FHIRPath Specification
2.1.0 - draft International flag

FHIRPath Specification, published by Implementable Technology Specifications WG. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/FHIRPath/ and changes regularly. See the Directory of published versions

: null - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "example",
  "text" : //     the mandatory quality flags:    
  {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Body Weight <span>(Details : {LOINC code '29463-7' = 'Body weight', given as 'Body Weight'}; {LOINC code '3141-9' = 'Body weight Measured', given as 'Body weight Measured'}; {SNOMED CT code '27113001' = 'Body weight', given as 'Body weight'}; {http://acme.org/devices/clinical-codes code 'body-weight' = 'body-weight', given as 'Body Weight'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>encounter</b>: <a>Encounter/example</a></p><p><b>effective</b>: 28/03/2016</p><p><b>value</b>: 185 lbs<span> (Details: UCUM code [lb_av] = 'lb_av')</span></p></div>"
  },
  "status" : "final",
  "category" : [
    //    category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes.  
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ]
    }
  ],
  "code" : //    
    Observations are often coded in multiple code systems.
      - LOINC provides codes of varying granularity (though not usefully more specific in this particular case) and more generic LOINCs  can be mapped to more specific codes as shown here
      - snomed provides a clinically relevant code that is usually less granular than LOINC
      - the source system provides its own code, which may be less or more granular than LOINC
     
  {
    "coding" : [
      //     LOINC - always recommended to have a LOINC code    
      {
        "system" : "http://loinc.org",
        "code" : "29463-7",
        "display" : "Body Weight"
      },
      //   more generic methodless LOINC  
      {
        "system" : "http://loinc.org",
        "code" : "3141-9",
        "display" : "Body weight Measured"
      },
      //   translation is more specific method = measured LOINC  
      {
        "system" : "http://snomed.info/sct",
        "code" : "27113001",
        "display" : "Body weight"
      },
      {
        "system" : "http://acme.org/devices/clinical-codes",
        "code" : "body-weight",
        "display" : "Body Weight"
      }
    ]
  },
  "subject" : //     SNOMED CT Codes - becoming more common    
  //     Also, a local code specific to the source system    
  {
    🔗 "reference" : "Patient/example"
  },
  "effectiveDateTime" : "2016-03-28",
  "valueQuantity" : // encounter>
		<reference value="Encounter/example"/>
	</encounter
  //     In FHIR, units may be represented twice. Once in the
    agreed human representation, and once in a coded form.
    Both is best, since it's not always possible to infer
    one from the other in code.

    When a computable unit is provided, UCUM (http://unitsofmeasure.org)
    is always preferred, but it doesn't provide notional units (such as
    "tablet"), etc. For these, something else is required (e.g. SNOMED CT)
      
  {
    "value" : 185,
    "unit" : "lbs",
    "system" : "http://unitsofmeasure.org",
    "code" : "[lb_av]"
  }
}