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

<Observation xmlns="http://hl7.org/fhir">
  <id value="KCHIPLabourObservationExample"/>
  <meta>
    <profile value="http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-labour-observation"/>
  </meta>
  <text>
    <status value="generated"/><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>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
      <code value="labour-panel"/>
      <display value="Labour Observations Panel"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/KisumuPatientExample"/>
  </subject>
  <encounter>
    <reference value="Encounter/KisumuEncounterExample"/>
  </encounter>
  <effectiveDateTime value="2026-05-21T04:30:00+03:00"/>
  <component>
    <code>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="labour-onset-type"/>
        <display value="Onset of labour type"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="labour-spontaneous"/>
        <display value="Spontaneous onset"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="20745-6"/>
        <display value="Cervical dilation by pelvic exam"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="6"/>
      <unit value="cm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="cm"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55283-6"/>
        <display value="Fetal Heart rate"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="144"/>
      <unit value="/min"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/min"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="membrane-status"/>
        <display value="Membrane status"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="membranes-ruptured"/>
        <display value="Membranes ruptured"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="liquor-colour"/>
        <display value="Colour of liquor after membrane rupture"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"/>
        <code value="liquor-clear"/>
        <display value="Clear"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>