Release 5 R6 Ballot (1st Draft)

This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes ). This is the The current published version in it's permanent home (it will always be available at this URL). is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Example Observation/blood-pressure (XML)

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

Blood Pressure Measurement (id = "blood-pressure") 

<?xml version="1.0" encoding="UTF-8"?>

  
  
    
  

<Observation xmlns="http://hl7.org/fhir">
  <id value="blood-pressure"/> 
  <meta> 
    <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> 
  </meta> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Observation</b> <a name="blood-pressure"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%    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 &quot;COMP&quot; (component)
        observations     The BodySite can be captured in a LOINC code but am showing it here to demonstrate
         populating the element   
           Observations are often coded in multiple code systems.

       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation &quot;blood-pressure&quot; </p> <p style="margin-bottom: 0px">Profile: <a href="vitalsigns.html">Vital Signs Profile</a> </p> </div> <p> <b> identifier</b> : id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a> urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p> <p> <b> basedOn</b> : <span title="   demonstrating the use of the baseOn element with a fictive identifier "><span> id: 1234</span> </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/5.4.0/CodeSystem-observation-category.html">Observation Category Codes</a> #vital-signs)</span> </p> <p> <b> code</b> : Blood pressure systolic &amp; diastolic <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #85354-9 &quot;Blood pressure panel with all children optional&quot;)</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Patient/example</a>  &quot;Peter CHALMERS&quot;</p> <p> <b> effective</b> : 2012-09-17</p> <p> <b> performer</b> : <a href="practitioner-example.html">Practitioner/example</a>  &quot;Adam CAREFUL&quot;</p> <p> <b> interpretation</b> : <span title="    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 &quot;COMP&quot; (component)
        observations    ">Below low normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #L &quot;low&quot;)</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=" 
           Observations are often coded in multiple code systems.

           - LOINC provides a very specific code (though not more specific in this
           particular case)

           particular case)

           - snomed provides a clinically relevant code that is usually less granular
           than LOINC

           than LOINC

           - the source system provides its own code, which may be less or more
           granular than LOINC

           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
            
    
    
  
    
      
      
    
  
  
  
    
      
      
      
    
  
  <!--    replaced by 85354-9
        <coding>
          <system value="http://loinc.org"/>
          <code value="85354-9"/>
          <display value="Blood pressure systolic &amp; diastolic"/>
        </coding>
       -->
      
      
      
    
    
  
  
    
  
  
  
    
  <!--      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      -->
    
      
      
      
    
    

           datatype. The diastolic code below only has 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 &quot;Systolic Blood pressure&quot;)</span> </span> </p> <p> <b> value</b> : 107 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mmHg')</span> </p> <p> <b> interpretation</b> : <span title="    an interpretation for the individual composite observation  ">Normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #N &quot;normal&quot;)</span> </span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span title="    this codes only has a LOINC code    ">Diastolic blood pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #8462-4)</span> </span> </p> <p> <b> value</b> : 60 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mmHg')</span> </p> <p> <b> interpretation</b> : <span title="    an interpretation for the individual composite observation  ">Below low normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #L &quot;low&quot;)</span> </span> </p> </blockquote> </div> </text> <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"/> 
  </identifier>     <!--     demonstrating the use of the baseOn element with a fictive identifier   --><basedOn> 
    <identifier> 
      <system value="https://acme.org/identifiers"/> 
      <value value="1234"/> 
    </identifier> 
  </basedOn> 
  <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>     <!--    replaced by 85354-9

        <coding>
          <system value="http://loinc.org"/>
          <code value="85354-9"/>
          <display value="Blood pressure systolic &amp; diastolic"/>
        </coding>
       --><coding> 
      <system value="http://loinc.org"/> 
      <code value="85354-9"/> 
      <display value="Blood pressure panel with all children optional"/> 
    </coding> 
    <text value="Blood pressure systolic &amp; diastolic"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <effectiveDateTime value="2012-09-17"/> 
  <performer> 
    <reference value="Practitioner/example"/> 
  </performer>     <!--      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      --><interpretation> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
      <code value="L"/> 
      <display value="low"/> 
    </coding> 
    <text value="Below low normal"/> 
  </interpretation>     <!--   The BodySite can be captured in a LOINC code but am showing it here to demonstrate
   populating the element    -->
    
      
      
      
    
  
  <!--   
           Observations are often coded in multiple code systems.

   populating the element    --><bodySite> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="368209003"/> 
      <display value="Right arm"/> 
    </coding> 
  </bodySite> 
  <component>     <!--   

           Observations are often coded in multiple code systems.

           - LOINC provides a very specific code (though not more specific in this
     particular case)

     particular case)

           - snomed provides a clinically relevant code that is usually less granular
     than LOINC

     than LOINC

           - the source system provides its own code, which may be less or more
     granular than LOINC

     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
              -->
        
        
        
      
        
        
        
      
        
        
        
      
    
    
      
      
      
      
    
      
        
        
        
      
      
    
      
        
        
        
      
    
    
      
      
      
      
    
      
        
        
        
      
      

     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/v3-ObservationInterpretation"/> 
        <code value="N"/> 
        <display value="normal"/> 
      </coding> 
      <text value="Normal"/> 
    </interpretation>     <!--       Should have a refrange as well     --></component> <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/v3-ObservationInterpretation"/> 
        <code value="L"/> 
        <display value="low"/> 
      </coding> 
      <text value="Below low normal"/> 


</

interpretation

>






<!--
Should
have
a
refrange
as
well
-->


</

component

>




</

Observation

>

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.