QI-Core Implementation Guide
7.0.0-ballot - STU7 Ballot
QI-Core Implementation Guide
7.0.0-ballot - STU7 Ballot
This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://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:id [ fhir:v "example"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30350-3}\">Hemoglobin [Mass/volume] in Venous blood</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.</a></p><p><b>effective</b>: 2013-04-02 10:30:10+0100 --> 2013-04-05 10:30:10+0100</p><p><b>issued</b>: 2013-04-03 15:30:10+0100</p><p><b>performer</b>: <a href=\"Practitioner-example.html\">Practitioner</a></p><p><b>value</b>: 7.2 g/dl<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/dL = 'g/dL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0078 L}\">Below low normal</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 308046002}\">Superficial forearm vein</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 120220003}\">Injection to forearm</span></p><p><b>derivedFrom</b>: <a href=\"Observation-example.html\">Observation Hemoglobin [Mass/volume] in Venous blood</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}, {http://snomed.info/sct 271649006}\">Systolic blood pressure</span></p><p><b>value</b>: 107 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0078 N}\">Normal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 60 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0078 L}\">Below low normal</span></p></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:33586001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "33586001" ] ;
fhir:display [ fhir:v "Sitting position (finding)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "vital-signs" ] ;
fhir:display [ fhir:v "Vital Signs" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:30350-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "30350-3" ] ;
fhir:display [ fhir:v "Hemoglobin [Mass/volume] in Venous blood" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:encounter [
fhir:reference [ fhir:v "Encounter/example" ]
] ; #
fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2013-04-02T10:30:10+01:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2013-04-05T10:30:10+01:00"^^xsd:dateTime ]
] ; #
fhir:issued [ fhir:v "2013-04-03T15:30:10+01:00"^^xsd:dateTime] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Practitioner" ]
] ) ; #
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "7.2"^^xsd:decimal ] ;
fhir:unit [ fhir:v "g/dl" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "g/dL" ]
] ; #
fhir:interpretation ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0078"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L" ] ;
fhir:display [ fhir:v "Low" ] ] ) ;
fhir:text [ fhir:v "Below low normal" ]
] ) ; #
fhir:bodySite [
( fhir:coding [
a sct:308046002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "308046002" ] ;
fhir:display [ fhir:v "Superficial forearm vein" ] ] )
] ; #
fhir:method [
( fhir:coding [
a sct:120220003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "120220003" ] ;
fhir:display [ fhir:v "Injection to forearm" ] ] )
] ; #
fhir:derivedFrom ( [
fhir:reference [ fhir:v "Observation/example" ]
] ) ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:8480-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "8480-6" ] ;
fhir:display [ fhir:v "Systolic blood pressure" ] ] [
a sct:271649006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "271649006" ] ;
fhir:display [ fhir:v "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\n case)\n - snomed provides a clinically relevant code that is usually less granular\n than LOINC\n - the source system provides its own code, which may be less or more granular\n than LOINC\n\nthis is shown here to demonstrate the concept of translations within the codeableConcept\n datatype. The diastolic code below only has a LOINC code\n
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "107"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mmHg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mm[Hg]" ] ] ;
( fhir:interpretation [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0078"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "normal" ] ] ) ;
fhir:text [ fhir:v "Normal" ] ] ) # an interpretation for the individual composite observation
] [
fhir:code [
( fhir:coding [
a loinc:8462-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "8462-4" ] ;
fhir:display [ fhir:v "Diastolic blood pressure" ] ] ) ] ; # this codes only has a LOINC code
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "60"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mmHg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mm[Hg]" ] ] ;
( fhir:interpretation [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0078"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L" ] ;
fhir:display [ fhir:v "low" ] ] ) ;
fhir:text [ fhir:v "Below low normal" ] ] ) # an interpretation for the individual composite observation
] ) . # Should have a refrange as well
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#7.0.0-ballot based on FHIR 4.0.1. Generated 2024-08-12
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