HL7 PT FHIR Implementation Guide: Noticia de Nascimento
0.0.1 - STU1
HL7 PT FHIR Implementation Guide: Noticia de Nascimento, published by HL7 Portugal. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-pt/obs-neonat-ig/ and changes regularly. See the Directory of published versions
Document Content
Entry 1 - fullUrl = http://example.org/Composition/compNN
Resource Composition:
Generated Narrative: Composition compNN
status: Final
type: Birth certificate
date: 2021-09-01
author: HCP
title: Noticia de Nascimento de recém-nascido
Entry 2 - fullUrl = http://example.org/Procedure/BirthNN
Resource Procedure:
Generated Narrative: Procedure BirthNN
status: Completed
code: Delivery of vertex presentation (procedure)
subject: NOME DE TESTE (no stated gender), DoB: 1989-07-30 ( http://example#1234567)
encounter: Encounter: status = finished; class = Internamento (Tipos de episódio CodeSystem#INT)
Performers
Actor PractitionerRole Obstetrician
Entry 3 - fullUrl = http://example.org/Encounter/episodioInt
Resource Encounter:
Generated Narrative: Encounter episodioInt
status: completed
class: Internamento
Entry 4 - fullUrl = http://example.org/Organization/destino
Resource Organization:
Generated Narrative: Organization destino
identifier: 2010491
name: USF ESCARIZ
Entry 5 - fullUrl = http://example.org/Patient/mother
Resource Patient:
Generated Narrative: Patient mother
NOME DE TESTE (no stated gender), DoB: 1989-07-30 ( http://example#1234567)
Contact Detail MORADA DE TESTE Patient Nationality:
- code: Portugal
Entry 6 - fullUrl = http://example.org/Encounter/episodio
Resource Encounter:
Generated Narrative: Encounter episodio
identifier: 18001555
status: completed
class: Internamento
serviceType: No display for Encounter.serviceType (concept: )
serviceProvider: Organization CH ENTRE DOURO E VOUGA
Entry 7 - fullUrl = http://example.org/Organization/inst
Resource Organization:
Generated Narrative: Organization inst
name: CH ENTRE DOURO E VOUGA
Entry 8 - fullUrl = http://example.org/Observation/pregnancyNN
Resource Observation:
Generated Narrative: Observation pregnancyNN
status: Final
code: Pregnancy (finding)
subject: Anonymous Patient Female, DoB Unknown
effective: 2024-08-01 10:00:00+0000
Entry 9 - fullUrl = http://example.org/Patient/newBornNN
Resource Patient:
Generated Narrative: Patient newBornNN
Anonymous Patient Female, DoB Unknown
Entry 10 - fullUrl = http://example.org/Observation/body-weigth-example
Resource Observation:
Generated Narrative: Observation body-weigth-example
status: Final
category: Vital Signs
code: Body weight
subject: Anonymous Patient Female, DoB Unknown
effective: 2024-08-01 10:00:00+0000
value: 3250 gram(s) (Details: UCUM codeg = 'g')
Entry 11 - fullUrl = http://example.org/Observation/length-example
Resource Observation:
Generated Narrative: Observation length-example
status: Final
category: Vital Signs
code: Body height
subject: Anonymous Patient Female, DoB Unknown
effective: 2024-08-01 10:00:00+0000
value: 50 cm(s) (Details: UCUM codecm = 'cm')
Entry 12 - fullUrl = http://example.org/Organization/childhealthsurveilance-ex
Resource Organization:
Generated Narrative: Organization childhealthsurveilance-ex
identifier:
http:/example.org
/4
Entry 13 - fullUrl = http://example.org/Observation/puerperium-ex
Resource Observation:
Generated Narrative: Observation puerperium-ex
identifier:
http:/example.org
/4status: Final
code: Puerperium observable (observable entity)
value: Normal puerperium (finding)
Entry 14 - fullUrl = http://example.org/Immunization/vaccNN-antid
Resource Immunization:
Generated Narrative: Immunization vaccNN-antid
status: Completed
vaccineCode: Product containing only human anti-D immunoglobulin (medicinal product)
lotNumber: xyz-123
patient: Anonymous Patient Female, DoB Unknown
occurrence: 2024-08-01 10:00:00+0000
Entry 15 - fullUrl = http://example.org/Immunization/vaccNN-hepb
Resource Immunization:
Generated Narrative: Immunization vaccNN-hepb
status: Completed
vaccineCode: Vaccine product containing only Hepatitis B virus antigen (medicinal product)
lotNumber: abc-9878
patient: Anonymous Patient Female, DoB Unknown
occurrence: 2024-08-01 10:00:00+0000
Entry 16 - fullUrl = http://example.org/Immunization/vaccNN-bcg
Resource Immunization:
Generated Narrative: Immunization vaccNN-bcg
status: Completed
vaccineCode: Vaccine product containing only live attenuated Mycobacterium bovis antigen (medicinal product)
lotNumber: ghy-123/2024
patient: Anonymous Patient Female, DoB Unknown
occurrence: 2024-08-01 10:00:00+0000
Entry 17 - fullUrl = http://example.org/Observation/apgar-example
Resource Observation:
Generated Narrative: Observation apgar-example
status: Final
code: Apgar score (assessment scale)
component
code: Apgar score at 1 minute (observable entity)
value: 7
component
code: Apgar score at 5 minutes (observable entity)
value: 9
component
code: Apgar score at 10 minutes (observable entity)
value: 10
Entry 18 - fullUrl = http://example.org/Observation/congenital-example
Resource Observation:
Generated Narrative: Observation congenital-example
status: Final
code: Congenital anomalies of the newborn [US Standard Certificate of Live Birth]
value: No abnormality detected - examination result
Entry 19 - fullUrl = http://example.org/Observation/pupillary-example
Resource Observation:
Generated Narrative: Observation pupillary-example
status: Final
code: Pupil reaction
component
code: Right pupil Pupillary response
value: No abnormality detected - examination result
component
code: Left pupil Pupillary response
value: No abnormality detected - examination result
Entry 20 - fullUrl = http://example.org/Observation/cephalic-perimeter-example
Resource Observation:
Generated Narrative: Observation cephalic-perimeter-example
status: Final
category: Vital Signs
code: Head Occipital-frontal circumference
subject: Anonymous Patient Female, DoB Unknown
effective: 2024-08-01 10:00:00+0000
value: 50.1 cm(s) (Details: UCUM codecm = 'cm')
Entry 21 - fullUrl = http://example.org/PractitionerRole/ObsRole
Resource PractitionerRole:
Generated Narrative: PractitionerRole ObsRole
code: Obstetrician