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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0000729" />
<display value="Autistic behaviour" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmitham-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19",
"value": "RR81234",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "696B0"
}
}
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="1015521000000107" />
<display value="Percentage blast cells (observable entity)" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-29" />
<value value="25" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
</valueQuantity>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19" />
<value value="RR81234" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="696B0" />
</identifier>
</assigner>
</identifier>
</specimen>
</Observation>


Observation-BlastPercentageWGSSample-Example

Example of an Observation indicating the Percentage blast cells of a specimen.

Observation
{
"resourceType": "Observation",
"id": "Observation-BlastPercentageWGSSample-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1015521000000107",
"display": "Percentage blast cells (observable entity)"
}
]
},
"subject": {
"reference": "Patient/Patient-PatrickSammy-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19",
"value": "RR81235",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "696B0"
}
}
}
},
"value": 25,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
},
"effectiveDateTime": "2023-08-05"
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-BlastPercentageWGSSample-Example" />
<status value="final" />
<system value="http://snomed.info/sct" />
<code value="1015521000000107" />
<display value="Percentage blast cells (observable entity)" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-05" />
<value value="25" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
</valueQuantity>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19" />
<value value="RR81235" />
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="308492005" />
<display value="Bruising" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307555"
}
},
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "RA257630"
}
},
"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" />
<text value="Cellularity" />
</code>
<reference value="Patient/Patient-ZelmaHadjkiss-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307555" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-08T10:00:00Z" />
<system value="http://snomed.info/sct" />
<code value="75540009" />
<display value="High (qualifier value)" />
</coding>
</valueCodeableConcept>
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "8449303541"
}
},
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "699F01231423"
}
},
"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" />
<text value="Cellularity" />
</code>
<reference value="Patient/Patient-KayBurbridge-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="8449303541" />
</identifier>
</subject>
<effectiveDateTime value="2023-11-01T11:00:00Z" />
<system value="http://snomed.info/sct" />
<code value="75540009" />
<display value="High (qualifier value)" />
</coding>
</valueCodeableConcept>
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0000750" />
<display value="Delayed speech and language development" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmitham-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "7449306524"
}
},
"effectiveDateTime": "2023-10-01",
"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" />
<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>
<reference value="Patient/Patient-JamesMetcalfe-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="7449306524" />
</identifier>
</subject>
<effectiveDateTime value="2023-10-01" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307539"
}
},
"effectiveDateTime": "2023-09-15T15:00:00Z",
"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" />
<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>
<reference value="Patient/Patient-PheobeSmitham-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307539" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-15T15:00:00Z" />
<system value="http://snomed.info/sct" />
<code value="87006007" />
<display value="Dominant autosomal hereditary disorder, incomplete penetrance" />
</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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307806"
}
},
"effectiveDateTime": "2023-08-05",
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-DutchLipidScore-Example" />
<status value="final" />
<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>
<reference value="Patient/Patient-FayMutlow-Example" />
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0000105" />
<display value="Enlarged kidney" />
</coding>
</code>
<reference value="Patient/Patient-LindsaySorrell-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="38082009" />
<display value="Haemoglobin" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-03" />
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0001407" />
<display value="Hepatic cysts" />
</coding>
</code>
<reference value="Patient/Patient-LindsaySorrell-Example" />
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0002721" />
<display value="Immunodefficiency" />
</coding>
</code>
<reference value="Patient/Patient-JamesMetcalfe-Example" />
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0001256" />
<display value="Intellectual disability, mild" />
</coding>
</code>
<reference value="Patient/Patient-JamesLawrenceProbandFather-Example" />
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0002187" />
<display value="Intellectual disability, profound" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmitham-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"effectiveDateTime": "2023-08-05",
{
"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" />
<system value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory" />
<version value="7" />
<code value="R67.1" />
<display value="Monogenic hearing loss" />
</coding>
</code>
<reference value="Patient/Patient-MeirLieberman-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-05" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307555"
}
},
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "RA257630"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="405921002" />
<display value="Percentage of neoplasm involved by necrosis (observable entity)" />
</coding>
</code>
<reference value="Patient/Patient-ZelmaHadjkiss-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307555" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-08" />
<value value="5" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
</valueQuantity>
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "8449303541"
}
},
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "699F01231423"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="405921002" />
<display value="Percentage of neoplasm involved by necrosis (observable entity)" />
</coding>
</code>
<reference value="Patient/Patient-KayBurbridge-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="8449303541" />
</identifier>
</subject>
<effectiveDateTime value="2023-11-01T11:00:00Z" />
<value value="5" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
</valueQuantity>
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307555"
}
},
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "RA257630"
}
},
"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" />
<text value="Approximate Neoplastic cell % in sample" />
</code>
<reference value="Patient/Patient-ZelmaHadjkiss-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307555" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-08T10:00:00Z" />
<value value="25" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
</valueQuantity>
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "8449303541"
}
},
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "699F01231423"
}
},
"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" />
<text value="Approximate Neoplastic cell % in sample" />
</code>
<reference value="Patient/Patient-KayBurbridge-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="8449303541" />
</identifier>
</subject>
<effectiveDateTime value="2023-11-01T11:00:00Z" />
<value value="25" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
</valueQuantity>
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="1022551000000104" />
<display value="Neutrophil count" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-03" />
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="723621000000103" />
<display value="Ethnicity" />
</coding>
</code>
<reference value="Patient/Patient-MeirLieberman-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<valueString value="unknown" />
</Observation>


Observation-GenomicTherapeuticImplication-Example

Example of an Observation representing a Therapeutic Implication derived from Genomic Testing.

Observation
{
"resourceType": "Observation",
"id": "Observation-GenomicTherapeuticImplication-Example",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication"
]
},
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
"code": "therapeutic-implication"
}
]
},
"subject": {
"reference": "Patient/Patient-PheobeSmitham-Example"
},
"effectiveDateTime": "2023-09-16",
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "R0A"
}
}
],
{
"reference": "Observation/Oservation-GenomicsVariant-SLC52A2"
}
],
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
"code": "therapeutic-implication",
"display": "Therapeutic Implication"
}
]
},
"coding": [
{
"system": "http://loinc.org",
"code": "LA9661-5",
"display": "Presumed responsive"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51963-7",
"display": "Medication assessed"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "777436008",
"display": "Riboflavin"
}
]
}
}
],
"note": [
{
"text": "High dose riboflavin supplementation has been reported to ameliorate the progression of this disorder (Foley et al 2014 PMID22740598)"
}
]
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-GenomicTherapeuticImplication-Example" />
<profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/therapeutic-implication" />
</meta>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
</coding>
</category>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074" />
<code value="GE" />
</coding>
</category>
<system value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs" />
<code value="therapeutic-implication" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmitham-Example" />
</subject>
<effectiveDateTime value="2023-09-16" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="R0A" />
</identifier>
</performer>
<text value="High dose riboflavin supplementation has been reported to ameliorate the progression of this disorder (Foley et al 2014 PMID22740598)" />
</note>
<reference value="Observation/Oservation-GenomicsVariant-SLC52A2" />
</derivedFrom>
<system value="http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs" />
<code value="therapeutic-implication" />
<display value="Therapeutic Implication" />
</coding>
</code>
<system value="http://loinc.org" />
<code value="LA9661-5" />
<display value="Presumed responsive" />
</coding>
</valueCodeableConcept>
</component>
<system value="http://loinc.org" />
<code value="51963-7" />
<display value="Medication assessed" />
</coding>
</code>
<system value="http://snomed.info/sct" />
<code value="777436008" />
<display value="Riboflavin" />
</coding>
</valueCodeableConcept>
</component>
</Observation>


Observation-GenomicsVariantSLC52A2-Example

Example of an observation representing a Genomic variant.

Observation
{
"resourceType": "Observation",
"id": "Observation-GenomicsVariantSLC52A2-Example",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant"
]
},
"status": "final",
"basedOn": [
{
"reference": "ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example"
}
],
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "69548-6"
}
]
},
"subject": {
"reference": "Patient/Patient-PheobeSmitham-Example"
},
"effectiveDateTime": "2023-09-16",
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "R0A"
}
}
],
"coding": [
{
"system": "http://loinc.org",
"code": "LA9633-4",
"display": "Present"
}
]
},
"method": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA26398-0",
"display": "Sequencing"
}
]
},
"reference": "Specimen/Specimen-PheobeSmitham-Example"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48004-6"
}
]
},
"coding": [
{
"system": "http://varnomen.hgvs.org",
"code": "NM_024531.4:c.9163>A p.(Gly306Arg)"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "81290-9"
}
]
},
"coding": [
{
"system": "http://varnomen.hgvs.org",
"code": "Chr8:g.1455840683>A"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "81252-9"
}
]
},
"coding": [
{
"system": "http://www.sequenceontology.org",
"code": "SO:0001583",
"display": "missense_variant"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48018-6"
}
]
},
"coding": [
{
"system": "http://www.genenames.org/",
"code": "HGNC:30224",
"display": "SLC52A2"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "53034-5"
}
]
},
"coding": [
{
"system": "http://loinc.org",
"code": "LA6705-3",
"display": "homozygous"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "94186-4"
}
]
},
"coding": [
{
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48002-0"
}
]
},
"coding": [
{
"system": "http://loinc.org",
"code": "LA6683-2",
"display": "Germline"
}
]
}
}
]
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-GenomicsVariantSLC52A2-Example" />
<profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant" />
</meta>
<reference value="ServiceRequest/ServiceRequest-WGSTestOrderFormUpdated-TrioTesting-Example" />
</basedOn>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
</coding>
</category>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074" />
<code value="GE" />
</coding>
</category>
<system value="http://loinc.org" />
<code value="69548-6" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmitham-Example" />
</subject>
<effectiveDateTime value="2023-09-16" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="R0A" />
</identifier>
</performer>
<system value="http://loinc.org" />
<code value="LA9633-4" />
<display value="Present" />
</coding>
</valueCodeableConcept>
<system value="http://loinc.org" />
<code value="LA26398-0" />
<display value="Sequencing" />
</coding>
</method>
<reference value="Specimen/Specimen-PheobeSmitham-Example" />
</specimen>
<system value="http://loinc.org" />
<code value="48004-6" />
</coding>
</code>
<system value="http://varnomen.hgvs.org" />
<code value="NM_024531.4:c.9163>A p.(Gly306Arg)" />
</coding>
</valueCodeableConcept>
</component>
<system value="http://loinc.org" />
<code value="81290-9" />
</coding>
</code>
<system value="http://varnomen.hgvs.org" />
<code value="Chr8:g.1455840683>A" />
</coding>
</valueCodeableConcept>
</component>
<system value="http://loinc.org" />
<code value="81252-9" />
</coding>
</code>
<system value="http://www.sequenceontology.org" />
<code value="SO:0001583" />
<display value="missense_variant" />
</coding>
</valueCodeableConcept>
</component>
<system value="http://loinc.org" />
<code value="48018-6" />
</coding>
</code>
<system value="http://www.genenames.org/" />
<code value="HGNC:30224" />
<display value="SLC52A2" />
</coding>
</valueCodeableConcept>
</component>
<system value="http://loinc.org" />
<code value="53034-5" />
</coding>
</code>
<system value="http://loinc.org" />
<code value="LA6705-3" />
<display value="homozygous" />
</coding>
</valueCodeableConcept>
</component>
<system value="http://loinc.org" />
<code value="94186-4" />
</coding>
</code>
<system value="http://loinc.org" />
<code value="LA4489-6" />
<display value="Unknown" />
</coding>
</valueCodeableConcept>
</component>
<system value="http://loinc.org" />
<code value="48002-0" />
</coding>
</code>
<system value="http://loinc.org" />
<code value="LA6683-2" />
<display value="Germline" />
</coding>
</valueCodeableConcept>
</component>
</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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0005562" />
<display value="Multiple renal cysts" />
</coding>
</code>
<reference value="Patient/Patient-LindsaySorrell-Example" />
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0000090" />
<display value="Nephronophthisis" />
</coding>
</code>
<reference value="Patient/Patient-LindsaySorrell-Example" />
<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)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "445715009",
"display": "Blood and marrow transplantation (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-LindsaySorrell-Example",
"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" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-LindsaySorrell-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307946" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-05" />
<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)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "445715009",
"display": "Blood and marrow transplantation (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-PheobeSmithamFather-Example",
"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" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmithamFather-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307636" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-15T15:00:00Z" />
<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)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "445715009",
"display": "Blood and marrow transplantation (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-PheobeSmithamMother-Example",
"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" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmithamMother-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307246" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-15T15:00:00Z" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307687"
}
},
{
"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" />
<system value="http://snomed.info/sct" />
<code value="609520005" />
<display value="Disorder of fetal structure" />
</coding>
<text value="First Trimester Anomalies?" />
</code>
<reference value="Patient/Patient-RyanneBoulder-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307687" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-25" />
<valueBoolean value="false" />
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="60001007" />
<display value="Not pregnant (finding)" />
</coding>
</code>
<reference value="Patient/Patient-MeirLieberman-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307687"
}
},
{
"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" />
<system value="http://snomed.info/sct" />
<code value="609520005" />
<display value="Disorder of fetal structure" />
</coding>
<text value="Second Trimester Anomalies?" />
</code>
<reference value="Patient/Patient-RyanneBoulder-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307687" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-25" />
<valueBoolean value="false" />
<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)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "303955003",
"display": "Transfusion - action (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-MeirLieberman-Example",
"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" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-MeirLieberman-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-05" />
<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)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "303955003",
"display": "Transfusion - action (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-PheobeSmithamFather-Example",
"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" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmithamFather-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307636" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-15T15:00:00Z" />
<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)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "303955003",
"display": "Transfusion - action (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-PheobeSmithamMother-Example",
"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" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmithamMother-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307246" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-15T15:00:00Z" />
<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)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "263903005",
"display": "Transplant (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-MeirLieberman-Example",
"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" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-MeirLieberman-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-05" />
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="160475008" />
<display value="Family history: Consanguinity (situation)" />
</coding>
</code>
<reference value="Patient/Patient-MeirLieberman-Example" />
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="160475008" />
<display value="Family history: Consanguinity (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmitham-Example" />
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="160475008" />
<display value="Family history: Consanguinity (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmithamFather-Example" />
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="160475008" />
<display value="Family history: Consanguinity (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PheobeSmithamMother-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19",
"value": "RR81234",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "696B0"
}
}
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="1022461000000100" />
<display value="Nucleated red blood cell count" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-29" />
<value value="10" />
<unit value="10^12/l" />
<system value="http://unitsofmeasure.org" />
<code value="10^12/L" />
</valueQuantity>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19" />
<value value="RR81234" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="696B0" />
</identifier>
</assigner>
</identifier>
</specimen>
</Observation>


Observation-NucleatedCellCountWGSSample-Example

Example of an Observation indicating the Nucleated Cell content of a specimen.

Observation
{
"resourceType": "Observation",
"id": "Observation-NucleatedCellCountWGSSample-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1022461000000100",
"display": "Nucleated red blood cell count"
}
]
},
"subject": {
"reference": "Patient/Patient-PatrickSammy-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"system": "urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19",
"value": "RR81235",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "696B0"
}
}
}
},
"value": 10,
"unit": "10^12/l",
"system": "http://unitsofmeasure.org",
"code": "10^12/L"
},
"effectiveDateTime": "2023-09-05"
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-NucleatedCellCountWGSSample-Example" />
<status value="final" />
<system value="http://snomed.info/sct" />
<code value="1022461000000100" />
<display value="Nucleated red blood cell count" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-05" />
<value value="10" />
<unit value="10^12/l" />
<system value="http://unitsofmeasure.org" />
<code value="10^12/L" />
</valueQuantity>
<system value="urn:oid:2.16.840.1.113883.2.1.3.2.4.18.19" />
<value value="RR81235" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="696B0" />
</identifier>
</assigner>
</identifier>
</specimen>
</Observation>


Observation-PatrickSammyNoBoneMarrowTransplant-Example

Example of an observation indicating absence of transplant procedures.

Observation
{
"resourceType": "Observation",
"id": "Observation-PatrickSammyNoBoneMarrowTransplant-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416128008",
"display": "No history of procedure (situation)"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "445715009",
"display": "Blood and marrow transplantation (qualifier value)"
}
]
},
"subject": {
"reference": "Patient/Patient-PatrickSammy-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"effectiveDateTime": "2023-09-05"
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-PatrickSammyNoBoneMarrowTransplant-Example" />
<status value="final" />
<system value="http://snomed.info/sct" />
<code value="416128008" />
<display value="No history of procedure (situation)" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-05" />
<system value="http://snomed.info/sct" />
<code value="445715009" />
<display value="Blood and marrow transplantation (qualifier value)" />
</coding>
</valueCodeableConcept>
</Observation>


Observation-PercentageMalignantNuclei-Example

Example of an Observation indicating the Percentage blast cells of a specimen.

Observation
{
"resourceType": "Observation",
"id": "Observation-PercentageMalignantNuclei-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1255076007",
"display": "Percent of cell nuclei positive for proliferation marker protein Ki-67 in primary malignant neoplasm of stomach by immunohistochemistry (observable entity)"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449306559"
}
},
"reference": "Specimen/Specimen-SolidTumorDemeizaSeo-Example",
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "RA257631",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "696B0"
}
}
}
},
"value": 25,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
},
"effectiveDateTime": "2023-08-09"
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-PercentageMalignantNuclei-Example" />
<status value="final" />
<system value="http://snomed.info/sct" />
<code value="1255076007" />
<display value="Percent of cell nuclei positive for proliferation marker protein Ki-67 in primary malignant neoplasm of stomach by immunohistochemistry (observable entity)" />
</coding>
</code>
<reference value="Patient/Patient-DemeizaSeo-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449306559" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-09" />
<value value="25" />
<unit value="%" />
<system value="http://unitsofmeasure.org" />
<code value="%" />
</valueQuantity>
<reference value="Specimen/Specimen-SolidTumorDemeizaSeo-Example" />
<system value="https://fhir.add.nhs.uk/Id/specimenId" />
<value value="RA257631" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="1022651000000100" />
<display value="Platelet count" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-03" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307687"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "720451000000102",
"display": "Assisted conception"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "226081000000107",
"display": "Gestational age"
}
]
},
"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" />
<system value="http://snomed.info/sct" />
<code value="77386006" />
<display value="Pregnancy" />
</coding>
</code>
<reference value="Patient/Patient-RyanneBoulder-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307687" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-25" />
<system value="http://snomed.info/sct" />
<code value="720451000000102" />
<display value="Assisted conception" />
</coding>
</code>
</component>
<system value="http://snomed.info/sct" />
<code value="226081000000107" />
<display value="Gestational age" />
</coding>
</code>
<value value="87" />
<unit value="day" />
<system value="http://unitsofmeasure.org" />
<code value="d" />
</valueQuantity>
</component>
<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",
"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" />
<system value="http://snomed.info/sct" />
<code value="75594004" />
<display value="Xanthomatous deposition" />
</coding>
<text value="Physical Characteristics = query xanthoma" />
</code>
<reference value="Patient/Patient-FayMutlow-Example" />
<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",
"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" />
<system value="http://human-phenotype-ontology.org" />
<version value="20221005" />
<code value="HP:0000083" />
<display value="Renal insufficiency" />
</coding>
</code>
<reference value="Patient/Patient-LindsaySorrell-Example" />
<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",
"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" />
<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>
<reference value="Patient/Patient-FayMutlow-Example" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307555"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="14799000" />
<display value="Neoplasm, metastatic (morphologic abnormality)" />
</coding>
</code>
<reference value="Patient/Patient-KayBurbridge-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307555" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-08T10:00:00Z" />
<system value="https://fhir.add.nhs.uk/Id/specimenId" />
<value value="RA257630" />
</identifier>
</specimen>
</Observation>


Observation-TumourTypeDemeizaSeo-Example

Example of an observation specifying a solid specimen type.

Observation
{
"resourceType": "Observation",
"id": "Observation-TumourTypeDemeizaSeo-Example",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "116061001",
"display": "Solid pseudopapillary carcinoma (morphologic abnormality)"
}
]
},
"subject": {
"reference": "Patient/Patient-DemeizaSeo-Example",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449306559"
}
},
"system": "https://fhir.add.nhs.uk/Id/specimenId",
"value": "RA257631"
}
},
"effectiveDateTime": "2023-09-08T11:00:00Z"
}
<Observation xmlns="http://hl7.org/fhir">
<id value="Observation-TumourTypeDemeizaSeo-Example" />
<status value="final" />
<system value="http://snomed.info/sct" />
<code value="116061001" />
<display value="Solid pseudopapillary carcinoma (morphologic abnormality)" />
</coding>
</code>
<reference value="Patient/Patient-DemeizaSeo-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449306559" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-08T11:00:00Z" />
<system value="https://fhir.add.nhs.uk/Id/specimenId" />
<value value="RA257631" />
</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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "8449303541"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="14799000" />
<display value="Neoplasm, metastatic (morphologic abnormality)" />
</coding>
</code>
<reference value="Patient/Patient-KayBurbridge-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="8449303541" />
</identifier>
</subject>
<effectiveDateTime value="2023-11-01T11:00:00Z" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"effectiveDateTime": "2023-08-05",
"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" />
<system value="http://snomed.info/sct" />
<code value="160475008" />
<display value="Family history: Consanguinity (situation)" />
</coding>
</code>
<reference value="Patient/Patient-MeirLieberman-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-08-05" />
<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",
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9449307873"
}
},
"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" />
<system value="http://snomed.info/sct" />
<code value="767002" />
<display value="White blood cell count - observation" />
</coding>
</code>
<reference value="Patient/Patient-PatrickSammy-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307873" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-03" />
<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",
{
"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": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
"focus": [
{
"system": "https://www.christie.nhs.uk/path",
"value": "Spec123456"
}
}
],
"effectiveDateTime": "2022-07-11T09:00:00Z",
"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" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<system value="http://snomed.info/sct" />
<code value="1022461000000100" />
<display value="Nucleated red blood cell count" />
</coding>
</code>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9999999999" />
</identifier>
</subject>
<system value="https://www.christie.nhs.uk/path" />
<value value="Spec123456" />
</identifier>
</focus>
<effectiveDateTime value="2022-07-11T09:00:00Z" />
<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",
"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" />
<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>
<reference value="Patient/Patient-RyanneBoulder-Example" />
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9449307687" />
</identifier>
</subject>
<effectiveDateTime value="2023-09-25" />
<valueBoolean value="false" />
</Observation>