This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
(v1.0.2:
DSTU
1).
2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
Blood Pressure Measurement
{
"resourceType": "Bundle",
"title": "Blood Pressure Example",
"id": "urn:uuid:988fc332-b3a2-4c25-af3b-91b0171ec652",
"link": [
"resourceType": "Observation",
"id": "blood-pressure",
"meta": {
"lastUpdated": "2014-01-30T22:35:23+11:00"
},
"text": {
"fhir_comments": [
" \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 "
],
"status": "generated",
"div": "<div><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>status</b>: final</p><p><b>code</b>: Blood pressure systolic & diastolic <span>(Details : {LOINC code '55284-4' = 'Blood pressure systolic and diastolic', given as 'Blood pressure systolic & diastolic'})</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>: low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'Below low normal'})</span></p><p><b>bodySite</b>: Right arm <span>(Details : {SNOMED CT code '368209003' = '368209003', 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' = '271649006', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = '??', given as 'Systolic Blood pressure'})</span></p><p><b>value</b>: 107 mm[Hg]</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 mm[Hg]</p></blockquote></div>"
},
"identifier": [
{
"rel": "self",
"href": "http://www.hl7.org/fhir/observation-example-bloodpressure.xml"
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
}
],
"updated": "2014-01-30T22:35:23+11:00",
"entry": [
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55284-4",
"display": "Blood pressure systolic & diastolic"
}
]
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2012-09-17",
"performer": [
{
"title": "Blood Pressure Observation",
"id": "http://acme.org/ehr/observations/34252345234",
"updated": "2014-01-30T22:35:23+11:00",
"author": [
{
"name": "FHIR Project Team"
}
],
"content": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div>Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div>"
},
"name": {
"coding": [
{
"system": "http://loinc.org",
"code": "55284-4",
"display": "Blood pressure systolic & diastolic"
}
]
},
"interpretation": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "L",
"display": "Below low normal"
}
],
"text": "low"
},
"appliesDateTime": "2012-09-17",
"status": "final",
"reliability": "ok",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
},
"subject": {
"reference": "Patient/example"
},
"performer": [
{
"reference": "Practitioner/example"
}
"reference": "Practitioner/example"
}
],
"interpretation": {
"fhir_comments": [
" 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 "
],
"coding": [
{
"system": "http://hl7.org/fhir/v2/0078",
"code": "L",
"display": "Below low normal"
}
],
"text": "low"
},
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "368209003",
"display": "Right arm"
}
]
},
"component": [
{
"code": {
"fhir_comments": [
" \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 ",
" that shows the concept. The next two codes only have a LOINC code "
],
"related": [
"coding": [
{
"type": "has-component",
"target": {
"reference": "http://acme.org/ehr/observations/34252345234-s"
}
"fhir_comments": [
" LOINC -code "
],
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
},
{
"type": "has-component",
"target": {
"reference": "http://acme.org/ehr/observations/34252345234-d"
}
"fhir_comments": [
" SNOMED CT Codes "
],
"system": "http://snomed.info/sct",
"code": "271649006",
"display": "Systolic blood pressure"
},
{
"fhir_comments": [
" Also, a local code specific to the source system "
],
"system": "http://acme.org/devices/clinical-codes",
"code": "bp-s",
"display": "Systolic Blood pressure"
}
]
},
"summary": "<div>Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div>"
},
{
"title": "Blood Pressure Observation",
"id": "http://acme.org/ehr/observations/34252345234-s",
"updated": "2014-01-30T22:35:23+11:00",
"author": [
{
"name": "FHIR Project Team"
}
],
"content": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div>Sept 17, 2012: Systolic Blood pressure 107 mmHg (low)</div>"
},
"name": {
"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"
}
]
},
"valueQuantity": {
"value": 107,
"units": "mm[Hg]"
},
"status": "final",
"reliability": "ok"
},
"summary": "<div>Sept 17, 2012: Systolic Blood pressure 107 mmHg (low)</div>"
"valueQuantity": {
"fhir_comments": [
" no standard units used in this example "
],
"value": 107,
"unit": "mm[Hg]"
}
},
{
"title": "Blood Pressure Observation",
"id": "http://acme.org/ehr/observations/34252345234-d",
"updated": "2014-01-30T22:35:23+11:00",
"author": [
{
"name": "FHIR Project Team"
}
],
"content": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div>Sept 17, 2012: Diastolic Blood pressure 60 mmHg (low)</div>"
},
"name": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 60,
"units": "mm[Hg]"
},
"status": "final",
"reliability": "ok"
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"summary": "<div>Sept 17, 2012: Diastolic Blood pressure 60 mmHg (low)</div>"
"valueQuantity": {
"fhir_comments": [
" no formal units in this example "
],
"value": 60,
"unit": "mm[Hg]"
}
}
]
}
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.