Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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

Observation-example-bloodpressure-cancel.xml

Example Observation/blood-pressure-cancel (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 cancelled (id = "blood-pressure-cancel") 

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


  
  
    
  <!--     EH  Narrative created by build
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure 107/60
   mmHg (low)</div>
  </text>
   -->(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs'
           = 'Vital Signs', given as 'Vital Signs'})(Details : {LOINC code '85354-9' = 'Blood pressure panel with all children optional',
           given as 'Blood pressure panel with all children optional'})(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L'
           = 'Low', given as 'low'}): In this example, the blood pressure measurements are not available due to cancellation
         of the order.  Data absent reason is present for each component(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'})(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code 'not-asked'
             = 'Not Asked', given as 'Not Asked'})(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood
             pressure'})(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code 'not-asked'
             = 'Not Asked', given as 'Not Asked'})
    
    
  
  
  
    
      
      
      
    
  
  <!--    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    -->
    
      
      
      
    
    
  

<Observation xmlns="http://hl7.org/fhir">
  <id value="blood-pressure-cancel"/> 
  <meta> 
    <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> 
  </meta>     <!--     EH  Narrative created by build
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure
   107/60 mmHg (low)</div>
  </text>
   --><text> <status value="generated"/> <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 &quot;blood-pressure-cancel&quot; </p> <p style="margin-bottom: 0px">Profile: <a href="vitalsigns.html">Vital Signs Profile</a> </p> </div> <p> <b> identifier</b> : <span title="   EH  Narrative created by build
  &lt;text&gt;
    &lt;status value=&quot;generated&quot;/&gt;
    &lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;Sept 17, 2012: Systolic
         Blood pressure 107/60 mmHg (low)&lt;/div&gt;
  &lt;/text&gt;
 ">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/5.1.0/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/5.1.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #L &quot;low&quot;)</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=" 
           Observations are often coded in multiple code systems.
           - LOINC provides a very specific code (though not usefully more specific
           in this particular case)
           - snomed provides a clinically relevant code that is usually less granular
           than LOINC
           - the source system provides its own code, which may be less or more
           granular than LOINC
   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 &quot;Systolic Blood pressure&quot;)</span> </span> </p> <p> <b> dataAbsentReason</b> : <span title="  no value due to some error
    &lt;valueQuantity&gt;
      &lt;value value=&quot;107&quot;/&gt;
      &lt;unit value=&quot;mm[Hg]&quot;/&gt;
    &lt;/valueQuantity&gt;
 ">Not Asked <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/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
    &lt;valueQuantity&gt;
      &lt;value value=&quot;60&quot;/&gt;
      &lt;unit value=&quot;mm[Hg]&quot;/&gt;
    &lt;/valueQuantity&gt;
 ">Not Asked <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-data-absent-reason.html">DataAbsentReason</a> #not-asked)</span> </span> </p> </blockquote> </div> </text> <identifier>     <system value="urn:ietf:rfc:3986"/>     <value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"/>   </identifier>   <status value="cancelled"/>   <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> 
  <note> <text value="In this example, the blood pressure measurements are not available due to cancellation
     of the order.  Data absent reason is present for each component<!--    for an observation with components, these cannot disagree with the flags on the components
      -->
    
      
      
      
    
  
  <!--   
           Observations are often coded in multiple code systems.
           - LOINC provides a very specific code (though not usefully more specific in
     this particular case)

     of the order.  Data absent reason is present for each component"/> </note>     <!--    for an observation with components, these cannot disagree with the flags on
   the components    --><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 usefully more specific
     in this particular case)

           - snomed provides a clinically relevant code that is usually less granular
     than LOINC
           - the source system provides its own code, which may be less or more granular
     than LOINC
   this instance shows the concept. The other codes only have a LOINC code    -->
        
        
        
      
        
        
        
      
        
        
        
      <!--    no value due to some error
    <valueQuantity>
      <value value="107"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   -->
      
        
        
        
      
    
  
  
    
      
        
        
        
      
    <!--    no value due to some error
    <valueQuantity>
      <value value="60"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   -->
      
        
        
        
      
    
  

     than LOINC
           - the source system provides its own code, which may be less or more
     granular than LOINC
   this instance shows the concept. The other codes only have a LOINC code    --><code>     <!--    LOINC - always recommended to have a LOINC code    --><coding> 
        <system value="http://loinc.org"/>         <code value="8480-6"/>         <display value="Systolic blood pressure"/>       </coding>     <!--    SNOMED CT Codes - becoming more common    --><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>     <!--    that shows the concept. The next two names only have a LOINC code    --></code>     <!--    no value due to some error
    <valueQuantity>
      <value value="107"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   --><dataAbsentReason> 
      <coding>         <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>         <code value="not-asked"/>         <display value="Not Asked"/>       </coding>     </dataAbsentReason>   </component>   <component>     <code>       <coding>         <system value="http://loinc.org"/>         <code value="8462-4"/>         <display value="Diastolic blood pressure"/>       </coding>     </code>     <!--    no value due to some error
    <valueQuantity>
      <value value="60"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   --><dataAbsentReason> 
      <coding>         <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>         <code value="not-asked"/>         <display value="Not Asked"/>       </coding>     </dataAbsentReason>   </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.