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Example Observation/clinical-gender (XML)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

Example of a clinical gender observation. For a discussion on representing a patient's gender the Patient Resource. (id = "clinical-gender")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="clinical-gender"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Observation</b> <a name="clinical-gender"> </a> <a name="hcclinical-gender"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;clinical-gender&quot; </p> </div> <p> <b> status</b> : final</p> <p> <b> category</b> : Social History <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a> #social-history)</span> </p> <p> <b> code</b> : Gender identity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #76691-5)</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Patient/example</a>  &quot;Peter CHALMERS&quot;</p> <p> <b> encounter</b> : <a href="encounter-example.html">Encounter/example</a> </p> <p> <b> effective</b> : 2018-02-01</p> <p> <b> performer</b> : <a href="practitioner-example.html">Practitioner/example</a>  &quot;Adam CAREFUL&quot;</p> <p> <b> value</b> : Feminism in boy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #191788006 &quot;Feminism in boy (finding)&quot;)</span> </p> </div> </text> <status value="final"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
      <code value="social-history"/> 
      <display value="Social History"/> 
    </coding> 
  </category> 
  <code> 
    <coding> 
      <system value="http://loinc.org"/> 
          <!--    0..1 Identity of the terminology system    -->
      <code value="76691-5"/> 
          <!--    0..1 Symbol in syntax defined by the system    -->
      <display value="Gender identity"/> 
          <!--    0..1 Representation defined by the system    -->
    </coding> 
    <text value="Gender identity"/> 
        <!--    0..1 Plain text representation of the concept    -->
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <encounter> 
    <reference value="Encounter/example"/> 
  </encounter> 
  <effectiveDateTime value="2018-02-01"/> 
  <performer> 
        <!--    0..* Reference(Practitioner|PractitionerRole|Organization|     CareTeam|Patient|RelatedPer
    son)Who is responsible for the observation    -->
    <reference value="Practitioner/example"/> 
  </performer> 
  <valueCodeableConcept> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
          <!--    0..1 Identity of the terminology system    -->
      <code value="191788006"/> 
          <!--    0..1 Symbol in syntax defined by the system    -->
      <display value="Feminism in boy (finding)"/> 
          <!--    0..1 Representation defined by the system    -->
    </coding> 
    <text value="Feminism in boy"/> 
        <!--    0..1 Plain text representation of the concept    -->
  </valueCodeableConcept> 
</Observation> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.