<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="KCHIPANCVitalsExample"/>
  <meta>
    <profile value="http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-anc-vitals"/>
  </meta>
  <text>
    <status value="generated"/><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>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
      <code value="anc-vitals-panel"/>
      <display value="ANC Clinical Observations Panel"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/KisumuPatientExample"/>
  </subject>
  <encounter>
    <reference value="Encounter/KisumuEncounterExample"/>
  </encounter>
  <effectiveDateTime value="2026-05-10T09:15:00+03:00"/>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8480-6"/>
        <display value="Systolic blood pressure"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="130"/>
      <unit value="mmHg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8462-4"/>
        <display value="Diastolic blood pressure"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="85"/>
      <unit value="mmHg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8867-4"/>
        <display value="Heart rate"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="82"/>
      <unit value="/min"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/min"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="29463-7"/>
        <display value="Body weight"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="72"/>
      <unit value="kg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="kg"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11881-0"/>
        <display value="Fundal height of Uterus by Tape measure"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="34"/>
      <unit value="cm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="cm"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="fetal-lie"/>
        <display value="Fetal lie"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="fetal-lie-longitudinal"/>
        <display value="Longitudinal lie"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="fetal-presentation"/>
        <display value="Fetal presentation"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="presentation-cephalic"/>
        <display value="Cephalic"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="fetal-heart-sounds"/>
        <display value="Fetal heart sounds (heard/not heard)"/>
      </coding>
    </code>
    <valueBoolean value="true"/>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55283-6"/>
        <display value="Fetal Heart rate"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="148"/>
      <unit value="/min"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/min"/>
    </valueQuantity>
  </component>
</Observation>