Observation

Observation-AutisticBehaviour-Example

Example of an Observation indicating the presence/absence of a HPO term.

Observation
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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
{
    "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>