{
  "resourceType" : "Observation",
  "id" : "em-ed-abcde-circulation-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-circulation-example</b></p><a name=\"em-ed-abcde-circulation-example\"> </a><a name=\"hcem-ed-abcde-circulation-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 circulation}\">Circulation</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 12:46:00+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:\">Delayed capillary refill, cool peripheries</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 capillary-refill-seconds}\">Circulation - capillary refill time</span></p><p><b>value</b>: 4 seconds<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codes = 's')</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 skin-findings}\">Circulation - skin findings</span></p><p><b>value</b>: <span title=\"Codes:\">Cool, pale</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 jvd}\">Circulation - jugular venous distension</span></p><p><b>value</b>: false</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 pulses}\">Circulation - pulse quality/asymmetry</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-vital-qualitative-state weak}\">Weak</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 fluids-given-volume}\">Circulation - IV fluids given (volume)</span></p><p><b>value</b>: 500 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</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 fluids-type}\">Circulation - IV fluids given (type)</span></p><p><b>value</b>: <span title=\"Codes:\">Normal saline</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 blood-ordered}\">Circulation - blood ordered</span></p><p><b>value</b>: true</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 ecg-done}\">Circulation - ECG done</span></p><p><b>value</b>: true</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" : "circulation",
      "display" : "Circulation"
    }]
  },
  "subject" : {
    "reference" : "Patient/pat-0712345678"
  },
  "encounter" : {
    "reference" : "Encounter/em-ed-encounter-example"
  },
  "effectiveDateTime" : "2026-06-29T12:46:00+03:00",
  "performer" : [{
    "reference" : "Practitioner/em-practitioner-example"
  }],
  "valueCodeableConcept" : {
    "text" : "Delayed capillary refill, cool peripheries"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "capillary-refill-seconds"
      }]
    },
    "valueQuantity" : {
      "value" : 4,
      "unit" : "seconds",
      "system" : "http://unitsofmeasure.org",
      "code" : "s"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "skin-findings"
      }]
    },
    "valueCodeableConcept" : {
      "text" : "Cool, pale"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "jvd"
      }]
    },
    "valueBoolean" : false
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "pulses"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-vital-qualitative-state",
        "code" : "weak",
        "display" : "Weak"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "fluids-given-volume"
      }]
    },
    "valueQuantity" : {
      "value" : 500,
      "unit" : "mL",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "fluids-type"
      }]
    },
    "valueCodeableConcept" : {
      "text" : "Normal saline"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "blood-ordered"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-abcde-field",
        "code" : "ecg-done"
      }]
    },
    "valueBoolean" : true
  }]
}