Personal Health Device Implementation Guide
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Personal Health Device Implementation Guide, published by HL7 International / Health Care Devices. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phd/ and changes regularly. See the Directory of published versions

: Example of a numeric with an alert. - XML Representation

Page standards status: Informative

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<Observation xmlns="http://hl7.org/fhir">
  <id value="numeric-spo2-alarm"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation numeric-spo2-alarm</b></p><a name="numeric-spo2-alarm"> </a><a name="hcnumeric-spo2-alarm"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdNumericObservation.html">PhdNumericObservation</a></p></div><p><b>Observation Gateway Device</b>: <a href="Device-phg-ecde3d4e58532d31.000000000000.html">Device: identifier = IEEE 11073 System Identifier,Bluetooth MAC address,Ethernet MAC address; type = MDC_MOC_VMS_MDS_AHD</a></p><p><b>Coincident Timestamp Reference</b>: <a href="Observation-coin-20181119202022.html">Observation MDC_ATTR_TIME_ABS</a></p><blockquote><p><b>Simple Alerting</b></p><ul><li>currentLimits: 80.0-100.0 %</li><li>alertOperationalState: <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/SimpleAlertOperationalStatesCS Limits-On}">Limits On</span></li><li>alertOperationalText: Alerting when SpO2 &lt; 80%</li><li>thresholdNotificationText: SpO2 is below 80%</li></ul></blockquote><p><b>identifier</b>: <code>http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation</code>/74E8FFFEFF051C00-sisansarahId-urn:oid:2.999.1.2.3.4.5.6.7.8.10-149530-20181113175902.00-150588</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span>, <span title="Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories phd}">PHD generated Observation</span></p><p><b>code</b>: <span title="Codes:{urn:iso:std:iso:11073:10101 150456}, {http://loinc.org 2708-6}">MDC_PULS_OXIM_SAT_O2</span></p><p><b>subject</b>: <a href="Patient-patientExample-1.html">Sisansarah Lorianthah Piggy  (no stated gender), DoB Unknown ( Medical record number)</a></p><p><b>effective</b>: 2018-11-13 17:59:02-0500</p><p><b>performer</b>: <a href="Patient-patientExample-1.html">Sisansarah Lorianthah Piggy  (no stated gender), DoB Unknown ( Medical record number)</a></p><p><b>value</b>: 79.0 %<span style="background: LightGoldenRodYellow"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title="Codes:{http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status in-alarm}">Measurement in alarm</span></p><p><b>device</b>: <a href="Device-phd-74E8FFFEFF051C00.001C05FFE874.html">Device: identifier = IEEE 11073 System Identifier: 74-E8-FF-FE-FF-05-1C-00,Bluetooth MAC address: Bluetooth Address as a device identifier#00-1C-05-FF-E8-74; manufacturer = Nonin_Medical_Inc.; serialNumber = 501900083; modelNumber = Model 3230; type = MDC_MOC_VMS_MDS_SIMP</a></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{urn:iso:std:iso:11073:10101 68193}">Supplemental information</span></td><td><span title="Codes:{urn:iso:std:iso:11073:10101 150588}">Stable mean</span></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
    <valueReference>🔗 
      <reference value="Device/phg-ecde3d4e58532d31.000000000000"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference">
    <valueReference>🔗 
      <reference value="Observation/coin-20181119202022"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting">
    <extension url="currentLimits">
      <valueRange>
        <low>
          <value value="80.0"/>
          <unit value="%"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </low>
        <high>
          <value value="100.0"/>
          <unit value="%"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </high>
      </valueRange>
    </extension>
    <extension url="alertOperationalState">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/phd/CodeSystem/SimpleAlertOperationalStatesCS"/>
          <code value="Limits-On"/>
          <display value="Limits On"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="alertOperationalText">
      <valueString value="Alerting when SpO2 &lt; 80%"/>
    </extension>
    <extension url="thresholdNotificationText">
      <valueString value="SpO2 is below 80%"/>
    </extension>
  </extension>
  <identifier>
    <system
            value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation"/>
    <value
           value="74E8FFFEFF051C00-sisansarahId-urn:oid:2.999.1.2.3.4.5.6.7.8.10-149530-20181113175902.00-150588"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="vital-signs"/>
    </coding>
    <text value="Vital Signs"/>
  </category>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories"/>
      <code value="phd"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="urn:iso:std:iso:11073:10101"/>
      <code value="150456"/>
      <display value="MDC_PULS_OXIM_SAT_O2"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="2708-6"/>
      <display value="Oxygen saturation in Arterial blood"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patientExample-1"/>
  </subject>
  <effectiveDateTime value="2018-11-13T17:59:02-05:00"/>
  <performer>🔗 
    <reference value="Patient/patientExample-1"/>
  </performer>
  <valueQuantity>
    <value value="79.0"/>
    <unit value="%"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="%"/>
  </valueQuantity>
  <interpretation>
    <coding>
      <system
              value="http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status"/>
      <code value="in-alarm"/>
      <display value="Measurement in alarm"/>
    </coding>
  </interpretation>
  <device>🔗 
    <reference value="Device/phd-74E8FFFEFF051C00.001C05FFE874"/>
  </device>
  <component>
    <code>
      <coding>
        <system value="urn:iso:std:iso:11073:10101"/>
        <code value="68193"/>
        <display value="MDC_ATTR_SUPPLEMENTAL_TYPES"/>
      </coding>
      <text value="Supplemental information"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:iso:std:iso:11073:10101"/>
        <code value="150588"/>
        <display value="MDC_MODALITY_SPOT"/>
      </coding>
      <text value="Stable mean"/>
    </valueCodeableConcept>
  </component>
</Observation>