Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

Observation-example-bloodpressure-cancel.ttl

Example Observation/blood-pressure-cancel (Turtle)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , 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 loinc: <https://loinc.org/rdf/> .

@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .

@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 -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/blood-pressure-cancel> 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 with Details</b></p><p><b>id</b>: blood-pressure-cancel</p><p><b>meta</b>: </p><p><b>identifier</b>: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>status</b>: cancelled</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span>(Details : {LOINC code '85354-9' = 'Blood pressure panel with all children optional', given as 'Blood pressure panel with all children optional'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: 17/09/2012</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>interpretation</b>: Below low normal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L' = 'Low', given as 'low'})</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>: Right arm <span>(Details : {SNOMED CT code '368209003' = 'Right upper arm', given as 'Right arm'})</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span>(Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = 'bp-s', given as 'Systolic Blood pressure'})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code 'not-asked' = 'Not Asked', given as 'Not Asked'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span>(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code 'not-asked' = 'Not Asked', given as 'Not Asked'})</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.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" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Blood pressure systolic & diastolic" ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2012-09-17"^^xsd:date];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     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" ]
  ];
  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" ]
     ]
  ];
  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" ]
       ]
     ];
     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" ]
       ]
     ]
  ], [
     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" ]
       ]
     ]
  ] .

#  
# This is an example of a cancelled standard blood pressure measurement. with an Observation/component/dataAbsentReason valued due to cancellation.
#
# Blood Pressure is a regarded as a single observation, and
# presented that way in plain text: 120/80. Also, it is usually
# interpreted as a single value, though intepretation can also
# be offered to the parts individually
#
# Technically, though, a blood pressure is a pair of component
# observations. LOINC code 85354-9 notes say:
#   This term is intended as a section header for various
#   blood pressure measurements (e.g. systolic, diastolic).
#   LOINC discourages the reporting of two numbers, such as
#   systolic and diastolic blood pressure (e.g. 120/80),
#   in one observation. They should be reported as two
#   separate variables, systolic (LOINC 8480-6) and
#   diastolic (LOINC 8462-4)
#
# This example shows the standard way to represent a meaurement that cause the expected values to be empty
# single resource, with a narrative in the standard form, and two
# component observations for the actual values with Observation/component/dataAbsentReason valued due to cancellation
#
#
# 

<http://hl7.org/fhir/Observation/blood-pressure-cancel> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "blood-pressure-cancel"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/StructureDefinition/vitalsigns"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/vitalsigns>
     ] )
  ] ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
       fhir:l <urn:ietf:rfc:3986>
     ] ;
     fhir:value [ fhir:v "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" ]
  ] ) ; #  	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:status [ fhir:v "cancelled"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>
       ] ;
       fhir:code [ fhir:v "vital-signs" ] ;
       fhir:display [ fhir:v "Vital Signs" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:85354-9 ;
       fhir:system [
         fhir:v "http://loinc.org"^^xsd:anyURI ;
         fhir:l <http://loinc.org>
       ] ;
       fhir:code [ fhir:v "85354-9" ] ;
       fhir:display [ fhir:v "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 &amp; diastolic\"\/>\n		<\/coding>\n 
     fhir:text [ fhir:v "Blood pressure systolic & diastolic" ]
  ] ; # 
  fhir:subject [
     fhir:l <http://hl7.org/fhir/Patient/example> ;
     fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2012-09-17"^^xsd:date
  ] ; # 
  fhir:performer ( [
     fhir:l <http://hl7.org/fhir/Practitioner/example> ;
     fhir:reference [ fhir:v "Practitioner/example" ]
  ] ) ; # 
  fhir:interpretation ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation>
       ] ;
       fhir:code [ fhir:v "L" ] ;
       fhir:display [ fhir:v "low" ]
     ] ) ;
     fhir:text [ fhir:v "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:note ( [
     fhir:text [ fhir:v "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:bodySite [
     fhir:coding ( [
       a sct:368209003 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "368209003" ] ;
       fhir:display [ fhir:v "Right arm" ]
     ] )
  ] ; #   for an observation with components, these cannot disagree with the flags on the components  
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         a loinc:8480-6 ;
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         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:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "271649006" ] ;
         fhir:display [ fhir:v "Systolic blood pressure" ]
       ] [
         fhir:system [
           fhir:v "http://acme.org/devices/clinical-codes"^^xsd:anyURI ;
           fhir:l <http://acme.org/devices/clinical-codes>
         ] ;
         fhir:code [ fhir:v "bp-s" ] ;
         fhir:display [ fhir:v "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:dataAbsentReason [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>
         ] ;
         fhir:code [ fhir:v "not-asked" ] ;
         fhir:display [ fhir:v "Not Asked" ]
       ] )
     ] #   no value due to some error\n    <valueQuantity>\n      <value value=\"107\"\/>\n      <unit value=\"mm[Hg]\"\/>\n    <\/valueQuantity>\n 
  ] [
     fhir:code [
       fhir:coding ( [
         a loinc:8462-4 ;
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "8462-4" ] ;
         fhir:display [ fhir:v "Diastolic blood pressure" ]
       ] )
     ] ;
     fhir:dataAbsentReason [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>
         ] ;
         fhir:code [ fhir:v "not-asked" ] ;
         fhir:display [ fhir:v "Not Asked" ]
       ] )
     ] #   no value due to some error\n    <valueQuantity>\n      <value value=\"60\"\/>\n      <unit value=\"mm[Hg]\"\/>\n    <\/valueQuantity>\n 
  ] ) . # 


<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Observation/blood-pressure-cancel.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Observation/blood-pressure-cancel.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.