{
  "resourceType" : "Observation",
  "id" : "KCHIPLabourObservationExample",
  "meta" : {
    "profile" : ["http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-labour-observation"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation KCHIPLabourObservationExample</b></p><a name=\"KCHIPLabourObservationExample\"> </a><a name=\"hcKCHIPLabourObservationExample\"> </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-labour-observation.html\">KCHIP Labour Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes labour-panel}\">Labour 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>: 2026-05-21 04:30:00+0300</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes labour-onset-type}\">Onset of labour type</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes labour-spontaneous}\">Spontaneous onset</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 20745-6}\">Cervical dilation by pelvic exam</span></p><p><b>value</b>: 6 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://loinc.org 55283-6}\">Fetal Heart rate</span></p><p><b>value</b>: 144 /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://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes membrane-status}\">Membrane status</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes membranes-ruptured}\">Membranes ruptured</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes liquor-colour}\">Colour of liquor after membrane rupture</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes liquor-clear}\">Clear</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
      "code" : "labour-panel",
      "display" : "Labour Observations Panel"
    }]
  },
  "subject" : {
    "reference" : "Patient/KisumuPatientExample"
  },
  "encounter" : {
    "reference" : "Encounter/KisumuEncounterExample"
  },
  "effectiveDateTime" : "2026-05-21T04:30:00+03:00",
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "labour-onset-type",
        "display" : "Onset of labour type"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "labour-spontaneous",
        "display" : "Spontaneous onset"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "20745-6",
        "display" : "Cervical dilation by pelvic exam"
      }]
    },
    "valueQuantity" : {
      "value" : 6,
      "unit" : "cm",
      "system" : "http://unitsofmeasure.org",
      "code" : "cm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "55283-6",
        "display" : "Fetal Heart rate"
      }]
    },
    "valueQuantity" : {
      "value" : 144,
      "unit" : "/min",
      "system" : "http://unitsofmeasure.org",
      "code" : "/min"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "membrane-status",
        "display" : "Membrane status"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "membranes-ruptured",
        "display" : "Membranes ruptured"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "liquor-colour",
        "display" : "Colour of liquor after membrane rupture"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
        "code" : "liquor-clear",
        "display" : "Clear"
      }]
    }
  }]
}