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

<Observation xmlns="http://hl7.org/fhir">
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2023-01-26T00:21:56.607Z"/>
    <profile value="https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/ManaakiNgaTahiObservation"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation ObservationExample</b></p><a name="ObservationExample"> </a><a name="hcObservationExample"> </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">version: 1; Last updated: 2023-01-26 00:21:56+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ManaakiNgaTahiObservation.html">ManaakiNgaTahiObservation</a></p></div><p><b>identifier</b>: 84078e9c-6a70-47e0-9f8e-bf77109c32a0 (CarePlan which requested Obs) (use: secondary, )</p><p><b>basedOn</b>: <a href="ServiceRequest-ObservationsServiceRequestExample.html">ServiceRequest Measurement procedure (procedure)</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 122869004}">Measurement procedure (procedure)</span></p><p><b>subject</b>: Carey Carrington (Identifier: <a href="http://fhir.org.nz/ig/base/NamingSystem-nhi.html" title="NHI number">NHI</a>/ZXP7823 (use: official, ))</p><p><b>encounter</b>: <a href="Encounter-EncounterExample.html">Encounter: status = in-progress; class = virtual (ActCode#VR); serviceType = General Practice; priority = timing critical; period = 2022-09-20 --&gt; 2022-09-27; reasonCode = patient-initiated encounter</a></p><p><b>effective</b>: 2022-12-12 04:22:55+0000</p><p><b>issued</b>: 2022-12-12 04:22:55+0000</p><p><b>performer</b>: Dottie McStuffins (Identifier: <a href="http://fhir.org.nz/ig/base/NamingSystem-hpiProvider.html" title="HPI providers">HPIProvider</a>/99ZZFX (use: official, ))</p><p><b>note</b>: By  @2023-04-30 22:55:31+0000</p><blockquote><div><p>Patient appears confused</p>
</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8480-6}">Systolic blood pressure</span></p><p><b>value</b>: 73 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8462-4}">Diastolic blood pressure</span></p><p><b>value</b>: 73 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8867-4}">Heart rate</span></p><p><b>value</b>: 44 beats/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM  code/min = '/min')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 80404-7}">R-R interval.standard deviation (Heart rate variability)</span></p><p><b>value</b>: 44 milliseconds<span style="background: LightGoldenRodYellow"> (Details: UCUM  codems = 'ms')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 9279-1}">Respiratory rate</span></p><p><b>value</b>: 17 breaths/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM  code/min = '/min')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 59408-5}">Oxygen saturation in Arterial blood by Pulse oximetry</span></p><p><b>value</b>: 96 percent saturation<span style="background: LightGoldenRodYellow"> (Details: UCUM  code%{saturation} = '%{saturation}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 95606-0}">Stress level 0-10 24h Max Score</span></p><p><b>value</b>: 8 ScoreOf<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{ScoreOf} = '{ScoreOf}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 93038-8}">Stress Level</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 304753007}">normal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8310-5}">Body temperature</span></p><p><b>value</b>: 38 degree Celsius<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeCel = 'Cel')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 80296-7}">Patient Mood</span></p><p><b>value</b>: 8 ScoreOf<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{ScoreOf} = '{ScoreOf}')</span></p></blockquote></div>
  </text>
  <identifier>
    <use value="secondary"/>
    <value value="84078e9c-6a70-47e0-9f8e-bf77109c32a0 (CarePlan which requested Obs)"/>
  </identifier>
  <basedOn>
    <reference value="ServiceRequest/ObservationsServiceRequestExample"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="vital-signs"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="122869004"/>
      <display value="Measurement procedure (procedure)"/>
    </coding>
  </code>
  <subject>
    <type value="Patient"/>
    <identifier>
      <use value="official"/>
      <system value="https://standards.digital.health.nz/ns/nhi-id"/>
      <value value="ZXP7823"/>
    </identifier>
    <display value="Carey Carrington"/>
  </subject>
  <encounter>
    <reference value="Encounter/EncounterExample"/>
  </encounter>
  <effectiveDateTime value="2022-12-12T04:22:55.965Z"/>
  <issued value="2022-12-12T04:22:55.965Z"/>
  <performer>
    <type value="Practitioner"/>
    <identifier>
      <use value="official"/>
      <system value="https://standards.digital.health.nz/ns/hpi-person-id"/>
      <value value="99ZZFX"/>
    </identifier>
    <display value="Dottie McStuffins"/>
  </performer>
  <note>
    <authorReference>
      <type value="Practitioner"/>
      <identifier>
        <use value="official"/>
        <system value="https://standards.digital.health.nz/ns/hpi-person-id"/>
        <value value="99ZZFX"/>
      </identifier>
      <display value="Dottie McStuffins"/>
    </authorReference>
    <time value="2023-04-30T22:55:31.987Z"/>
    <text value="Patient appears confused"/>
  </note>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8480-6"/>
        <display value="Systolic blood pressure"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="73"/>
      <unit value="mmHg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8462-4"/>
        <display value="Diastolic blood pressure"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="73"/>
      <unit value="mmHg"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8867-4"/>
        <display value="Heart rate"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="44"/>
      <unit value="beats/minute"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/min"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="80404-7"/>
        <display value="R-R interval.standard deviation (Heart rate variability)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="44"/>
      <unit value="milliseconds"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ms"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="9279-1"/>
        <display value="Respiratory rate"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="17"/>
      <unit value="breaths/minute"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/min"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59408-5"/>
        <display value="Oxygen saturation in Arterial blood by Pulse oximetry"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="96"/>
      <unit value="percent saturation"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="%{saturation}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="95606-0"/>
        <display value="Stress level 0-10 24h Max Score"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="8"/>
      <unit value="ScoreOf"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{ScoreOf}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="93038-8"/>
        <display value="Stress Level"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="304753007"/>
        <display value="Perceived stress scale (assessment scale)"/>
      </coding>
      <text value="normal"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8310-5"/>
        <display value="Body temperature"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="38"/>
      <unit value="degree Celsius"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="Cel"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="80296-7"/>
        <display value="Patient Mood"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="8"/>
      <unit value="ScoreOf"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{ScoreOf}"/>
    </valueQuantity>
  </component>
</Observation>