Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

Assessments and Observation Definitions

All units are UCUM unless stated.

Common Observations

Vital Signs

See also Vital Signs form/data capture definition. Hint: Use NLM Form Builder to view these definitions. This relates to the Vital Signs section of the HL7 International Patient Summary

Panel	SNOMED CT	SNOMED CT Display	LOINC	Example
Vital Signs			85353-1	Vital signs panel example

Term	SNOMED CT	SNOMED CT Display	LOINC	FHIR Value Type	Unit Code	Example
Body height	50373000 248333004	Body height measure Standing Height	8302-2	Quantity	cm	Body height example
Body temperature	276885007 386725007	Core body temperature Body temperature	8310-5	Quantity	Cel	Body temperature example
Body weight	27113001	Body weight	29463-7	Quantity	kg	Body weight example
Head circumference	363811000	Head circumference measure	9843-4	Quantity	cm	Head circumference example
Heart rate	364075005	Heart rate	8867-4	Quantity	/min	Heart rate example
Oxygen Saturation	442476006 1325691000000100	Arterial oxygen saturation Oxygen saturation at periphery unknown	2708-6	Quantity	%	Oxygen Saturation example
Respiratory rate	86290005	Respiratory rate	9279-1	Quantity	/min	Respiratory rate example
Body Mass Index	60621009	Body mass index	39156-5	Quantity	kg/m2	Body Mass Index example
Blood pressure	75367002	Blood pressure	85354-9	component		Blood pressure example
- Systolic blood pressure	72313002	Systolic arterial pressure	8480-6	Quantity	mm[Hg]
- Diastolic blood pressure	1091811000000102	Diastolic arterial pressure	8462-4	Quantity	mm[Hg]

Miscellaneous

These are additional observations which will be present in a patients (mobile device) health record.

Term	SNOMED CT	SNOMED CT Display	LOINC	FHIR Value Type	Unit Code	Example
Heart Rate Variability SDNN			80404-7	Quantity	ms
Blood Glucose	997671000000106	Blood glucose level
Atrial Fibrillation Burden	713801000000102	Atrial fibrillation monitoring administration

Physical Activity

This is related to the HL7 Physical Activity Implementation Guide

Exercise Activity

See also Exercise Activity form/data capture definition. Hint: Use NLM Form Builder to view these definitions.

Panel	SNOMED CT	SNOMED CT Display	LOINC	Example
Physical Activity	68130003	Physical activity		Physical activity panel example

Term	SNOMED CT	SNOMED CT Display	LOINC	FHIR Value Type	Unit Code	Example
Exercise Activity			73985-4	CodeableConcept See definition for codes	n/a	Exercise Activity example
Calories per activity			55424-6	Quantity	kcal	Calories per activity example
Average Heart Rate			55425-3 and 8867-4	Quantity	/min	Average Heart Rate example
Activity Duration			55411-3	Quantity	min	Activity Duration example
Peak Activity Heart Rate			55426-1	Quantity	/min	Peak Activity Heart Rate example

Daily Physical Activity

See also Daily Physical Activity form/data capture definition. Hint: Use NLM Form Builder to view these definitions.

Panel	SNOMED CT	SNOMED CT Display	LOINC	Example
n/a

Term	SNOMED CT	SNOMED CT Display	LOINC	FHIR Value Type	Unit Code	Example
Daily Step Count			41950-7	Quantity	/day	Daily Step Count example
Peak Daily Heart Rate			8873-2 and 8867-4	Quantity	/min	Peak Daily Heart Rate example
Average Resting Heart Rate			40443-4 and 8867-4	Quantity	/min	Average resting heart rate example
Calories per Day			41979-6	Quantity	kcal/(24.h)	Calories per Day example

NHS Health Assessment

Draft for elaboration

This relates to the PRSB NHS Health Check Standard See also NHS Health Check Asessment form/data capture definition. Hint: Use NLM Form Builder to view these definitions.

This has overlap with vital-signs and uses consistent SNOMED CT coding.