This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
Blood Pressure Measurement cancelled
{ "resourceType": "Observation", "id": "blood-pressure-cancel", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/vitalsigns" ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"blood-pressure-cancel\"> </a></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 Observation "blood-pressure-cancel" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>identifier</b>: <span title=\" \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 \">id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</span></p><p><b>status</b>: cancelled</p><p><b>category</b>: Vital Signs <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>#vital-signs)</span></p><p><b>code</b>: Blood pressure systolic & diastolic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85354-9 "Blood pressure panel with all children optional")</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>effective</b>: 2012-09-17</p><p><b>performer</b>: <a href=\"practitioner-example.html\">Practitioner/example</a> "Adam CAREFUL"</p><p><b>interpretation</b>: <span title=\" 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 \">Below low normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#L "low")</span></span></p><p><b>note</b>: In this example, the blood pressure measurements are not available due to cancellation of the order. Data absent reason is present for each component</p><p><b>bodySite</b>: <span title=\" for an observation with components, these cannot disagree with the flags on the components \">Right arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#368209003)</span></span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\" \n Observations are often coded in multiple code systems.\n - LOINC provides a very specific code (though not usefully 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\t this instance shows the concept. The other codes only have a LOINC code \">Systolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8480-6; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#271649006; clinical-codes#bp-s "Systolic Blood pressure")</span></span></p><p><b>dataAbsentReason</b>: <span title=\" no value due to some error\n <valueQuantity>\n <value value="107"/>\n <unit value="mm[Hg]"/>\n </valueQuantity>\n \">Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8462-4)</span></p><p><b>dataAbsentReason</b>: <span title=\" no value due to some error\n <valueQuantity>\n <value value="60"/>\n <unit value="mm[Hg]"/>\n </valueQuantity>\n \">Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></span></p></blockquote></div>" }, "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" } ], "status": "cancelled", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "85354-9", "display": "Blood pressure panel with all children optional" } ], "text": "Blood pressure systolic & diastolic" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2012-09-17", "performer": [ { "reference": "Practitioner/example" } ], "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "L", "display": "low" } ], "text": "Below low normal" } ], "note": [ { "text": "In this example, the blood pressure measurements are not available due to cancellation of the order. Data absent reason is present for each component" } ], "bodySite": { "coding": [ { "system": "http://snomed.info/sct", "code": "368209003", "display": "Right arm" } ] }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic blood pressure" }, { "system": "http://snomed.info/sct", "code": "271649006", "display": "Systolic blood pressure" }, { "system": "http://acme.org/devices/clinical-codes", "code": "bp-s", "display": "Systolic Blood pressure" } ] }, "dataAbsentReason": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "not-asked", "display": "Not Asked" } ] } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic blood pressure" } ] }, "dataAbsentReason": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "not-asked", "display": "Not Asked" } ] } } ] }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.