Example-CE-Observation-e8021b2484
type: Observation
node role: treeRoot
id:
  v: Example-CE-Observation-e8021b2484
meta:
  profile:
    v: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileObservationHCEU
    link: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileObservationHCEU
text:
  status:
    v: generated
  div: Generated Narrative: Observation Example-CE-Observation-e8021b2484 Profile: HCEU - Intramural - Observation identifier: http://hospitalSystemInformation.example.org/observations//observation-ce-012 (use: usual, ) status: Final code: Physical findings Narrative subject: Paola Andrea Torres Ramirez(official) Female, DoB: 1988-06-23 ( Medical record number: 36423902344 (use: usual, )) encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://hospitalSystemInformation.example.org/admissions#ENC-001 (use: usual, ); status = finished; class = Consulta Externa (ActCode#AMB); serviceType = GENERAL ADULTOS; period = 2025-04-14 09:00:00+0000 --> 2025-04-14 09:30:00+0000 effective: 2025-03-18 07:55:00+0000 --> 2025-03-18 08:05:00+0000 issued: 2025-03-18 08:05:00+0000 performer: Practitioner Felipe Andrés Camargo Parada(official) component code: General appearance value: Paciente luce una condición normal en la revisión básica de salud component code: CMS - head and face exam panel value: El paciente presenta resequedad severa en el cuero cabelludo component code: CMS - neck exam panel value: evaluación médica general sin hallazgos anormales component code: Cardiac status value: Cardiac arrhythmia, unspecified component code: Pulmonary Function Test value: other specified interstitial pulmonary diseases component code: Physical findings of Abdomen by Palpation value: evaluación médica general sin hallazgos anormales component code: Genitourinary value: evaluación médica general sin hallazgos anormales component code: Physical findings Extremities value: evaluación médica general sin hallazgos anormales component code: Musculoskeletal assessment panel value: evaluación médica general sin hallazgos anormales component code: central nervous system panel value: evaluación médica general sin hallazgos anormales component code: Skin assessment [Interpretation] value: evaluación médica general sin hallazgos anormales
identifier:
  use:
    v: usual
  system:
    v: http://hospitalSystemInformation.example.org/observations/
  value:
    v: observation-ce-012
status:
  v: final
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 29545-1
    display:
      v: Physical findings Narrative
subject:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Patient/Example-CE-Patient-352d698c8230
  reference:
    v: Patient/Example-CE-Patient-352d698c8230
encounter:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Encounter/Example-CE-Encounter-6bf8f5968a20
  reference:
    v: Encounter/Example-CE-Encounter-6bf8f5968a20
effective: Period
  start:
    v: 2025-03-18T07:55:00Z
  end:
    v: 2025-03-18T08:05:00Z
issued:
  v: 2025-03-18T08:05:00Z
performer:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-CE-Practitioner-7ca0b887ef05
  reference:
    v: Practitioner/Example-CE-Practitioner-7ca0b887ef05
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 32434-3
      display:
        v: General appearance
  value: string
    v: Paciente luce una condición normal en la revisión básica de salud
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 71390-9
      display:
        v: CMS - head and face exam panel
  value: string
    v: El paciente presenta resequedad severa en el cuero cabelludo
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: LP149251-3
      display:
        v: CMS - neck exam panel
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: Z00.00
      display:
        v: evaluación médica general sin hallazgos anormales
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 57045-7
      display:
        v: Cardiac status
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: I49.9
      display:
        v: Cardiac arrhythmia, unspecified
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 52485-0
      display:
        v: Pulmonary Function Test
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: J84.8
      display:
        v: other specified interstitial pulmonary diseases
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 80271-0
      display:
        v: Physical findings of Abdomen by Palpation
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: Z00.00
      display:
        v: evaluación médica general sin hallazgos anormales
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 54535-0
      display:
        v: Genitourinary
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: Z00.00
      display:
        v: evaluación médica general sin hallazgos anormales
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 8703-1
      display:
        v: Physical findings Extremities
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: Z00.00
      display:
        v: evaluación médica general sin hallazgos anormales
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 0321-3
      display:
        v: Musculoskeletal assessment panel
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: Z00.00
      display:
        v: evaluación médica general sin hallazgos anormales
component:
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 5970-4
      display:
        v: central nervous system panel
  value: CodeableConcept
    coding:
      system:
        v: https://icd.who.int/browse/2024-01/mms/es
      code:
        v: Z00.00

v: evaluación médica general sin hallazgos anormales

code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 80343-7
    display:
      v: Skin assessment [Interpretation]
value: CodeableConcept
  coding:
    system:
      v: https://icd.who.int/browse/2024-01/mms/es
    code:
      v: Z00.00
    display:
      v: evaluación médica general sin hallazgos anormales