Personal Health Device Implementation Guide
2.0.1 - STU 2 International flag

Personal Health Device Implementation Guide, published by HL7 International / Devices. This guide is not an authorized publication; it is the continuous build for version 2.0.1 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.

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/numeric-spo2-alarm> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "numeric-spo2-alarm"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<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: ec-de-3d-4e-58-53-2d-31,Bluetooth MAC address: Bluetooth Address as a device identifier#3d-4e-58-53-2d-31,Ethernet MAC address: Ethernet MAC Address as a device identifier#3d-4e-58-53-2d-35; type = Application Hosting Device, a.k.a. PHG</a></p><p><b>Coincident Timestamp Reference</b>: <a href=\"Observation-coin-20181119202022.html\">Observation Absolute time</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: sisansarahId)</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: sisansarahId)</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 = Simple PHD</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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/Device/phg-ecde3d4e58532d31.000000000000> ;
       fhir:Reference.reference [ fhir:value "Device/phg-ecde3d4e58532d31.000000000000" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/Observation/coin-20181119202022> ;
       fhir:Reference.reference [ fhir:value "Observation/coin-20181119202022" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "currentLimits" ] ;
       fhir:Extension.valueRange [
         fhir:Range.low [
           fhir:Quantity.value [ fhir:value "80.0"^^xsd:decimal ] ;
           fhir:Quantity.unit [ fhir:value "%" ] ;
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Quantity.code [ fhir:value "%" ]
         ] ;
         fhir:Range.high [
           fhir:Quantity.value [ fhir:value "100.0"^^xsd:decimal ] ;
           fhir:Quantity.unit [ fhir:value "%" ] ;
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Quantity.code [ fhir:value "%" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "alertOperationalState" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/phd/CodeSystem/SimpleAlertOperationalStatesCS" ] ;
           fhir:Coding.code [ fhir:value "Limits-On" ] ;
           fhir:Coding.display [ fhir:value "Limits On" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "alertOperationalText" ] ;
       fhir:Extension.valueString [ fhir:value "Alerting when SpO2 < 80%" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "thresholdNotificationText" ] ;
       fhir:Extension.valueString [ fhir:value "SpO2 is below 80%" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting" ]
  ] ;
  fhir:Observation.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation" ] ;
     fhir:Identifier.value [ fhir:value "74E8FFFEFF051C00-sisansarahId-urn:oid:2.999.1.2.3.4.5.6.7.8.10-149530-20181113175902.00-150588" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "vital-signs" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Vital Signs" ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories" ] ;
       fhir:Coding.code [ fhir:value "phd" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:11073:10101" ] ;
       fhir:Coding.code [ fhir:value "150456" ] ;
       fhir:Coding.display [ fhir:value "MDC_PULS_OXIM_SAT_O2" ]
     ], [
       fhir:index -1 ;
       a loinc:2708-6 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "2708-6" ] ;
       fhir:Coding.display [ fhir:value "Oxygen saturation in Arterial blood" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/patientExample-1> ;
     fhir:Reference.reference [ fhir:value "Patient/patientExample-1" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2018-11-13T17:59:02-05:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Patient/patientExample-1> ;
     fhir:Reference.reference [ fhir:value "Patient/patientExample-1" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "79.0"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "%" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "%" ]
  ] ;
  fhir:Observation.interpretation [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status" ] ;
       fhir:Coding.code [ fhir:value "in-alarm" ] ;
       fhir:Coding.display [ fhir:value "Measurement in alarm" ]
     ]
  ] ;
  fhir:Observation.device [
     fhir:link <http://hl7.org/fhir/Device/phd-74E8FFFEFF051C00.001C05FFE874> ;
     fhir:Reference.reference [ fhir:value "Device/phd-74E8FFFEFF051C00.001C05FFE874" ]
  ] ;
  fhir:Observation.component [
     fhir:index -1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "urn:iso:std:iso:11073:10101" ] ;
         fhir:Coding.code [ fhir:value "68193" ] ;
         fhir:Coding.display [ fhir:value "MDC_ATTR_SUPPLEMENTAL_TYPES" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Supplemental information" ]
     ] ;
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "urn:iso:std:iso:11073:10101" ] ;
         fhir:Coding.code [ fhir:value "150588" ] ;
         fhir:Coding.display [ fhir:value "MDC_MODALITY_SPOT" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Stable mean" ]
     ]
  ] .

<http://hl7.org/fhir/Device/phg-ecde3d4e58532d31.000000000000> a fhir:Device .

<http://hl7.org/fhir/Observation/coin-20181119202022> a fhir:Observation .

<http://hl7.org/fhir/Patient/patientExample-1> a fhir:Patient .

<http://hl7.org/fhir/Device/phd-74E8FFFEFF051C00.001C05FFE874> a fhir:Device .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Observation/numeric-spo2-alarm.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Observation/numeric-spo2-alarm.ttl> .