{ "resourceType" : "Observation", "id" : "example-4at-delirium", "meta" : { "profile" : ["https://fhir.clinyq.ai/StructureDefinition/onc-4at-delirium"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation example-4at-delirium

Profile: 4AT Delirium Assessment

status: Final

category: Exam

code: 4AT Delirium Score

subject: Jane Doe Female, DoB Unknown

performer: Practitioner Nightingale

value: 5 {score}

component

code: Alertness

value: Normal

component

code: AMT4 Score

value: 1 Error

component

code: Attention

value: Months backwards < 7 months correct

component

code: Acute Change

value: No

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "exam" }] }], "code" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-score" }] }, "subject" : { "reference" : "Patient/patient-example-jane" }, "performer" : [{ "reference" : "Practitioner/practitioner-example" }], "valueQuantity" : { "value" : 5, "unit" : "{score}" }, "component" : [{ "code" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-alertness" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-alert-normal", "display" : "Normal" }] } }, { "code" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-amt4" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-amt4-1error", "display" : "1 Error" }] } }, { "code" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-attention" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-attention-gt7", "display" : "Months backwards < 7 months correct" }] } }, { "code" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-acute-change" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes", "code" : "4at-change-no", "display" : "No" }] } }] }