Clinical Observations

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

Patient Condition Observation Example

<Observation xmlns="http://hl7.org/fhir">
<id value="PatientConditionObservation" />
<identifier>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="cee05507-db8c-46a5-be81-6f9aef3bc192" />
</identifier>
<status value="final" />
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="survey" />
<display value="Survey" />
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1364131000000103" />
<display value="NPEWS (National Paediatric Early Warning Score) - nursing concern, clinical intuition" />
</coding>
</code>
<subject>
<reference value="Patient/30d3de6f-e800-47fa-b610-b02c7c8e9d57" />
</subject>
<effectiveDateTime value="2018-10-04T14:17:59+01:00" />
<performer>
<reference value="Practitioner/627be677-3eb2-4db4-9570-5669fd8c92f5" />
</performer>
<performer>
<reference value="Organization/cdaea3db-8b40-41dc-9834-b42503e12382" />
</performer>
<valueCodeableConcept>
<text value="worst" />
</valueCodeableConcept>
</Observation>
{
"resourceType": "Observation",
"id": "PatientConditionObservation",
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "cee05507-db8c-46a5-be81-6f9aef3bc192"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1364131000000103",
"display": "NPEWS (National Paediatric Early Warning Score) - nursing concern, clinical intuition"
}
]
},
"subject": {
"reference": "Patient/30d3de6f-e800-47fa-b610-b02c7c8e9d57"
},
"effectiveDateTime": "2018-10-04T14:17:59+01:00",
"performer": [
{
"reference": "Practitioner/627be677-3eb2-4db4-9570-5669fd8c92f5"
},
{
"reference": "Organization/cdaea3db-8b40-41dc-9834-b42503e12382"
}
],
"valueCodeableConcept": {
"text": "worst"
}
}
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