Snapshot 3: Connectathon 32 Base
DiagnosticsThis is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.
| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Blood Pressure Measurement cancelled
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
[a fhir:Observation;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "blood-pressure-cancel"]; #
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/vitalsigns";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/vitalsigns>
]
]; #
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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=\" EH Narrative created by build\n <text>\n <status value="generated"/>\n <div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div>\n </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/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\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/4.0.0/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 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=\"http://terminology.hl7.org/4.0.0/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=\"http://terminology.hl7.org/4.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></span></p></blockquote></div>"
]; # 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>
fhir:Observation.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
fhir:Identifier.value [ fhir:value "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" ]
]; #
fhir:Observation.status [ fhir:value "cancelled"]; #
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "vital-signs" ];
fhir:Coding.display [ fhir:value "Vital Signs" ]
]
]; #
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:85354-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "85354-9" ];
fhir:Coding.display [ fhir:value "Blood pressure panel with all children optional" ]
]; # replaced by 85354-9\n <coding>\n <system value=\"http:\/\/loinc.org\"\/>\n <code value=\"85354-9\"\/>\n <display value=\"Blood pressure systolic & diastolic\"\/>\n <\/coding>\n
fhir:CodeableConcept.text [ fhir:value "Blood pressure systolic & diastolic" ]
]; #
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/example" ]
]; #
fhir:Observation.effectiveDateTime [ fhir:value "2012-09-17"^^xsd:date]; #
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/example" ]
]; #
fhir:Observation.interpretation [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
fhir:Coding.code [ fhir:value "L" ];
fhir:Coding.display [ fhir:value "low" ]
];
fhir:CodeableConcept.text [ fhir:value "Below low normal" ]
]; # 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
fhir:Observation.note [
fhir:index 0;
fhir:Annotation.text [ fhir: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" ]
]; #
fhir:Observation.bodySite [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:368209003;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "368209003" ];
fhir:Coding.display [ fhir:value "Right arm" ]
]
]; # for an observation with components, these cannot disagree with the flags on the components
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:8480-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "8480-6" ];
fhir:Coding.display [ fhir:value "Systolic blood pressure" ]
], [
fhir:index 1;
a sct:271649006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "271649006" ];
fhir:Coding.display [ fhir:value "Systolic blood pressure" ]
], [
fhir:index 2;
fhir:Coding.system [ fhir:value "http://acme.org/devices/clinical-codes" ];
fhir:Coding.code [ fhir:value "bp-s" ];
fhir:Coding.display [ fhir:value "Systolic Blood pressure" ]
] # LOINC - always recommended to have a LOINC code
]; # \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 this instance shows the concept. The other codes only have a LOINC code , that shows the concept. The next two names only have a LOINC code
fhir:Observation.component.dataAbsentReason [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/data-absent-reason" ];
fhir:Coding.code [ fhir:value "not-asked" ];
fhir:Coding.display [ fhir:value "Not Asked" ]
]
] # no value due to some error\n <valueQuantity>\n <value value=\"107\"\/>\n <unit value=\"mm[Hg]\"\/>\n <\/valueQuantity>\n
], [
fhir:index 1;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:8462-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "8462-4" ];
fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]
]
];
fhir:Observation.component.dataAbsentReason [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/data-absent-reason" ];
fhir:Coding.code [ fhir:value "not-asked" ];
fhir:Coding.display [ fhir:value "Not Asked" ]
]
] # no value due to some error\n <valueQuantity>\n <value value=\"60\"\/>\n <unit value=\"mm[Hg]\"\/>\n <\/valueQuantity>\n
]] . #
# - ontology header ------------------------------------------------------------
[a owl:Ontology;
owl:imports fhir:fhir.ttl] .
# -------------------------------------------------------------------------------------
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 Ballot hl7.fhir.core#5.0.0-snapshot3 generated on Wed, Dec 14, 2022 07:17+1100.
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