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| Orders and Observations Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson |
Raw JSON ( canonical form + also see JSON Format Specification )
Blood Pressure Measurement cancelled
{
"resourceType": "Observation",
"id": "blood-pressure-cancel",
"meta": {
"profile": [
"http://hl7.org/fhir/StructureDefinition/vitalsigns"
]
"resourceType" : "Observation",
"id" : "blood-pressure-cancel",
"meta" : {
"profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
},
"text": {
"status": "generated",
"div": "<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 "blood-pressure-cancel" </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>: cancelled</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"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>: 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></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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#368209003)</span></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>dataAbsentReason</b>: Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</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>: Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></p></blockquote></div>"
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"blood-pressure-cancel\"> </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-cancel" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>identifier</b>: <span title=\" \tEH Narrative created by build\n\t<text>\n\t\t<status value="generated"/>\n\t\t<div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div>\n\t</text>\n \">id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</span></p><p><b>status</b>: cancelled</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/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/4.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#L "low")</span></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>: <span title=\" for an observation with components, these cannot disagree with the flags on the components \">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 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\t this instance shows the concept. The other codes only have a LOINC code \">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>dataAbsentReason</b>: <span title=\" no value due to some error\n <valueQuantity>\n <value value="107"/>\n <unit value="mm[Hg]"/>\n </valueQuantity>\n \">Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></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=\" no value due to some error\n <valueQuantity>\n <value value="60"/>\n <unit value="mm[Hg]"/>\n </valueQuantity>\n \">Not Asked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-asked)</span></span></p></blockquote></div>"
},
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
}
],
"status": "cancelled",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
],
"text": "Blood pressure systolic & diastolic"
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
}],
"status" : "cancelled",
"category" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}]
}],
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}],
"text" : "Blood pressure systolic & diastolic"
},
"subject": {
"reference": "Patient/example"
"subject" : {
"reference" : "Patient/example"
},
"effectiveDateTime": "2012-09-17",
"performer": [
{
"reference": "Practitioner/example"
}
],
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "L",
"display": "low"
}
],
"text": "Below low normal"
}
],
"note": [
{
"text": "In this example, the blood pressure measurements are not available due to cancellation of the order. Data absent reason is present for each component"
}
],
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "368209003",
"display": "Right arm"
}
]
"effectiveDateTime" : "2012-09-17",
"performer" : [{
"reference" : "Practitioner/example"
}],
"interpretation" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "L",
"display" : "low"
}],
"text" : "Below low normal"
}],
"note" : [{
"text" : "In this example, the blood pressure measurements are not available due to cancellation of the order. Data absent reason is present for each component"
}],
"bodySite" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "368209003",
"display" : "Right arm"
}]
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
},
{
"system": "http://snomed.info/sct",
"code": "271649006",
"display": "Systolic blood pressure"
},
{
"system": "http://acme.org/devices/clinical-codes",
"code": "bp-s",
"display": "Systolic Blood pressure"
}
]
"component" : [{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
},
"dataAbsentReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code": "not-asked",
"display": "Not Asked"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
{
"system" : "http://snomed.info/sct",
"code" : "271649006",
"display" : "Systolic blood pressure"
},
"dataAbsentReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code": "not-asked",
"display": "Not Asked"
}
]
}
{
"system" : "http://acme.org/devices/clinical-codes",
"code" : "bp-s",
"display" : "Systolic Blood pressure"
}]
},
"dataAbsentReason" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "not-asked",
"display" : "Not Asked"
}]
}
]
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}]
},
"dataAbsentReason" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "not-asked",
"display" : "Not Asked"
}]
}
}]
}
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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hl7.fhir.core#5.0.0-draft-final
generated
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Sat,
May
28,
2022
12:56+1000.
Wed,
Mar
1,
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23:07+1100.
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