QI-Core Implementation Guide
4.1.0 - release
QI-Core Implementation Guide
4.1.0 - release
This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
<Observation xmlns="http://hl7.org/fhir">
<id value="example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-observation.html">QICoreObservation</a></p></div><p><b>bodyPosition</b>: Sitting position (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#33586001)</span></p><p><b>delta</b>: Decreased (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1250004)</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/3.0.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Hemoglobin [Mass/volume] in Venous blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#30350-3)</span></p><p><b>subject</b>: <a href="Patient-example.html">Patient/example</a> " CHALMERS"</p><p><b>encounter</b>: <a href="Encounter-example.html">Encounter/example</a></p><p><b>effective</b>: 2013-04-02T10:30:10+01:00 --> 2013-04-05T10:30:10+01:00</p><p><b>issued</b>: Apr 3, 2013 2:30:10 PM</p><p><b>value</b>: 7.2 g/dl<span style="background: LightGoldenRodYellow"> (Details: UCUM code g/dL = 'g/dL')</span></p><p><b>interpretation</b>: Below low normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0078/index.html">v2 ABNORMAL FLAGS</a>#L "Low")</span></p><p><b>bodySite</b>: Superficial forearm vein <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#308046002)</span></p><p><b>method</b>: Injection to forearm <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#120220003)</span></p><p><b>specimen</b>: <a href="Specimen-example.html">Specimen/example</a></p><p><b>derivedFrom</b>: <a href="Observation-example.html">Observation/example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: 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></p><p><b>value</b>: 107 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: Normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0078/index.html">v2 ABNORMAL FLAGS</a>#N "normal")</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>value</b>: 60 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: Below low normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0078/index.html">v2 ABNORMAL FLAGS</a>#L "low")</span></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="33586001"/>
<display value="Sitting position (finding)"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/observation-delta">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1250004"/>
<display value="Decreased (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<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>
<coding>
<system value="http://loinc.org"/>
<code value="30350-3"/>
<display value="Hemoglobin [Mass/volume] in Venous blood"/>
</coding>
</code>
<subject>
<reference value="Patient/example"/>
</subject>
<encounter>
<reference value="Encounter/example"/>
</encounter>
<effectivePeriod>
<start value="2013-04-02T10:30:10+01:00"/>
<end value="2013-04-05T10:30:10+01:00"/>
</effectivePeriod>
<issued value="2013-04-03T15:30:10+01:00"/>
<valueQuantity>
<value value="7.2"/>
<unit value="g/dl"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0078"/>
<code value="L"/>
<display value="Low"/>
</coding>
<text value="Below low normal"/>
</interpretation>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308046002"/>
<display value="Superficial forearm vein"/>
</coding>
</bodySite>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="120220003"/>
<display value="Injection to forearm"/>
</coding>
</method>
<specimen>
<reference value="Specimen/example"/>
</specimen>
<derivedFrom>
<reference value="Observation/example"/>
</derivedFrom>
<!-- Should have a refrange as well -->
<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/v2-0078"/>
<code value="N"/>
<display value="normal"/>
</coding>
<text value="Normal"/>
</interpretation>
</component>
<!-- Should have a refrange as well -->
<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/v2-0078"/>
<code value="L"/>
<display value="low"/>
</coding>
<text value="Below low normal"/>
</interpretation>
</component>
</Observation>
IG © 2019+ http://www.hl7.org/Special/committees/cqi/index.cfm. Package hl7.fhir.us.qicore#4.1.0 based on FHIR 4.0.1. Generated 2022-01-18
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