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Observation-example-bloodpressure.ttl

Example Observation/blood-pressure (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 

@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> 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 with Details</b></p><p><b>id</b>: blood-pressure</p><p><b>meta</b>: </p><p><b>identifier</b>: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>basedOn</b>: </p><p><b>status</b>: final</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>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>value</b>: 107 mmHg<span> (Details: UCUM code mm[Hg] = 'mmHg')</span></p><p><b>interpretation</b>: Normal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal', given as 'normal'})</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>value</b>: 60 mmHg<span> (Details: UCUM code mm[Hg] = 'mmHg')</span></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></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" ]
     ]
  ];
  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" ]
     ];
     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.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.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" ]
     ]
  ], [
     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.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" ]

<http://hl7.org/fhir/Observation/blood-pressure> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "blood-pressure"] ; # 
  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" ]
  ] ) ; # 
  fhir:basedOn ( [
     fhir:identifier [
       fhir:system [
         fhir:v "https://acme.org/identifiers"^^xsd:anyURI ;
         fhir:l <https://acme.org/identifiers>
       ] ;
       fhir:value [ fhir:v "1234" ]

     ]
  ] .

  ] ) ; #    demonstrating the use of the baseOn element with a fictive identifier 
  fhir:status [ fhir:v "final"] ; # 
  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: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" ]
     ] )
  ] ; #  The BodySite can be captured in a LOINC code but am showing it here to demonstrate populating the element  
  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 -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: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:l <http://unitsofmeasure.org>
       ] ;
       fhir:code [ fhir:v "mm[Hg]" ]
     ] ;
     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 "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:l <http://loinc.org>
         ] ;
         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:l <http://unitsofmeasure.org>
       ] ;
       fhir:code [ fhir:v "mm[Hg]" ]
     ] ;
     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 for the individual composite observation  
  ] ) . #    	Should have a refrange as well   


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