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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Blood Pressure Measurement
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:Observation ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "blood-pressure"] ; # fhir:meta [ fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/vitalsigns"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/vitalsigns> ] ) ] ; # fhir:identifier ( [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ; fhir:value [ fhir:v "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" ] ] ) ; # fhir:basedOn ( [ fhir:identifier [ fhir:system [ fhir:v "https://acme.org/identifiers"^^xsd:anyURI ] ; fhir:value [ fhir:v "1234" ] ] ] ) ; # demonstrating the use of the baseOn element with a fictive identifier fhir:status [ fhir:v "final"] ; # fhir:category ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "vital-signs" ] ; fhir:display [ fhir:v "Vital Signs" ] ] ) ] [ fhir:coding ( [ a loinc:85354-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "85354-9" ] ; fhir:display [ fhir:v "Blood pressure panel with all children optional" ] ] ) ] ) ; # fhir:code [ fhir:coding ( [ a loinc:85354-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "85354-9" ] ; fhir:display [ fhir:v "Blood pressure panel with all children optional" ] ] ) ; # replaced by 85354-9\n <coding>\n <system value=\"http:\/\/loinc.org\"\/>\n <code value=\"85354-9\"\/>\n <display value=\"Blood pressure systolic & diastolic\"\/>\n <\/coding>\n fhir:text [ fhir:v "Blood pressure systolic & diastolic" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/example" ] ] ; # fhir:effective [ fhir:v "2012-09-17"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/example" ] ] ) ; # fhir:interpretation ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ; fhir:code [ fhir:v "L" ] ; fhir:display [ fhir:v "low" ] ] ) ; fhir:text [ fhir:v "Below low normal" ] ] ) ; # 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 fhir:bodySite [ fhir:coding ( [ a sct:368209003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "368209003" ] ; fhir:display [ fhir:v "Right arm" ] ] ) ] ; # The BodySite can be captured in a LOINC code but am showing it here to demonstrate populating the element fhir:component ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ a loinc:8480-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "8480-6" ] ; fhir:display [ fhir:v "Systolic blood pressure" ] ] ) ] ] ) ; fhir:code [ fhir:coding ( [ a loinc:8480-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "8480-6" ] ; fhir:display [ fhir:v "Systolic blood pressure" ] ] [ a sct:271649006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "271649006" ] ; fhir:display [ fhir:v "Systolic blood pressure" ] ] [ fhir:system [ fhir:v "http://acme.org/devices/clinical-codes"^^xsd:anyURI ] ; fhir:code [ fhir:v "bp-s" ] ; fhir:display [ fhir:v "Systolic Blood pressure" ] ] ) # LOINC -code ] ; # \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 fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "107"^^xsd:decimal ] ; fhir:unit [ fhir:v "mmHg" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mm[Hg]" ] ] ; fhir:interpretation ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ; fhir:code [ fhir:v "N" ] ; fhir:display [ fhir:v "normal" ] ] ) ; fhir:text [ fhir:v "Normal" ] ] ) # an interpretation for the individual composite observation ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ a loinc:8462-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "8462-4" ] ; fhir:display [ fhir:v "Diastolic blood pressure" ] ] ) ] ] ) ; fhir:code [ fhir:coding ( [ a loinc:8462-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "8462-4" ] ; fhir:display [ fhir:v "Diastolic blood pressure" ] ] ) ] ; # this codes only has a LOINC code fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "60"^^xsd:decimal ] ; fhir:unit [ fhir:v "mmHg" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mm[Hg]" ] ] ; fhir:interpretation ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ; fhir:code [ fhir:v "L" ] ; fhir:display [ fhir:v "low" ] ] ) ; fhir:text [ fhir:v "Below low normal" ] ] ) # an interpretation for the individual composite observation ] )] . # Should have a refrange as well # -------------------------------------------------------------------------------------
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Wed, Nov 6, 2024 19:17+0000.
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