Release 4

Observation-example-trachcare.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

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An example of capturing whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus. (id = "trachcare")

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

<Observation xmlns="http://hl7.org/fhir">
  <id value="trachcare"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : trachcare</p> <p> <b> status</b> : final</p> <p> <b> category</b> : Exam <span> (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'exam' = 'Exam',
           given as 'Exam'})</span> </p> <p> <b> code</b> : Tracheostomy care assessment (procedure) <span> (Details : {SNOMED CT code '410211008' = 'Tracheostomy care assessment', given as 'Tracheostomy
           care assessment (procedure)'})</span> </p> <p> <b> subject</b> : <a> Patient/infant</a> </p> <p> <b> focus</b> : <a> Patient/infant-mom</a> </p> <p> <b> effective</b> : Mar 11, 2018 4:07:54 PM</p> <p> <b> value</b> : Mother is trained to change her child's tracheostomy tube</p> </div> </text> <status value="final"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> 
      <code value="exam"/> 
      <display value="Exam"/> 
    </coding> 
    <text value="Exam"/> 
  </category> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="410211008"/> 
      <display value="Tracheostomy care assessment (procedure)"/> 
    </coding> 
  </code> 
  <subject> 
    <reference value="Patient/infant"/> 
  </subject> 
  <focus> 
    <reference value="Patient/infant-mom"/> 
  </focus> 
  <effectiveDateTime value="2018-03-11T16:07:54+00:00"/> 
  <valueString value="Mother is trained to change her child's tracheostomy tube">

  </valueString> 
</Observation> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.