Cross Border Data Exchange IG
1.0.0 - CI Build International flag

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

: BioSignal Example - EKG - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="9113"/>
  <meta>
    <profile
             value="http://interopehrate.eu/fhir/StructureDefinition/Observation-BioSignal-IEHR"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR">
    <valueReference>🔗 
      <reference value="Provenance/2"/>
    </valueReference>
  </extension>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18810-2"/>
      <display value="EKG Study observation overall (narrative)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/3466"/>
  </subject>
  <effectivePeriod>
    <start value="2022-04-05"/>
    <end value="2022-04-05"/>
  </effectivePeriod>
  <performer>🔗 
    <reference value="Organization/34432"/>
  </performer>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76281-5"/>
        <display value="Type of arrhythmia on EKG"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://loinc.org"/>
        <code value="LA17718-0"/>
        <display value="Sinus rhythm"/>
      </coding>
    </valueCodeableConcept>
    <interpretation>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
        <code value="N"/>
        <display value="normal"/>
      </coding>
    </interpretation>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8867-4"/>
        <display value="Heart rate"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="70"/>
      <unit value="/min"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/min"/>
    </valueQuantity>
    <interpretation>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
        <code value="N"/>
        <display value="normal"/>
      </coding>
    </interpretation>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76281-5"/>
        <display value="Type of arrhythmia on EKG"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://loinc.org"/>
        <code value="LA17091-2"/>
        <display value="Left bundle branch block"/>
      </coding>
    </valueCodeableConcept>
    <interpretation>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
        <code value="N"/>
        <display value="normal"/>
      </coding>
    </interpretation>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8625-6"/>
        <display value="P-R Interval"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="0.14"/>
      <unit value="s"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="s"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8633-0"/>
        <display value="QRS duration"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="85"/>
      <unit value="ms"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ms"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8634-8"/>
        <display value="Q-T interval"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="380"/>
      <unit value="ms"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ms"/>
    </valueQuantity>
  </component>
</Observation>