HL7中国症状数据交换实施指南
2026.02.23 - release

HL7中国症状数据交换实施指南 - Local Development build (v2026.02.23) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : HearingLossSymptom - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "HearingLossSymptom",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org.cn/fhir-ig/symptoms/StructureDefinition/Symptoms"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation HearingLossSymptom</b></p><a name=\"HearingLossSymptom\"> </a><a name=\"hcHearingLossSymptom\"> </a><a name=\"HearingLossSymptom-en-US\"> </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-Symptoms.html\">患者症状结构定义</a></p></div><p><b>Supporting info</b>: <a href=\"Observation-DizzinessSymptom.html\">Observation Symptom</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes symptom}\">症状</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 75325-1}\">Symptom</span></p><p><b>subject</b>: <a href=\"Patient-Zhangsanfeng.html\">张三丰 Male, DoB: 1953-02-21</a></p><p><b>effective</b>: 2025-04-01 13:22:17+0200 --&gt; 2025-10-16 13:42:17+0200</p><p><b>issued</b>: 2025-10-16 13:42:17+0200</p><p><b>performer</b>: <a href=\"Patient-Zhangsanfeng.html\">张三丰 Male, DoB: 1953-02-21</a></p><p><b>value</b>: <span title=\"Codes:{http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/gb-14396-2016 H91.900}\">听觉丧失</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 64750-3}\">严重程度</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 371923003}\">轻度到中度</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 104156-5}\">发作频率</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 255238004}\">连续</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 99495-4}\">发作速度</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 61751001}\">渐进性发作</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89253-9}\">症状趋势</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 35105006}\">增加</span></p></blockquote></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
          "valueReference" : {
            🔗 "reference" : "Observation/DizzinessSymptom"
          }
        }
      ],
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/symptom-temporary-codes",
              "code" : "symptom",
              "display" : "症状"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "75325-1",
            "display" : "Symptom"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/Zhangsanfeng"
      },
      "effectivePeriod" : {
        "start" : "2025-04-01T13:22:17.239+02:00",
        "end" : "2025-10-16T13:42:17.239+02:00"
      },
      "issued" : "2025-10-16T13:42:17.239+02:00",
      "performer" : [
        {
          🔗 "reference" : "Patient/Zhangsanfeng"
        }
      ],
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org.cn/fhir-ig/symptoms/CodeSystem/gb-14396-2016",
            "code" : "H91.900",
            "display" : "听觉丧失"
          }
        ]
      },
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "64750-3",
                "display" : "严重程度"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "371923003",
                "display" : "轻度到中度"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "104156-5",
                "display" : "发作频率"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "255238004",
                "display" : "连续"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "99495-4",
                "display" : "发作速度"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "61751001",
                "display" : "渐进性发作"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "89253-9",
                "display" : "症状趋势"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "35105006",
                "display" : "增加"
              }
            ]
          }
        }
      ]
    }