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X-Powered-By: HAPI FHIR 6.3.14-SNAPSHOT/763b8c9945/2023-01-25 REST Server (FHIR Server; FHIR 4.0.1/R4)
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}, {
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"status": "final",
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"display": "Go up and down a curb/step - usual functional ability during assessment period [CMS Assessment]"
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"text": "Go up and down a curb/step - usual functional ability during assessment period [CMS Assessment]"
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"subject": {
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"display": "Independent - Person completes the activity by him/herself with no assistance from a helper."
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},
"search": {
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}, {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource &quot;BSJ-ObservationSPLASCH-011&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Spoken language comprehension <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-SPLASCHObservationCategoryCS.html\">SPLASCH Observation Category Codes</a>#spoken-language-comprehension)</span></p><p><b>code</b>: Participate in communication without assistance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-SPLASCHSpeechComprehensionObservationCS.html\">Speech Comprehension Observation Codes</a>#communicate-without-assistance)</span></p><p><b>subject</b>: <a href=\"Patient-BSJ-patientBSJ1.html\">Patient/BSJ-C0522-Incoherent</a> &quot; SMITH-JOHNSON&quot;</p><p><b>effective</b>: 2020-07-08T08:00:00-05:00</p><p><b>performer</b>: </p><ul><li><a href=\"Practitioner-Practitioner-RonMarble.html\">Practitioner/Practitioner-RonMarble</a> &quot; MARBLE&quot;</li><li><a href=\"PractitionerRole-provider-role-physical-therapist-RonMarble.html\">PractitionerRole/provider-role-physical-therapist-RonMarble</a></li><li><a href=\"Organization-Organization-San-Antonio-General-Hospital.html\">Organization/Organization-San-Antonio-General-Hospital</a> &quot;San Antonio General Hospital&quot;</li></ul><p><b>value</b>: Rarely <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (SPLASCHFrequencyCS#LA10066-1)</span></p></div>"
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}, {
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"resource": {
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"source": "#dcBc9AAiMUnyzioG"
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource &quot;BSJ-ObservationSPLASCH-018&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Spoken language expression <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-SPLASCHObservationCategoryCS.html\">SPLASCH Observation Category Codes</a>#spoken-language-expression)</span></p><p><b>code</b>: Produce verbal messages with appropriate form in high demand situations <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-SPLASCHSpeechExpressionObservationCS.html\">Speech Expression Observation Codes</a>#verbal-form-high-demand)</span></p><p><b>subject</b>: <a href=\"Patient-BSJ-patientBSJ1.html\">Patient/BSJ-C0522-Incoherent</a> &quot; SMITH-JOHNSON&quot;</p><p><b>effective</b>: 2020-07-08T08:40:00-05:00</p><p><b>performer</b>: </p><ul><li><a href=\"Practitioner-Practitioner-LisaGreene.html\">Practitioner/Practitioner-LisaGreene</a> &quot; GREENE&quot;</li><li><a href=\"PractitionerRole-provider-role-occupational-therapist-LisaGreene.html\">PractitionerRole/provider-role-occupational-therapist-LisaGreene</a></li><li><a href=\"Organization-Organization-San-Antonio-General-Hospital.html\">Organization/Organization-San-Antonio-General-Hospital</a> &quot;San Antonio General Hospital&quot;</li></ul><p><b>value</b>: Sometimes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (SPLASCHFrequencyCS#LA10082-8)</span></p></div>"
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"coding": [ {
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"code": {
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"subject": {
"reference": "Patient/BSJ-C0522-Incoherent"
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"effectiveDateTime": "2020-07-08T08:40:00-05:00",
"performer": [ {
"reference": "Practitioner/Practitioner-LisaGreene"
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"reference": "PractitionerRole/provider-role-occupational-therapist-LisaGreene"
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"reference": "Organization/Organization-San-Antonio-General-Hospital"
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"search": {
"mode": "match"
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}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/SNF-MOB-DG-MDS-5-Day-NC-1B-Ob-Question-38",
"resource": {
"resourceType": "Observation",
"id": "SNF-MOB-DG-MDS-5-Day-NC-1B-Ob-Question-38",
"meta": {
"versionId": "2",
"lastUpdated": "2022-03-31T17:37:57.785+00:00",
"source": "#cyBfOiKhTKLMjPy8"
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"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource &quot;SNF-MOB-DG-MDS-5-Day-NC-1B-Ob-Question-38&quot; </p></div><p><b>Event Location</b>: <a href=\"Location-Provider-Org-Loc-1.html\">Location/Provider-Org-Loc-1</a> &quot;Happy Nursing Facility&quot;</p><p><b>status</b>: final</p><p><b>code</b>: Lying to sitting on side of bed - functional goal [CMS Assessment] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85927-2)</span></p><p><b>subject</b>: <a href=\"Patient-patientBSJ1.html\">Patient/BSJ-C0522-Incoherent</a> &quot; SMITH-JOHNSON&quot;</p><p><b>effective</b>: 2020-01-02T16:00:00-05:00</p><p><b>performer</b>: <a href=\"PractitionerRole-provider-role-nurse-Practitioner-SummerJohnson.html\">PractitionerRole/provider-role-nurse-Practitioner-SummerJohnson</a></p><p><b>value</b>: Independent - Patient completes the activity by him/herself with no assistance from a helper. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA9983-3)</span></p></div>"
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"status": "final",
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"coding": [ {
"system": "http://loinc.org",
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"text": "Lying to sitting on side of bed - functional goal [CMS Assessment]"
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"subject": {
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"effectiveDateTime": "2020-01-02T16:00:00-05:00",
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"search": {
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}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/53335",
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"id": "53335",
"meta": {
"versionId": "1",
"lastUpdated": "2019-11-01T21:37:05.589+00:00",
"source": "#Pzd7PO3A3sZn4z63"
},
"identifier": [ {
"value": "29bdf391-8a1d-4f8c-b961-92751fccc50c"
} ],
"status": "final",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/ValueSet/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
} ]
} ],
"subject": {
"reference": "Patient/53254",
"type": "Patient"
},
"effectiveDateTime": "2013-01-30",
"valueQuantity": {
"value": 28.0,
"unit": "1"
}
},
"search": {
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}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/2074085",
"resource": {
"resourceType": "Observation",
"id": "2074085",
"meta": {
"versionId": "1",
"lastUpdated": "2021-04-29T11:03:32.644+00:00",
"source": "#rt981ZiVXqMjTFnV"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Weight, 79.1 Kg</div>"
},
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "3141-9"
} ],
"text": "Weight"
},
"subject": {
"reference": "Patient/2074043"
},
"effectiveDateTime": "2021-04-08T14:03:32+03:00",
"valueQuantity": {
"value": 79.1,
"unit": "Kg"
}
},
"search": {
"mode": "match"
}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/PSFP-SNF-MOB-Adhoc-1E-Ob-Question-7",
"resource": {
"resourceType": "Observation",
"id": "PSFP-SNF-MOB-Adhoc-1E-Ob-Question-7",
"meta": {
"versionId": "1",
"lastUpdated": "2022-04-26T18:31:45.212+00:00",
"source": "#XUEd4E7CY1nM4mqo",
"profile": [ "http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-observation" ]
},
"extension": [ {
"url": "http://hl7.org/fhir/us/pacio-fp/StructureDefinition/event-location",
"valueReference": {
"reference": "Location/PSFP-org-Loc-SNF-Happy-Nursing-Facility"
}
} ],
"status": "final",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/pacio-fp/CodeSystem/fp-functioning-cs",
"code": "functioning",
"display": "Functioning"
} ]
}, {
"coding": [ {
"system": "http://hl7.org/fhir/us/pacio-fp/CodeSystem/fp-category-cs",
"code": "mobility",
"display": "Mobility"
} ]
}, {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89386-7",
"display": "Walk 10 feet - functional ability [CMS Assessment]"
} ]
},
"subject": {
"reference": "Patient/PSFP-patientBSJ1"
},
"effectiveDateTime": "2021-03-16T13:45:00-05:00",
"performer": [ {
"reference": "PractitionerRole/PSFP-Role-PT-DanielGranger"
} ],
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA10055-4",
"display": "Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort."
} ]
}
},
"search": {
"mode": "match"
}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/1978097",
"resource": {
"resourceType": "Observation",
"id": "1978097",
"meta": {
"versionId": "1",
"lastUpdated": "2021-03-30T01:26:58.722+00:00",
"source": "#7EY8KIDVyCQijZi1"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Height, 90 cm</div>"
},
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2"
} ],
"text": "Height"
},
"subject": {
"reference": "Patient/1978046"
},
"effectiveDateTime": "2021-02-23T14:26:58+13:00",
"valueQuantity": {
"value": 90,
"unit": "cm"
}
},
"search": {
"mode": "match"
}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/1385872",
"resource": {
"resourceType": "Observation",
"id": "1385872",
"meta": {
"versionId": "1",
"lastUpdated": "2020-07-12T14:17:23.654+00:00",
"source": "#v4VDfkj9QZgT5SES"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Heart Rate, 80 bpm</div>"
},
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4"
} ],
"text": "Heart Rate"
},
"subject": {
"reference": "Patient/1385833"
},
"effectiveDateTime": "2020-06-21T10:17:23-04:00",
"valueQuantity": {
"value": 80,
"unit": "bpm"
}
},
"search": {
"mode": "match"
}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/2910533",
"resource": {
"resourceType": "Observation",
"id": "2910533",
"meta": {
"versionId": "1",
"lastUpdated": "2022-04-23T01:04:03.372+00:00",
"source": "#Nyt1N5NUfmwmaTmN",
"profile": [ "http://hl7.org/fhir/us/pacio-fp/StructureDefinition/fp-observation" ]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource &quot;FPIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-32&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fp-observation.html\">Functional Performance Observation</a></p></div><p><b>ObservationEventLocation</b>: <a href=\"Location-FPIG-Org-Loc-01.html\">Location/FPIG-Org-Loc-01</a> &quot;San Antonio General Hospital&quot;</p><p><b>status</b>: final</p><p><b>category</b>: Functioning <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-fp-functioning-cs.html\">Functional Performance Functioning Category Code System</a>#functioning)</span>, Mobility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-fp-category-cs.html\">Functional Performance Category</a>#mobility)</span>, Survey <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#83188-3)</span></p><p><b>subject</b>: <a href=\"Patient-FPIG-patientBSJ2.html\">Patient/FPIG-patientBSJ2</a> &quot; SMITH-JOHNSON&quot;</p><p><b>effective</b>: 2020-07-10 02:34:00-0500</p><p><b>performer</b>: <a href=\"PractitionerRole-FPIG-Role-PT-RonMarble.html\">PractitionerRole/FPIG-Role-PT-RonMarble</a></p><p><b>value</b>: Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA11759-0)</span></p><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-FPIG-QResponse-Hospital-Discharge-Mobility-1.html\">QuestionnaireResponse/FPIG-QResponse-Hospital-Discharge-Mobility-1</a></p></div>"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/pacio-fp/StructureDefinition/event-location",
"valueReference": {
"reference": "Location/2910461"
}
} ],
"status": "final",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/pacio-fp/CodeSystem/fp-functioning-cs",
"code": "functioning",
"display": "Functioning"
} ]
}, {
"coding": [ {
"system": "http://hl7.org/fhir/us/pacio-fp/CodeSystem/fp-category-cs",
"code": "mobility",
"display": "Mobility"
} ]
}, {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "83188-3",
"display": "Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]"
} ]
},
"subject": {
"reference": "Patient/2910554"
},
"effectiveDateTime": "2020-07-10T14:34:00-05:00",
"performer": [ {
"reference": "PractitionerRole/2910568"
} ],
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA11759-0",
"display": "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."
} ]
},
"derivedFrom": [ {
"reference": "QuestionnaireResponse/2910577"
} ]
},
"search": {
"mode": "match"
}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/RT-HHA-MOB-DC-OASIS-2E-Ob-Question-26",
"resource": {
"resourceType": "Observation",
"id": "RT-HHA-MOB-DC-OASIS-2E-Ob-Question-26",
"meta": {
"versionId": "1",
"lastUpdated": "2022-06-23T05:16:45.402+00:00",
"source": "#EKo784v57PlNuUrZ"
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/event-location",
"valueReference": {
"reference": "Location/RT-PractitionerOrgLoc-SkyHarbor-HHA"
}
} ],
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "95005-5",
"display": "Car transfer - usual functional ability during assessment period [CMS Assessment]"
} ]
},
"subject": {
"reference": "Patient/RT-Patient-BSJ"
},
"encounter": {
"reference": "Encounter/RT-HHA-Encounter"
},
"effectiveDateTime": "2021-08-24T09:50:00-05:00",
"performer": [ {
"reference": "PractitionerRole/RT-PractitionerRole-PT-ScottDumble"
} ],
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30909-8",
"display": "Independent - Person completes the activity by him/herself with no assistance from a helper."
} ]
}
},
"search": {
"mode": "match"
}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/BSJ2-ObservationSPLASCH-111",
"resource": {
"resourceType": "Observation",
"id": "BSJ2-ObservationSPLASCH-111",
"meta": {
"versionId": "1",
"lastUpdated": "2022-04-24T20:59:18.270+00:00",
"source": "#OhJmi5qUOdenB4bT"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource &quot;BSJ-ObservationSPLASCH-111&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Swallowing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-SPLASCHObservationCategoryCS.html\">SPLASCH Observation Category Codes</a>#swallowing)</span></p><p><b>code</b>: Difficulties with oral containment or secretion management <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-SPLASCHSwallowingObservationCS.html\">Swallowing Observation Codes</a>#oral-containment-secretion-difficulty)</span></p><p><b>subject</b>: <a href=\"Patient-FPIG-patientBSJ2.html\">Patient/FPIG-patientBSJ2</a> &quot; SMITH-JOHNSON&quot;</p><p><b>effective</b>: 2020-07-12T16:30:00-05:00</p><p><b>performer</b>: </p><ul><li><a href=\"Practitioner-Practitioner-MariaGonzalez.html\">Practitioner/Practitioner-MariaGonzalez</a> &quot; GONZALEZ&quot;</li><li><a href=\"PractitionerRole-provider-role-speech-language-pathologist-MariaGonzalez.html\">PractitionerRole/provider-role-speech-language-pathologist-MariaGonzalez</a></li><li><a href=\"Organization-Organization-Happy-Nursing-Facility.html\">Organization/Organization-Happy-Nursing-Facility</a> &quot;Happy Nursing Facility&quot;</li></ul><p><b>value</b>: 50-75% of the time <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-SPLASCHTimePercentageCategoryCS.html\">Observation Value Time Percentage Category Codes</a>#50-75-percent)</span></p></div>"
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/pacio-splasch/CodeSystem/SPLASCHObservationCategoryCS",
"code": "swallowing",
"display": "Swallowing"
} ]
} ],
"code": {
"coding": [ {
"system": "http://hl7.org/fhir/us/pacio-splasch/CodeSystem/SPLASCHSwallowingObservationCS",
"code": "oral-containment-secretion-difficulty",
"display": "Difficulties with oral containment or secretion management"
} ]
},
"subject": {
"reference": "Patient/FPIG-patientBSJ2"
},
"effectiveDateTime": "2020-07-12T16:30:00-05:00",
"performer": [ {
"reference": "Practitioner/Practitioner-MariaGonzalez"
}, {
"reference": "PractitionerRole/provider-role-speech-language-pathologist-MariaGonzalez"
}, {
"reference": "Organization/Organization-Happy-Nursing-Facility"
} ],
"valueCodeableConcept": {
"coding": [ {
"system": "http://hl7.org/fhir/us/pacio-splasch/CodeSystem/SPLASCHTimePercentageCategoryCS",
"code": "50-75-percent",
"display": "50-75% of the time"
} ]
}
},
"search": {
"mode": "match"
}
}, {
"fullUrl": "https://hapi.fhir.org/baseR4/Observation/e374aa07-5f85-44af-9ed6-cf18415a2898",
"resource": {
"resourceType": "Observation",
"id": "e374aa07-5f85-44af-9ed6-cf18415a2898",
"meta": {
"versionId": "1",
"lastUpdated": "2020-03-25T00:08:54.347+00:00",
"source": "#pEbiVawi20kJUaJB",
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ],
"tag": [ {
"system": "https://smarthealthit.org/tags",
"code": "Covid19 synthetic population from Synthea"
} ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "2947-0",
"display": "Sodium"
} ],
"text": "Sodium"
},
"subject": {
"reference": "Patient/40189f1c-3336-4056-8b60-596ff2640efc"
},
"encounter": {
"reference": "Encounter/9bedee1e-c51b-4b03-b0aa-c5bc1beee54a"
},
"effectiveDateTime": "2019-09-08T08:28:48-05:00",
"issued": "2019-09-08T08:28:48.876-05:00",
"valueQuantity": {
"value": 136.57,
"unit": "mmol/L",
"system": "http://unitsofmeasure.org",
"code": "mmol/L"
}
},
"search": {
"mode": "match"
}
} ]
}
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