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Observation "vp-oyster" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Generated Narrative with Details

id: vp-oyster

identifier: 20171014-1234 (OFFICIAL)

status: preliminary

code: OYSTER TESTING (Details : {LOINC code '41857-4' = 'Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method', given as 'Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method'}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes code 'VP MULTI PCR' = 'VP MULTI PCR', given as 'VP MULTI PCR'})

subject: Sonoma oyster farm

effective: Oct 12, 2017

issued: Oct 14, 2017 11:11:24 PM

performer: A. Langeveld

value: POSITIVE (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive (qualifier value)'}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes code 'POSITIVE' = 'POSITIVE', given as 'POSITIVE'})

interpretation: Abnormal (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'A' = 'Abnormal', given as 'Abnormal'})

specimen: Live Oysters Acc#20171014-1234

ReferenceRanges

-Text
*NEGATIVE

{
  "resourceType" : "Observation",
  "id" : "vp-oyster",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:43.051Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: vp-oyster</p><p><b>identifier</b>: 20171014-1234 (OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: OYSTER TESTING <span>(Details : {LOINC code '41857-4' = 'Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method', given as 'Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method'}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes code 'VP MULTI PCR' = 'VP MULTI PCR', given as 'VP MULTI PCR'})</span></p><p><b>subject</b>: Sonoma oyster farm</p><p><b>effective</b>: Oct 12, 2017</p><p><b>issued</b>: Oct 14, 2017 11:11:24 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: POSITIVE <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive (qualifier value)'}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes code 'POSITIVE' = 'POSITIVE', given as 'POSITIVE'})</span></p><p><b>interpretation</b>: Abnormal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'A' = 'Abnormal', given as 'Abnormal'})</span></p><p><b>specimen</b>: Live Oysters Acc#20171014-1234</p><h3>ReferenceRanges</h3><table><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"
  },
  "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)"
      },
      {
        "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" : {
    "display" : "Live Oysters Acc#20171014-1234"
  },
  "referenceRange" : [
    {
      "text" : "NEGATIVE"
    }
  ]
}

Observation "vomiting" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Generated Narrative with Details

id: vomiting

status: final

category: Signs and Symptoms (Details )

code: Vomiting [Minimum Data Set] (Details : {LOINC code '45708-5' = 'Vomiting [Minimum Data Set]', given as 'Vomiting [Minimum Data Set]'}; {SNOMED CT code '249497008' = 'Vomiting symptom', given as 'Vomiting symptom (finding)'})

subject: Patient/infant

effective: May 18, 2016 10:33:22 PM

value: Absent (qualifier value) (Details : {SNOMED CT code '2667000' = 'Absent', given as 'Absent (qualifier value)'})


{
  "resourceType" : "Observation",
  "id" : "vomiting",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:43.004Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: vomiting</p><p><b>status</b>: final</p><p><b>category</b>: Signs and Symptoms <span>(Details )</span></p><p><b>code</b>: Vomiting [Minimum Data Set] <span>(Details : {LOINC code '45708-5' = 'Vomiting [Minimum Data Set]', given as 'Vomiting [Minimum Data Set]'}; {SNOMED CT code '249497008' = 'Vomiting symptom', given as 'Vomiting symptom (finding)'})</span></p><p><b>subject</b>: <a>Patient/infant</a></p><p><b>effective</b>: May 18, 2016 10:33:22 PM</p><p><b>value</b>: Absent (qualifier value) <span>(Details : {SNOMED CT code '2667000' = 'Absent', given as 'Absent (qualifier value)'})</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "text" : "Signs and Symptoms"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "45708-5",
        "display" : "Vomiting [Minimum Data Set]"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "249497008",
        "display" : "Vomiting symptom (finding)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/infant"
  },
  "effectiveDateTime" : "2016-05-18T22:33:22Z",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "2667000",
        "display" : "Absent (qualifier value)"
      }
    ]
  }
}

Observation "vitals-panel" Version "1"

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Updated: by

Generated Narrative with Details

id: vitals-panel

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Vital signs Panel (Details : {LOINC code '85353-1' = 'Vital signs, weight, height, head circumference, oxygen saturation & BMI panel', given as 'Vital signs, weight, height, head circumference, oxygen saturation and BMI panel'})

subject: Patient/example

effective: Jul 2, 1999

hasMember:


{
  "resourceType" : "Observation",
  "id" : "vitals-panel",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.957Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: vitals-panel</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Vital signs Panel <span>(Details : {LOINC code '85353-1' = 'Vital signs, weight, height, head circumference, oxygen saturation &amp; BMI panel', given as 'Vital signs, weight, height, head circumference, oxygen saturation and BMI panel'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>hasMember</b>: </p><ul><li><a>Respiratory Rate</a></li><li><a>Heart Rate</a></li><li><a>Blood Pressure</a></li><li><a>Body Temperature</a></li></ul></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "85353-1",
        "display" : "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
      }
    ],
    "text" : "Vital signs Panel"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "hasMember" : [
    {
      "reference" : "Observation/respiratory-rate",
      "display" : "Respiratory Rate"
    },
    {
      "reference" : "Observation/heart-rate",
      "display" : "Heart Rate"
    },
    {
      "reference" : "Observation/blood-pressure",
      "display" : "Blood Pressure"
    },
    {
      "reference" : "Observation/body-temperature",
      "display" : "Body Temperature"
    }
  ]
}

Observation "unsat" Version "1"

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Updated: by

Generated Narrative with Details

id: unsat

identifier: 6323 (OFFICIAL)

status: cancelled

code: Glucose [Moles/volume] in Blood (Details : {LOINC code '15074-8' = 'Glucose [Moles/volume] in Blood', given as 'Glucose [Moles/volume] in Blood'})

subject: P. van de Heuvel

effective: Apr 2, 2013 9:30:10 AM --> Apr 5, 2013 9:30:10 AM

issued: Apr 3, 2013 3:30:10 PM

performer: A. Langeveld

dataAbsentReason: Specimen unsatisfactory for evaluation (Details : {SNOMED CT code '125154007' = 'Specimen unsatisfactory for evaluation', given as 'Specimen unsatisfactory for evaluation'})

note: Tube broken in transit and sample leaked

ReferenceRanges

-LowHigh
*3.1 mmol/l (Details: UCUM code mmol/L = 'mmol/L')6.2 mmol/l (Details: UCUM code mmol/L = 'mmol/L')

{
  "resourceType" : "Observation",
  "id" : "unsat",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.911Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: unsat</p><p><b>identifier</b>: 6323 (OFFICIAL)</p><p><b>status</b>: cancelled</p><p><b>code</b>: Glucose [Moles/volume] in Blood <span>(Details : {LOINC code '15074-8' = 'Glucose [Moles/volume] in Blood', given as 'Glucose [Moles/volume] in Blood'})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: Apr 2, 2013 9:30:10 AM --&gt; Apr 5, 2013 9:30:10 AM</p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>dataAbsentReason</b>: Specimen unsatisfactory for evaluation <span>(Details : {SNOMED CT code '125154007' = 'Specimen unsatisfactory for evaluation', given as 'Specimen unsatisfactory for evaluation'})</span></p><p><b>note</b>: Tube broken in transit and sample leaked</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>3.1 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>6.2 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/observations",
      "value" : "6323"
    }
  ],
  "status" : "cancelled",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "15074-8",
        "display" : "Glucose [Moles/volume] in Blood"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "effectivePeriod" : {
    "start" : "2013-04-02T09:30:10+01:00",
    "end" : "2013-04-05T09:30:10+01:00"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f005",
      "display" : "A. Langeveld"
    }
  ],
  "dataAbsentReason" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "125154007",
        "display" : "Specimen unsatisfactory for evaluation"
      }
    ]
  },
  "note" : [
    {
      "text" : "Tube broken in transit and sample leaked"
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 3.1,
        "unit" : "mmol/l",
        "system" : "http://unitsofmeasure.org",
        "code" : "mmol/L"
      },
      "high" : {
        "value" : 6.2,
        "unit" : "mmol/l",
        "system" : "http://unitsofmeasure.org",
        "code" : "mmol/L"
      }
    }
  ]
}

Observation "trachcare" Version "1"

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Updated: by

Generated Narrative with Details

id: trachcare

status: final

category: Exam (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'exam' = 'Exam', given as 'Exam'})

code: Tracheostomy care assessment (procedure) (Details : {SNOMED CT code '410211008' = 'Tracheostomy care assessment', given as 'Tracheostomy care assessment (procedure)'})

subject: Patient/infant

focus: Patient/infant-mom

effective: Mar 11, 2018 4:07:54 PM

value: Mother is trained to change her child's tracheostomy tube


{
  "resourceType" : "Observation",
  "id" : "trachcare",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.864Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: trachcare</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>: Tracheostomy care assessment (procedure) <span>(Details : {SNOMED CT code '410211008' = 'Tracheostomy care assessment', given as 'Tracheostomy care assessment (procedure)'})</span></p><p><b>subject</b>: <a>Patient/infant</a></p><p><b>focus</b>: <a>Patient/infant-mom</a></p><p><b>effective</b>: Mar 11, 2018 4:07:54 PM</p><p><b>value</b>: Mother is trained to change her child's tracheostomy tube</p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "exam",
          "display" : "Exam"
        }
      ],
      "text" : "Exam"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "410211008",
        "display" : "Tracheostomy care assessment (procedure)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/infant"
  },
  "focus" : [
    {
      "reference" : "Patient/infant-mom"
    }
  ],
  "effectiveDateTime" : "2018-03-11T16:07:54+00:00",
  "valueString" : "Mother is trained to change her child's tracheostomy tube"
}

Observation "secondsmoke" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: secondsmoke

status: final

category: Social History (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'social-history' = 'Social History', given as 'Social History'})

code: Second hand smoke exposure (Details : {LOINC code '39243-1' = 'Second hand smoke exposure CPHS', given as 'Second hand smoke exposure CPHS'}; {SNOMED CT code '102409004' = 'Second hand cigarette smoke', given as 'Second hand cigarette smoke (substance)'})

subject: Patient/infant

effective: May 18, 2016 10:33:22 PM

value: YES (Details : {SNOMED CT code '373066001' = 'Yes', given as 'Yes (qualifier value)'})


{
  "resourceType" : "Observation",
  "id" : "secondsmoke",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.801Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: secondsmoke</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'})</span></p><p><b>code</b>: Second hand smoke exposure <span>(Details : {LOINC code '39243-1' = 'Second hand smoke exposure CPHS', given as 'Second hand smoke exposure CPHS'}; {SNOMED CT code '102409004' = 'Second hand cigarette smoke', given as 'Second hand cigarette smoke (substance)'})</span></p><p><b>subject</b>: <a>Patient/infant</a></p><p><b>effective</b>: May 18, 2016 10:33:22 PM</p><p><b>value</b>: YES <span>(Details : {SNOMED CT code '373066001' = 'Yes', given as 'Yes (qualifier value)'})</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "social-history",
          "display" : "Social History"
        }
      ],
      "text" : "Social History"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "39243-1",
        "display" : "Second hand smoke exposure CPHS"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "102409004",
        "display" : "Second hand cigarette smoke (substance)"
      }
    ],
    "text" : "Second hand smoke exposure"
  },
  "subject" : {
    "reference" : "Patient/infant"
  },
  "effectiveDateTime" : "2016-05-18T22:33:22Z",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "373066001",
        "display" : "Yes (qualifier value)"
      }
    ],
    "text" : "YES"
  }
}

Observation "satO2" Version "1"

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Updated: by

Generated Narrative with Details

id: satO2

meta:

identifier: o1223435-10

partOf: Procedure/ob

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Oxygen saturation in Arterial blood (Details : {LOINC code '2708-6' = 'Oxygen saturation in Arterial blood', given as 'Oxygen saturation in Arterial blood'}; {LOINC code '59408-5' = 'Oxygen saturation in Arterial blood by Pulse oximetry', given as 'Oxygen saturation in Arterial blood by Pulse oximetry'}; {urn:iso:std:iso:11073:10101 code '150456' = '150456', given as 'MDC_PULS_OXIM_SAT_O2'})

subject: Patient/example

effective: Dec 5, 2014 9:30:10 AM

value: 95 % (Details: UCUM code % = '%')

interpretation: Normal (applies to non-numeric results) (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal', given as 'Normal'})

device: DeviceMetric/example

ReferenceRanges

-LowHigh
*90 % (Details: UCUM code % = '%')99 % (Details: UCUM code % = '%')

{
  "resourceType" : "Observation",
  "id" : "satO2",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.739Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: satO2</p><p><b>meta</b>: </p><p><b>identifier</b>: o1223435-10</p><p><b>partOf</b>: <a>Procedure/ob</a></p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Oxygen saturation in Arterial blood <span>(Details : {LOINC code '2708-6' = 'Oxygen saturation in Arterial blood', given as 'Oxygen saturation in Arterial blood'}; {LOINC code '59408-5' = 'Oxygen saturation in Arterial blood by Pulse oximetry', given as 'Oxygen saturation in Arterial blood by Pulse oximetry'}; {urn:iso:std:iso:11073:10101 code '150456' = '150456', given as 'MDC_PULS_OXIM_SAT_O2'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Dec 5, 2014 9:30:10 AM</p><p><b>value</b>: 95 %<span> (Details: UCUM code % = '%')</span></p><p><b>interpretation</b>: Normal (applies to non-numeric results) <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal', given as 'Normal'})</span></p><p><b>device</b>: <a>DeviceMetric/example</a></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>90 %<span> (Details: UCUM code % = '%')</span></td><td>99 %<span> (Details: UCUM code % = '%')</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://goodcare.org/observation/id",
      "value" : "o1223435-10"
    }
  ],
  "partOf" : [
    {
      "reference" : "Procedure/ob"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "2708-6",
        "display" : "Oxygen saturation in Arterial blood"
      },
      {
        "system" : "http://loinc.org",
        "code" : "59408-5",
        "display" : "Oxygen saturation in Arterial blood by Pulse oximetry"
      },
      {
        "system" : "urn:iso:std:iso:11073:10101",
        "code" : "150456",
        "display" : "MDC_PULS_OXIM_SAT_O2"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "2014-12-05T09:30:10+01:00",
  "valueQuantity" : {
    "value" : 95,
    "unit" : "%",
    "system" : "http://unitsofmeasure.org",
    "code" : "%"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }
      ],
      "text" : "Normal (applies to non-numeric results)"
    }
  ],
  "device" : {
    "reference" : "DeviceMetric/example"
  },
  "referenceRange" : [
    {
      "low" : {
        "value" : 90,
        "unit" : "%",
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      },
      "high" : {
        "value" : 99,
        "unit" : "%",
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      }
    }
  ]
}

Observation "rhstatus" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: rhstatus

status: final

category: Laboratory (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})

code: Blood Group (Details : {LOINC code '883-9' = 'ABO group [Type] in Blood', given as 'ABO group [Type] in Blood'})

subject: Patient/infant

effective: Mar 11, 2018 4:07:54 PM

value: A (Details : {SNOMED CT code '112144000' = 'Blood group A', given as 'Blood group A (finding)'})


{
  "resourceType" : "Observation",
  "id" : "rhstatus",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.692Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: rhstatus</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})</span></p><p><b>code</b>: Blood Group <span>(Details : {LOINC code '883-9' = 'ABO group [Type] in Blood', given as 'ABO group [Type] in Blood'})</span></p><p><b>subject</b>: <a>Patient/infant</a></p><p><b>effective</b>: Mar 11, 2018 4:07:54 PM</p><p><b>value</b>: A <span>(Details : {SNOMED CT code '112144000' = 'Blood group A', given as 'Blood group A (finding)'})</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }
      ],
      "text" : "Laboratory"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "883-9",
        "display" : "ABO group [Type] in Blood"
      }
    ],
    "text" : "Blood Group"
  },
  "subject" : {
    "reference" : "Patient/infant"
  },
  "effectiveDateTime" : "2018-03-11T16:07:54+00:00",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "112144000",
        "display" : "Blood group A (finding)"
      }
    ],
    "text" : "A"
  }
}

Observation "respiratory-rate" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: respiratory-rate

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Respiratory rate (Details : {LOINC code '9279-1' = 'Respiratory rate', given as 'Respiratory rate'})

subject: Patient/example

effective: Jul 2, 1999

value: 26 breaths/minute (Details: UCUM code /min = '/min')


{
  "resourceType" : "Observation",
  "id" : "respiratory-rate",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.629Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: respiratory-rate</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Respiratory rate <span>(Details : {LOINC code '9279-1' = 'Respiratory rate', given as 'Respiratory rate'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 26 breaths/minute<span> (Details: UCUM code /min = '/min')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "9279-1",
        "display" : "Respiratory rate"
      }
    ],
    "text" : "Respiratory rate"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 26,
    "unit" : "breaths/minute",
    "system" : "http://unitsofmeasure.org",
    "code" : "/min"
  }
}

Observation "mbp" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: mbp

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Mean blood pressure (Details : {LOINC code '8478-0' = 'Mean blood pressure', given as 'Mean blood pressure'})

subject: Patient/example

effective: Jul 2, 1999

value: 80 mm[Hg] (Details: UCUM code mm[Hg] = 'mmHg')


{
  "resourceType" : "Observation",
  "id" : "mbp",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.582Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: mbp</p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Mean blood pressure <span>(Details : {LOINC code '8478-0' = 'Mean blood pressure', given as 'Mean blood pressure'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 80 mm[Hg]<span> (Details: UCUM code mm[Hg] = 'mmHg')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8478-0",
        "display" : "Mean blood pressure"
      }
    ],
    "text" : "Mean blood pressure"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 80,
    "unit" : "mm[Hg]",
    "system" : "http://unitsofmeasure.org",
    "code" : "mm[Hg]"
  }
}

Observation "map-sitting" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: map-sitting

status: final

category: Laboratory (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})

code: Mean blood pressure (Details : {LOINC code '8478-0' = 'Mean blood pressure', given as 'Mean blood pressure'})

subject: Patient/example

encounter: Encounter/example

effective: Apr 2, 2018 10:30:10 AM --> Apr 5, 2018 10:30:10 AM

issued: Apr 3, 2018 3:30:10 PM

value: 60 mm Hg (Details: UCUM code mm[Hg] = 'mmHg')

interpretation: Below low normal (Details : {http://terminology.hl7.org/CodeSystem/0078 code 'L' = 'L', given as 'Low'})


{
  "resourceType" : "Observation",
  "id" : "map-sitting",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.535Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: map-sitting</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})</span></p><p><b>code</b>: Mean blood pressure <span>(Details : {LOINC code '8478-0' = 'Mean blood pressure', given as 'Mean blood pressure'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>effective</b>: Apr 2, 2018 10:30:10 AM --&gt; Apr 5, 2018 10:30:10 AM</p><p><b>issued</b>: Apr 3, 2018 3:30:10 PM</p><p><b>value</b>: 60 mm Hg<span> (Details: UCUM code mm[Hg] = 'mmHg')</span></p><p><b>interpretation</b>: Below low normal <span>(Details : {http://terminology.hl7.org/CodeSystem/0078 code 'L' = 'L', given as 'Low'})</span></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "33586001",
            "display" : "Sitting position (finding)"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-delta",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1250004",
            "display" : "Decreased (qualifier value)"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8478-0",
        "display" : "Mean blood pressure"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "effectivePeriod" : {
    "start" : "2018-04-02T10:30:10+01:00",
    "end" : "2018-04-05T10:30:10+01:00"
  },
  "issued" : "2018-04-03T15:30:10+01:00",
  "valueQuantity" : {
    "value" : 60,
    "unit" : "mm Hg",
    "system" : "http://unitsofmeasure.org",
    "code" : "mm[Hg]"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/0078",
          "code" : "L",
          "display" : "Low"
        }
      ],
      "text" : "Below low normal"
    }
  ]
}

Observation "herd1" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: herd1

status: final

category: Laboratory (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})

code: Mycoplasma hyopneumoniae - MHP (Details : {LOINC code '80219-9' = 'Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay', given as 'Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay'}; {http://acme.org/devices/clinical-codes code 'Mycoplasma' = 'Mycoplasma', given as 'Mycoplasma'})

subject: Group/herd1

encounter: part of a health assurance program

effective: Nov 20, 2017

value: 0.2 % (sample/positive control) (Details: UCUM code % = '%')

interpretation: Negative (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'NEG' = 'Negative', given as 'Negative'})

specimen: 30 serum

ReferenceRanges

-Text
*>0.4 Positive; 0.3 to 0.4 Suspect < 0.3 Negative

{
  "resourceType" : "Observation",
  "id" : "herd1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.489Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: herd1</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})</span></p><p><b>code</b>: Mycoplasma hyopneumoniae - MHP <span>(Details : {LOINC code '80219-9' = 'Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay', given as 'Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay'}; {http://acme.org/devices/clinical-codes code 'Mycoplasma' = 'Mycoplasma', given as 'Mycoplasma'})</span></p><p><b>subject</b>: <a>Group/herd1</a></p><p><b>encounter</b>: part of a health assurance program</p><p><b>effective</b>: Nov 20, 2017</p><p><b>value</b>: 0.2 % (sample/positive control)<span> (Details: UCUM code % = '%')</span></p><p><b>interpretation</b>: Negative <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'NEG' = 'Negative', given as 'Negative'})</span></p><p><b>specimen</b>: <a>30 serum</a></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>&gt;0.4 Positive; 0.3 to 0.4 Suspect &lt; 0.3 Negative</td></tr></table></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }
      ],
      "text" : "Laboratory"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "80219-9",
        "display" : "Mycoplasma hyopneumoniae Ab sample/Positive control in Serum by Immunoassay"
      },
      {
        "system" : "http://acme.org/devices/clinical-codes",
        "code" : "Mycoplasma",
        "display" : "Mycoplasma"
      }
    ],
    "text" : "Mycoplasma hyopneumoniae - MHP"
  },
  "subject" : {
    "reference" : "Group/herd1"
  },
  "encounter" : {
    "display" : "part of a health assurance program"
  },
  "effectiveDateTime" : "2017-11-20",
  "valueQuantity" : {
    "value" : 0.2,
    "unit" : "% (sample/positive control)",
    "system" : "http://unitsofmeasure.org",
    "code" : "%"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "NEG",
          "display" : "Negative"
        }
      ],
      "text" : "Negative"
    }
  ],
  "specimen" : {
    "reference" : "Specimen/pooled-serum",
    "display" : "30 serum"
  },
  "referenceRange" : [
    {
      "text" : ">0.4 Positive; 0.3 to 0.4 Suspect < 0.3 Negative"
    }
  ]
}

Observation "heart-rate" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: heart-rate

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Heart rate (Details : {LOINC code '8867-4' = 'Heart rate', given as 'Heart rate'})

subject: Patient/example

effective: Jul 2, 1999

value: 44 beats/minute (Details: UCUM code /min = '/min')


{
  "resourceType" : "Observation",
  "id" : "heart-rate",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.426Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: heart-rate</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Heart rate <span>(Details : {LOINC code '8867-4' = 'Heart rate', given as 'Heart rate'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 44 beats/minute<span> (Details: UCUM code /min = '/min')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8867-4",
        "display" : "Heart rate"
      }
    ],
    "text" : "Heart rate"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 44,
    "unit" : "beats/minute",
    "system" : "http://unitsofmeasure.org",
    "code" : "/min"
  }
}

Observation "head-circumference" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: head-circumference

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Head Circumference (Details : {LOINC code '9843-4' = 'Head Occipital-frontal circumference', given as 'Head Occipital-frontal circumference'})

subject: Patient/example

effective: Jul 2, 1999

value: 51.2 cm (Details: UCUM code cm = 'cm')


{
  "resourceType" : "Observation",
  "id" : "head-circumference",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.395Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: head-circumference</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Head Circumference <span>(Details : {LOINC code '9843-4' = 'Head Occipital-frontal circumference', given as 'Head Occipital-frontal circumference'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 51.2 cm<span> (Details: UCUM code cm = 'cm')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "9843-4",
        "display" : "Head Occipital-frontal circumference"
      }
    ],
    "text" : "Head Circumference"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 51.2,
    "unit" : "cm",
    "system" : "http://unitsofmeasure.org",
    "code" : "cm"
  }
}

Observation "glasgow" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: glasgow

status: final

code: Glasgow Coma Scale , (GCS) (Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})

subject: Peter James Chalmers

effective: Dec 11, 2014 4:44:16 AM

value: 13 {score} (Details: UCUM code {score} = '{score}')

referenceRange

high: 8 {score} (Details: UCUM code {score} = '{score}')

type: Severe TBI (Details )

referenceRange

low: 9 {score} (Details: UCUM code {score} = '{score}')

high: 12 {score} (Details: UCUM code {score} = '{score}')

type: Moderate TBI (Details )

referenceRange

low: 13 {score} (Details: UCUM code {score} = '{score}')

type: Mild TBI (Details )

component

code: GCS Motor (Details : {LOINC code '9268-4' = 'Glasgow coma score motor', given as 'Glasgow coma score motor'})

value: 5 (Localizes painful stimuli) (Details : {http:/acme.ec/codes code '5' = '5', given as 'Localizes painful stimuli'}; {LOINC code 'LA6566-9' = 'Localizing pain', given as 'Localizing pain'})

component

code: GSC Verbal (Details : {LOINC code '9270-0' = 'Glasgow coma score verbal', given as 'Glasgow coma score verbal'})

value: 4 (Confused, disoriented) (Details : {http:/acme.ec/codes code '4' = '4', given as 'Confused, disoriented'}; {LOINC code 'LA6560-2' = 'Confused', given as 'Confused'})

component

code: Eyes (Details : {LOINC code '9267-6' = 'Glasgow coma score eye opening', given as 'Glasgow coma score eye opening'})

value: 4 (Opens eyes spontaneously) (Details : {http:/acme.ec/codes code '4' = '4', given as 'Opens eyes spontaneously'}; {LOINC code 'LA6556-0' = 'Eyes open spontaneously', given as 'Eyes open spontaneously'})


{
  "resourceType" : "Observation",
  "id" : "glasgow",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.301Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: glasgow</p><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: Dec 11, 2014 4:44:16 AM</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span>(Details )</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GCS Motor <span>(Details : {LOINC code '9268-4' = 'Glasgow coma score motor', given as 'Glasgow coma score motor'})</span></p><p><b>value</b>: 5 (Localizes painful stimuli) <span>(Details : {http:/acme.ec/codes code '5' = '5', given as 'Localizes painful stimuli'}; {LOINC code 'LA6566-9' = 'Localizing pain', given as 'Localizing pain'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: GSC Verbal <span>(Details : {LOINC code '9270-0' = 'Glasgow coma score verbal', given as 'Glasgow coma score verbal'})</span></p><p><b>value</b>: 4 (Confused, disoriented) <span>(Details : {http:/acme.ec/codes code '4' = '4', given as 'Confused, disoriented'}; {LOINC code 'LA6560-2' = 'Confused', given as 'Confused'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Eyes <span>(Details : {LOINC code '9267-6' = 'Glasgow coma score eye opening', given as 'Glasgow coma score eye opening'})</span></p><p><b>value</b>: 4 (Opens eyes spontaneously) <span>(Details : {http:/acme.ec/codes code '4' = '4', given as 'Opens eyes spontaneously'}; {LOINC code 'LA6556-0' = 'Eyes open spontaneously', given as 'Eyes open spontaneously'})</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "9269-2",
        "display" : "Glasgow coma score total"
      }
    ],
    "text" : "Glasgow Coma Scale , (GCS)"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "effectiveDateTime" : "2014-12-11T04:44:16Z",
  "valueQuantity" : {
    "value" : 13,
    "system" : "http://unitsofmeasure.org",
    "code" : "{score}"
  },
  "referenceRange" : [
    {
      "high" : {
        "value" : 8,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "type" : {
        "text" : "Severe TBI"
      }
    },
    {
      "low" : {
        "value" : 9,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "high" : {
        "value" : 12,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "type" : {
        "text" : "Moderate TBI"
      }
    },
    {
      "low" : {
        "value" : 13,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "type" : {
        "text" : "Mild TBI"
      }
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "9268-4",
            "display" : "Glasgow coma score motor"
          }
        ],
        "text" : "GCS Motor"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http:/acme.ec/codes",
            "code" : "5",
            "display" : "Localizes painful stimuli"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 5
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA6566-9",
            "display" : "Localizing pain"
          }
        ],
        "text" : "5 (Localizes painful stimuli)"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "9270-0",
            "display" : "Glasgow coma score verbal"
          }
        ],
        "text" : "GSC Verbal"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http:/acme.ec/codes",
            "code" : "4",
            "display" : "Confused, disoriented"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 4
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA6560-2",
            "display" : "Confused"
          }
        ],
        "text" : "4 (Confused, disoriented)"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "9267-6",
            "display" : "Glasgow coma score eye opening"
          }
        ],
        "text" : "Eyes"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http:/acme.ec/codes",
            "code" : "4",
            "display" : "Opens eyes spontaneously"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 4
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA6556-0",
            "display" : "Eyes open spontaneously"
          }
        ],
        "text" : "4 (Opens eyes spontaneously)"
      }
    }
  ]
}

Observation "gcs-qa" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: gcs-qa

status: final

code: Glasgow Coma Scale , (GCS) (Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})

subject: Peter James Chalmers

effective: Dec 11, 2014 4:44:16 AM

value: 13 {score} (Details: UCUM code {score} = '{score}')

referenceRange

high: 8 {score} (Details: UCUM code {score} = '{score}')

type: Severe TBI (Details )

referenceRange

low: 9 {score} (Details: UCUM code {score} = '{score}')

high: 12 {score} (Details: UCUM code {score} = '{score}')

type: Moderate TBI (Details )

referenceRange

low: 13 {score} (Details: UCUM code {score} = '{score}')

type: Mild TBI (Details )

derivedFrom: GCS form results


{
  "resourceType" : "Observation",
  "id" : "gcs-qa",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.270Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gcs-qa</p><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: Dec 11, 2014 4:44:16 AM</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span>(Details )</span></p></blockquote><p><b>derivedFrom</b>: <a>GCS form results</a></p></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "9269-2",
        "display" : "Glasgow coma score total"
      }
    ],
    "text" : "Glasgow Coma Scale , (GCS)"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "effectiveDateTime" : "2014-12-11T04:44:16Z",
  "valueQuantity" : {
    "value" : 13,
    "system" : "http://unitsofmeasure.org",
    "code" : "{score}"
  },
  "referenceRange" : [
    {
      "high" : {
        "value" : 8,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "type" : {
        "text" : "Severe TBI"
      }
    },
    {
      "low" : {
        "value" : 9,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "high" : {
        "value" : 12,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "type" : {
        "text" : "Moderate TBI"
      }
    },
    {
      "low" : {
        "value" : 13,
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "type" : {
        "text" : "Mild TBI"
      }
    }
  ],
  "derivedFrom" : [
    {
      "reference" : "QuestionnaireResponse/gcs",
      "display" : "GCS form results"
    }
  ]
}

Observation "f206" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f206

status: final

code: Blood culture (Details : {http://acmelabs.org code '104177' = '104177', given as 'Blood culture'}; {LOINC code '600-7' = 'Bacteria identified in Blood by Culture', given as 'Bacteria identified in Blood by Culture'})

subject: Roel

issued: Mar 11, 2013 10:28:00 AM

performer: Luigi Maas

value: Staphylococcus aureus (Details : {SNOMED CT code '3092008' = 'Staphylococcus aureus', given as 'Staphylococcus aureus'})

interpretation: Positive (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'POS' = 'Positive)

method: Blood culture for bacteria, including anaerobic screen (Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})


{
  "resourceType" : "Observation",
  "id" : "f206",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.207Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f206</p><p><b>status</b>: final</p><p><b>code</b>: Blood culture <span>(Details : {http://acmelabs.org code '104177' = '104177', given as 'Blood culture'}; {LOINC code '600-7' = 'Bacteria identified in Blood by Culture', given as 'Bacteria identified in Blood by Culture'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Mar 11, 2013 10:28:00 AM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>value</b>: Staphylococcus aureus <span>(Details : {SNOMED CT code '3092008' = 'Staphylococcus aureus', given as 'Staphylococcus aureus'})</span></p><p><b>interpretation</b>: Positive <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'POS' = 'Positive)</span></p><p><b>method</b>: Blood culture for bacteria, including anaerobic screen <span>(Details : {SNOMED CT code '104177005' = 'Blood culture for bacteria, including anaerobic screen', given as 'Blood culture for bacteria, including anaerobic screen'})</span></p></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://acmelabs.org",
        "code" : "104177",
        "display" : "Blood culture"
      },
      {
        "system" : "http://loinc.org",
        "code" : "600-7",
        "display" : "Bacteria identified in Blood by Culture"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "issued" : "2013-03-11T10:28:00+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f202",
      "display" : "Luigi Maas"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "3092008",
        "display" : "Staphylococcus aureus"
      }
    ]
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "POS"
        }
      ]
    }
  ],
  "method" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "104177005",
        "display" : "Blood culture for bacteria, including anaerobic screen"
      }
    ]
  }
}

Observation "f205" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f205

identifier: 1304-03720-eGFR

status: final

code: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) (Details : {LOINC code '33914-3' = 'Glomerular filtration rate/1.73 sq M.predicted by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})

subject: Roel

issued: Apr 4, 2013 2:34:00 PM

performer: Luigi Maas

interpretation: interpretation of results should be assigned based upon the level of kindey function (Details )

note: GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)....

method: MDRD (Details : {SNOMED CT code '702668005' = '702668005', given as 'MDRD'})

component

code: Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD) (Details : {LOINC code '48643-1' = 'Glomerular filtration rate/1.73 sq M predicted among blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})

value: >60 mL/min/1.73m2 (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')

ReferenceRanges

-
*

component

code: Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) (Details : {LOINC code '48642-3' = 'Glomerular filtration rate/1.73 sq M predicted among non-blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})

value: 60 mL/min/1.73m2 (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')

ReferenceRanges

-
*

{
  "resourceType" : "Observation",
  "id" : "f205",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.145Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f205</p><p><b>identifier</b>: 1304-03720-eGFR</p><p><b>status</b>: final</p><p><b>code</b>: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) <span>(Details : {LOINC code '33914-3' = 'Glomerular filtration rate/1.73 sq M.predicted by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Apr 4, 2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>interpretation</b>: interpretation of results should be assigned based upon the level of kindey function <span>(Details )</span></p><p><b>note</b>: GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)....</p><p><b>method</b>: MDRD <span>(Details : {SNOMED CT code '702668005' = '702668005', given as 'MDRD'})</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD) <span>(Details : {LOINC code '48643-1' = 'Glomerular filtration rate/1.73 sq M predicted among blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})</span></p><p><b>value</b>: &gt;60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) <span>(Details : {LOINC code '48642-3' = 'Glomerular filtration rate/1.73 sq M predicted among non-blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})</span></p><p><b>value</b>: 60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "identifier" : [
    {
      "system" : "https://intranet.aumc.nl/labvalues",
      "value" : "1304-03720-eGFR"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "33914-3",
        "display" : "Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "issued" : "2013-04-04T14:34:00+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f202",
      "display" : "Luigi Maas"
    }
  ],
  "interpretation" : [
    {
      "text" : "interpretation of results should be assigned based upon the level of kindey function"
    }
  ],
  "note" : [
    {
      "text" : "GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)...."
    }
  ],
  "method" : {
    "coding" : [
      {
        "system" : "http://snomed.info/id",
        "code" : "702668005",
        "display" : "MDRD"
      }
    ]
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "48643-1",
            "display" : "Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 60,
        "comparator" : ">",
        "unit" : "mL/min/1.73m2",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL/min/{1.73_m2}"
      },
      "referenceRange" : [
        {
          "low" : {
            "value" : 60,
            "unit" : "mL/min/1.73m2",
            "system" : "http://unitsofmeasure.org",
            "code" : "mL/min/{1.73_m2}"
          },
          "appliesTo" : [
            {
              "text" : "non-black/african-american"
            }
          ],
          "age" : {
            "low" : {
              "value" : 18,
              "unit" : "yrs",
              "system" : "http://unitsofmeasure.org",
              "code" : "a"
            }
          }
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "48642-3",
            "display" : "Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 60,
        "unit" : "mL/min/1.73m2",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL/min/{1.73_m2}"
      },
      "referenceRange" : [
        {
          "low" : {
            "value" : 60,
            "unit" : "mL/min/1.73m2",
            "system" : "http://unitsofmeasure.org",
            "code" : "mL/min/{1.73_m2}"
          },
          "age" : {
            "low" : {
              "value" : 18,
              "unit" : "yrs",
              "system" : "http://unitsofmeasure.org",
              "code" : "a"
            }
          }
        }
      ]
    }
  ]
}

Observation "f204" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f204

identifier: 1304-03720-Creatinine

status: final

code: Creatinine(Serum) (Details : {https://intranet.aumc.nl/labtestcodes code '20005' = '20005', given as 'Creatinine(Serum)'})

subject: Roel

issued: Apr 4, 2013 2:34:00 PM

performer: Luigi Maas

value: 122 umol/L (Details: SNOMED CT code 258814008 = 'umol/L')

interpretation: Serum creatinine raised (Details : {SNOMED CT code '166717003' = 'Serum creatinine raised', given as 'Serum creatinine raised'}; {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High)

ReferenceRanges

-LowHighType
*64104Normal Range (Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})

{
  "resourceType" : "Observation",
  "id" : "f204",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.098Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f204</p><p><b>identifier</b>: 1304-03720-Creatinine</p><p><b>status</b>: final</p><p><b>code</b>: Creatinine(Serum) <span>(Details : {https://intranet.aumc.nl/labtestcodes code '20005' = '20005', given as 'Creatinine(Serum)'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Apr 4, 2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>value</b>: 122 umol/L<span> (Details: SNOMED CT code 258814008 = 'umol/L')</span></p><p><b>interpretation</b>: Serum creatinine raised <span>(Details : {SNOMED CT code '166717003' = 'Serum creatinine raised', given as 'Serum creatinine raised'}; {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High)</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>64</td><td>104</td><td>Normal Range <span>(Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://intranet.aumc.nl/labvalues",
      "value" : "1304-03720-Creatinine"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "https://intranet.aumc.nl/labtestcodes",
        "code" : "20005",
        "display" : "Creatinine(Serum)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "issued" : "2013-04-04T14:34:00+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f202",
      "display" : "Luigi Maas"
    }
  ],
  "valueQuantity" : {
    "value" : 122,
    "unit" : "umol/L",
    "system" : "http://snomed.info/sct",
    "code" : "258814008"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "166717003",
          "display" : "Serum creatinine raised"
        },
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H"
        }
      ]
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 64
      },
      "high" : {
        "value" : 104
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal",
            "display" : "Normal Range"
          }
        ]
      }
    }
  ]
}

Observation "f203" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f203

identifier: 1304-03720-Bicarbonate

status: final

code: Bicarbonate [Moles/?volume] in Serum (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/?volume] in Serum'}; {SNOMED CT code '365722008' = 'Bicarbonate level - finding', given as 'Bicarbonate level'})

subject: Roel

issued: Apr 4, 2013 2:34:00 PM

performer: Luigi Maas

value: 28 mmol/L (Details: SNOMED CT code 258813002 = 'mM')

interpretation: Serum bicarbonate level normal (Details : {SNOMED CT code '166698001' = 'Serum bicarbonate level normal', given as 'Serum bicarbonate level normal'}; {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal)

method: enzymatic method (Details )

ReferenceRanges

-LowHighType
*2229Normal Range (Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})

{
  "resourceType" : "Observation",
  "id" : "f203",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:42.051Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f203</p><p><b>identifier</b>: 1304-03720-Bicarbonate</p><p><b>status</b>: final</p><p><b>code</b>: Bicarbonate [Moles/?volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/?volume] in Serum'}; {SNOMED CT code '365722008' = 'Bicarbonate level - finding', given as 'Bicarbonate level'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Apr 4, 2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>value</b>: 28 mmol/L<span> (Details: SNOMED CT code 258813002 = 'mM')</span></p><p><b>interpretation</b>: Serum bicarbonate level normal <span>(Details : {SNOMED CT code '166698001' = 'Serum bicarbonate level normal', given as 'Serum bicarbonate level normal'}; {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal)</span></p><p><b>method</b>: enzymatic method <span>(Details )</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>22</td><td>29</td><td>Normal Range <span>(Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://intranet.aumc.nl/labvalues",
      "value" : "1304-03720-Bicarbonate"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "1963-8",
        "display" : "Bicarbonate [Moles/?volume] in Serum"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "365722008",
        "display" : "Bicarbonate level"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "issued" : "2013-04-04T14:34:00+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f202",
      "display" : "Luigi Maas"
    }
  ],
  "valueQuantity" : {
    "value" : 28,
    "unit" : "mmol/L",
    "system" : "http://snomed.info/sct",
    "code" : "258813002"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "166698001",
          "display" : "Serum bicarbonate level normal"
        },
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N"
        }
      ]
    }
  ],
  "method" : {
    "text" : "enzymatic method"
  },
  "referenceRange" : [
    {
      "low" : {
        "value" : 22
      },
      "high" : {
        "value" : 29
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal",
            "display" : "Normal Range"
          }
        ]
      }
    }
  ]
}

Observation "f202" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f202

status: entered-in-error

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Temperature (Details : {http://acme.lab code 'BT' = 'BT', given as 'Body temperature'}; {LOINC code '8310-5' = 'Body temperature', given as 'Body temperature'}; {LOINC code '8331-1' = 'Oral temperature', given as 'Oral temperature'}; {SNOMED CT code '56342008' = 'Temperature taking', given as 'Temperature taking'})

subject: Roel

issued: Apr 4, 2013 1:27:00 PM

performer: Practitioner/f201

value: 39 degrees C (Details: UCUM code Cel = 'Cel')

interpretation: High (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High)

bodySite: Oral cavity (Details : {SNOMED CT code '74262004' = 'Oral cavity', given as 'Oral cavity'})

method: Oral temperature taking (Details : {SNOMED CT code '89003005' = 'Oral temperature taking', given as 'Oral temperature taking'})

ReferenceRanges

-High
*38.2 degrees C

{
  "resourceType" : "Observation",
  "id" : "f202",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.989Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f202</p><p><b>status</b>: entered-in-error</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Temperature <span>(Details : {http://acme.lab code 'BT' = 'BT', given as 'Body temperature'}; {LOINC code '8310-5' = 'Body temperature', given as 'Body temperature'}; {LOINC code '8331-1' = 'Oral temperature', given as 'Oral temperature'}; {SNOMED CT code '56342008' = 'Temperature taking', given as 'Temperature taking'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Apr 4, 2013 1:27:00 PM</p><p><b>performer</b>: <a>Practitioner/f201</a></p><p><b>value</b>: 39 degrees C<span> (Details: UCUM code Cel = 'Cel')</span></p><p><b>interpretation</b>: High <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High)</span></p><p><b>bodySite</b>: Oral cavity <span>(Details : {SNOMED CT code '74262004' = 'Oral cavity', given as 'Oral cavity'})</span></p><p><b>method</b>: Oral temperature taking <span>(Details : {SNOMED CT code '89003005' = 'Oral temperature taking', given as 'Oral temperature taking'})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>38.2 degrees C</td></tr></table></div>"
  },
  "status" : "entered-in-error",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://acme.lab",
        "code" : "BT",
        "display" : "Body temperature"
      },
      {
        "system" : "http://loinc.org",
        "code" : "8310-5",
        "display" : "Body temperature"
      },
      {
        "system" : "http://loinc.org",
        "code" : "8331-1",
        "display" : "Oral temperature"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "56342008",
        "display" : "Temperature taking"
      }
    ],
    "text" : "Temperature"
  },
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "issued" : "2013-04-04T13:27:00+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f201"
    }
  ],
  "valueQuantity" : {
    "value" : 39,
    "unit" : "degrees C",
    "system" : "http://unitsofmeasure.org",
    "code" : "Cel"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H"
        }
      ]
    }
  ],
  "bodySite" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "74262004",
        "display" : "Oral cavity"
      }
    ]
  },
  "method" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "89003005",
        "display" : "Oral temperature taking"
      }
    ]
  },
  "referenceRange" : [
    {
      "high" : {
        "value" : 38.2,
        "unit" : "degrees C"
      }
    }
  ]
}

Observation "f005" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f005

identifier: 6327 (OFFICIAL)

status: final

code: Hemoglobin [Mass/volume] in Blood (Details : {LOINC code '718-7' = 'Hemoglobin [Mass/volume] in Blood', given as 'Hemoglobin [Mass/volume] in Blood'})

subject: P. van de Heuvel

effective: Apr 5, 2013 10:30:10 AM --> Apr 5, 2013 10:30:10 AM

issued: Apr 5, 2013 3:30:10 PM

performer: A. Langeveld

value: 7.2 g/dl (Details: UCUM code g/dL = 'g/dL')

interpretation: Low (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L' = 'Low', given as 'Low'})

ReferenceRanges

-LowHigh
*7.5 g/dl (Details: UCUM code g/dL = 'g/dL')10 g/dl (Details: UCUM code g/dL = 'g/dL')

{
  "resourceType" : "Observation",
  "id" : "f005",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.942Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f005</p><p><b>identifier</b>: 6327 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Hemoglobin [Mass/volume] in Blood <span>(Details : {LOINC code '718-7' = 'Hemoglobin [Mass/volume] in Blood', given as 'Hemoglobin [Mass/volume] in Blood'})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: Apr 5, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</p><p><b>issued</b>: Apr 5, 2013 3:30:10 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: 7.2 g/dl<span> (Details: UCUM code g/dL = 'g/dL')</span></p><p><b>interpretation</b>: Low <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L' = 'Low', given as 'Low'})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>7.5 g/dl<span> (Details: UCUM code g/dL = 'g/dL')</span></td><td>10 g/dl<span> (Details: UCUM code g/dL = 'g/dL')</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/observations",
      "value" : "6327"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "718-7",
        "display" : "Hemoglobin [Mass/volume] in Blood"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "effectivePeriod" : {
    "start" : "2013-04-05T10:30:10+01:00",
    "end" : "2013-04-05T10:30:10+01:00"
  },
  "issued" : "2013-04-05T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f005",
      "display" : "A. Langeveld"
    }
  ],
  "valueQuantity" : {
    "value" : 7.2,
    "unit" : "g/dl",
    "system" : "http://unitsofmeasure.org",
    "code" : "g/dL"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "L",
          "display" : "Low"
        }
      ]
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 7.5,
        "unit" : "g/dl",
        "system" : "http://unitsofmeasure.org",
        "code" : "g/dL"
      },
      "high" : {
        "value" : 10,
        "unit" : "g/dl",
        "system" : "http://unitsofmeasure.org",
        "code" : "g/dL"
      }
    }
  ]
}

Observation "f004" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f004

identifier: 6326 (OFFICIAL)

status: final

code: Erythrocytes [#/volume] in Blood by Automated count (Details : {LOINC code '789-8' = 'Erythrocytes [#/volume] in Blood by Automated count', given as 'Erythrocytes [#/volume] in Blood by Automated count'})

subject: P. van de Heuvel

effective: Apr 2, 2013 10:30:10 AM --> Apr 5, 2013 10:30:10 AM

issued: Apr 3, 2013 3:30:10 PM

performer: A. Langeveld

value: 4.12 10^12/L (Details: UCUM code 10*12/L = '10*12/L')

interpretation: Low (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L' = 'Low', given as 'Low'})

ReferenceRanges

-Text
* 12-14 y Male: 4.4 - 5.2 x 10^12/L ; 12-14 y Female: 4.2 - 4.8 x 10^12/L ; 15-17 y Male: 4.6 - 5.4 x 10^12/L ; 15-17 y Female: 4.2 - 4.8 x 10^12/L ; 18-64 y Male: 4.6 - 5.4 x 10^12/L ; 18-64 y Female: 4.0 - 4.8 x 10^12/L ; 65-74 y Male: 4.3 - 5.3 x 10^12/L ; 65-74 y Female: 4.1 - 4.9 x 10^12/L

{
  "resourceType" : "Observation",
  "id" : "f004",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.895Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f004</p><p><b>identifier</b>: 6326 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Erythrocytes [#/volume] in Blood by Automated count <span>(Details : {LOINC code '789-8' = 'Erythrocytes [#/volume] in Blood by Automated count', given as 'Erythrocytes [#/volume] in Blood by Automated count'})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: Apr 2, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: 4.12 10^12/L<span> (Details: UCUM code 10*12/L = '10*12/L')</span></p><p><b>interpretation</b>: Low <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L' = 'Low', given as 'Low'})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td> 12-14 y Male: 4.4 - 5.2 x 10^12/L ; 12-14 y Female: 4.2 - 4.8 x 10^12/L ; 15-17 y Male: 4.6 - 5.4 x 10^12/L ; 15-17 y Female: 4.2 - 4.8 x 10^12/L ; 18-64 y Male: 4.6 - 5.4 x 10^12/L ; 18-64 y Female: 4.0 - 4.8 x 10^12/L ; 65-74 y Male: 4.3 - 5.3 x 10^12/L ; 65-74 y Female: 4.1 - 4.9 x 10^12/L </td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/observations",
      "value" : "6326"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "789-8",
        "display" : "Erythrocytes [#/volume] in Blood by Automated count"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "effectivePeriod" : {
    "start" : "2013-04-02T10:30:10+01:00",
    "end" : "2013-04-05T10:30:10+01:00"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f005",
      "display" : "A. Langeveld"
    }
  ],
  "valueQuantity" : {
    "value" : 4.12,
    "unit" : "10^12/L",
    "system" : "http://unitsofmeasure.org",
    "code" : "10*12/L"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "L",
          "display" : "Low"
        }
      ]
    }
  ],
  "referenceRange" : [
    {
      "text" : " 12-14 y Male: 4.4 - 5.2 x 10^12/L ; 12-14 y Female: 4.2 - 4.8 x 10^12/L ; 15-17 y Male: 4.6 - 5.4 x 10^12/L ; 15-17 y Female: 4.2 - 4.8 x 10^12/L ; 18-64 y Male: 4.6 - 5.4 x 10^12/L ; 18-64 y Female: 4.0 - 4.8 x 10^12/L ; 65-74 y Male: 4.3 - 5.3 x 10^12/L ; 65-74 y Female: 4.1 - 4.9 x 10^12/L "
    }
  ]
}

Observation "f003" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f003

identifier: 6325 (OFFICIAL)

status: final

code: Carbon dioxide in blood (Details : {LOINC code '11557-6' = 'Carbon dioxide [Partial pressure] in Blood', given as 'Carbon dioxide in blood'})

subject: P. van de Heuvel

effective: Apr 2, 2013 10:30:10 AM --> Apr 5, 2013 10:30:10 AM

issued: Apr 3, 2013 3:30:10 PM

performer: A. Langeveld

value: 6.2 kPa (Details: UCUM code kPa = 'kPa')

interpretation: High (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High', given as 'High'})

ReferenceRanges

-LowHigh
*4.8 kPa (Details: UCUM code kPa = 'kPa')6.0 kPa (Details: UCUM code kPa = 'kPa')

{
  "resourceType" : "Observation",
  "id" : "f003",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.848Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f003</p><p><b>identifier</b>: 6325 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Carbon dioxide in blood <span>(Details : {LOINC code '11557-6' = 'Carbon dioxide [Partial pressure] in Blood', given as 'Carbon dioxide in blood'})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: Apr 2, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: 6.2 kPa<span> (Details: UCUM code kPa = 'kPa')</span></p><p><b>interpretation</b>: High <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High', given as 'High'})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>4.8 kPa<span> (Details: UCUM code kPa = 'kPa')</span></td><td>6.0 kPa<span> (Details: UCUM code kPa = 'kPa')</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/observations",
      "value" : "6325"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11557-6",
        "display" : "Carbon dioxide in blood"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "effectivePeriod" : {
    "start" : "2013-04-02T10:30:10+01:00",
    "end" : "2013-04-05T10:30:10+01:00"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f005",
      "display" : "A. Langeveld"
    }
  ],
  "valueQuantity" : {
    "value" : 6.2,
    "unit" : "kPa",
    "system" : "http://unitsofmeasure.org",
    "code" : "kPa"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H",
          "display" : "High"
        }
      ]
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 4.8,
        "unit" : "kPa",
        "system" : "http://unitsofmeasure.org",
        "code" : "kPa"
      },
      "high" : {
        "value" : 6.0,
        "unit" : "kPa",
        "system" : "http://unitsofmeasure.org",
        "code" : "kPa"
      }
    }
  ]
}

Observation "f002" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f002

identifier: 6324 (OFFICIAL)

status: final

code: Base excess in Blood by calculation (Details : {LOINC code '11555-0' = 'Base excess in Blood by calculation', given as 'Base excess in Blood by calculation'})

subject: P. van de Heuvel

effective: Apr 2, 2013 10:30:10 AM --> Apr 5, 2013 10:30:10 AM

issued: Apr 3, 2013 3:30:10 PM

performer: A. Langeveld

value: 12.6 mmol/l (Details: UCUM code mmol/L = 'mmol/L')

interpretation: High (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High', given as 'High'})

ReferenceRanges

-LowHigh
*7.1 mmol/l (Details: UCUM code mmol/L = 'mmol/L')11.2 mmol/l (Details: UCUM code mmol/L = 'mmol/L')

{
  "resourceType" : "Observation",
  "id" : "f002",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.785Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f002</p><p><b>identifier</b>: 6324 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Base excess in Blood by calculation <span>(Details : {LOINC code '11555-0' = 'Base excess in Blood by calculation', given as 'Base excess in Blood by calculation'})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: Apr 2, 2013 10:30:10 AM --&gt; Apr 5, 2013 10:30:10 AM</p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: 12.6 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></p><p><b>interpretation</b>: High <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High', given as 'High'})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>7.1 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>11.2 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/observations",
      "value" : "6324"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11555-0",
        "display" : "Base excess in Blood by calculation"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "effectivePeriod" : {
    "start" : "2013-04-02T10:30:10+01:00",
    "end" : "2013-04-05T10:30:10+01:00"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f005",
      "display" : "A. Langeveld"
    }
  ],
  "valueQuantity" : {
    "value" : 12.6,
    "unit" : "mmol/l",
    "system" : "http://unitsofmeasure.org",
    "code" : "mmol/L"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H",
          "display" : "High"
        }
      ]
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 7.1,
        "unit" : "mmol/l",
        "system" : "http://unitsofmeasure.org",
        "code" : "mmol/L"
      },
      "high" : {
        "value" : 11.2,
        "unit" : "mmol/l",
        "system" : "http://unitsofmeasure.org",
        "code" : "mmol/L"
      }
    }
  ]
}

Observation "f001" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f001

identifier: 6323 (OFFICIAL)

status: final

code: Glucose [Moles/volume] in Blood (Details : {LOINC code '15074-8' = 'Glucose [Moles/volume] in Blood', given as 'Glucose [Moles/volume] in Blood'})

subject: P. van de Heuvel

effective: Apr 2, 2013 9:30:10 AM --> (ongoing)

issued: Apr 3, 2013 3:30:10 PM

performer: A. Langeveld

value: 6.3 mmol/l (Details: UCUM code mmol/L = 'mmol/L')

interpretation: High (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High', given as 'High'})

ReferenceRanges

-LowHigh
*3.1 mmol/l (Details: UCUM code mmol/L = 'mmol/L')6.2 mmol/l (Details: UCUM code mmol/L = 'mmol/L')

{
  "resourceType" : "Observation",
  "id" : "f001",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.739Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>identifier</b>: 6323 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Glucose [Moles/volume] in Blood <span>(Details : {LOINC code '15074-8' = 'Glucose [Moles/volume] in Blood', given as 'Glucose [Moles/volume] in Blood'})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: Apr 2, 2013 9:30:10 AM --&gt; (ongoing)</p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: 6.3 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></p><p><b>interpretation</b>: High <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High', given as 'High'})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>3.1 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td><td>6.2 mmol/l<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/observations",
      "value" : "6323"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "15074-8",
        "display" : "Glucose [Moles/volume] in Blood"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "effectivePeriod" : {
    "start" : "2013-04-02T09:30:10+01:00"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f005",
      "display" : "A. Langeveld"
    }
  ],
  "valueQuantity" : {
    "value" : 6.3,
    "unit" : "mmol/l",
    "system" : "http://unitsofmeasure.org",
    "code" : "mmol/L"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H",
          "display" : "High"
        }
      ]
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 3.1,
        "unit" : "mmol/l",
        "system" : "http://unitsofmeasure.org",
        "code" : "mmol/L"
      },
      "high" : {
        "value" : 6.2,
        "unit" : "mmol/l",
        "system" : "http://unitsofmeasure.org",
        "code" : "mmol/L"
      }
    }
  ]
}

Observation "eye-color" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: eye-color

status: final

code: eye color (Details )

subject: Patient/example

effective: May 18, 2016

value: blue


{
  "resourceType" : "Observation",
  "id" : "eye-color",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.692Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: eye-color</p><p><b>status</b>: final</p><p><b>code</b>: eye color <span>(Details )</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: May 18, 2016</p><p><b>value</b>: blue</p></div>"
  },
  "status" : "final",
  "code" : {
    "text" : "eye color"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "2016-05-18",
  "valueString" : "blue"
}

Observation "example" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Body Weight (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'})

subject: Patient/example

encounter: Encounter/example

effective: Mar 28, 2016

value: 185 lbs (Details: UCUM code [lb_av] = 'lb_av')


{
  "resourceType" : "Observation",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.614Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<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://terminology.hl7.org/CodeSystem/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>encounter</b>: <a>Encounter/example</a></p><p><b>effective</b>: Mar 28, 2016</p><p><b>value</b>: 185 lbs<span> (Details: UCUM code [lb_av] = 'lb_av')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "29463-7",
        "display" : "Body Weight"
      },
      {
        "system" : "http://loinc.org",
        "code" : "3141-9",
        "display" : "Body weight Measured"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "27113001",
        "display" : "Body weight"
      },
      {
        "system" : "http://acme.org/devices/clinical-codes",
        "code" : "body-weight",
        "display" : "Body Weight"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "effectiveDateTime" : "2016-03-28",
  "valueQuantity" : {
    "value" : 185,
    "unit" : "lbs",
    "system" : "http://unitsofmeasure.org",
    "code" : "[lb_av]"
  }
}

Observation "example-TPMT-haplotype-two" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-TPMT-haplotype-two

status: unknown

code: Haplotype Call (Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})

subject: E***********

issued: Apr 3, 2013 3:30:10 PM

value: *4 (Details : {http://pharmakb.org code 'PA166128353' = 'PA166128353', given as '*4'})

derivedFrom: MolecularSequence/example-TPMT-two


{
  "resourceType" : "Observation",
  "id" : "example-TPMT-haplotype-two",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.567Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-TPMT-haplotype-two</p><p><b>status</b>: unknown</p><p><b>code</b>: Haplotype Call <span>(Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})</span></p><p><b>subject</b>: <a>E***********</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>value</b>: *4 <span>(Details : {http://pharmakb.org code 'PA166128353' = 'PA166128353', given as '*4'})</span></p><p><b>derivedFrom</b>: <a>MolecularSequence/example-TPMT-two</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "12014",
            "display" : "TPMT"
          }
        ]
      }
    }
  ],
  "status" : "unknown",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info",
        "code" : "363779003",
        "display" : "Genotype determination"
      }
    ],
    "text" : "Haplotype Call"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "E***********"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://pharmakb.org",
        "code" : "PA166128353",
        "display" : "*4"
      }
    ]
  },
  "derivedFrom" : [
    {
      "reference" : "MolecularSequence/example-TPMT-two"
    }
  ]
}

Observation "example-TPMT-haplotype-one" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-TPMT-haplotype-one

status: unknown

code: Haplotype Call (Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})

subject: E***********

issued: Apr 3, 2013 3:30:10 PM

value: *1 (Details : {http://pharmakb.org code 'PA166128347' = 'PA166128347', given as '*1'})

derivedFrom: MolecularSequence/example-TPMT-one


{
  "resourceType" : "Observation",
  "id" : "example-TPMT-haplotype-one",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.520Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-TPMT-haplotype-one</p><p><b>status</b>: unknown</p><p><b>code</b>: Haplotype Call <span>(Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})</span></p><p><b>subject</b>: <a>E***********</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>value</b>: *1 <span>(Details : {http://pharmakb.org code 'PA166128347' = 'PA166128347', given as '*1'})</span></p><p><b>derivedFrom</b>: <a>MolecularSequence/example-TPMT-one</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "12014",
            "display" : "TPMT"
          }
        ]
      }
    }
  ],
  "status" : "unknown",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info",
        "code" : "363779003",
        "display" : "Genotype determination"
      }
    ],
    "text" : "Haplotype Call"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "E***********"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://pharmakb.org",
        "code" : "PA166128347",
        "display" : "*1"
      }
    ]
  },
  "derivedFrom" : [
    {
      "reference" : "MolecularSequence/example-TPMT-one"
    }
  ]
}

Observation "example-TPMT-diplotype" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-TPMT-diplotype

status: final

code: Diplotype Call (Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})

subject: E***********

issued: Apr 3, 2013 3:30:10 PM

value: *1/*4

derivedFrom:


{
  "resourceType" : "Observation",
  "id" : "example-TPMT-diplotype",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.473Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-TPMT-diplotype</p><p><b>status</b>: final</p><p><b>code</b>: Diplotype Call <span>(Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})</span></p><p><b>subject</b>: <a>E***********</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>value</b>: *1/*4</p><p><b>derivedFrom</b>: </p><ul><li><a>Observation/example-TPMT-haplotype-one</a></li><li><a>Observation/example-TPMT-haplotype-two</a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "12014",
            "display" : "TPMT"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info",
        "code" : "363779003",
        "display" : "Genotype determination"
      }
    ],
    "text" : "Diplotype Call"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "E***********"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "valueString" : "*1/*4",
  "derivedFrom" : [
    {
      "reference" : "Observation/example-TPMT-haplotype-one"
    },
    {
      "reference" : "Observation/example-TPMT-haplotype-two"
    }
  ]
}

Observation "example-phenotype" Version "1"

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Updated: by

Generated Narrative with Details

id: example-phenotype

status: final

code: CYP2C9 gene product metabolic activity interpretation (Details : {LOINC code '79716-7' = 'CYP2C9 gene product metabolic activity interpretation in Blood or Tissue Qualitative by CPIC', given as 'CYP2C9 gene product metabolic activity interpretation'})

subject: J*********** C***********

issued: Apr 3, 2013 3:30:10 PM

value: Normal metabolizer (Details : {LOINC code 'LA25391-6' = 'Normal metabolizer', given as 'Normal metabolizer'})

specimen: Molecular Specimen ID: MLD45-Z4-1234

derivedFrom: Observation/example-diplotype1


{
  "resourceType" : "Observation",
  "id" : "example-phenotype",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.426Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-phenotype</p><p><b>status</b>: final</p><p><b>code</b>: CYP2C9 gene product metabolic activity interpretation <span>(Details : {LOINC code '79716-7' = 'CYP2C9 gene product metabolic activity interpretation in Blood or Tissue Qualitative by CPIC', given as 'CYP2C9 gene product metabolic activity interpretation'})</span></p><p><b>subject</b>: <a>J*********** C***********</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>value</b>: Normal metabolizer <span>(Details : {LOINC code 'LA25391-6' = 'Normal metabolizer', given as 'Normal metabolizer'})</span></p><p><b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p><p><b>derivedFrom</b>: <a>Observation/example-diplotype1</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "2623",
            "display" : "CYP2C9"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "79716-7",
        "display" : "CYP2C9 gene product metabolic activity interpretation"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/727127",
    "display" : "J*********** C***********"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "LA25391-6",
        "display" : "Normal metabolizer"
      }
    ]
  },
  "specimen" : {
    "reference" : "Specimen/genetics-example1-somatic",
    "display" : "Molecular Specimen ID: MLD45-Z4-1234"
  },
  "derivedFrom" : [
    {
      "reference" : "Observation/example-diplotype1"
    }
  ]
}

Observation "example-haplotype2" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-haplotype2

status: unknown

code: Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. (Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})

subject: J*********** C***********

issued: Apr 3, 2013 3:30:10 PM

value: *4 (Details : {http://pharmakb.org code 'PA16581679' = 'PA16581679', given as '*4'})

specimen: Molecular Specimen ID: MLD45-Z4-1234

derivedFrom:


{
  "resourceType" : "Observation",
  "id" : "example-haplotype2",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.379Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-haplotype2</p><p><b>status</b>: unknown</p><p><b>code</b>: Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. <span>(Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})</span></p><p><b>subject</b>: <a>J*********** C***********</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>value</b>: *4 <span>(Details : {http://pharmakb.org code 'PA16581679' = 'PA16581679', given as '*4'})</span></p><p><b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p><p><b>derivedFrom</b>: </p><ul><li><a>MolecularSequence/example-pgx-1</a></li><li><a>MolecularSequence/example-pgx-2</a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "2623",
            "display" : "CYP2C9"
          }
        ]
      }
    }
  ],
  "status" : "unknown",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "55233-1",
        "display" : "Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result."
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/727127",
    "display" : "J*********** C***********"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://pharmakb.org",
        "code" : "PA16581679",
        "display" : "*4"
      }
    ]
  },
  "specimen" : {
    "reference" : "Specimen/genetics-example1-somatic",
    "display" : "Molecular Specimen ID: MLD45-Z4-1234"
  },
  "derivedFrom" : [
    {
      "reference" : "MolecularSequence/example-pgx-1"
    },
    {
      "reference" : "MolecularSequence/example-pgx-2"
    }
  ]
}

Observation "example-haplotype1" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-haplotype1

status: unknown

code: Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. (Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})

subject: J*********** C***********

issued: Apr 3, 2013 3:30:10 PM

value: *35B (Details : {http://pharmakb.org code 'PA165971587' = 'PA165971587', given as '*35B'})

specimen: Molecular Specimen ID: MLD45-Z4-1234

derivedFrom:


{
  "resourceType" : "Observation",
  "id" : "example-haplotype1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.317Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-haplotype1</p><p><b>status</b>: unknown</p><p><b>code</b>: Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. <span>(Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})</span></p><p><b>subject</b>: <a>J*********** C***********</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>value</b>: *35B <span>(Details : {http://pharmakb.org code 'PA165971587' = 'PA165971587', given as '*35B'})</span></p><p><b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p><p><b>derivedFrom</b>: </p><ul><li><a>MolecularSequence/example-pgx-1</a></li><li><a>MolecularSequence/example-pgx-2</a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "2625",
            "display" : "CYP2D6"
          }
        ]
      }
    }
  ],
  "status" : "unknown",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "55233-1",
        "display" : "Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result."
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/727127",
    "display" : "J*********** C***********"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://pharmakb.org",
        "code" : "PA165971587",
        "display" : "*35B"
      }
    ]
  },
  "specimen" : {
    "reference" : "Specimen/genetics-example1-somatic",
    "display" : "Molecular Specimen ID: MLD45-Z4-1234"
  },
  "derivedFrom" : [
    {
      "reference" : "MolecularSequence/example-pgx-1"
    },
    {
      "reference" : "MolecularSequence/example-pgx-2"
    }
  ]
}

Observation "example-genetics-brcapat" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-genetics-brcapat

status: final

code: BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal (Details : {LOINC code '59041-4' = 'BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal', given as 'BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal'})

subject: Patient1 with Breast Cancer FamilyHistory


{
  "resourceType" : "Observation",
  "id" : "example-genetics-brcapat",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.270Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-genetics-brcapat</p><p><b>status</b>: final</p><p><b>code</b>: BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal <span>(Details : {LOINC code '59041-4' = 'BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal', given as 'BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal'})</span></p><p><b>subject</b>: <a>Patient1 with Breast Cancer FamilyHistory</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://www.ncbi.nlm.nih.gov/nuccore",
            "code" : "KX470182.1",
            "display" : "BRCA"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://browser.ihtsdotools.org/",
            "code" : "413581001",
            "display" : "Unknown racial group"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "59041-4",
        "display" : "BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/brcapat",
    "display" : "Patient1 with Breast Cancer FamilyHistory"
  }
}

Observation "example-genetics-5" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-genetics-5

status: final

code: PCR validation (Details )

subject: Molecular Lab Patient ID: HOSP-23456

issued: Apr 3, 2013 3:30:10 PM

performer: Sequence Analysis Laboratory

value: Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})


{
  "resourceType" : "Observation",
  "id" : "example-genetics-5",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.223Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-genetics-5</p><p><b>status</b>: final</p><p><b>code</b>: PCR validation <span>(Details )</span></p><p><b>subject</b>: <a>Molecular Lab Patient ID: HOSP-23456</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>Sequence Analysis Laboratory</a></p><p><b>value</b>: Negative <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-sequelTo",
      "valueReference" : {
        "reference" : "Observation/example-genetics-1",
        "display" : "ObservationForGenetics profile example 1"
      }
    }
  ],
  "status" : "final",
  "code" : {
    "text" : "PCR validation"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Molecular Lab Patient ID: HOSP-23456"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/example",
      "display" : "Sequence Analysis Laboratory"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "260385009",
        "display" : "Negative"
      }
    ]
  }
}

Observation "example-genetics-4" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-genetics-4

status: final

code: Allele ABC (Details )

subject: Molecular Lab Patient ID: HOSP-23456

issued: Apr 3, 2013 3:30:10 PM

performer: Molecular Diagnostics Laboratory

interpretation: Positive (Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'POS' = 'Positive)

specimen: Molecular Specimen ID: MLD45-Z4-1234

hasMember:


{
  "resourceType" : "Observation",
  "id" : "example-genetics-4",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.176Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-genetics-4</p><p><b>status</b>: final</p><p><b>code</b>: Allele ABC <span>(Details )</span></p><p><b>subject</b>: <a>Molecular Lab Patient ID: HOSP-23456</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>Molecular Diagnostics Laboratory</a></p><p><b>interpretation</b>: Positive <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'POS' = 'Positive)</span></p><p><b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p><p><b>hasMember</b>: </p><ul><li><a>Variant-1</a></li><li><a>Variant-2</a></li><li><a>Variant-3</a></li></ul></div>"
  },
  "status" : "final",
  "code" : {
    "text" : "Allele ABC"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Molecular Lab Patient ID: HOSP-23456"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/example",
      "display" : "Molecular Diagnostics Laboratory"
    }
  ],
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "POS"
        }
      ],
      "text" : "Positive"
    }
  ],
  "specimen" : {
    "reference" : "Specimen/genetics-example1-somatic",
    "display" : "Molecular Specimen ID: MLD45-Z4-1234"
  },
  "hasMember" : [
    {
      "reference" : "Observation/example-genetics-1",
      "display" : "Variant-1"
    },
    {
      "reference" : "Observation/example-genetics-2",
      "display" : "Variant-2"
    },
    {
      "reference" : "Observation/example-genetics-3",
      "display" : "Variant-3"
    }
  ]
}

Observation "example-genetics-3" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-genetics-3

status: final

code: Further analysis (Details )

subject: Molecular Lab Patient ID: HOSP-23456

issued: Apr 3, 2013 3:30:10 PM

performer: Sequence Analysis Laboratory

note: The EGFR p.L858R mutation has been associated with response to anti-EGFR therapy

derivedFrom: ObservationForGenetics profile example 1


{
  "resourceType" : "Observation",
  "id" : "example-genetics-3",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.129Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-genetics-3</p><p><b>status</b>: final</p><p><b>code</b>: Further analysis <span>(Details )</span></p><p><b>subject</b>: <a>Molecular Lab Patient ID: HOSP-23456</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>Sequence Analysis Laboratory</a></p><p><b>note</b>: The EGFR p.L858R mutation has been associated with response to anti-EGFR therapy</p><p><b>derivedFrom</b>: <a>ObservationForGenetics profile example 1</a></p></div>"
  },
  "status" : "final",
  "code" : {
    "text" : "Further analysis"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Molecular Lab Patient ID: HOSP-23456"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/example",
      "display" : "Sequence Analysis Laboratory"
    }
  ],
  "note" : [
    {
      "text" : "The EGFR p.L858R mutation has been associated with response to anti-EGFR therapy"
    }
  ],
  "derivedFrom" : [
    {
      "reference" : "Observation/example-genetics-1",
      "display" : "ObservationForGenetics profile example 1"
    }
  ]
}

Observation "example-genetics-2" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-genetics-2

status: final

code: Genetic analysis master panel--This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. (Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel--This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})

subject: Molecular Lab Patient ID: HOSP-23456

issued: Apr 3, 2013 3:30:10 PM

performer: Molecular Diagnostics Laboratory

value: Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})

derivedFrom: Observation/example-genetics-1

component

code: Genetic disease assessed (Details : {LOINC code '51967-8' = 'Genetic disease assessed [Identifier] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease assessed'})

value: Lung cancer (Details : {SNOMED CT code '363358000' = 'Malignant tumor of lung', given as 'Malignant tumor of lung (disorder)'})

component

code: Genetic disease sequence variation interpretation (Details : {LOINC code '53037-8' = 'Genetic disease sequence variation interpretation [interpretation] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease sequence variation interpretation'})

value: Pathogenic (Details : {[not stated] code 'LA6669-1' = 'LA6669-1', given as 'Pathogenic'})


{
  "resourceType" : "Observation",
  "id" : "example-genetics-2",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.082Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-genetics-2</p><p><b>status</b>: final</p><p><b>code</b>: Genetic analysis master panel--This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. <span>(Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel--This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})</span></p><p><b>subject</b>: <a>Molecular Lab Patient ID: HOSP-23456</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>Molecular Diagnostics Laboratory</a></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p><p><b>derivedFrom</b>: <a>Observation/example-genetics-1</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Genetic disease assessed <span>(Details : {LOINC code '51967-8' = 'Genetic disease assessed [Identifier] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease assessed'})</span></p><p><b>value</b>: Lung cancer <span>(Details : {SNOMED CT code '363358000' = 'Malignant tumor of lung', given as 'Malignant tumor of lung (disorder)'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Genetic disease sequence variation interpretation <span>(Details : {LOINC code '53037-8' = 'Genetic disease sequence variation interpretation [interpretation] in Blood or Tissue by Molecular genetics method', given as 'Genetic disease sequence variation interpretation'})</span></p><p><b>value</b>: Pathogenic <span>(Details : {[not stated] code 'LA6669-1' = 'LA6669-1', given as 'Pathogenic'})</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "55233-1",
        "display" : "Genetic analysis master panel--This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result."
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Molecular Lab Patient ID: HOSP-23456"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/example",
      "display" : "Molecular Diagnostics Laboratory"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "10828004",
        "display" : "Positive"
      }
    ]
  },
  "derivedFrom" : [
    {
      "reference" : "Observation/example-genetics-1"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "51967-8",
            "display" : "Genetic disease assessed"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "363358000",
            "display" : "Malignant tumor of lung (disorder)"
          }
        ],
        "text" : "Lung cancer"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "53037-8",
            "display" : "Genetic disease sequence variation interpretation"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "code" : "LA6669-1",
            "display" : "Pathogenic"
          }
        ]
      }
    }
  ]
}

Observation "example-genetics-1" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-genetics-1

status: final

code: Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. (Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})

subject: Molecular Lab Patient ID: HOSP-23456

issued: Apr 3, 2013 3:30:10 PM

performer: Molecular Diagnostics Laboratory

value: Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})

specimen: Molecular Specimen ID: MLD45-Z4-1234


{
  "resourceType" : "Observation",
  "id" : "example-genetics-1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:41.035Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-genetics-1</p><p><b>status</b>: final</p><p><b>code</b>: Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result. <span>(Details : {LOINC code '55233-1' = 'Genetic analysis master panel - Blood or Tissue by Molecular genetics method', given as 'Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result.'})</span></p><p><b>subject</b>: <a>Molecular Lab Patient ID: HOSP-23456</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>performer</b>: <a>Molecular Diagnostics Laboratory</a></p><p><b>value</b>: Positive <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span></p><p><b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "3236",
            "display" : "EGFR"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName",
      "valueString" : "Exon 21"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "LA6684-0",
            "display" : "somatic"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "55233-1",
        "display" : "Genetic analysis master panel-- This is the parent OBR for the panel holding all of the associated observations that can be reported with a molecular genetics analysis result."
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Molecular Lab Patient ID: HOSP-23456"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/example",
      "display" : "Molecular Diagnostics Laboratory"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "10828004",
        "display" : "Positive"
      }
    ]
  },
  "specimen" : {
    "reference" : "Specimen/genetics-example1-somatic",
    "display" : "Molecular Specimen ID: MLD45-Z4-1234"
  }
}

Observation "example-diplotype1" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: example-diplotype1

status: final

code: Diplotype Call (Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})

subject: J*********** C***********

issued: Apr 3, 2013 3:30:10 PM

specimen: Molecular Specimen ID: MLD45-Z4-1234

derivedFrom:


{
  "resourceType" : "Observation",
  "id" : "example-diplotype1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.973Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-diplotype1</p><p><b>status</b>: final</p><p><b>code</b>: Diplotype Call <span>(Details : {SNOMED CT code '363779003' = '363779003', given as 'Genotype determination'})</span></p><p><b>subject</b>: <a>J*********** C***********</a></p><p><b>issued</b>: Apr 3, 2013 3:30:10 PM</p><p><b>specimen</b>: <a>Molecular Specimen ID: MLD45-Z4-1234</a></p><p><b>derivedFrom</b>: </p><ul><li><a>Observation/example-haplotype1</a></li><li><a>Observation/example-haplotype2</a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/observation-geneticsGene",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.genenames.org",
            "code" : "2623",
            "display" : "CYP2C9"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info",
        "code" : "363779003",
        "display" : "Genotype determination"
      }
    ],
    "text" : "Diplotype Call"
  },
  "subject" : {
    "reference" : "Patient/727127",
    "display" : "J*********** C***********"
  },
  "issued" : "2013-04-03T15:30:10+01:00",
  "specimen" : {
    "reference" : "Specimen/genetics-example1-somatic",
    "display" : "Molecular Specimen ID: MLD45-Z4-1234"
  },
  "derivedFrom" : [
    {
      "reference" : "Observation/example-haplotype1"
    },
    {
      "reference" : "Observation/example-haplotype2"
    }
  ]
}

Observation "ekg" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: ekg

status: final

category: Procedure (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'procedure' = 'Procedure', given as 'Procedure'})

code: MDC_ECG_ELEC_POTL (Details : {urn:oid:2.16.840.1.113883.6.24 code '131328' = '131328', given as 'MDC_ECG_ELEC_POTL'})

subject: P. van de Heuvel

effective: Feb 19, 2015 9:30:35 AM

performer: A. Langeveld

device: 12 lead EKG Device Metric

component

code: MDC_ECG_ELEC_POTL_I (Details : {urn:oid:2.16.840.1.113883.6.24 code '131329' = '131329', given as 'MDC_ECG_ELEC_POTL_I'})

value: Origin: (system = '[not stated]' code null = 'null'), Period: 10, Factor: 1.612, Lower: -3300, Upper: 3300, Dimensions: 1, Data: 2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073

component

code: MDC_ECG_ELEC_POTL_II (Details : {urn:oid:2.16.840.1.113883.6.24 code '131330' = '131330', given as 'MDC_ECG_ELEC_POTL_II'})

value: Origin: (system = '[not stated]' code null = 'null'), Period: 10, Factor: 1.612, Lower: -3300, Upper: 3300, Dimensions: 1, Data: 2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073

component

code: MDC_ECG_ELEC_POTL_III (Details : {urn:oid:2.16.840.1.113883.6.24 code '131389' = '131389', given as 'MDC_ECG_ELEC_POTL_III'})

value: Origin: (system = '[not stated]' code null = 'null'), Period: 10, Factor: 1.612, Lower: -3300, Upper: 3300, Dimensions: 1, Data: 2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073


{
  "resourceType" : "Observation",
  "id" : "ekg",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.910Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ekg</p><p><b>status</b>: final</p><p><b>category</b>: Procedure <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'procedure' = 'Procedure', given as 'Procedure'})</span></p><p><b>code</b>: MDC_ECG_ELEC_POTL <span>(Details : {urn:oid:2.16.840.1.113883.6.24 code '131328' = '131328', given as 'MDC_ECG_ELEC_POTL'})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: Feb 19, 2015 9:30:35 AM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>device</b>: 12 lead EKG Device Metric</p><blockquote><p><b>component</b></p><p><b>code</b>: MDC_ECG_ELEC_POTL_I <span>(Details : {urn:oid:2.16.840.1.113883.6.24 code '131329' = '131329', given as 'MDC_ECG_ELEC_POTL_I'})</span></p><p><b>value</b>: Origin: (system = '[not stated]' code null = 'null'), Period: 10, Factor: 1.612, Lower: -3300, Upper: 3300, Dimensions: 1, Data: 2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: MDC_ECG_ELEC_POTL_II <span>(Details : {urn:oid:2.16.840.1.113883.6.24 code '131330' = '131330', given as 'MDC_ECG_ELEC_POTL_II'})</span></p><p><b>value</b>: Origin: (system = '[not stated]' code null = 'null'), Period: 10, Factor: 1.612, Lower: -3300, Upper: 3300, Dimensions: 1, Data: 2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: MDC_ECG_ELEC_POTL_III <span>(Details : {urn:oid:2.16.840.1.113883.6.24 code '131389' = '131389', given as 'MDC_ECG_ELEC_POTL_III'})</span></p><p><b>value</b>: Origin: (system = '[not stated]' code null = 'null'), Period: 10, Factor: 1.612, Lower: -3300, Upper: 3300, Dimensions: 1, Data: 2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073</p></blockquote></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "procedure",
          "display" : "Procedure"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "urn:oid:2.16.840.1.113883.6.24",
        "code" : "131328",
        "display" : "MDC_ECG_ELEC_POTL"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "effectiveDateTime" : "2015-02-19T09:30:35+01:00",
  "performer" : [
    {
      "reference" : "Practitioner/f005",
      "display" : "A. Langeveld"
    }
  ],
  "device" : {
    "display" : "12 lead EKG Device Metric"
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.6.24",
            "code" : "131329",
            "display" : "MDC_ECG_ELEC_POTL_I"
          }
        ]
      },
      "valueSampledData" : {
        "origin" : {
          "value" : 2048
        },
        "period" : 10,
        "factor" : 1.612,
        "lowerLimit" : -3300,
        "upperLimit" : 3300,
        "dimensions" : 1,
        "data" : "2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.6.24",
            "code" : "131330",
            "display" : "MDC_ECG_ELEC_POTL_II"
          }
        ]
      },
      "valueSampledData" : {
        "origin" : {
          "value" : 2048
        },
        "period" : 10,
        "factor" : 1.612,
        "lowerLimit" : -3300,
        "upperLimit" : 3300,
        "dimensions" : 1,
        "data" : "2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.6.24",
            "code" : "131389",
            "display" : "MDC_ECG_ELEC_POTL_III"
          }
        ]
      },
      "valueSampledData" : {
        "origin" : {
          "value" : 2048
        },
        "period" : 10,
        "factor" : 1.612,
        "lowerLimit" : -3300,
        "upperLimit" : 3300,
        "dimensions" : 1,
        "data" : "2041 2043 2037 2047 2060 2062 2051 2023 2014 2027 2034 2033 2040 2047 2047 2053 2058 2064 2059 2063 2061 2052 2053 2038 1966 1885 1884 2009 2129 2166 2137 2102 2086 2077 2067 2067 2060 2059 2062 2062 2060 2057 2045 2047 2057 2054 2042 2029 2027 2018 2007 1995 2001 2012 2024 2039 2068 2092 2111 2125 2131 2148 2137 2138 2128 2128 2115 2099 2097 2096 2101 2101 2091 2073 2076 2077 2084 2081 2088 2092 2070 2069 2074 2077 2075 2068 2064 2060 2062 2074 2075 2074 2075 2063 2058 2058 2064 2064 2070 2074 2067 2060 2062 2063 2061 2059 2048 2052 2049 2048 2051 2059 2059 2066 2077 2073"
      }
    }
  ]
}

Observation "decimal" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: decimal

status: final

code: Decimal Testing Observation (Details )

component

code: Component (Details )

value: 1.0 g

component

code: Component (Details )

value: 1.00 g

component

code: Component (Details )

value: 1.0 g

component

code: Component (Details )

value: 1E-22 g

component

code: Component (Details )

value: 1000000000000000000 g

component

code: Component (Details )

value: 1.000000000000000000E-245 g

component

code: Component (Details )

value: -1.000000000000000000E+245 g


{
  "resourceType" : "Observation",
  "id" : "decimal",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.879Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: decimal</p><p><b>status</b>: final</p><p><b>code</b>: Decimal Testing Observation <span>(Details )</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Component <span>(Details )</span></p><p><b>value</b>: 1.0 g</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Component <span>(Details )</span></p><p><b>value</b>: 1.00 g</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Component <span>(Details )</span></p><p><b>value</b>: 1.0 g</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Component <span>(Details )</span></p><p><b>value</b>: 1E-22 g</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Component <span>(Details )</span></p><p><b>value</b>: 1000000000000000000 g</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Component <span>(Details )</span></p><p><b>value</b>: 1.000000000000000000E-245 g</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Component <span>(Details )</span></p><p><b>value</b>: -1.000000000000000000E+245 g</p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "text" : "Decimal Testing Observation"
  },
  "component" : [
    {
      "code" : {
        "text" : "Component"
      },
      "valueQuantity" : {
        "value" : 1.0,
        "unit" : "g"
      }
    },
    {
      "code" : {
        "text" : "Component"
      },
      "valueQuantity" : {
        "value" : 1.00,
        "unit" : "g"
      }
    },
    {
      "code" : {
        "text" : "Component"
      },
      "valueQuantity" : {
        "value" : 1.0,
        "unit" : "g"
      }
    },
    {
      "code" : {
        "text" : "Component"
      },
      "valueQuantity" : {
        "value" : 1E-22,
        "unit" : "g"
      }
    },
    {
      "code" : {
        "text" : "Component"
      },
      "valueQuantity" : {
        "value" : 1000000000000000000,
        "unit" : "g"
      }
    },
    {
      "code" : {
        "text" : "Component"
      },
      "valueQuantity" : {
        "value" : 1.000000000000000000E-245,
        "unit" : "g"
      }
    },
    {
      "code" : {
        "text" : "Component"
      },
      "valueQuantity" : {
        "value" : -1.000000000000000000E+245,
        "unit" : "g"
      }
    }
  ]
}

Observation "date-lastmp" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: date-lastmp

status: final

category: AOE (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'survey' = 'Survey', given as 'Survey'})

code: Date last menstrual period (Details : {LOINC code '8665-2' = 'Last menstrual period start date', given as 'Date last menstrual period'})

subject: Patient/pat2

effective: Jan 24, 2016

value: Dec 30, 2016


{
  "resourceType" : "Observation",
  "id" : "date-lastmp",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.832Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: date-lastmp</p><p><b>status</b>: final</p><p><b>category</b>: AOE <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'survey' = 'Survey', given as 'Survey'})</span></p><p><b>code</b>: Date last menstrual period <span>(Details : {LOINC code '8665-2' = 'Last menstrual period start date', given as 'Date last menstrual period'})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>effective</b>: Jan 24, 2016</p><p><b>value</b>: Dec 30, 2016</p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey",
          "display" : "Survey"
        }
      ],
      "text" : "AOE"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8665-2",
        "display" : "Date last menstrual period"
      }
    ],
    "text" : "Date last menstrual period"
  },
  "subject" : {
    "reference" : "Patient/pat2"
  },
  "effectiveDateTime" : "2016-01-24",
  "valueDateTime" : "2016-12-30"
}

Observation "clinical-gender" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: clinical-gender

status: final

category: Social History (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'social-history' = 'Social History', given as 'Social History'})

code: Gender identity (Details : {LOINC code '76691-5' = 'Gender identity', given as 'Gender identity'})

subject: Patient/example

encounter: Encounter/example

effective: Feb 1, 2018

performer: Encounter/example

value: Feminism in boy (Details : {SNOMED CT code '191788006' = 'Feminism in boy', given as 'Feminism in boy (finding)'})


{
  "resourceType" : "Observation",
  "id" : "clinical-gender",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.785Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<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'})</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>: Feb 1, 2018</p><p><b>performer</b>: <a>Encounter/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>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "social-history",
          "display" : "Social History"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "76691-5",
        "display" : "Gender identity"
      }
    ],
    "text" : "Gender identity"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "effectiveDateTime" : "2018-02-01",
  "performer" : [
    {
      "reference" : "Encounter/example"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "191788006",
        "display" : "Feminism in boy (finding)"
      }
    ],
    "text" : "Feminism in boy"
  }
}

Observation "body-temperature" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: body-temperature

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Body temperature (Details : {LOINC code '8310-5' = 'Body temperature', given as 'Body temperature'})

subject: Patient/example

effective: Jul 2, 1999

value: 36.5 C (Details: UCUM code Cel = 'Cel')


{
  "resourceType" : "Observation",
  "id" : "body-temperature",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.739Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: body-temperature</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Body temperature <span>(Details : {LOINC code '8310-5' = 'Body temperature', given as 'Body temperature'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 36.5 C<span> (Details: UCUM code Cel = 'Cel')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8310-5",
        "display" : "Body temperature"
      }
    ],
    "text" : "Body temperature"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 36.5,
    "unit" : "C",
    "system" : "http://unitsofmeasure.org",
    "code" : "Cel"
  }
}

Observation "body-length" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: body-length

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Body Length (Details : {LOINC code '8302-2' = 'Body height', given as 'Body height'}; {LOINC code '8306-3' = 'Body height --lying', given as 'Body height --lying'})

subject: Patient/example

effective: Jul 2, 1999

value: 25 cm (Details: UCUM code cm = 'cm')


{
  "resourceType" : "Observation",
  "id" : "body-length",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.676Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: body-length</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Body Length <span>(Details : {LOINC code '8302-2' = 'Body height', given as 'Body height'}; {LOINC code '8306-3' = 'Body height --lying', given as 'Body height --lying'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 25 cm<span> (Details: UCUM code cm = 'cm')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8302-2",
        "display" : "Body height"
      },
      {
        "system" : "http://loinc.org",
        "code" : "8306-3",
        "display" : "Body height --lying",
        "userSelected" : true
      }
    ],
    "text" : "Body Length"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 25,
    "unit" : "cm",
    "system" : "http://unitsofmeasure.org",
    "code" : "cm"
  }
}

Observation "body-height" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: body-height

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: Body height (Details : {LOINC code '8302-2' = 'Body height', given as 'Body height'})

subject: Patient/example

effective: Jul 2, 1999

value: 66.899999999999991 in (Details: UCUM code [in_i] = 'in_i')


{
  "resourceType" : "Observation",
  "id" : "body-height",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.629Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: body-height</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Body height <span>(Details : {LOINC code '8302-2' = 'Body height', given as 'Body height'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 66.899999999999991 in<span> (Details: UCUM code [in_i] = 'in_i')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8302-2",
        "display" : "Body height"
      }
    ],
    "text" : "Body height"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 66.899999999999991,
    "unit" : "in",
    "system" : "http://unitsofmeasure.org",
    "code" : "[in_i]"
  }
}

Observation "bmi" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: bmi

meta:

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: BMI (Details : {LOINC code '39156-5' = 'Body mass index (BMI) [Ratio]', given as 'Body mass index (BMI) [Ratio]'})

subject: Patient/example

effective: Jul 2, 1999

value: 16.2 kg/m2 (Details: UCUM code kg/m2 = 'kg/m2')


{
  "resourceType" : "Observation",
  "id" : "bmi",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.582Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: bmi</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: BMI <span>(Details : {LOINC code '39156-5' = 'Body mass index (BMI) [Ratio]', given as 'Body mass index (BMI) [Ratio]'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 16.2 kg/m2<span> (Details: UCUM code kg/m2 = 'kg/m2')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "39156-5",
        "display" : "Body mass index (BMI) [Ratio]"
      }
    ],
    "text" : "BMI"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 16.2,
    "unit" : "kg/m2",
    "system" : "http://unitsofmeasure.org",
    "code" : "kg/m2"
  }
}

Observation "bmi-using-related" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: bmi-using-related

status: final

category: Vital Signs (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})

code: BMI (Details : {LOINC code '39156-5' = 'Body mass index (BMI) [Ratio]', given as 'Body mass index (BMI) [Ratio]'})

subject: Patient/example

effective: Jul 2, 1999

value: 16.2 kg/m2 (Details: UCUM code kg/m2 = 'kg/m2')

derivedFrom:


{
  "resourceType" : "Observation",
  "id" : "bmi-using-related",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.535Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: bmi-using-related</p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: BMI <span>(Details : {LOINC code '39156-5' = 'Body mass index (BMI) [Ratio]', given as 'Body mass index (BMI) [Ratio]'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: Jul 2, 1999</p><p><b>value</b>: 16.2 kg/m2<span> (Details: UCUM code kg/m2 = 'kg/m2')</span></p><p><b>derivedFrom</b>: </p><ul><li><a>Body Height</a></li><li><a>Body Weight</a></li></ul></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ],
      "text" : "Vital Signs"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "39156-5",
        "display" : "Body mass index (BMI) [Ratio]"
      }
    ],
    "text" : "BMI"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "effectiveDateTime" : "1999-07-02",
  "valueQuantity" : {
    "value" : 16.2,
    "unit" : "kg/m2",
    "system" : "http://unitsofmeasure.org",
    "code" : "kg/m2"
  },
  "derivedFrom" : [
    {
      "reference" : "Observation/bodyheight",
      "display" : "Body Height"
    },
    {
      "reference" : "Observation/example",
      "display" : "Body Weight"
    }
  ]
}

Observation "bmd" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: bmd

status: final

code: BMD - Left Femur (Details : {LOINC code '24701-5' = 'Femur DXA Bone density', given as 'Femur DXA Bone density'})

subject: Patient/pat2

performer: Acme Imaging Diagnostics

value: 0.887 g/cm² (Details: UCUM code g/cm-2 = 'g/cm-2')

bodySite: Left Femur (Details : {SNOMED CT code '71341001:272741003=7771000' = 'Femur where Laterality = Left)


{
  "resourceType" : "Observation",
  "id" : "bmd",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:40.473Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: bmd</p><p><b>status</b>: final</p><p><b>code</b>: BMD - Left Femur <span>(Details : {LOINC code '24701-5' = 'Femur DXA Bone density', given as 'Femur DXA Bone density'})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>performer</b>: <a>Acme Imaging Diagnostics</a></p><p><b>value</b>: 0.887 g/cm&#178;<span> (Details: UCUM code g/cm-2 = 'g/cm-2')</span></p><p><b>bodySite</b>: Left Femur <span>(Details : {SNOMED CT code '71341001:272741003=7771000' = 'Femur where Laterality = Left)</span></p></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "24701-5",
        "display" : "Femur DXA Bone density"
      }
    ],
    "text" : "BMD - Left Femur"
  },
  "subject" : {
    "reference" : "Patient/pat2"
  },
  "performer" : [
    {
      "reference" : "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
      "display" : "Acme Imaging Diagnostics"
    }
  ],
  "valueQuantity" : {
    "value" : 0.887,
    "unit" : "g/cm²",
    "system" : "http://unitsofmeasure.org",
    "code" : "g/cm-2"
  },
  "bodySite" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "71341001:272741003=7771000"
      }
    ],
    "text" : "Left Femur"
  }
}