Release 5 Preview #2

Observation-example-bloodpressure.json

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: blood-pressure</p><p><b>meta</b>: </p><p><b>identifier</b>: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>basedOn</b>: <span/></p><p/><p><b>category</b>: <span>Vital Signs</span></p><p><b>code</b>: <span>Blood pressure systolic &amp; diastolic</span></p><p><b>subject</b>: <a>Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>effective</b>: 2012-09-17</p><p><b>performer</b>: <a>Generated Summary: id: example; id: 23; active; Adam Careful </a></p><p><b>interpretation</b>: <span>Below low normal</span></p><p><b>bodySite</b>: <span>Right arm</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span>Systolic blood pressure</span></p><p><b>value</b>: 107 mmHg</p><p><b>interpretation</b>: <span>Normal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span>Diastolic blood pressure</span></p><p><b>value</b>: 60 mmHg</p><p><b>interpretation</b>: <span>Below low normal</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"
        }
      ]
    }
  ],
  "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"
  },
  "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"
          }
        ]
      },
      "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.