R5 Final QA
DiagnosticsThis page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
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| 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 (id = "blood-pressure")
<?xml version="1.0" encoding="UTF-8"?> <Observation xmlns="http://hl7.org/fhir"> <id value="blood-pressure"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Observation</b> <a name="blood-pressure"> </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" </p> <p style="margin-bottom: 0px">Profile: <a href="vitalsigns.html">Vital Signs Profile</a> </p> </div> <p> <b> identifier</b> : id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p> <p> <b> basedOn</b> : <span title=" demonstrating the use of the baseOn element with a fictive identifier "><span/> </span> </p> <p> <b> status</b> : final</p> <p> <b> category</b> : Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/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/4.0.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #L "low")</span> </span> </p> <p> <b> bodySite</b> : <span title=" The BodySite can be captured in a LOINC code but am showing it here to demonstrate populating the element ">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 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 is shown here to demonstrate the concept of translations within the codeableConcept datatype. The diastolic code below only has 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> value</b> : 107 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mmHg')</span> </p> <p> <b> interpretation</b> : <span title=" an interpretation for the individual composite observation ">Normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #N "normal")</span> </span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span title=" this codes only has a LOINC code ">Diastolic blood pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #8462-4)</span> </span> </p> <p> <b> value</b> : 60 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mmHg')</span> </p> <p> <b> interpretation</b> : <span title=" an interpretation for the individual composite observation ">Below low normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #L "low")</span> </span> </p> </blockquote> </div> </text> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"/> </identifier> <!-- demonstrating the use of the baseOn element with a fictive identifier --><basedOn> <identifier> <system value="https://acme.org/identifiers"/> <value value="1234"/> </identifier> </basedOn> <status value="final"/> <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> <!-- The BodySite can be captured in a LOINC code but am showing it here to demonstrate populating the element --><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 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 is shown here to demonstrate the concept of translations within the codeableConcept datatype. The diastolic code below only has a LOINC code --><code> <!-- LOINC -code --><coding> <system value="http://loinc.org"/> <code value="8480-6"/> <display value="Systolic blood pressure"/> </coding> <!-- SNOMED CT Codes --><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> </code> <valueQuantity> <value value="107"/> <unit value="mmHg"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> <!-- an interpretation for the individual composite observation --><interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="N"/> <display value="normal"/> </coding> <text value="Normal"/> </interpretation> <!-- Should have a refrange as well --></component> <component> <!-- this codes only has a LOINC code --><code> <coding> <system value="http://loinc.org"/> <code value="8462-4"/> <display value="Diastolic blood pressure"/> </coding> </code> <valueQuantity> <value value="60"/> <unit value="mmHg"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> <!-- an interpretation for the individual composite observation --><interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="low"/> </coding> <text value="Below low normal"/> </interpretation> <!-- Should have a refrange as well --></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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:07+1100.
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