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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
{
"resourceType": "Observation",
"id": "blood-pressure",
"meta": {
"profile": [
"http://hl7.org/fhir/StructureDefinition/vitalsigns"
]
"resourceType" : "Observation",
"id" : "blood-pressure",
"meta" : {
"profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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>basedOn</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Blood pressure systolic & diastolic <span>(Details : {LOINC code '85354-9' = 'Blood pressure panel with all children optional', given as 'Blood pressure panel with all children optional'})</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>: Below low normal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L' = 'Low', given as 'low'})</span></p><p><b>bodySite</b>: Right arm <span>(Details : {SNOMED CT code '368209003' = 'Right upper arm', 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' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = 'bp-s', given as 'Systolic Blood pressure'})</span></p><p><b>value</b>: 107 mmHg<span> (Details: UCUM code mm[Hg] = 'mmHg')</span></p><p><b>interpretation</b>: Normal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal', given as 'normal'})</span></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 mmHg<span> (Details: UCUM code mm[Hg] = 'mmHg')</span></p><p><b>interpretation</b>: Below low normal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L' = 'Low', given as 'low'})</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\"> </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" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"vitalsigns.html\">Vital Signs Profile</a></p></div><p><b>identifier</b>: id:\u00a0urn: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/></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/5.1.0/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/5.1.0/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><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/5.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N "normal")</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/5.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#L "low")</span></span></p></blockquote></div>"
},
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
}
],
"basedOn": [
{
"identifier": {
"system": "https://acme.org/identifiers",
"value": "1234"
}
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
}],
"basedOn" : [{
"identifier" : {
"system" : "https://acme.org/identifiers",
"value" : "1234"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
],
"text": "Blood pressure systolic & diastolic"
}],
"status" : "final",
"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"
}
],
"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"
}],
"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"
},
"valueQuantity": {
"value": 107,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
{
"system" : "http://snomed.info/sct",
"code" : "271649006",
"display" : "Systolic blood pressure"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "normal"
}
],
"text": "Normal"
}
]
{
"system" : "http://acme.org/devices/clinical-codes",
"code" : "bp-s",
"display" : "Systolic Blood pressure"
}]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 60,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "L",
"display": "low"
}
],
"text": "Below low normal"
}
]
}
]
"valueQuantity" : {
"value" : 107,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
},
"interpretation" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "N",
"display" : "normal"
}],
"text" : "Normal"
}]
},
{
"code" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}]
},
"valueQuantity" : {
"value" : 60,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
},
"interpretation" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "L",
"display" : "low"
}],
"text" : "Below low normal"
}]
}]
}
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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