ACCESS Gateway EHR Specification HL7 FHIR® Implementation Guide-v1.0.0-WIP-draft

Observation (Patient) Profile Example

<Observation xmlns="http://hl7.org/fhir">
<id value="observation-gen-pat-example" />
<identifier>
<value value="CBR2016ET0109:IA00002-R400.5000" />
</identifier>
<status value="final" />
<!-- NOTE:For this profile, category will always be set to laboratory -->
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<code>
<coding>
<code value="400.5000" />
<display value="THYROID STIMULATING HORMONE" />
</coding>
</code>
<subject>
<reference value="Patient/CB00350415" />
<display value="David Lab" />
</subject>
<!-- NOTE: The HL7 v2 messages from NS Meditech C/S do not specify seconds and timezone, timezone is a requirement if using the DateTime data type so it's been manually added to this example using the time zone (-4:00 GMT) that is associated with the lab facility's address -->
<effectiveDateTime value="2016-09-01T14:14:00-04:00" />
<!-- NOTE: This example is for NS Meditech CS which does not have an available mapping for performing practitioner or performing organization <performer> <reference value="Organization/"/> <display value="XYZ Lab"/> </performer> -->
<valueQuantity>
<value value="1.60" />
<unit value="mIU/L" />
<system value="http://unitsofmeasure.org" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<specimen>
<reference value="Specimen/CBR2016ET0109:IA00002R" />
</specimen>
<!-- NOTE: This example demonstrates using the reference range text element for stuff that is not easily structured ! -->
<referenceRange>
<appliesTo>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0080" />
<code value="A" />
<display value="An age-based population" />
</coding>
</appliesTo>
<appliesTo>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0080" />
<code value="S" />
<display value="A sex-based population" />
</coding>
</appliesTo>
<text value="0.3-5" />
</referenceRange>
</Observation>