{
  "resourceType" : "Observation",
  "id" : "KCHIPANCVitalsExample",
  "meta" : {
    "profile" : ["http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-anc-vitals"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation KCHIPANCVitalsExample</b></p><a name=\"KCHIPANCVitalsExample\"> </a><a name=\"hcKCHIPANCVitalsExample\"> </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-kchip-anc-vitals.html\">KCHIP ANC Clinical Observations</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes anc-vitals-panel}\">ANC Clinical Observations Panel</span></p><p><b>subject</b>: <a href=\"Patient-KisumuPatientExample.html\">Achieng Grace Odhiambo  Female, DoB: 1990-04-23 ( http://moh.kenya/identifier/nationalID-no#12345678)</a></p><p><b>encounter</b>: <a href=\"Encounter-KisumuEncounterExample.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = ANC Encounter; period = 2026-05-10 09:00:00+0300 --&gt; 2026-05-10 10:00:00+0300</a></p><p><b>effective</b>: 2026-05-10 09:15:00+0300</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 130 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</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>: 85 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8867-4}\">Heart rate</span></p><p><b>value</b>: 82 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>value</b>: 72 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11881-0}\">Fundal height of Uterus by Tape measure</span></p><p><b>value</b>: 34 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes fetal-lie}\">Fetal lie</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes fetal-lie-longitudinal}\">Longitudinal lie</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes fetal-presentation}\">Fetal presentation</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes presentation-cephalic}\">Cephalic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes fetal-heart-sounds}\">Fetal heart sounds (heard/not heard)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 55283-6}\">Fetal Heart rate</span></p><p><b>value</b>: 148 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
      "code" : "anc-vitals-panel",
      "display" : "ANC Clinical Observations Panel"
    }]
  },
  "subject" : {
    "reference" : "Patient/KisumuPatientExample"
  },
  "encounter" : {
    "reference" : "Encounter/KisumuEncounterExample"
  },
  "effectiveDateTime" : "2026-05-10T09:15:00+03:00",
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "8480-6",
        "display" : "Systolic blood pressure"
      }]
    },
    "valueQuantity" : {
      "value" : 130,
      "unit" : "mmHg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm[Hg]"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "8462-4",
        "display" : "Diastolic blood pressure"
      }]
    },
    "valueQuantity" : {
      "value" : 85,
      "unit" : "mmHg",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm[Hg]"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "8867-4",
        "display" : "Heart rate"
      }]
    },
    "valueQuantity" : {
      "value" : 82,
      "unit" : "/min",
      "system" : "http://unitsofmeasure.org",
      "code" : "/min"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "29463-7",
        "display" : "Body weight"
      }]
    },
    "valueQuantity" : {
      "value" : 72,
      "unit" : "kg",
      "system" : "http://unitsofmeasure.org",
      "code" : "kg"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11881-0",
        "display" : "Fundal height of Uterus by Tape measure"
      }]
    },
    "valueQuantity" : {
      "value" : 34,
      "unit" : "cm",
      "system" : "http://unitsofmeasure.org",
      "code" : "cm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "fetal-lie",
        "display" : "Fetal lie"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "fetal-lie-longitudinal",
        "display" : "Longitudinal lie"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "fetal-presentation",
        "display" : "Fetal presentation"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "presentation-cephalic",
        "display" : "Cephalic"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "fetal-heart-sounds",
        "display" : "Fetal heart sounds (heard/not heard)"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "55283-6",
        "display" : "Fetal Heart rate"
      }]
    },
    "valueQuantity" : {
      "value" : 148,
      "unit" : "/min",
      "system" : "http://unitsofmeasure.org",
      "code" : "/min"
    }
  }]
}