{
  "resourceType" : "Observation",
  "id" : "em-ed-abcde-breathing-example",
  "meta" : {
    "profile" : ["https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-abcde-assessment-observation"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation em-ed-abcde-breathing-example</b></p><a name=\"em-ed-abcde-breathing-example\"> </a><a name=\"hcem-ed-abcde-breathing-example\"> </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-em-abcde-assessment-observation.html\">Observation - Emergency ABCDE Assessment</a></p></div><p><b>Emergency No Findings On Exam</b>: false</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-component breathing}\">Breathing</span></p><p><b>subject</b>: <a href=\"Patient-pat-0712345678.html\">Amina Atieno Female, DoB: 1992-05-16 ( http://hie.go.ke/fhir/identifier/patient-official-id#33445566)</a></p><p><b>encounter</b>: <a href=\"Encounter-em-ed-encounter-example.html\">Encounter: extension = Government insurance,Ambulance,Non-ambulatory,Acute,false,,; identifier = http://hie.go.ke/fhir/identifier/hospital-registration-number#KNH-ED-2026-004417; status = finished; class = emergency (ActCode#EMER); priority = Orange - Very urgent; period = 2026-06-29 12:40:00+0300 --&gt; 2026-06-29 14:10:00+0300</a></p><p><b>effective</b>: 2026-06-29 12:45:00+0300</p><p><b>performer</b>: <a href=\"Practitioner-em-practitioner-example.html\">Practitioner Sarah Njoroge </a></p><p><b>value</b>: <span title=\"Codes:\">Reduced air entry, right hemithorax</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field chest-rise-pattern}\">Breathing - chest rise pattern</span></p><p><b>value</b>: <span title=\"Codes:\">Shallow</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field breath-sounds-left}\">Breathing - left breath sounds</span></p><p><b>value</b>: Normal vesicular breath sounds</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field breath-sounds-right}\">Breathing - right breath sounds</span></p><p><b>value</b>: Markedly reduced</p></blockquote></div>"
  },
  "extension" : [{
    "url" : "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-no-findings-on-exam",
    "valueBoolean" : false
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "exam"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-component",
      "code" : "breathing",
      "display" : "Breathing"
    }]
  },
  "subject" : {
    "reference" : "Patient/pat-0712345678"
  },
  "encounter" : {
    "reference" : "Encounter/em-ed-encounter-example"
  },
  "effectiveDateTime" : "2026-06-29T12:45:00+03:00",
  "performer" : [{
    "reference" : "Practitioner/em-practitioner-example"
  }],
  "valueCodeableConcept" : {
    "text" : "Reduced air entry, right hemithorax"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "chest-rise-pattern"
      }]
    },
    "valueCodeableConcept" : {
      "text" : "Shallow"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "breath-sounds-left"
      }]
    },
    "valueString" : "Normal vesicular breath sounds"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "breath-sounds-right"
      }]
    },
    "valueString" : "Markedly reduced"
  }]
}