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Maturity Level : N/A | Standards Status : Informative | Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson |
Raw
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(+
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XML
Turtle/RDF
Format
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nullFlavor
Blood
Pressure
Measurement
with
an
absent
Diastolic
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-dar"];
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-dar\"> </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-dar" </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>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/3.1.0/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/3.1.0/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></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>dataAbsentReason</b>: <span title=\" Here the Diastolic measurement is missing and we give a reason using the DataAbsentReason element \">Not Performed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-data-absent-reason.html\">DataAbsentReason</a>#not-performed)</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.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: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" ]
];
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: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-performed" ];
fhir:Coding.display [ fhir:value "Not Performed" ]
]
]
]] .
# - ontology header ------------------------------------------------------------
[a owl:Ontology;
owl:imports fhir:fhir.ttl] .
# -------------------------------------------------------------------------------------
Considerable care must be used when using nullFlavor in this context of FHIR - more than
any other concept, this is tied to the way v3 works, and FHIR is quite different. For
instance, there is no notion of a "proper value" as opposed to any other value
in FHIR. a NullFlavor should be understood to mean, "why information is missing",
and the nulFlavors OTH, NINF, PINF, and TRC should not be used.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
The definition may point directly to a computable or human-readable definition of the
extensibility codes, or it may be a logical URI as declared in some other specification.
The definition SHALL be a URI for the Structure Definition defining the extension.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://
hl7.org/fhir/extensibility.html) for a list).
Considerable care must be used when using nullFlavor in this context of FHIR - more than
any other concept, this is tied to the way v3 works, and FHIR is quite different. For
instance, there is no notion of a "proper value" as opposed to any other value
in FHIR. a NullFlavor should be understood to mean, "why information is missing",
and the nulFlavors OTH, NINF, PINF, and TRC should not be used.
</
StructureDefinition
>
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.
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FHIR
Release
4
(Technical
Correction
#1)
(v4.0.1)
R5
Ballot
hl7.fhir.core#5.0.0-ballot
generated
on
Fri,
Nov
1,
2019
09:33+1100.
QA
Page
Sat,
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2022
05:05+1000.
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