Open Nursing Core FHIR Implementation Guide (ONC-IG)
0.1.0 - draft
Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Observation",
"id" : "example-4at-delirium",
"meta" : {
"profile" : [
🔗 "https://fhir.clinyq.ai/StructureDefinition/onc-4at-delirium"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation example-4at-delirium</b></p><a name=\"example-4at-delirium\"> </a><a name=\"hcexample-4at-delirium\"> </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-onc-4at-delirium.html\">4AT Delirium Assessment</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-score}\">4AT Delirium Score</span></p><p><b>subject</b>: <a href=\"Patient-patient-example-jane.html\">Jane Doe Female, DoB Unknown</a></p><p><b>performer</b>: <a href=\"Practitioner-practitioner-example.html\">Practitioner Nightingale </a></p><p><b>value</b>: 5 {score}</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-alertness}\">Alertness</span></p><p><b>value</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-alert-normal}\">Normal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-amt4}\">AMT4 Score</span></p><p><b>value</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-amt4-1error}\">1 Error</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-attention}\">Attention</span></p><p><b>value</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-attention-gt7}\">Months backwards < 7 months correct</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-acute-change}\">Acute Change</span></p><p><b>value</b>: <span title=\"Codes:{https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes 4at-change-no}\">No</span></p></blockquote></div>"
},
"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"
}
]
}
}
]
}