Observation-example-f201-bmi.xml

Real-world patient - bmi (id = "f201")

Raw XML

<Observation xmlns="http://hl7.org/fhir">
  <id value="f201"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <contained>
    <Observation>
      <id value="height"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="50373000"/>
          <display value="Body height measure"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="182"/>
        <units value="centimeter"/>
        <system value="http://snomed.info/sct"/>
        <code value="258672001"/>
      </valueQuantity>
      <status value="final"/><!--   The observation is complete   -->
      <reliability value="ok"/>
    </Observation>
  </contained>
  <contained>
    <Observation><!--   No reliability concerns   -->
      <id value="weight"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="27113001"/>
          <display value="Body weight"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="103.7"/>
        <units value="kilogram"/>
        <system value="http://snomed.info/sct"/>
        <code value="258683005"/>
      </valueQuantity>
      <status value="final"/><!--   The observation is complete   -->
      <reliability value="ok"/>
    </Observation>
  </contained><!--   No reliability concerns   -->
  <code><!--   Kind of observation = BMI   -->
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="60621009"/>
      <display value="Body mass index"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="39156-5"/>
      <display value="Body mass index (BMI) [Ratio]"/>
    </coding>
    <text value="BMI"/>
  </code>
  <valueQuantity><!--   BMI=31,31   -->
    <value value="31.31"/>
  </valueQuantity>
  <interpretation><!--   BMI of 31,31 is high   -->
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="75540009"/>
      <display value="High"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/v2/0078"/>
      <code value="H"/>
    </coding>
  </interpretation>
  <issued value="2013-04-04T13:27:00+01:00"/><!--   BMI was measured on this April fourth   -->
  <status value="final"/><!--   The observation is complete   -->
  <reliability value="ok"/><!--   No reliability concerns   -->
  <bodySiteCodeableConcept><!--   BMI applies to whole body   -->
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="38266002"/>
      <display value="Entire body as a whole"/>
    </coding>
  </bodySiteCodeableConcept>
  <method><!--   BMI method is measurement as an action   -->
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="122869004"/>
      <display value="Measurement procedure"/>
    </coding>
  </method><!--   No identifier could be provided to this observation   -->
  <subject><!--   It entails Roel's BMI   -->
    <reference value="Patient/f201"/>
    <display value="Roel"/>
  </subject>
  <performer>
    <reference value="Practitioner/f201"/>
  </performer>
  <referenceRange><!--   BMI&lt;20 indicates low BMI   -->
    <high>
      <value value="20"/>
    </high>
    <meaning>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="248342006"/>
        <display value="Underweight"/>
      </coding>
    </meaning>
  </referenceRange>
  <referenceRange><!--   20&lt;BMI&lt;25 indicates normal BMI   -->
    <low>
      <value value="20"/>
    </low>
    <high>
      <value value="25"/>
    </high>
    <meaning>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="43664005"/>
        <display value="Normal weight"/>
      </coding>
    </meaning>
  </referenceRange>
  <referenceRange><!--   25&lt;BMI&lt;30 indicates overweight   -->
    <low>
      <value value="25"/>
    </low>
    <high>
      <value value="30"/>
    </high>
    <meaning>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="238131007"/>
        <display value="Overweight"/>
      </coding>
    </meaning>
  </referenceRange>
  <referenceRange><!--   30&lt;BMI&lt;40 indicates obesity   -->
    <low>
      <value value="30"/>
    </low>
    <high>
      <value value="40"/>
    </high>
    <meaning>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="414915002"/>
        <display value="Obese"/>
      </coding>
    </meaning>
  </referenceRange>
  <referenceRange><!--   BMI&gt;40 indicates severe obesity   -->
    <low>
      <value value="40"/>
    </low>
    <meaning>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="238136002"/>
        <display value="Morbid obesity"/>
      </coding>
    </meaning>
  </referenceRange>
  <related>
    <type value="derived-from"/>
    <target>
      <reference value="#height"/>
    </target>
  </related>
  <related>
    <type value="derived-from"/>
    <target>
      <reference value="#weight"/>
    </target>
  </related>
</Observation>