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 XML (canonical form + also see XML Format Specification)
Blood Pressure Measurement cancelled (id = "blood-pressure-cancel")
<?xml version="1.0" encoding="UTF-8"?> <Observation xmlns="http://hl7.org/fhir"> <id value="blood-pressure-cancel"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <!-- EH Narrative created by build <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div> </text> --><text> <status value="generated"/> <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=" EH Narrative created by build <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div> </text> ">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 generally, it would only be appropriate to offer an interpretation of an observation that has no value if it has "COMP" (component) 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=" Observations are often coded in multiple code systems. - LOINC provides a very specific code (though not usefully more specific in this particular case) - snomed provides a clinically relevant code that is usually less granular than LOINC - the source system provides its own code, which may be less or more granular than LOINC 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 <valueQuantity> <value value="107"/> <unit value="mm[Hg]"/> </valueQuantity> ">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 <valueQuantity> <value value="60"/> <unit value="mm[Hg]"/> </valueQuantity> ">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> </text> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"/> </identifier> <status value="cancelled"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <!-- replaced by 85354-9 <coding> <system value="http://loinc.org"/> <code value="85354-9"/> <display value="Blood pressure systolic & diastolic"/> </coding> --><coding> <system value="http://loinc.org"/> <code value="85354-9"/> <display value="Blood pressure panel with all children optional"/> </coding> <text value="Blood pressure systolic & diastolic"/> </code> <subject> <reference value="Patient/example"/> </subject> <effectiveDateTime value="2012-09-17"/> <performer> <reference value="Practitioner/example"/> </performer> <!-- an interpretation offered to the combination observation generally, it would only be appropriate to offer an interpretation of an observation that has no value if it has "COMP" (component) observations --><interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="low"/> </coding> <text value="Below low normal"/> </interpretation> <note> <text value="In this example, the blood pressure measurements are not available due to cancellation of the order. Data absent reason is present for each component"/> </note> <!-- for an observation with components, these cannot disagree with the flags on the components --><bodySite> <coding> <system value="http://snomed.info/sct"/> <code value="368209003"/> <display value="Right arm"/> </coding> </bodySite> <component> <!-- Observations are often coded in multiple code systems. - LOINC provides a very specific code (though not usefully more specific in this particular case) - snomed provides a clinically relevant code that is usually less granular than LOINC - the source system provides its own code, which may be less or more granular than LOINC this instance shows the concept. The other codes only have a LOINC code --><code> <!-- LOINC - always recommended to have a LOINC code --><coding> <system value="http://loinc.org"/> <code value="8480-6"/> <display value="Systolic blood pressure"/> </coding> <!-- SNOMED CT Codes - becoming more common --><coding> <system value="http://snomed.info/sct"/> <code value="271649006"/> <display value="Systolic blood pressure"/> </coding> <!-- Also, a local code specific to the source system --><coding> <system value="http://acme.org/devices/clinical-codes"/> <code value="bp-s"/> <display value="Systolic Blood pressure"/> </coding> <!-- that shows the concept. The next two names only have a LOINC code --></code> <!-- no value due to some error <valueQuantity> <value value="107"/> <unit value="mm[Hg]"/> </valueQuantity> --><dataAbsentReason> <coding> <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/> <code value="not-asked"/> <display value="Not Asked"/> </coding> </dataAbsentReason> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="8462-4"/> <display value="Diastolic blood pressure"/> </coding> </code> <!-- no value due to some error <valueQuantity> <value value="60"/> <unit value="mm[Hg]"/> </valueQuantity> --><dataAbsentReason> <coding> <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/> <code value="not-asked"/> <display value="Not Asked"/> </coding> </dataAbsentReason> </component> </Observation>
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.