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
@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"]; #
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\"> </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\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>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=\" \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 \">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>"
]; #
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.basedOn [
fhir:index 0;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "https://acme.org/identifiers" ];
fhir:Identifier.value [ fhir:value "1234" ]
]
]; # demonstrating the use of the baseOn element with a fictive identifier
fhir:Observation.status [ fhir:value "final"]; #
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.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" ]
]
]; # The BodySite can be captured in a LOINC code but am showing it here to demonstrate populating the element
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 -code
]; # \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
fhir:Observation.component.valueQuantity [
fhir:Quantity.value [ fhir:value "107"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mmHg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mm[Hg]" ]
];
fhir:Observation.component.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 "N" ];
fhir:Coding.display [ fhir:value "normal" ]
];
fhir:CodeableConcept.text [ fhir:value "Normal" ]
] # an interpretation for the individual composite observation
], [
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" ]
]
]; # this codes only has a LOINC code
fhir:Observation.component.valueQuantity [
fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mmHg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mm[Hg]" ]
];
fhir:Observation.component.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 for the individual composite observation
]] . # Should have a refrange as well
# - 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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