Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions

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: BioSignal Example - EKG - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "9113",
  "meta" : {
    "profile" : [
      🔗 "http://interopehrate.eu/fhir/StructureDefinition/Observation-BioSignal-IEHR"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"9113\"> </a><a name=\"hc9113\"> </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;9113&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-BioSignal-IEHR.html\">BioSignal-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: <a href=\"Provenance-2.html\">Provenance/2</a></p><p><b>status</b>: final</p><p><b>code</b>: EKG Study observation overall (narrative) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#18810-2)</span></p><p><b>subject</b>: <a href=\"Patient-3466.html\">Patient/3466</a> &quot; SMITH&quot;</p><p><b>effective</b>: 2022-04-05 --&gt; 2022-04-05</p><p><b>performer</b>: <a href=\"Organization-34432.html\">Organization/34432</a> &quot;Fondazione Gabriele Monasterio&quot;</p><blockquote><p><b>component</b></p><p><b>code</b>: Type of arrhythmia on EKG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#76281-5)</span></p><p><b>value</b>: Sinus rhythm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA17718-0)</span></p><p><b>interpretation</b>: normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Heart rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8867-4)</span></p><p><b>value</b>: 70 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code /min = '/min')</span></p><p><b>interpretation</b>: normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Type of arrhythmia on EKG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#76281-5)</span></p><p><b>value</b>: Left bundle branch block <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA17091-2)</span></p><p><b>interpretation</b>: normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: P-R Interval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8625-6)</span></p><p><b>value</b>: 0.14 s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code s = 's')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: QRS duration <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8633-0)</span></p><p><b>value</b>: 85 ms<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ms = 'ms')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Q-T interval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#8634-8)</span></p><p><b>value</b>: 380 ms<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ms = 'ms')</span></p></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
      "valueReference" : {
        🔗 "reference" : "Provenance/2"
      }
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "18810-2",
        "display" : "EKG Study observation overall (narrative)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/3466"
  },
  "effectivePeriod" : {
    "start" : "2022-04-05",
    "end" : "2022-04-05"
  },
  "performer" : [
    {
      🔗 "reference" : "Organization/34432"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "76281-5",
            "display" : "Type of arrhythmia on EKG"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "LA17718-0",
            "display" : "Sinus rhythm"
          }
        ]
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "N",
              "display" : "normal"
            }
          ]
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8867-4",
            "display" : "Heart rate"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 70,
        "unit" : "/min",
        "system" : "http://unitsofmeasure.org",
        "code" : "/min"
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "N",
              "display" : "normal"
            }
          ]
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "76281-5",
            "display" : "Type of arrhythmia on EKG"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "LA17091-2",
            "display" : "Left bundle branch block"
          }
        ]
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "N",
              "display" : "normal"
            }
          ]
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8625-6",
            "display" : "P-R Interval"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 0.14,
        "unit" : "s",
        "system" : "http://unitsofmeasure.org",
        "code" : "s"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8633-0",
            "display" : "QRS duration"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 85,
        "unit" : "ms",
        "system" : "http://unitsofmeasure.org",
        "code" : "ms"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8634-8",
            "display" : "Q-T interval"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 380,
        "unit" : "ms",
        "system" : "http://unitsofmeasure.org",
        "code" : "ms"
      }
    }
  ]
}