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Observation-example-trachcare.json

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

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

An example of capturing whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.

{
  "resourceType": "Observation",
  "id": "trachcare",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: trachcare</p><p><b>status</b>: final</p><p><b>category</b>: Exam <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'exam' = 'Exam', given as 'Exam'})</span></p><p><b>code</b>: Tracheostomy care assessment (procedure) <span>(Details : {SNOMED CT code '410211008' = 'Tracheostomy care assessment', given as 'Tracheostomy care assessment (procedure)'})</span></p><p><b>subject</b>: <a>Patient/infant</a></p><p><b>focus</b>: <a>Patient/infant-mom</a></p><p><b>effective</b>: Mar 11, 2018 4:07:54 PM</p><p><b>value</b>: Mother is trained to change her child's tracheostomy tube</p></div>"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "exam",
          "display": "Exam"
        }
      ],
      "text": "Exam"
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "410211008",
        "display": "Tracheostomy care assessment (procedure)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/infant"
  },
  "focus": [
    {
      "reference": "Patient/infant-mom"
    }
  ],
  "effectiveDateTime": "2018-03-11T16:07:54+00:00",
  "valueString": "Mother is trained to change her child's tracheostomy tube"
}

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.