CardX Hypertension Management Use Case
0.1.0 - ci-build

CardX Hypertension Management Use Case, published by Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/cardx-ig/ and changes regularly. See the Directory of published versions

: SMBP-Protocol - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="SMBP-Protocol"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cardx-htn/StructureDefinition/average-blood-pressure"/>
    <profile
             value="http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="SMBP-Protocol"> </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;SMBP-Protocol&quot; </p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-average-blood-pressure.html">Average Blood Pressure</a>, <code>http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure</code></p></div><p><b>Number of Measurements</b>: 12</p><p><b>Measurement Protocol</b>: Automated office blood pressure protocol <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (MeasurementProtocolTemporaryCodeSystem#AOBP)</span></p><p><b>Exercise Association</b>: At rest <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#255214003)</span></p><p><b>Measurement Setting</b>: Home <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#264362003)</span></p><p><b>bodyPosition</b>: Sitting Position <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#33586001)</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/5.0.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Blood pressure panel mean systolic and mean diastolic <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#96607-7)</span></p><p><b>subject</b>: <a href="Patient-patient-example-Sally-Sue.html">Patient/patient-example-Sally-Sue</a> &quot; SUE&quot;</p><p><b>effective</b>: 2019-10-16 12:12:29-0900 --&gt; 2019-10-19 12:42:29-0900</p><p><b>issued</b>: Oct 16, 2019, 10:12:29 PM</p><p><b>bodySite</b>: Structure of left brachial artery (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#723961002)</span></p><p><b>method</b>: Arterial pressure monitoring, non invasive method <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#17146006)</span></p><p><b>device</b>: <a href="Device/BPDevice2-example">Device/BPDevice2-example</a></p><p><b>derivedFrom</b>: </p><ul><li><a href="Observation-Observation-1AM-Day1.html">Observation/Observation-1AM-Day1</a></li><li><a href="Observation-Observation-2AM-Day1.html">Observation/Observation-2AM-Day1</a></li><li><a href="Observation-Observation-1PM-Day1.html">Observation/Observation-1PM-Day1</a></li><li><a href="Observation-Observation-2PM-Day1.html">Observation/Observation-2PM-Day1</a></li><li><a href="Observation-Observation-1AM-Day2.html">Observation/Observation-1AM-Day2</a></li><li><a href="Observation-Observation-2AM-Day2.html">Observation/Observation-2AM-Day2</a></li><li><a href="Observation-Observation-1PM-Day2.html">Observation/Observation-1PM-Day2</a></li><li><a href="Observation-Observation-2PM-Day2.html">Observation/Observation-2PM-Day2</a></li><li><a href="Observation-Observation-1AM-Day3.html">Observation/Observation-1AM-Day3</a></li><li><a href="Observation-Observation-2AM-Day3.html">Observation/Observation-2AM-Day3</a></li><li><a href="Observation-Observation-1PM-Day3.html">Observation/Observation-1PM-Day3</a></li><li><a href="Observation-Observation-2PM-Day3.html">Observation/Observation-2PM-Day3</a></li><li><a href="Observation-Observation-1AM-Day4.html">Observation/Observation-1AM-Day4</a></li><li><a href="Observation-Observation-2AM-Day4.html">Observation/Observation-2AM-Day4</a></li><li><a href="Observation-Observation-1PM-Day4.html">Observation/Observation-1PM-Day4</a></li><li><a href="Observation-Observation-2PM-Day4.html">Observation/Observation-2PM-Day4</a></li><li><a href="Observation-Observation-1AM-Day5.html">Observation/Observation-1AM-Day5</a></li><li><a href="Observation-Observation-2AM-Day5.html">Observation/Observation-2AM-Day5</a></li><li><a href="Observation-Observation-1PM-Day5.html">Observation/Observation-1PM-Day5</a></li><li><a href="Observation-Observation-2PM-Day5.html">Observation/Observation-2PM-Day5</a></li><li><a href="Observation-Observation-1AM-Day6.html">Observation/Observation-1AM-Day6</a></li><li><a href="Observation-Observation-2AM-Day6.html">Observation/Observation-2AM-Day6</a></li><li><a href="Observation-Observation-1PM-Day6.html">Observation/Observation-1PM-Day6</a></li><li><a href="Observation-Observation-2PM-Day6.html">Observation/Observation-2PM-Day6</a></li><li><a href="Observation-Observation-1AM-Day7.html">Observation/Observation-1AM-Day7</a></li><li><a href="Observation-Observation-2AM-Day7.html">Observation/Observation-2AM-Day7</a></li><li><a href="Observation-Observation-1PM-Day7.html">Observation/Observation-1PM-Day7</a></li><li><a href="Observation-Observation-2PM-Day7.html">Observation/Observation-2PM-Day7</a></li></ul><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure mean <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#96608-5)</span></p><p><b>value</b>: 130 mm[Hg]<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure mean <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#96609-3)</span></p><p><b>value</b>: 88 mm[Hg]<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/cardx-htn/StructureDefinition/NumberOfMeasurementsExt">
    <valueQuantity>
      <value value="12"/>
    </valueQuantity>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementProtocolExt">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vitals/CodeSystem/MeasurementProtocolTemporaryCodeSystem"/>
        <code value="AOBP"/>
        <display value="Automated office blood pressure protocol"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cardx-htn/StructureDefinition/ExerciseAssociationExt">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="255214003"/>
        <display value="At rest"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cardx-htn/StructureDefinition/MeasurementSettingExt">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="264362003"/>
        <display value="Home"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="33586001"/>
        <display value="Sitting Position"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="vital-signs"/>
      <display value="Vital Signs"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="96607-7"/>
      <display value="Blood pressure panel mean systolic and mean diastolic"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/patient-example-Sally-Sue"/>
  </subject>
  <effectivePeriod>
    <start value="2019-10-16T12:12:29-09:00"/>
    <end value="2019-10-19T12:42:29-09:00"/>
  </effectivePeriod>
  <issued value="2019-10-16T12:12:29-10:00"/>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="723961002"/>
      <display value="Structure of left brachial artery (body structure)"/>
    </coding>
  </bodySite>
  <method>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="17146006"/>
      <display value="Arterial pressure monitoring, non invasive method"/>
    </coding>
  </method>
  <device>
    <reference value="Device/BPDevice2-example"/>
  </device>
  <derivedFrom>
    <reference value="Observation/Observation-1AM-Day1"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2AM-Day1"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1PM-Day1"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2PM-Day1"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1AM-Day2"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2AM-Day2"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1PM-Day2"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2PM-Day2"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1AM-Day3"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2AM-Day3"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1PM-Day3"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2PM-Day3"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1AM-Day4"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2AM-Day4"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1PM-Day4"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2PM-Day4"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1AM-Day5"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2AM-Day5"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1PM-Day5"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2PM-Day5"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1AM-Day6"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2AM-Day6"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1PM-Day6"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2PM-Day6"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1AM-Day7"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2AM-Day7"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-1PM-Day7"/>
  </derivedFrom>
  <derivedFrom>
    <reference value="Observation/Observation-2PM-Day7"/>
  </derivedFrom>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="96608-5"/>
        <display value="Systolic blood pressure mean"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="130"/>
      <unit value="mm[Hg]"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="96609-3"/>
        <display value="Diastolic blood pressure mean"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="88"/>
      <unit value="mm[Hg]"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm[Hg]"/>
    </valueQuantity>
  </component>
</Observation>