SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

: Example Kenya Observation - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="ExampleKenyaObservation"/>
  <meta>
    <profile
             value="https://nshr.dha.go.ke/fhir/StructureDefinition/hie-observation"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation ExampleKenyaObservation</b></p><a name="ExampleKenyaObservation"> </a><a name="hcExampleKenyaObservation"> </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-hie-observation.html">HIE Observation</a></p></div><p><b>identifier</b>: PLAC/OBS-123456789 (use: official, )</p><p><b>basedOn</b>: <a href="ServiceRequest/servreq-001">ServiceRequest/servreq-001</a></p><p><b>status</b>: Registered</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:">100002-5</span></p><p><b>subject</b>: <a href="Patient/pat-001">Patient/pat-001</a></p><p><b>encounter</b>: <a href="Encounter/enc-001">Encounter/enc-001</a></p><p><b>effective</b>: 2025-02-14 10:30:00+0300</p><p><b>issued</b>: 2025-02-14 10:32:00+0300</p><p><b>performer</b>: <code>HIEPractitioner/prac-001</code></p><p><b>value</b>: 120 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span></p><p><b>hasMember</b>: <a href="Observation/diastolic-example">Observation/diastolic-example</a></p><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>: 80 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}">Normal</span></p></blockquote><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>dataAbsentReason</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason not-performed}">Not Performed</span></p></blockquote></div>
  </text>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <code value="PLAC"/>
      </coding>
    </type>
    <system value="http://khie.health.go.ke/identifiers/observations"/>
    <value value="OBS-123456789"/>
  </identifier>
  <basedOn>
    <reference value="ServiceRequest/servreq-001"/>
  </basedOn>
  <status value="registered"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="vital-signs"/>
      <display value="Vital Signs"/>
    </coding>
  </category>
  <code>
    <coding>
      <code value="100002-5"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/pat-001"/>
  </subject>
  <encounter>
    <reference value="Encounter/enc-001"/>
  </encounter>
  <effectiveDateTime value="2025-02-14T10:30:00+03:00"/>
  <issued value="2025-02-14T10:32:00+03:00"/>
  <performer>
    <reference value="HIEPractitioner/prac-001"/>
  </performer>
  <valueQuantity>
    <value value="120"/>
    <unit value="mmHg"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="mm[Hg]"/>
  </valueQuantity>
  <interpretation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="H"/>
      <display value="High"/>
    </coding>
  </interpretation>
  <hasMember>
    <reference value="Observation/diastolic-example"/>
  </hasMember>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8462-4"/>
        <display value="Diastolic blood pressure"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="80"/>
      <unit value="mmHg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
    <interpretation>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
        <code value="N"/>
        <display value="Normal"/>
      </coding>
    </interpretation>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8480-6"/>
        <display value="Systolic blood pressure"/>
      </coding>
    </code>
    <dataAbsentReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
        <code value="not-performed"/>
        <display value="Not Performed"/>
      </coding>
    </dataAbsentReason>
  </component>
</Observation>