US Quality Core Implementation Guide, published by ONC. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions
<Observation xmlns="http://hl7.org/fhir">
<id value="example"/>
<meta>
<profile
value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation example</b></p><a name="example"> </a><a name="hcexample"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-simple-observation.html">US Quality Core Simple Observation</a></p></div><p><b>Observation Body Position</b>: <span title="Codes:{http://snomed.info/sct 33586001}">Sitting position (finding)</span></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 30350-3}">Hemoglobin [Mass/volume] in Venous blood</span></p><p><b>subject</b>: <a href="Patient-example.html">Jim Chalmers Male, DoB: 1974-12-25 ( Social Security number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>encounter</b>: <a href="Encounter-example.html">Encounter: identifier = http://example.org/encounters#ENC-20130404-appendicitis; status = finished; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.; period = 2013-04-04 18:00:00-0400 --> 2013-04-06 11:00:00-0400</a></p><p><b>effective</b>: 2013-04-02 10:30:10+0100 --> 2013-04-05 10:30:10+0100</p><p><b>issued</b>: 2013-04-03 15:30:10+0100</p><p><b>performer</b>: <a href="Practitioner-example.html">Practitioner</a></p><p><b>value</b>: 7.2 g/dl<span style="background: LightGoldenRodYellow"> (Details: UCUM codeg/dL = 'g/dL')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}">Below low normal</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 308046002}">Superficial forearm vein</span></p><p><b>method</b>: <span title="Codes:{http://snomed.info/sct 120220003}">Injection to forearm</span></p><p><b>derivedFrom</b>: <a href="Observation-example.html">Observation Hemoglobin [Mass/volume] in Venous blood</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8480-6}, {http://snomed.info/sct 271649006}">Systolic blood pressure</span></p><p><b>value</b>: 107 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}">Normal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8462-4}">Diastolic blood pressure</span></p><p><b>value</b>: 60 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}">Below low normal</span></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="33586001"/>
<display value="Sitting position (finding)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30350-3"/>
<display value="Hemoglobin [Mass/volume] in Venous blood"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<encounter>🔗
<reference value="Encounter/example"/>
</encounter>
<effectivePeriod>
<start value="2013-04-02T10:30:10+01:00"/>
<end value="2013-04-05T10:30:10+01:00"/>
</effectivePeriod>
<issued value="2013-04-03T15:30:10+01:00"/>
<performer>🔗
<reference value="Practitioner/example"/>
<display value="Practitioner"/>
</performer>
<valueQuantity>
<value value="7.2"/>
<unit value="g/dl"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="L"/>
<display value="Low"/>
</coding>
<text value="Below low normal"/>
</interpretation>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308046002"/>
<display value="Superficial forearm vein"/>
</coding>
</bodySite>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="120220003"/>
<display value="Injection to forearm"/>
</coding>
</method>
<derivedFrom>🔗
<reference value="Observation/example"/>
</derivedFrom>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271649006"/>
<display value="Systolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="107"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
<text value="Normal"/>
</interpretation>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="60"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="L"/>
<display value="Low"/>
</coding>
<text value="Below low normal"/>
</interpretation>
</component>
</Observation>