Notice
- Important: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
- This Implementation Guide is currently in Draft and SHOULD NOT be used for development or active implementation without express direction from the NHS England Genomics Unit.
Observation
Observation-AutisticBehaviour-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-AutisticBehaviour-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0000729 |
display : Autistic behaviour |
subject |
reference : Patient/Patient-PheobeSmitham-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307539 |
effective : 2023-09-15T15:00:00Z |
value : True |
{ "resourceType": "Observation", "id": "Observation-AutisticBehaviour-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0000729", "display": "Autistic behaviour" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmitham-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307539" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueBoolean": true }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-AutisticBehaviour-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0000729" /> <display value="Autistic behaviour" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmitham-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307539" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueBoolean value="true" /> </Observation>
Observation-BlastPercentage-Example
Example of an Observation indicating the Percentage blast cells of a specimen.
Observation |
id : Observation-BlastPercentage-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 1015521000000107 |
display : Percentage blast cells (observable entity) |
subject |
reference : Patient/Patient-PatrickSammy-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
specimen |
identifier |
system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
value : RR81234 |
assigner |
identifier |
system : https://fhir.nhs.uk/Id/ods-organization-code |
value : 696B0 |
value |
value : 25 |
unit : % |
system : http://unitsofmeasure.org |
code : % |
effective : 2023-08-29 |
{ "resourceType": "Observation", "id": "Observation-BlastPercentage-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1015521000000107", "display": "Percentage blast cells (observable entity)" } ] }, "subject": { "reference": "Patient/Patient-PatrickSammy-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "specimen": { "identifier": { "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24", "value": "RR81234", "assigner": { "identifier": { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "696B0" } } } }, "valueQuantity": { "value": 25, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" }, "effectiveDateTime": "2023-08-29" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-BlastPercentage-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1015521000000107" /> <display value="Percentage blast cells (observable entity)" /> </coding> </code> <subject> <reference value="Patient/Patient-PatrickSammy-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-29" /> <valueQuantity> <value value="25" /> <unit value="%" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </valueQuantity> <specimen> <identifier> <system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24" /> <value value="RR81234" /> <assigner> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="696B0" /> </identifier> </assigner> </identifier> </specimen> </Observation>
Example of an Observation indicating the presence of bruising on the subject.
Observation-Bruising-Example
Observation |
id : Observation-Bruising-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 308492005 |
display : Bruising |
subject |
reference : Patient/Patient-PatrickSammy-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-09-03 |
{ "resourceType": "Observation", "id": "Observation-Bruising-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "308492005", "display": "Bruising" } ] }, "subject": { "reference": "Patient/Patient-PatrickSammy-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-09-03" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Bruising-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="308492005" /> <display value="Bruising" /> </coding> </code> <subject> <reference value="Patient/Patient-PatrickSammy-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-09-03" /> </Observation>
Observation-Cellularity-Example
Example of an Observation indicating the degree of Cellularity in a specimen.
Observation |
id : Observation-Cellularity-Example |
status : final |
code |
text : Cellularity |
subject |
reference : Patient/Patient-ZelmaHadjkiss-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307555 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : RA257630 |
value |
coding |
system : http://snomed.info/sct |
code : 75540009 |
display : High (qualifier value) |
effective : 2023-09-08T10:00:00Z |
{ "resourceType": "Observation", "id": "Observation-Cellularity-Example", "status": "final", "code": { "text": "Cellularity" }, "subject": { "reference": "Patient/Patient-ZelmaHadjkiss-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307555" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "RA257630" } }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "75540009", "display": "High (qualifier value)" } ] }, "effectiveDateTime": "2023-09-08T10:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Cellularity-Example" /> <status value="final" /> <code> <text value="Cellularity" /> </code> <subject> <reference value="Patient/Patient-ZelmaHadjkiss-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307555" /> </identifier> </subject> <effectiveDateTime value="2023-09-08T10:00:00Z" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="75540009" /> <display value="High (qualifier value)" /> </coding> </valueCodeableConcept> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="RA257630" /> </identifier> </specimen> </Observation>
Observation-CellularityKayBurbridge-Example
Example of an Observation indicating the degree of Cellularity in a specimen.
Observation |
id : Observation-CellularityKayBurbridge-Example |
status : final |
code |
text : Cellularity |
subject |
reference : Patient/Patient-KayBurbridge-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 8449303541 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : 699F01231423 |
value |
coding |
system : http://snomed.info/sct |
code : 75540009 |
display : High (qualifier value) |
effective : 2023-11-01T11:00:00Z |
{ "resourceType": "Observation", "id": "Observation-CellularityKayBurbridge-Example", "status": "final", "code": { "text": "Cellularity" }, "subject": { "reference": "Patient/Patient-KayBurbridge-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "8449303541" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "699F01231423" } }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "75540009", "display": "High (qualifier value)" } ] }, "effectiveDateTime": "2023-11-01T11:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-CellularityKayBurbridge-Example" /> <status value="final" /> <code> <text value="Cellularity" /> </code> <subject> <reference value="Patient/Patient-KayBurbridge-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="8449303541" /> </identifier> </subject> <effectiveDateTime value="2023-11-01T11:00:00Z" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="75540009" /> <display value="High (qualifier value)" /> </coding> </valueCodeableConcept> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="699F01231423" /> </identifier> </specimen> </Observation>
Observation-DelayedSpeechLanguageDevt-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-DelayedSpeechLanguageDevt-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0000750 |
display : Delayed speech and language development |
subject |
reference : Patient/Patient-PheobeSmitham-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307539 |
effective : 2023-09-15T15:00:00Z |
value : True |
{ "resourceType": "Observation", "id": "Observation-DelayedSpeechLanguageDevt-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0000750", "display": "Delayed speech and language development" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmitham-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307539" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueBoolean": true }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-DelayedSpeechLanguageDevt-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0000750" /> <display value="Delayed speech and language development" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmitham-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307539" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueBoolean value="true" /> </Observation>
Observation-DiseasePenetrance-Example
Example of an Observation indicating the degree of disease penetrance on the subject.
Observation |
id : Observation-DiseasePenetrance-Example |
status : final |
code |
coding |
system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
code : R14 |
display : Acutely unwell children with a likely monogenic disorder |
version : 7 |
subject |
reference : Patient/Patient-JamesMetcalfe-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 7449306524 |
effective : 2023-10-01 |
value |
coding |
system : http://snomed.info/sct |
code : 87006007 |
display : Dominant autosomal hereditary disorder, incomplete penetrance |
{ "resourceType": "Observation", "id": "Observation-DiseasePenetrance-Example", "status": "final", "code": { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code": "R14", "display": "Acutely unwell children with a likely monogenic disorder", "version": "7" } ] }, "subject": { "reference": "Patient/Patient-JamesMetcalfe-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "7449306524" } }, "effectiveDateTime": "2023-10-01", "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "87006007", "display": "Dominant autosomal hereditary disorder, incomplete penetrance" } ] } }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-DiseasePenetrance-Example" /> <status value="final" /> <code> <coding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" /> <version value="7" /> <code value="R14" /> <display value="Acutely unwell children with a likely monogenic disorder" /> </coding> </code> <subject> <reference value="Patient/Patient-JamesMetcalfe-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="7449306524" /> </identifier> </subject> <effectiveDateTime value="2023-10-01" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="87006007" /> <display value="Dominant autosomal hereditary disorder, incomplete penetrance" /> </coding> </valueCodeableConcept> </Observation>
Observation-DiseasePenetrancePheobeSmitham-Example
Example of an Observation indicating the degree of disease penetrance on the subject.
Observation |
id : Observation-DiseasePenetrancePheobeSmitham-Example |
status : final |
code |
coding |
system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
code : R14 |
display : Acutely unwell children with a likely monogenic disorder |
version : 7 |
subject |
reference : Patient/Patient-PheobeSmitham-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307539 |
effective : 2023-09-15T15:00:00Z |
value |
coding |
system : http://snomed.info/sct |
code : 87006007 |
display : Dominant autosomal hereditary disorder, incomplete penetrance |
{ "resourceType": "Observation", "id": "Observation-DiseasePenetrancePheobeSmitham-Example", "status": "final", "code": { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code": "R14", "display": "Acutely unwell children with a likely monogenic disorder", "version": "7" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmitham-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307539" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "87006007", "display": "Dominant autosomal hereditary disorder, incomplete penetrance" } ] } }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-DiseasePenetrancePheobeSmitham-Example" /> <status value="final" /> <code> <coding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" /> <version value="7" /> <code value="R14" /> <display value="Acutely unwell children with a likely monogenic disorder" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmitham-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307539" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="87006007" /> <display value="Dominant autosomal hereditary disorder, incomplete penetrance" /> </coding> </valueCodeableConcept> </Observation>
Observation-DiseaseStatus-Example
Example of an Observation indicating the disease status of a patient. Coding of affected/unaffected status is currently under review.
Observation |
id : Observation-DiseaseStatus-Example |
status : final |
code |
coding |
system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
code : R67.2 |
display : Monogenic hearing loss |
version : 7 |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-08-05 |
value |
coding |
system : http://snomed.info/sct |
code : 103310001 |
display : Patient not affected |
{ "resourceType": "Observation", "id": "Observation-DiseaseStatus-Example", "status": "final", "code": { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code": "R67.2", "display": "Monogenic hearing loss", "version": "7" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-08-05", "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "103310001", "display": "Patient not affected" } ] } }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-DiseaseStatus-Example" /> <status value="final" /> <code> <coding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" /> <version value="7" /> <code value="R67.2" /> <display value="Monogenic hearing loss" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="103310001" /> <display value="Patient not affected" /> </coding> </valueCodeableConcept> </Observation>
Observation-DutchLipidScore-Example
Example of an Observation indicating the affective status of a disease.
Observation |
id : Observation-DutchLipidScore-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 872541000000104 |
display : Dutch Lipid Clinic Network diagnostic criteria for familial hypercholesterolaemia score (observable entity) |
text : Dutch or (Welsh) Lipid score |
subject |
reference : Patient/Patient-FayMutlow-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307806 |
effective : 2023-08-05 |
value : 7 |
{ "resourceType": "Observation", "id": "Observation-DutchLipidScore-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "872541000000104", "display": "Dutch Lipid Clinic Network diagnostic criteria for familial hypercholesterolaemia score (observable entity)" } ], "text": "Dutch or (Welsh) Lipid score" }, "subject": { "reference": "Patient/Patient-FayMutlow-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307806" } }, "effectiveDateTime": "2023-08-05", "valueInteger": 7 }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-DutchLipidScore-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="872541000000104" /> <display value="Dutch Lipid Clinic Network diagnostic criteria for familial hypercholesterolaemia score (observable entity)" /> </coding> <text value="Dutch or (Welsh) Lipid score" /> </code> <subject> <reference value="Patient/Patient-FayMutlow-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307806" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueInteger value="7" /> </Observation>
Observation-EnlargedKidney-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-EnlargedKidney-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0000105 |
display : Enlarged kidney |
subject |
reference : Patient/Patient-LindsaySorrell-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307946 |
effective : 2023-08-05 |
value : True |
{ "resourceType": "Observation", "id": "Observation-EnlargedKidney-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0000105", "display": "Enlarged kidney" } ] }, "subject": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "effectiveDateTime": "2023-08-05", "valueBoolean": true }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-EnlargedKidney-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0000105" /> <display value="Enlarged kidney" /> </coding> </code> <subject> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueBoolean value="true" /> </Observation>
Observation-Haemoglobin-Example
Example of an Observation indicating the level of haemoglobin in a specimen.
Observation |
id : Observation-Haemoglobin-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 38082009 |
display : Haemoglobin |
subject |
reference : Patient/Patient-PatrickSammy-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
value |
value : 83 |
unit : g/dl |
system : http://unitsofmeasure.org |
code : g/dL |
effective : 2023-09-03 |
{ "resourceType": "Observation", "id": "Observation-Haemoglobin-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "38082009", "display": "Haemoglobin" } ] }, "subject": { "reference": "Patient/Patient-PatrickSammy-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "valueQuantity": { "value": 83, "unit": "g/dl", "system": "http://unitsofmeasure.org", "code": "g/dL" }, "effectiveDateTime": "2023-09-03" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Haemoglobin-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="38082009" /> <display value="Haemoglobin" /> </coding> </code> <subject> <reference value="Patient/Patient-PatrickSammy-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-09-03" /> <valueQuantity> <value value="83" /> <unit value="g/dl" /> <system value="http://unitsofmeasure.org" /> <code value="g/dL" /> </valueQuantity> </Observation>
Observation-HepaticCysts-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-HepaticCysts-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0001407 |
display : Hepatic cysts |
subject |
reference : Patient/Patient-LindsaySorrell-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307946 |
effective : 2023-08-05 |
value : False |
{ "resourceType": "Observation", "id": "Observation-HepaticCysts-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0001407", "display": "Hepatic cysts" } ] }, "subject": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "effectiveDateTime": "2023-08-05", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-HepaticCysts-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0001407" /> <display value="Hepatic cysts" /> </coding> </code> <subject> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueBoolean value="false" /> </Observation>
Observation-Immunodefficiency-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-Immunodefficiency-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0002721 |
display : Immunodefficiency |
subject |
reference : Patient/Patient-JamesMetcalfe-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 7449306524 |
effective : 2023-10-01 |
value : True |
{ "resourceType": "Observation", "id": "Observation-Immunodefficiency-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0002721", "display": "Immunodefficiency" } ] }, "subject": { "reference": "Patient/Patient-JamesMetcalfe-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "7449306524" } }, "effectiveDateTime": "2023-10-01", "valueBoolean": true }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Immunodefficiency-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0002721" /> <display value="Immunodefficiency" /> </coding> </code> <subject> <reference value="Patient/Patient-JamesMetcalfe-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="7449306524" /> </identifier> </subject> <effectiveDateTime value="2023-10-01" /> <valueBoolean value="true" /> </Observation>
Observation-IntellectualDisabilityMild-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-IntellectualDisabilityMild-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0001256 |
display : Intellectual disability, mild |
subject |
reference : Patient/Patient-JamesLawrenceProbandFather-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307636 |
effective : 2023-09-15T15:00:00Z |
value : True |
{ "resourceType": "Observation", "id": "Observation-IntellectualDisabilityMild-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0001256", "display": "Intellectual disability, mild" } ] }, "subject": { "reference": "Patient/Patient-JamesLawrenceProbandFather-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307636" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueBoolean": true }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-IntellectualDisabilityMild-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0001256" /> <display value="Intellectual disability, mild" /> </coding> </code> <subject> <reference value="Patient/Patient-JamesLawrenceProbandFather-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307636" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueBoolean value="true" /> </Observation>
Observation-IntellectualDisabilityProfound-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-IntellectualDisabilityProfound-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0002187 |
display : Intellectual disability, profound |
subject |
reference : Patient/Patient-PheobeSmitham-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307539 |
effective : 2023-09-15T15:00:00Z |
value : True |
{ "resourceType": "Observation", "id": "Observation-IntellectualDisabilityProfound-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0002187", "display": "Intellectual disability, profound" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmitham-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307539" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueBoolean": true }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-IntellectualDisabilityProfound-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0002187" /> <display value="Intellectual disability, profound" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmitham-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307539" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueBoolean value="true" /> </Observation>
Observation-NatureAndAgeOfHearingLoss-Example
Example of an Observation indicating the nature and age of disease affecting a patient.
Observation |
id : Observation-NatureAndAgeOfHearingLoss-Example |
status : final |
code |
coding |
system : https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory |
code : R67.1 |
display : Monogenic hearing loss |
version : 7 |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-08-05 |
component |
code |
coding |
system : http://snomed.info/sct |
code : 95820000 |
display : Bilateral hearing loss (disorder) |
value : hearing loss since childhood |
{ "resourceType": "Observation", "id": "Observation-NatureAndAgeOfHearingLoss-Example", "status": "final", "code": { "coding": [ { "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory", "code": "R67.1", "display": "Monogenic hearing loss", "version": "7" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-08-05", "component": [ { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "95820000", "display": "Bilateral hearing loss (disorder)" } ] }, "valueString": "hearing loss since childhood" } ] }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NatureAndAgeOfHearingLoss-Example" /> <status value="final" /> <code> <coding> <system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" /> <version value="7" /> <code value="R67.1" /> <display value="Monogenic hearing loss" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="95820000" /> <display value="Bilateral hearing loss (disorder)" /> </coding> </code> <valueString value="hearing loss since childhood" /> </component> </Observation>
Observation-Necrosis-Example
Example of an Observation indicating the Percentage neoplasm involved by necrosis in a specimen.
Observation |
id : Observation-Necrosis-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 405921002 |
display : Percentage of neoplasm involved by necrosis (observable entity) |
subject |
reference : Patient/Patient-ZelmaHadjkiss-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307555 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : RA257630 |
value |
value : 5 |
unit : % |
system : http://unitsofmeasure.org |
code : % |
effective : 2023-09-08 |
{ "resourceType": "Observation", "id": "Observation-Necrosis-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "405921002", "display": "Percentage of neoplasm involved by necrosis (observable entity)" } ] }, "subject": { "reference": "Patient/Patient-ZelmaHadjkiss-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307555" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "RA257630" } }, "valueQuantity": { "value": 5, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" }, "effectiveDateTime": "2023-09-08" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Necrosis-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="405921002" /> <display value="Percentage of neoplasm involved by necrosis (observable entity)" /> </coding> </code> <subject> <reference value="Patient/Patient-ZelmaHadjkiss-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307555" /> </identifier> </subject> <effectiveDateTime value="2023-09-08" /> <valueQuantity> <value value="5" /> <unit value="%" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </valueQuantity> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="RA257630" /> </identifier> </specimen> </Observation>
Observation-NecrosisKayBurbridge-Example
Example of an Observation indicating the Percentage neoplasm involved by necrosis in a specimen.
Observation |
id : Observation-NecrosisKayBurbridge-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 405921002 |
display : Percentage of neoplasm involved by necrosis (observable entity) |
subject |
reference : Patient/Patient-KayBurbridge-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 8449303541 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : 699F01231423 |
value |
value : 5 |
unit : % |
system : http://unitsofmeasure.org |
code : % |
effective : 2023-11-01T11:00:00Z |
{ "resourceType": "Observation", "id": "Observation-NecrosisKayBurbridge-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "405921002", "display": "Percentage of neoplasm involved by necrosis (observable entity)" } ] }, "subject": { "reference": "Patient/Patient-KayBurbridge-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "8449303541" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "699F01231423" } }, "valueQuantity": { "value": 5, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" }, "effectiveDateTime": "2023-11-01T11:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NecrosisKayBurbridge-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="405921002" /> <display value="Percentage of neoplasm involved by necrosis (observable entity)" /> </coding> </code> <subject> <reference value="Patient/Patient-KayBurbridge-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="8449303541" /> </identifier> </subject> <effectiveDateTime value="2023-11-01T11:00:00Z" /> <valueQuantity> <value value="5" /> <unit value="%" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </valueQuantity> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="699F01231423" /> </identifier> </specimen> </Observation>
Observation-NeoplasticCell-Example
Example of an Observation indicating the Percentage Neoplastic cells in a specimen.
Observation |
id : Observation-NeoplasticCell-Example |
status : final |
code |
text : Approximate Neoplastic cell % in sample |
subject |
reference : Patient/Patient-ZelmaHadjkiss-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307555 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : RA257630 |
value |
value : 25 |
unit : % |
system : http://unitsofmeasure.org |
code : % |
effective : 2023-09-08T10:00:00Z |
{ "resourceType": "Observation", "id": "Observation-NeoplasticCell-Example", "status": "final", "code": { "text": "Approximate Neoplastic cell % in sample" }, "subject": { "reference": "Patient/Patient-ZelmaHadjkiss-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307555" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "RA257630" } }, "valueQuantity": { "value": 25, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" }, "effectiveDateTime": "2023-09-08T10:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NeoplasticCell-Example" /> <status value="final" /> <code> <text value="Approximate Neoplastic cell % in sample" /> </code> <subject> <reference value="Patient/Patient-ZelmaHadjkiss-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307555" /> </identifier> </subject> <effectiveDateTime value="2023-09-08T10:00:00Z" /> <valueQuantity> <value value="25" /> <unit value="%" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </valueQuantity> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="RA257630" /> </identifier> </specimen> </Observation>
Observation-NeoplasticCellKayBurbridge-Example
Example of an Observation indicating the Percentage Neoplastic cells in a specimen.
Observation |
id : Observation-NeoplasticCellKayBurbridge-Example |
status : final |
code |
text : Approximate Neoplastic cell % in sample |
subject |
reference : Patient/Patient-KayBurbridge-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 8449303541 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : 699F01231423 |
value |
value : 25 |
unit : % |
system : http://unitsofmeasure.org |
code : % |
effective : 2023-11-01T11:00:00Z |
{ "resourceType": "Observation", "id": "Observation-NeoplasticCellKayBurbridge-Example", "status": "final", "code": { "text": "Approximate Neoplastic cell % in sample" }, "subject": { "reference": "Patient/Patient-KayBurbridge-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "8449303541" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "699F01231423" } }, "valueQuantity": { "value": 25, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" }, "effectiveDateTime": "2023-11-01T11:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NeoplasticCellKayBurbridge-Example" /> <status value="final" /> <code> <text value="Approximate Neoplastic cell % in sample" /> </code> <subject> <reference value="Patient/Patient-KayBurbridge-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="8449303541" /> </identifier> </subject> <effectiveDateTime value="2023-11-01T11:00:00Z" /> <valueQuantity> <value value="25" /> <unit value="%" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </valueQuantity> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="699F01231423" /> </identifier> </specimen> </Observation>
Observation-Neutrophils-Example
Example of an Observation indicating the Neutrophil count in a specimen.
Observation |
id : Observation-Neutrophils-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 1022551000000104 |
display : Neutrophil count |
subject |
reference : Patient/Patient-PatrickSammy-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
value |
value : 0.51 |
unit : 10^9/l |
system : http://unitsofmeasure.org |
code : 10^9/L |
effective : 2023-09-03 |
{ "resourceType": "Observation", "id": "Observation-Neutrophils-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022551000000104", "display": "Neutrophil count" } ] }, "subject": { "reference": "Patient/Patient-PatrickSammy-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "valueQuantity": { "value": 0.51, "unit": "10^9/l", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "effectiveDateTime": "2023-09-03" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Neutrophils-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1022551000000104" /> <display value="Neutrophil count" /> </coding> </code> <subject> <reference value="Patient/Patient-PatrickSammy-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-09-03" /> <valueQuantity> <value value="0.51" /> <unit value="10^9/l" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> </Observation>
Observation-GenomicEthnicity-Example
Example of an observation indicating the ethnicity relevant to Genomic Testing.
Observation |
id : Observation-GenomicEthnicity-Example |
status : preliminary |
code |
coding |
system : http://snomed.info/sct |
code : 723621000000103 |
display : Ethnicity |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
value : unknown |
{ "resourceType": "Observation", "id": "Observation-GenomicEthnicity-Example", "status": "preliminary", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "723621000000103", "display": "Ethnicity" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "valueString": "unknown" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-GenomicEthnicity-Example" /> <status value="preliminary" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="723621000000103" /> <display value="Ethnicity" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <valueString value="unknown" /> </Observation>
Observation-MultipleRenalCysts-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-MultipleRenalCysts-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0005562 |
display : Multiple renal cysts |
subject |
reference : Patient/Patient-LindsaySorrell-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307946 |
effective : 2023-08-05 |
value : False |
{ "resourceType": "Observation", "id": "Observation-MultipleRenalCysts-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0005562", "display": "Multiple renal cysts" } ] }, "subject": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "effectiveDateTime": "2023-08-05", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-MultipleRenalCysts-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0005562" /> <display value="Multiple renal cysts" /> </coding> </code> <subject> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueBoolean value="false" /> </Observation>
Observation-Nephronophthisis-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-Nephronophthisis-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0000090 |
display : Nephronophthisis |
subject |
reference : Patient/Patient-LindsaySorrell-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307946 |
effective : 2023-08-05 |
value : False |
{ "resourceType": "Observation", "id": "Observation-Nephronophthisis-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0000090", "display": "Nephronophthisis" } ] }, "subject": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "effectiveDateTime": "2023-08-05", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Nephronophthisis-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0000090" /> <display value="Nephronophthisis" /> </coding> </code> <subject> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueBoolean value="false" /> </Observation>
Observation-NoBoneMarrowTransplant-Example
Example of an observation indicating absence of transplant procedures.
Observation |
id : Observation-NoBoneMarrowTransplant-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 416128008 |
display : No history of procedure (situation) |
value |
coding |
system : http://snomed.info/sct |
code : 445715009 |
display : Blood and marrow transplantation (qualifier value) |
subject |
reference : Patient/Patient-LindsaySorrell-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307946 |
effective : 2023-08-05 |
{ "resourceType": "Observation", "id": "Observation-NoBoneMarrowTransplant-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "416128008", "display": "No history of procedure (situation)" } ] }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "445715009", "display": "Blood and marrow transplantation (qualifier value)" } ] }, "subject": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "effectiveDateTime": "2023-08-05" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoBoneMarrowTransplant-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="416128008" /> <display value="No history of procedure (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="445715009" /> <display value="Blood and marrow transplantation (qualifier value)" /> </coding> </valueCodeableConcept> </Observation>
Observation-NoBoneMarrowTransplantProbandFather-Example
Example of an observation indicating absence of transplant procedures.
Observation |
id : Observation-NoBoneMarrowTransplantProbandFather-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 416128008 |
display : No history of procedure (situation) |
value |
coding |
system : http://snomed.info/sct |
code : 445715009 |
display : Blood and marrow transplantation (qualifier value) |
subject |
reference : Patient/Patient-PheobeSmithamFather-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307636 |
effective : 2023-09-15T15:00:00Z |
{ "resourceType": "Observation", "id": "Observation-NoBoneMarrowTransplantProbandFather-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "416128008", "display": "No history of procedure (situation)" } ] }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "445715009", "display": "Blood and marrow transplantation (qualifier value)" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmithamFather-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307636" } }, "effectiveDateTime": "2023-09-15T15:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoBoneMarrowTransplantProbandFather-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="416128008" /> <display value="No history of procedure (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmithamFather-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307636" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="445715009" /> <display value="Blood and marrow transplantation (qualifier value)" /> </coding> </valueCodeableConcept> </Observation>
Observation-NoBoneMarrowTransplantProbandMother-Example
Example of an observation indicating absence of transplant procedures.
Observation |
id : Observation-NoBoneMarrowTransplantProbandMother-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 416128008 |
display : No history of procedure (situation) |
value |
coding |
system : http://snomed.info/sct |
code : 445715009 |
display : Blood and marrow transplantation (qualifier value) |
subject |
reference : Patient/Patient-PheobeSmithamMother-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307246 |
effective : 2023-09-15T15:00:00Z |
{ "resourceType": "Observation", "id": "Observation-NoBoneMarrowTransplantProbandMother-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "416128008", "display": "No history of procedure (situation)" } ] }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "445715009", "display": "Blood and marrow transplantation (qualifier value)" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmithamMother-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307246" } }, "effectiveDateTime": "2023-09-15T15:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoBoneMarrowTransplantProbandMother-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="416128008" /> <display value="No history of procedure (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmithamMother-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307246" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="445715009" /> <display value="Blood and marrow transplantation (qualifier value)" /> </coding> </valueCodeableConcept> </Observation>
Observation-NoFirstTrimesterFetalAnomalies-Example
Example of an observation confirming no anomaly in a First Trimester absence pregnancy period.
Observation |
id : Observation-NoFirstTrimesterFetalAnomalies-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 609520005 |
display : Disorder of fetal structure |
text : First Trimester Anomalies? |
subject |
reference : Patient/Patient-RyanneBoulder-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307687 |
component |
code |
coding |
system : http://snomed.info/sct |
code : 255246003 |
display : First trimester |
effective : 2023-09-25 |
value : False |
{ "resourceType": "Observation", "id": "Observation-NoFirstTrimesterFetalAnomalies-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "609520005", "display": "Disorder of fetal structure" } ], "text": "First Trimester Anomalies?" }, "subject": { "reference": "Patient/Patient-RyanneBoulder-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307687" } }, "component": [ { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "255246003", "display": "First trimester" } ] } } ], "effectiveDateTime": "2023-09-25", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoFirstTrimesterFetalAnomalies-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="609520005" /> <display value="Disorder of fetal structure" /> </coding> <text value="First Trimester Anomalies?" /> </code> <subject> <reference value="Patient/Patient-RyanneBoulder-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307687" /> </identifier> </subject> <effectiveDateTime value="2023-09-25" /> <valueBoolean value="false" /> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="255246003" /> <display value="First trimester" /> </coding> </code> </component> </Observation>
Observation-NoPregnancy-Example
Example of an observation indicating absence of a pregnancy.
Observation |
id : Observation-NoPregnancy-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 60001007 |
display : Not pregnant (finding) |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-08-05 |
{ "resourceType": "Observation", "id": "Observation-NoPregnancy-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "60001007", "display": "Not pregnant (finding)" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-08-05" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoPregnancy-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="60001007" /> <display value="Not pregnant (finding)" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> </Observation>
Observation-NoSecondTrimesterFetalAnomalies-Example
Example of an observation confirming no anomaly in a Second Trimester absence pregnancy period.
Observation |
id : Observation-NoSecondTrimesterFetalAnomalies-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 609520005 |
display : Disorder of fetal structure |
text : Second Trimester Anomalies? |
subject |
reference : Patient/Patient-RyanneBoulder-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307687 |
component |
code |
coding |
system : http://snomed.info/sct |
code : 255247007 |
display : Second trimester |
effective : 2023-09-25 |
value : False |
{ "resourceType": "Observation", "id": "Observation-NoSecondTrimesterFetalAnomalies-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "609520005", "display": "Disorder of fetal structure" } ], "text": "Second Trimester Anomalies?" }, "subject": { "reference": "Patient/Patient-RyanneBoulder-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307687" } }, "component": [ { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "255247007", "display": "Second trimester" } ] } } ], "effectiveDateTime": "2023-09-25", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoSecondTrimesterFetalAnomalies-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="609520005" /> <display value="Disorder of fetal structure" /> </coding> <text value="Second Trimester Anomalies?" /> </code> <subject> <reference value="Patient/Patient-RyanneBoulder-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307687" /> </identifier> </subject> <effectiveDateTime value="2023-09-25" /> <valueBoolean value="false" /> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="255247007" /> <display value="Second trimester" /> </coding> </code> </component> </Observation>
Observation-NoTransfusion-Example
Example of an observation indicating absence of transfusion procedures.
Observation |
id : Observation-NoTransfusion-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 416128008 |
display : No history of procedure (situation) |
value |
coding |
system : http://snomed.info/sct |
code : 303955003 |
display : Transfusion - action (qualifier value) |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-08-05 |
{ "resourceType": "Observation", "id": "Observation-NoTransfusion-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "416128008", "display": "No history of procedure (situation)" } ] }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "303955003", "display": "Transfusion - action (qualifier value)" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-08-05" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoTransfusion-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="416128008" /> <display value="No history of procedure (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="303955003" /> <display value="Transfusion - action (qualifier value)" /> </coding> </valueCodeableConcept> </Observation>
Observation-NoTransfusionProbandFather-Example
Example of an observation indicating absence of transfusion procedures.
Observation |
id : Observation-NoTransfusionProbandFather-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 416128008 |
display : No history of procedure (situation) |
value |
coding |
system : http://snomed.info/sct |
code : 303955003 |
display : Transfusion - action (qualifier value) |
subject |
reference : Patient/Patient-PheobeSmithamFather-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307636 |
effective : 2023-09-15T15:00:00Z |
{ "resourceType": "Observation", "id": "Observation-NoTransfusionProbandFather-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "416128008", "display": "No history of procedure (situation)" } ] }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "303955003", "display": "Transfusion - action (qualifier value)" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmithamFather-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307636" } }, "effectiveDateTime": "2023-09-15T15:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoTransfusionProbandFather-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="416128008" /> <display value="No history of procedure (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmithamFather-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307636" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="303955003" /> <display value="Transfusion - action (qualifier value)" /> </coding> </valueCodeableConcept> </Observation>
Observation-NoTransfusionProbandMother-Example
Example of an observation indicating absence of transfusion procedures.
Observation |
id : Observation-NoTransfusionProbandMother-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 416128008 |
display : No history of procedure (situation) |
value |
coding |
system : http://snomed.info/sct |
code : 303955003 |
display : Transfusion - action (qualifier value) |
subject |
reference : Patient/Patient-PheobeSmithamMother-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307246 |
effective : 2023-09-15T15:00:00Z |
{ "resourceType": "Observation", "id": "Observation-NoTransfusionProbandMother-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "416128008", "display": "No history of procedure (situation)" } ] }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "303955003", "display": "Transfusion - action (qualifier value)" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmithamMother-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307246" } }, "effectiveDateTime": "2023-09-15T15:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoTransfusionProbandMother-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="416128008" /> <display value="No history of procedure (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmithamMother-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307246" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="303955003" /> <display value="Transfusion - action (qualifier value)" /> </coding> </valueCodeableConcept> </Observation>
Observation-NoTransplant-Example
Example of an observation indicating absence of transplant procedures.
Observation |
id : Observation-NoTransplant-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 416128008 |
display : No history of procedure (situation) |
value |
coding |
system : http://snomed.info/sct |
code : 263903005 |
display : Transplant (qualifier value) |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-08-05 |
{ "resourceType": "Observation", "id": "Observation-NoTransplant-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "416128008", "display": "No history of procedure (situation)" } ] }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "263903005", "display": "Transplant (qualifier value)" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-08-05" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NoTransplant-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="416128008" /> <display value="No history of procedure (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="263903005" /> <display value="Transplant (qualifier value)" /> </coding> </valueCodeableConcept> </Observation>
Observation-NonConsanguinousUnion-Example
Example of an observation indicating a lack of consanguinuity (referenced from a FamilyMemberHistory resource).
Observation |
id : Observation-NonConsanguinousUnion-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 160475008 |
display : Family history: Consanguinity (situation) |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-08-05 |
value : False |
{ "resourceType": "Observation", "id": "Observation-NonConsanguinousUnion-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "160475008", "display": "Family history: Consanguinity (situation)" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-08-05", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NonConsanguinousUnion-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="160475008" /> <display value="Family history: Consanguinity (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueBoolean value="false" /> </Observation>
Observation-NonConsanguinousUnionProband-Example
Example of an observation indicating a lack of consanguinuity (referenced from a FamilyMemberHistory resource).
Observation |
id : Observation-NonConsanguinousUnionProband-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 160475008 |
display : Family history: Consanguinity (situation) |
subject |
reference : Patient/Patient-PheobeSmitham-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307539 |
effective : 2023-09-15T15:00:00Z |
value : False |
{ "resourceType": "Observation", "id": "Observation-NonConsanguinousUnionProband-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "160475008", "display": "Family history: Consanguinity (situation)" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmitham-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307539" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NonConsanguinousUnionProband-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="160475008" /> <display value="Family history: Consanguinity (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmitham-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307539" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueBoolean value="false" /> </Observation>
Observation-NonConsanguinousUnionProbandFather-Example
Example of an observation indicating a lack of consanguinuity (referenced from a FamilyMemberHistory resource).
Observation |
id : Observation-NonConsanguinousUnionProbandFather-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 160475008 |
display : Family history: Consanguinity (situation) |
subject |
reference : Patient/Patient-PheobeSmithamFather-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307636 |
effective : 2023-09-15T15:00:00Z |
value : False |
{ "resourceType": "Observation", "id": "Observation-NonConsanguinousUnionProbandFather-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "160475008", "display": "Family history: Consanguinity (situation)" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmithamFather-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307636" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NonConsanguinousUnionProbandFather-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="160475008" /> <display value="Family history: Consanguinity (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmithamFather-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307636" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueBoolean value="false" /> </Observation>
Observation-NonConsanguinousUnionProbandMother-Example
Example of an observation indicating a lack of consanguinuity (referenced from a FamilyMemberHistory resource).
Observation |
id : Observation-NonConsanguinousUnionProbandMother-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 160475008 |
display : Family history: Consanguinity (situation) |
subject |
reference : Patient/Patient-PheobeSmithamMother-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307246 |
effective : 2023-09-15T15:00:00Z |
value : False |
{ "resourceType": "Observation", "id": "Observation-NonConsanguinousUnionProbandMother-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "160475008", "display": "Family history: Consanguinity (situation)" } ] }, "subject": { "reference": "Patient/Patient-PheobeSmithamMother-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307246" } }, "effectiveDateTime": "2023-09-15T15:00:00Z", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NonConsanguinousUnionProbandMother-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="160475008" /> <display value="Family history: Consanguinity (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-PheobeSmithamMother-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307246" /> </identifier> </subject> <effectiveDateTime value="2023-09-15T15:00:00Z" /> <valueBoolean value="false" /> </Observation>
Observation-NucleatedCellCount-Example
Example of an Observation indicating the Nucleated Cell content of a specimen.
Observation |
id : Observation-NucleatedCellCount-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 1022461000000100 |
display : Nucleated red blood cell count |
subject |
reference : Patient/Patient-PatrickSammy-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
specimen |
identifier |
system : urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24 |
value : RR81234 |
assigner |
identifier |
system : https://fhir.nhs.uk/Id/ods-organization-code |
value : 696B0 |
value |
value : 10 |
unit : 10^12/l |
system : http://unitsofmeasure.org |
code : 10^12/L |
effective : 2023-08-29 |
{ "resourceType": "Observation", "id": "Observation-NucleatedCellCount-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022461000000100", "display": "Nucleated red blood cell count" } ] }, "subject": { "reference": "Patient/Patient-PatrickSammy-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "specimen": { "identifier": { "system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24", "value": "RR81234", "assigner": { "identifier": { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "696B0" } } } }, "valueQuantity": { "value": 10, "unit": "10^12/l", "system": "http://unitsofmeasure.org", "code": "10^12/L" }, "effectiveDateTime": "2023-08-29" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-NucleatedCellCount-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1022461000000100" /> <display value="Nucleated red blood cell count" /> </coding> </code> <subject> <reference value="Patient/Patient-PatrickSammy-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-29" /> <valueQuantity> <value value="10" /> <unit value="10^12/l" /> <system value="http://unitsofmeasure.org" /> <code value="10^12/L" /> </valueQuantity> <specimen> <identifier> <system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.24" /> <value value="RR81234" /> <assigner> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="696B0" /> </identifier> </assigner> </identifier> </specimen> </Observation>
Observation-Platelets-Example
Example of an Observation indicating the platelet count in a specimen.
Observation |
id : Observation-Platelets-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 1022651000000100 |
display : Platelet count |
subject |
reference : Patient/Patient-PatrickSammy-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
value |
value : 100 |
unit : 10^9/l |
system : http://unitsofmeasure.org |
code : 10^9/L |
effective : 2023-09-03 |
{ "resourceType": "Observation", "id": "Observation-Platelets-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022651000000100", "display": "Platelet count" } ] }, "subject": { "reference": "Patient/Patient-PatrickSammy-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "valueQuantity": { "value": 100, "unit": "10^9/l", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "effectiveDateTime": "2023-09-03" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-Platelets-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1022651000000100" /> <display value="Platelet count" /> </coding> </code> <subject> <reference value="Patient/Patient-PatrickSammy-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-09-03" /> <valueQuantity> <value value="100" /> <unit value="10^9/l" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> </Observation>
Observation-PregnancyConfirmation-Example
Example of an observation confirming pregnancy.
Observation |
id : Observation-PregnancyConfirmation-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 77386006 |
display : Pregnancy |
subject |
reference : Patient/Patient-RyanneBoulder-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307687 |
component |
code |
coding |
system : http://snomed.info/sct |
code : 720451000000102 |
display : Assisted conception |
component |
code |
coding |
system : http://snomed.info/sct |
code : 226081000000107 |
display : Gestational age |
value |
value : 87 |
unit : day |
system : http://unitsofmeasure.org |
code : d |
component |
code |
coding |
system : http://snomed.info/sct |
code : 161714006 |
display : Estimated date of delivery |
value : 2024-05-01 |
effective : 2023-09-25 |
{ "resourceType": "Observation", "id": "Observation-PregnancyConfirmation-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "77386006", "display": "Pregnancy" } ] }, "subject": { "reference": "Patient/Patient-RyanneBoulder-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307687" } }, "component": [ { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "720451000000102", "display": "Assisted conception" } ] } }, { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "226081000000107", "display": "Gestational age" } ] }, "valueQuantity": { "value": 87, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } }, { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "161714006", "display": "Estimated date of delivery" } ] }, "valueDateTime": "2024-05-01" } ], "effectiveDateTime": "2023-09-25" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-PregnancyConfirmation-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="77386006" /> <display value="Pregnancy" /> </coding> </code> <subject> <reference value="Patient/Patient-RyanneBoulder-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307687" /> </identifier> </subject> <effectiveDateTime value="2023-09-25" /> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="720451000000102" /> <display value="Assisted conception" /> </coding> </code> </component> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="226081000000107" /> <display value="Gestational age" /> </coding> </code> <valueQuantity> <value value="87" /> <unit value="day" /> <system value="http://unitsofmeasure.org" /> <code value="d" /> </valueQuantity> </component> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="161714006" /> <display value="Estimated date of delivery" /> </coding> </code> <valueDateTime value="2024-05-01" /> </component> </Observation>
Observation-QueryXanthoma-Example
Example of an observation confirming a Xanthomatous deposition.
Observation |
id : Observation-QueryXanthoma-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 75594004 |
display : Xanthomatous deposition |
text : Physical Characteristics = query xanthoma |
subject |
reference : Patient/Patient-FayMutlow-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307806 |
effective : 2023-08-05 |
{ "resourceType": "Observation", "id": "Observation-QueryXanthoma-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "75594004", "display": "Xanthomatous deposition" } ], "text": "Physical Characteristics = query xanthoma" }, "subject": { "reference": "Patient/Patient-FayMutlow-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307806" } }, "effectiveDateTime": "2023-08-05" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-QueryXanthoma-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="75594004" /> <display value="Xanthomatous deposition" /> </coding> <text value="Physical Characteristics = query xanthoma" /> </code> <subject> <reference value="Patient/Patient-FayMutlow-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307806" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> </Observation>
Observation-RenalInsufficiency-Example
Example of an Observation indicating the presence/absence of a HPO term.
Observation |
id : Observation-RenalInsufficiency-Example |
status : final |
code |
coding |
system : http://human-phenotype-ontology.org |
version : 20221005 |
code : HP:0000083 |
display : Renal insufficiency |
subject |
reference : Patient/Patient-LindsaySorrell-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307946 |
effective : 2023-08-05 |
value : True |
{ "resourceType": "Observation", "id": "Observation-RenalInsufficiency-Example", "status": "final", "code": { "coding": [ { "system": "http://human-phenotype-ontology.org", "version": "20221005", "code": "HP:0000083", "display": "Renal insufficiency" } ] }, "subject": { "reference": "Patient/Patient-LindsaySorrell-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307946" } }, "effectiveDateTime": "2023-08-05", "valueBoolean": true }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-RenalInsufficiency-Example" /> <status value="final" /> <code> <coding> <system value="http://human-phenotype-ontology.org" /> <version value="20221005" /> <code value="HP:0000083" /> <display value="Renal insufficiency" /> </coding> </code> <subject> <reference value="Patient/Patient-LindsaySorrell-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307946" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueBoolean value="true" /> </Observation>
Observation-SimonBroomeCriteria-Example
Example of an observation detailing the output of a Simon Broome analysis.
Observation |
id : Observation-SimonBroomeCriteria-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 149611000000100 |
display : Simon Broome diagnostic criteria for familial hypercholesterolaemia result |
text : Simon Broome Criteria |
subject |
reference : Patient/Patient-FayMutlow-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307806 |
effective : 2023-08-05 |
value : Suspected FH |
{ "resourceType": "Observation", "id": "Observation-SimonBroomeCriteria-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "149611000000100", "display": "Simon Broome diagnostic criteria for familial hypercholesterolaemia result" } ], "text": "Simon Broome Criteria" }, "subject": { "reference": "Patient/Patient-FayMutlow-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307806" } }, "effectiveDateTime": "2023-08-05", "valueString": "Suspected FH" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-SimonBroomeCriteria-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="149611000000100" /> <display value="Simon Broome diagnostic criteria for familial hypercholesterolaemia result" /> </coding> <text value="Simon Broome Criteria" /> </code> <subject> <reference value="Patient/Patient-FayMutlow-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307806" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueString value="Suspected FH" /> </Observation>
Observation-TumourType-Example
Example of an observation specifying a tumour as metastatic
Observation |
id : Observation-TumourType-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 14799000 |
display : Neoplasm, metastatic (morphologic abnormality) |
subject |
reference : Patient/Patient-KayBurbridge-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307555 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : RA257630 |
effective : 2023-09-08T10:00:00Z |
{ "resourceType": "Observation", "id": "Observation-TumourType-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "14799000", "display": "Neoplasm, metastatic (morphologic abnormality)" } ] }, "subject": { "reference": "Patient/Patient-KayBurbridge-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307555" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "RA257630" } }, "effectiveDateTime": "2023-09-08T10:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-TumourType-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="14799000" /> <display value="Neoplasm, metastatic (morphologic abnormality)" /> </coding> </code> <subject> <reference value="Patient/Patient-KayBurbridge-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307555" /> </identifier> </subject> <effectiveDateTime value="2023-09-08T10:00:00Z" /> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="RA257630" /> </identifier> </specimen> </Observation>
Observation-TumourTypeKayBurbridge-Example
Example of an observation specifying a tumour as metastatic
Observation |
id : Observation-TumourTypeKayBurbridge-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 14799000 |
display : Neoplasm, metastatic (morphologic abnormality) |
subject |
reference : Patient/Patient-KayBurbridge-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 8449303541 |
specimen |
identifier |
system : https://fhir.add.nhs.uk/Id/specimenId |
value : 699F01231423 |
effective : 2023-11-01T11:00:00Z |
{ "resourceType": "Observation", "id": "Observation-TumourTypeKayBurbridge-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "14799000", "display": "Neoplasm, metastatic (morphologic abnormality)" } ] }, "subject": { "reference": "Patient/Patient-KayBurbridge-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "8449303541" } }, "specimen": { "identifier": { "system": "https://fhir.add.nhs.uk/Id/specimenId", "value": "699F01231423" } }, "effectiveDateTime": "2023-11-01T11:00:00Z" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-TumourTypeKayBurbridge-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="14799000" /> <display value="Neoplasm, metastatic (morphologic abnormality)" /> </coding> </code> <subject> <reference value="Patient/Patient-KayBurbridge-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="8449303541" /> </identifier> </subject> <effectiveDateTime value="2023-11-01T11:00:00Z" /> <specimen> <identifier> <system value="https://fhir.add.nhs.uk/Id/specimenId" /> <value value="699F01231423" /> </identifier> </specimen> </Observation>
Observation-UnknownConsanguinousUnionStatus-Example
Example of an observation indicating the inability to establish the status of consanguinuity (referenced from a FamilyMemberHistory resource).
Observation |
id : Observation-UnknownConsanguinousUnionStatus-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 160475008 |
display : Family history: Consanguinity (situation) |
subject |
reference : Patient/Patient-MeirLieberman-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
effective : 2023-08-05 |
value |
coding |
system : http://terminology.hl7.org/CodeSystem/v3-NullFlavor |
code : UNK |
display : unknown |
{ "resourceType": "Observation", "id": "Observation-UnknownConsanguinousUnionStatus-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "160475008", "display": "Family history: Consanguinity (situation)" } ] }, "subject": { "reference": "Patient/Patient-MeirLieberman-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "effectiveDateTime": "2023-08-05", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "code": "UNK", "display": "unknown" } ] } }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-UnknownConsanguinousUnionStatus-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="160475008" /> <display value="Family history: Consanguinity (situation)" /> </coding> </code> <subject> <reference value="Patient/Patient-MeirLieberman-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-08-05" /> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="UNK" /> <display value="unknown" /> </coding> </valueCodeableConcept> </Observation>
Observation-WhiteBloodCell-Example
Example of an Observation indicating the White Blood Cell count in a specimen.
Observation |
id : Observation-WhiteBloodCell-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 767002 |
display : White blood cell count - observation |
subject |
reference : Patient/Patient-PatrickSammy-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307873 |
value |
value : 11.9 |
unit : 10^9/L |
system : http://unitsofmeasure.org |
code : 10^9/L |
effective : 2023-09-03 |
{ "resourceType": "Observation", "id": "Observation-WhiteBloodCell-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "767002", "display": "White blood cell count - observation" } ] }, "subject": { "reference": "Patient/Patient-PatrickSammy-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307873" } }, "valueQuantity": { "value": 11.9, "unit": "10^9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "effectiveDateTime": "2023-09-03" }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-WhiteBloodCell-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="767002" /> <display value="White blood cell count - observation" /> </coding> </code> <subject> <reference value="Patient/Patient-PatrickSammy-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307873" /> </identifier> </subject> <effectiveDateTime value="2023-09-03" /> <valueQuantity> <value value="11.9" /> <unit value="10^9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> </Observation>
Observation-SampleCellContent-Example
Example of an Observation indicating the Nucleated Cell content of a specimen.
Observation |
id : UKCore-Observation-SampleCellContent-Example |
status : final |
category |
coding |
system : http://terminology.hl7.org/CodeSystem/observation-category |
code : laboratory |
display : Laboratory |
code |
coding |
system : http://snomed.info/sct |
code : 1022461000000100 |
display : Nucleated red blood cell count |
subject |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9999999999 |
focus |
identifier |
system : https://www.christie.nhs.uk/path |
value : Spec123456 |
effective : 2022-07-11T09:00:00Z |
value |
value : 6.5 |
system : http://unitsofmeasure.org |
code : 10*12/L |
{ "resourceType": "Observation", "id": "UKCore-Observation-SampleCellContent-Example", "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022461000000100", "display": "Nucleated red blood cell count" } ] }, "subject": { "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9999999999" } }, "focus": [ { "identifier": { "system": "https://www.christie.nhs.uk/path", "value": "Spec123456" } } ], "effectiveDateTime": "2022-07-11T09:00:00Z", "valueQuantity": { "value": 6.5, "system": "http://unitsofmeasure.org", "code": "10*12/L" } }
<Observation xmlns="http://hl7.org/fhir"> <id value="UKCore-Observation-SampleCellContent-Example" /> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1022461000000100" /> <display value="Nucleated red blood cell count" /> </coding> </code> <subject> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9999999999" /> </identifier> </subject> <focus> <identifier> <system value="https://www.christie.nhs.uk/path" /> <value value="Spec123456" /> </identifier> </focus> <effectiveDateTime value="2022-07-11T09:00:00Z" /> <valueQuantity> <value value="6.5" /> <system value="http://unitsofmeasure.org" /> <code value="10*12/L" /> </valueQuantity> </Observation>
Observation-HistoryOfFetalLoss-Example
Example of an Observation indicating the Nucleated Cell content of a specimen.
Observation |
id : Observation-HistoryOfFetalLoss-Example |
status : final |
code |
coding |
system : http://snomed.info/sct |
code : 161743003 |
display : Past pregnancy history of stillbirth (situation) |
text : Is the testing for a fetal loss from 24+0 or more weeks of gestation? |
subject |
reference : Patient/Patient-RyanneBoulder-Example |
identifier |
system : https://fhir.nhs.uk/Id/nhs-number |
value : 9449307687 |
effective : 2023-09-25 |
value : False |
{ "resourceType": "Observation", "id": "Observation-HistoryOfFetalLoss-Example", "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "161743003", "display": "Past pregnancy history of stillbirth (situation)" } ], "text": "Is the testing for a fetal loss from 24+0 or more weeks of gestation?" }, "subject": { "reference": "Patient/Patient-RyanneBoulder-Example", "identifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9449307687" } }, "effectiveDateTime": "2023-09-25", "valueBoolean": false }
<Observation xmlns="http://hl7.org/fhir"> <id value="Observation-HistoryOfFetalLoss-Example" /> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="161743003" /> <display value="Past pregnancy history of stillbirth (situation)" /> </coding> <text value="Is the testing for a fetal loss from 24+0 or more weeks of gestation?" /> </code> <subject> <reference value="Patient/Patient-RyanneBoulder-Example" /> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9449307687" /> </identifier> </subject> <effectiveDateTime value="2023-09-25" /> <valueBoolean value="false" /> </Observation>