Observation-example-bloodpressure.json

Blood Pressure Measurement

{
  "resourceType": "Observation",
  "id": "blood-pressure",
  "meta": {
    "lastUpdated": "2014-01-30T22:35:23+11:00"
  },
  "text": {
    "fhir_comments": [
      "  \tEH  Narrative created by build\n\t<text>\n\t\t<status value=\"generated\"/>\n\t\t<div xmlns=\"http://www.w3.org/1999/xhtml\">Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div>\n\t</text>\n  "
    ],
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: blood-pressure</p><p><b>meta</b>: </p><p><b>identifier</b>: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://hl7.org/fhir/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span>(Details : {LOINC code '55284-4' = 'Blood pressure systolic and diastolic', given as 'Blood pressure systolic &amp; diastolic'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: 17/09/2012</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>interpretation</b>: Below low normal <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'low'})</span></p><p><b>bodySite</b>: Right arm <span>(Details : {SNOMED CT code '368209003' = 'Right upper arm structure (body structure)', given as 'Right arm'})</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span>(Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = 'Systolic blood pressure (observable entity)', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = '??', given as 'Systolic Blood pressure'})</span></p><p><b>value</b>: 107 mmHg<span> (Details: http://unitsofmeasure.org code mm[Hg] = 'mmHg')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span>(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})</span></p><p><b>value</b>: 60 mmHg<span> (Details: http://unitsofmeasure.org code mm[Hg] = 'mmHg')</span></p></blockquote></div>"
  },
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
    }
  ],
  "status": "final",
  "category": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/observation-category",
        "code": "vital-signs",
        "display": "Vital Signs"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "55284-4",
        "display": "Blood pressure systolic & diastolic"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "effectiveDateTime": "2012-09-17",
  "performer": [
    {
      "reference": "Practitioner/example"
    }
  ],
  "interpretation": {
    "fhir_comments": [
      "   an interpretation offered to the combination observation\n        generally, it would only be appropriate to offer an interpretation\n        of an observation that has no value if it has \"COMP\" (component)\n        observations   "
    ],
    "coding": [
      {
        "system": "http://hl7.org/fhir/v2/0078",
        "code": "L",
        "display": "low"
      }
    ],
    "text": "Below low normal"
  },
  "bodySite": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "368209003",
        "display": "Right arm"
      }
    ]
  },
  "component": [
    {
      "fhir_comments": [
        "  \tShould have a refrange as well  "
      ],
      "code": {
        "fhir_comments": [
          "  \n           Observations are often coded in multiple code systems.\n           - LOINC provides a very specific code (though not more specific in this particular case)\n           - snomed provides a clinically relevant code that is usually less granular than LOINC\n           - the source system provides its own code, which may be less or more granular than LOINC\n\nthis is shown here to demonstrate  the concept of translations within the codeableConcept datatype. The diastolic code below only has a LOINC code \n           "
        ],
        "coding": [
          {
            "fhir_comments": [
              "   LOINC -code   "
            ],
            "system": "http://loinc.org",
            "code": "8480-6",
            "display": "Systolic blood pressure"
          },
          {
            "fhir_comments": [
              "   SNOMED CT Codes   "
            ],
            "system": "http://snomed.info/sct",
            "code": "271649006",
            "display": "Systolic blood pressure"
          },
          {
            "fhir_comments": [
              "   Also, a local code specific to the source system   "
            ],
            "system": "http://acme.org/devices/clinical-codes",
            "code": "bp-s",
            "display": "Systolic Blood pressure"
          }
        ]
      },
      "valueQuantity": {
        "value": 107,
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      }
    },
    {
      "fhir_comments": [
        "  \tShould have a refrange as well  "
      ],
      "code": {
        "fhir_comments": [
          "   this codes only has a LOINC code   "
        ],
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8462-4",
            "display": "Diastolic blood pressure"
          }
        ]
      },
      "valueQuantity": {
        "value": 60,
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      }
    }
  ]
}