |
Simple Weight Example (id = "example")
<Observation xmlns="http://hl7.org/fhir"> <id value="example"/> <!-- the mandatory quality flags: -->(Details : {http://hl7.org/fhir/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})(Details : {LOINC code '3141-9' = 'Body weight Measured', given as 'Weight Measured'}; {SNOMED CT code '27113001' = '27113001', given as 'Body weight'}; {http://acme.org/devices/clinical- codes code 'body-weight' = '??', given as 'Body Weight'})<text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : example</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Vital Signs <span> (Details : {http://hl7.org/fhir/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span> </p> <p> <b> code</b> : Body Weight <span> (Details : {LOINC code '29463-7' = 'Body weight', given as 'Body Weight'}; {LOINC code '3141-9' = 'Body weight Measured', given as 'Body weight Measured'}; {SNOMED CT code '27113001' = 'Body weight', given as 'Body weight'}; {http://acme.org/devices/clinical-codes code 'body-weight' = 'body-weight', given as 'Body Weight'})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> context</b> : <a> Encounter/example</a> </p> <p> <b> effective</b> : 28/03/2016</p> <p> <b> value</b> : 185 lbs<span> (Details: UCUM code [lb_av] = 'lb_av')</span> </p> </div> </text> <status value="final"/> <!-- category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes. --><category> <coding> <system value="http://hl7.org/fhir/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <!-- Observations are often coded in multiple code systems.- LOINC provides a very specific code (though not usefully more specific in this particular case)- 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 --><code> <!-- LOINC - always recommended to have a LOINC code --><coding> <system value="http://loinc.org"/> <code value="29463-7"/> <!-- more generic methodless LOINC --> <display value="Body Weight"/> </coding> <coding> <system value="http://loinc.org"/> <code value="3141-9"/> <!-- translation is more specific method = measured LOINC --> <display value="Body weight Measured"/> </coding> <!-- SNOMED CT Codes - becoming more common --><coding> <system value="http://snomed.info/sct"/> <code value="27113001"/> <display value="Body weight"/> </coding> <!-- Also, a local code specific to the source system --><coding> <system value="http://acme.org/devices/clinical-codes"/> <code value="body-weight"/> <display value="Body Weight"/> </coding> </code> <subject> <reference value="Patient/example"/> </subject> <context> <reference value="Encounter/example"/> </context> <effectiveDateTime value="2016-03-28"/> <!-- 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) --><valueQuantity> <value value="185"/> <unit value="lbs"/> <system value="http://unitsofmeasure.org"/> <code value="[lb_av]"/> </valueQuantity> </ 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.