Gives information about examination findings

Examination Findings Section Content

This is an examination findings record entry.

There may be 0 TO MANY record entry/entries under a section. Each record entry is made up of a number of elements or data items.

Example Section

<!--<xml>-->
<!--Examination findings-->
<section>
	<title value="Examination findings"/>
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="715851000000102"/>
			<display value="Examination findings"/>
		</coding>
	</code>
	<text>
		<status value="additional"/>
		<div xmlns="http://www.w3.org/1999/xhtml">
			<table width="100%">
				Examination Finding Date: 2021-09-04T12:35
				<tbody>
					<tr>
						<th>Observation</th>
						<th>Performed</th>
						<th>Reading</th>
					</tr>
					<tr>
						<td>Height/Length</td>
						<td>1.7 m</td>
					</tr>	
					<tr>
						<td>Weight</td>
						<td>82.5 kg</td>
					</tr>	
					<tr>
						<td>BMI</td>
						<td>22</td>
					</tr>			
					<tr>
						<td>Blood pressure</td>
						<td>84/120 mmHg</td>
					</tr>					
					<tr>
						<td>Heart rate</td>
						<td>92 /min</td>
					</tr>
					<tr>
						<td>Temperature</td>
						<td>37.5 C</td>
					</tr>		
					<tr>
						<td>Oxygen saturation</td>
						<td>98%</td>
					</tr>		
					<tr>
						<td>Pain score</td>
						<td>6</td>
					</tr>
					<tr>
						<td>Level of Consciousness</td>
						<td>voice</td>
					</tr>					
					<tr>
						<td>Respiration rate</td>
						<td>38 /min</td>
					</tr>
					<tr>
						<td>Air or oxygen</td>
						<td>Air</td>
					</tr>
					<tr>
						<td>National early warning score (NEWS 2)</td>
						<td>6</td>
					</tr>
				</tbody>
			</table>
		</div>
	</text>
</section>

<!--</xml>-->

Coded Resources

The text section should be linked to the following FHIR resources to provide the textual information in a coded format.

Blood Pressure Observation

The coded form of each blood pressure reading follows the codes and structure for CareConnect-BloodPressure-Observation-1.

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BloodPressure-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as per profile
code 1..1 Loinc slice – fixed as per profile
SNOMED slice – fixed as per profile
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the blood pressure reading took place
bodySite 0..1 <442083009 - Anatomical or acquired body structure
component systolic    
- code 1..1 SNOMED «271649006 Systolic blood pressure
- valueQuantity 0..1 Recorded as per the profile
component diastolic    
- code 1..1 SNOMED «271650006 Diastolic blood pressure
- valueQuantity 0..1 Recorded as per the profile

Blood Pressure Observation Example

<!--<xml>-->
<Observation xmlns="http://hl7.org/fhir">
	<id value="e0818279-51da-4e82-ab44-7798cdab8ccc"/>
	<meta>
		<!--claim conformance to CareConnect-BloodPressure-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BloodPressure-Observation-1"/>
	</meta>
	<!--a fixed value for status-->
	<status value="final"/>
	<!--fixed value for category-->
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="75367002"/>
			<display value="Blood pressure"/>
		</coding>
	</code>
	<!--a link to the Patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--the date and time of the reading-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--body site of reading-->
	<bodySite>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="368209003"/>
			<display value="Right arm"/>
		</coding>
	</bodySite>
	<!--systolic-->
	<component>
		<!--fixed values for code-->
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="271649006"/>
				<display value="Systolic blood pressure"/>
			</coding>
		</code>
		<!--the systolic reading-->
		<valueQuantity>
			<value value="120"/>
			<unit value="mmHg"/>
			<system value="http://unitsofmeasure.org"/>
		</valueQuantity>
	</component>
	<!--diastolic-->
	<component>
		<!--fixed values for code-->	
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="271650006"/>
				<display value="Diastolic blood pressure"/>
			</coding>
		</code>
		<!--the diastolic reading-->
		<valueQuantity>
			<value value="60"/>
			<unit value="mmHg"/>
			<system value="http://unitsofmeasure.org"/>
		</valueQuantity>
	</component>
</Observation>
<!--</xml>-->

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Temperature Observation

The coded form of each temperature reading follows follows the codes and structure for CareConnect-BodyTemperature-Observation-1

CareConnect-BodyTemperature-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BodyTemperature-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as per profile
code 1..1 SNOMED CT «386725007 - Body temperature
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueQuantity 0..1 The temperature recorded in Celsius

Temperature Observation Example

<!--<xml>-->
<Observation xmlns="http://hl7.org/fhir">
	<id value="b8287484-53eb-4ae4-b040-c56fcb58df8f"/>
	<meta>
		<!--claims conformance to CareConnect-BodyTemperature-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BodyTemperature-Observation-1"/>
	</meta>
	<!--fixed value for status-->
	<status value="final"/>
	<!--fixed value for category-->
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="386725007"/>
			<display value="Body temperature"/>
		</coding>
	</code>
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--date time when reading occurred-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the reading-->
	<valueQuantity>
		<value value="38.5"/>
		<unit value="Cel"/>
		<system value="http://unitsofmeasure.org"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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Heart Rate Observation

The coded form of each pulse rate reading follows the codes and structure for CareConnect-HeartRate-Observation-1.

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HeartRate-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as per profile
code 1..1 SNOMED slice – fixed as per profile
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueQuantity 0..1 The heart rate recorded in beats per minute (/min)

Heart Rate Observation Example

<!--<xml>--> 
<Observation xmlns="http://hl7.org/fhir">
	<id value="ce6a7522-8285-4e0d-9d93-c928d21f512b"/>
	<meta>
		<!--claims conformance to CareConnect-HeartRate-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HeartRate-Observation-1"/>
	</meta>
	<!--fixed value for status-->
	<status value="final"/>
	<!--fixed value for category-->
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<!--fixed values for code, plus an extra SNOMED code for pulse rate-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="364075005"/>
			<display value="Heart rate"/>
		</coding>
	</code>
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--the date and time of the reading-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the pulse rate reading-->
	<valueQuantity>
		<value value="95"/>
		<unit value="/min"/>
		<system value="http://unitsofmeasure.org"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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Height/Length Observation

The coded form of each height reading follows the codes and structure for CareConnect-Observation-1.

CareConnect-VitalSigns-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as demonstrated in example below
code 1..1 SNOMED CT: - 50373000 - Body height measure (observable entity) OR 248334005 - Length of body (observable entity)
subject 1..1 Link to Patient
valueQuantity 0..1 The height recorded in metres or centimetres

Height/Length Observation Example

<!--<xml>-->  
<Observation xmlns="http://hl7.org/fhir">
	<id value="bf235b3a-e513-47d0-a76e-b2390aff655b"/>
	<meta>
		<!--claims conformance to CareConnect-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
	</meta>
	<!--fixed value for status-->
	<status value="final"/>
	<!--fixed value for category-->
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="50373000"/>
			<display value="Body height"/>
		</coding>
	</code>
	<!-- for Length the code is
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="248334005"/>
			<display value="Length of body"/>
		</coding>
	</code> -->	
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--date time when reading occurred-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the reading-->
	<valueQuantity>
		<value value="175"/>
		<unit value="cm"/>
		<system value="http://unitsofmeasure.org"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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BMI Observation

The coded form of each BMI reading follows the codes and structure for CareConnect-Observation-1.

CareConnect-VitalSigns-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as demonstrated in example below
code 1..1 Fixed as demonstrated in example below
subject 1..1 Link to Patient
valueQuantity 0..1 The height recorded in metres or centimetres

BMI Observation Example

<!--<xml>-->  
<Observation xmlns="http://hl7.org/fhir">
	<id value="f6db2df2-abe3-4e17-80f8-e5bc06c7f92b"/>
	<meta>
		<!--claims conformance to CareConnect-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
	</meta>
	<!--fixed value for status-->
	<status value="final"/>
	<!--fixed value for category-->
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="60621009"/>
			<display value="Body mass index"/>
		</coding>
	</code>
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--date time when reading occurred-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the reading-->
	<valueQuantity>
		<value value="25"/>
		<unit value="kg/m2"/>
		<system value="http://unitsofmeasure.org"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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Weight Observation

The coded form of each weight reading follows the code and structure for CareConnect-Observation-1.

CareConnect-Observation-1 element   Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as demonstrated in example below
code 1..1 Fixed as demonstrated in example below
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueQuantity 0..1 The weight recorded in kilogrammes

Weight Observation Example

<!--<xml>--> 
<Observation xmlns="http://hl7.org/fhir">
	<id value="2e96ba1e-49a4-4964-9a54-3b055873fb07"/>
	<meta>
		<!--claims conformance to CareConnect-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
	</meta>
	<!--fixed value for status-->
	<status value="final"/>
	<!--fixed value for category-->
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="27113001"/>
			<display value="Body weight"/>
		</coding>
	</code>
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--date time when reading occurred-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the reading-->
	<valueQuantity>
		<value value="82.7"/>
		<unit value="kg"/>
		<system value="http://unitsofmeasure.org"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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Oxygen Saturation Observation

The coded form of each oxygen saturation reading follows the codes and structure for CareConnect-OxygenSaturation-Observation-1.

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-OxygenSaturation-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as per profile
code 1..1 SNOMED slice – fixed as per profile
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueQuantity 0..1 The temperature recorded in percent

Oxygen Saturation Observation Example

<!--<xml>--> 
<Observation xmlns="http://hl7.org/fhir">
	<id value="e3890ae3-db3e-4104-824c-f9636950866e"/>
	<meta>
		<!--claims conformance to CareConnect-OxygenSaturation-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-OxygenSaturation-Observation-1"/>
	</meta>
	<!--fixed to final-->
	<status value="final"/>
	<!--fixed value for category-->
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="431314004"/>
			<display value="Peripheral oxygen saturation"/>
		</coding>
	</code>
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the reading-->
	<valueQuantity>
		<value value="93"/>
		<unit value="%"/>
		<system value="http://unitsofmeasure.org"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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Pain Score Observation

The coded form of each pain score reading follows the codes and structure for CareConnect-Observation-1.

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1’
status 1..1 Fixed to final
code 1..1 Fixed as demonstrated in example below
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueQuantity 0..1 The recorded pain score value

Pain Score Observation Example

<!--<xml>-->
<Observation xmlns="http://hl7.org/fhir">
	<id value="f3dc3143-0f3a-49f4-9da8-67a5e1492145"/>
	<meta>
		<!--claims conformance to CareConnect-BodyTemperature-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
	</meta>
	<!--fixed value for status-->
	<status value="final"/>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="225908003"/>
			<display value="Pain score"/>
		</coding>
	</code>
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--date time when reading occurred-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the reading-->
	<valueQuantity>
		<value value="4"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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Level of Consciousness Observation

The coded form of each Level of Consciousness reading follows the codes and structure the codes and structure for CareConnect-ACVPU-Observation-1.

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ACVPU-Observation-1’
status 1..1 Fixed to final
code 1..1 SNOMED slice – fixed as per profile
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueCodeableConcept 0..1 The Consciousness recorded in percent – one of
- alert
- confusion
- voice
- pain
- unresponsive

Level of Consciousness Observation Example

<!--<xml>-->
<Observation xmlns="http://hl7.org/fhir">
	<id value="a4c394ac-b0d8-44e9-8125-38e7d28c8193"/>
	<meta>
		<!--claims conformance to CareConnect-ACVPU-Observation-1-->
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ACVPU-Observation-1"/>
	</meta>
	<!--fixed value for status-->
	<status value="final"/>
	<!--fixed values for code-->
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="1104441000000107"/>
			<display value="ACVPU (Alert Confusion Voice Pain Unresponsive) scale score"/>
		</coding>
	</code>
	<!--link to patient-->
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<!--date time when reading occurred-->
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<!--the reading-->
	<valueCodeableConcept>
		<code>
			<coding>
				<code value="voice"/>
			</coding>
		</code>
	</valueCodeableConcept>
</Observation>
<!--</xml>-->

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Respiratory Rate Observation

The coded form of each respiratory rate reading follows the codes and structure for CareConnect-RespiratoryRate-Observation-1.

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RespiratoryRate-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as per profile
code 1..1 Loinc slice – fixed as per profile
SNOMED slice – fixed as per profile
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueQuantity 0..1 The respiratory rate recorded in /min

Respiratory Rate Observation Example

<!--<xml>-->
<Observation xmlns="http://hl7.org/fhir">
	<id value="771d0d98-7988-4e7b-b0eb-021d094c2b33"/>
	<meta>
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RespiratoryRate-Observation-1"/>
	</meta>
	<status value="final"/>
	<category>
		<coding>
			<system value="http://hl7.org/fhir/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="86290005"/>
			<display value="Respiratory rate"/>
		</coding>
	</code>
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<valueQuantity>
		<value value="21"/>
		<unit value="/min"/>
		<system value="http://unitsofmeasure.org"/>
	</valueQuantity>
</Observation>
<!--</xml>-->

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Air or Oxygen Observation

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1’
status 1..1 Fixed to final
code 1..1 Use the text element of CodeableConcept to indicate an ‘Air or Oxygen Observation’
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueCodeableConcept 0..1 One of
- 722742002 ‘Breathing room air’ OR
- 371825009 ‘Patient on oxygen’ OR
- 315041000 ‘High concentration oxygen therapy (procedure)’ OR
- 9999016 ‘High flow oxygen therapy (procedure)’

Air or Oxygen Observation Example

<!--<xml>-->
<Observation xmlns="http://hl7.org/fhir">
	<id value="c4211cc4-1bca-4a95-9fc7-dbd64062c01f"/>
	<meta>
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
	</meta>
	<status value="final"/>
	<code>
		<text value=”Air or Oxygen Observation”>
	</code>
	<subject>
		<reference value="Patient/4f78d392-c9e0-4f1f-9ab6-57d387838690"/>
	</subject>
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<valueCodeableConcept>
		<system value="http://snomed.info/sct"/>
		<code value="722742002"/>
		<display value="Breathing room air"/>
	</valueCodeableConcept >
</Observation>
<!--</xml>-->

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NEWS2 Score Observation

The coded form of each NEWS2 observation follows the code and structure for CareConnect-Observation-1.

CareConnect-Observation-1 element Cardinality Notes
meta.profile 1..1 Claim conformance to ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1’
status 1..1 Fixed to final
category 1..1 Fixed as demonstrated in example below
code 1..1 Fixed as demonstrated in example below
subject 1..1 Link to Patient
effectiveDateTime 1..1 The date and time the reading took place
valueQuantity 0..1 The NEWS2 score recorded
related 0..* Links to the Observations that make up the NEWS2 score
component 0..* Components detailing the sub-score – as demonstrated in example below.
The values for the sub-score codes are:
- 1104351000000103 ‘Royal College of Physicians NEWS2 (National Early Warning Score 2) - pulse score’
- 1104311000000102 ‘Royal College of Physicians NEWS2 (National Early Warning Score 2) - oxygen saturation scale 1 score’
- 1104331000000105 ‘Royal College of Physicians NEWS2 (National Early Warning Score 2) - air or oxygen score’
- 1104371000000107 ‘Royal College of Physicians NEWS2 (National Early Warning Score 2) - temperature score’
- 1104341000000101 ‘Royal College of Physicians NEWS2 (National Early Warning Score 2) - systolic blood pressure score’
- 1104361000000100 ‘Royal College of Physicians NEWS2 (National Early Warning Score 2) - consciousness score’

NEWS2 Score Observation Example

<!--<xml>-->
<Observation>
	<id value="db001012-74ee-4809-962c-e938e3e9dde2"/>
	<meta>
		<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
	</meta>
	<identifier>
		<system value="https://tools.ietf.org/html/rfc4122"/>
		<value value="7188c7ad-7802-4d43-9775-4d9d684600d5"/>
	</identifier>
	<status value="final"/>
	<category>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
			<code value="survey"/>
			<display value="Survey"/>
		</coding>
	</category>
	<code>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="1104051000000101"/>
			<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) total score"/>
		</coding>
	</code>
	<subject>
		<reference value="Patient/ad2c58ab-ffab-4366-9c76-b0322e22e881"/>
	</subject>
	<effectiveDateTime value="2018-10-04T14:17:59+01:00"/>
	<valueQuantity>
		<value value="6"/>
		<system value="http://unitsofmeasure.org"/>
		<code value="score"/>
	</valueQuantity>
	<related>
		<type value="derived-from"/>
		<target>
			<reference value="Observation/e0818279-51da-4e82-ab44-7798cdab8ccc"/>
		</target>
	</related>
	<related>
		<type value="derived-from"/>
		<target>
			<reference value="Observation/b8287484-53eb-4ae4-b040-c56fcb58df8f"/>
		</target>
	</related>
	<related>
		<type value="derived-from"/>
		<target>
			<reference value="Observation/5a1625e8-938e-4c19-9d3e-a235bfb4b37d"/>
		</target>
	</related>
	<related>
		<type value="derived-from"/>
		<target>
			<reference value="Observation/c756fd32-f04e-45a9-b02f-2461ed53c736"/>
		</target>
	</related>
	<related>
		<type value="derived-from"/>
		<target>
			<reference value="Observation/1a1273f4-dd78-4bb4-bb98-ed6456caa2a2"/>
		</target>
	</related>
	<related>
		<type value="derived-from"/>
		<target>
			<reference value="Observation/f0d26102-3a50-4993-9203-6089b625fc2f"/>
		</target>
	</related>
	<related>
		<type value="derived-from"/>
		<target>
			<reference value="Observation/dbf6ec86-ebd7-4490-8586-596328519ed2"/>
		</target>
	</related>
	<!-- Respiratory Rate Sub-Score -->
	<component>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="1104301000000104"/>
				<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) - respiration rate score"/>
			</coding>
		</code>
		<valueQuantity>
			<value value="2"/>
			<system value="http://unitsofmeasure.org"/>
			<code value="score"/>
		</valueQuantity>
	</component>
	<!-- Pulse Sub-Score -->
	<component>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="1104351000000103"/>
				<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) - pulse score"/>
			</coding>
		</code>
		<valueQuantity>
			<value value="1"/>
			<system value="http://unitsofmeasure.org"/>
			<code value="score"/>
		</valueQuantity>
	</component>
	<!-- Oxygen Saturation scale 1 Sub-Score -->
	<component>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="1104311000000102"/>
				<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) - oxygen saturation scale 1 score"/>
			</coding>
		</code>
		<valueQuantity>
			<value value="2"/>
			<system value="http://unitsofmeasure.org"/>
			<code value="score"/>
		</valueQuantity>
	</component>
	<!-- Air or Oxygen Sub-Score -->
	<component>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="1104331000000105"/>
				<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) - air or oxygen score"/>
			</coding>
		</code>
		<valueQuantity>
			<value value="0"/>
			<system value="http://unitsofmeasure.org"/>
			<code value="score"/>
		</valueQuantity>
	</component>
	<!-- Temperature Sub-Score -->
	<component>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="1104371000000107"/>
				<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) - temperature score"/>
			</coding>
		</code>
		<valueQuantity>
			<value value="1"/>
			<system value="http://unitsofmeasure.org"/>
			<code value="score"/>
		</valueQuantity>
	</component>
	<!-- Systolic Blood Pressure Sub-Score -->
	<component>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="1104341000000101"/>
				<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) - systolic blood pressure score"/>
			</coding>
		</code>
		<valueQuantity>
			<value value="0"/>
			<system value="http://unitsofmeasure.org"/>
			<code value="score"/>
		</valueQuantity>
	</component>
	<!--  Consciousness Sub-Score -->
	<component>
		<code>
			<coding>
				<system value="http://snomed.info/sct"/>
				<code value="1104361000000100"/>
				<display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) - consciousness score"/>
			</coding>
		</code>
		<valueQuantity>
			<value value="0"/>
			<system value="http://unitsofmeasure.org"/>
			<code value="score"/>
		</valueQuantity>
	</component>
</Observation>
<!--</xml>-->

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Tags: fhir