PROTECT-CHILD Pediatric Transplant Data Implementation Guide, published by Protect Child. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/protect-child/ and changes regularly. See the Directory of published versions
<Observation xmlns="http://hl7.org/fhir">
<id value="VitalSignExample2"/>
<meta>
<profile
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/vital-sign"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation VitalSignExample2</b></p><a name="VitalSignExample2"> </a><a name="hcVitalSignExample2"> </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-vital-sign.html">Vital Sign</a></p></div><p><b>identifier</b>: <a href="NamingSystem-NsProtectChildId.html" title="Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.">ProtectChildId</a>/VIT-1-0002</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></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs vital-signs-panel}">Vital signs panel</span></p><p><b>subject</b>: <a href="Patient-ExamplePatientTransplant1.html">Anonymous Patient Female, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)</a></p><p><b>encounter</b>: <a href="Encounter-VisitMonth12Example1.html">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0005; status = finished; class = ambulatory (ActCode#AMB); type = 12 month visit; period = 2024-08-15 --> 2024-08-15</a></p><p><b>effective</b>: 2024-08-15</p><p><b>performer</b>: <a href="Organization-PCCenter1LaPaz.html">Organization La Paz University Hospital</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8480-6}">Systolic blood pressure</span></p><p><b>value</b>: 112 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8462-4}">Diastolic blood pressure</span></p><p><b>value</b>: 70 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8867-4}">Heart rate</span></p><p><b>value</b>: 80 bpm<span style="background: LightGoldenRodYellow"> (Details: UCUM code/min = '/min')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 59408-5}">Oxygen saturation in Arterial blood by Pulse oximetry</span></p><p><b>value</b>: 98 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs sbp-percentile}">Systolic blood pressure percentile</span></p><p><b>value</b>: 82</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs dbp-percentile}">Diastolic blood pressure percentile</span></p><p><b>value</b>: 74</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8490-5}">Systolic blood pressure 24 hour mean</span></p><p><b>value</b>: 114 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8472-3}">Diastolic blood pressure 24 hour mean</span></p><p><b>value</b>: 68 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs mean-sbp-day}">Mean systolic blood pressure — daytime (mmHg)</span></p><p><b>value</b>: 119 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs mean-dbp-day}">Mean diastolic blood pressure — daytime (mmHg)</span></p><p><b>value</b>: 72 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs mean-sbp-night}">Mean systolic blood pressure — night-time (mmHg)</span></p><p><b>value</b>: 104 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs mean-dbp-night}">Mean diastolic blood pressure — night-time (mmHg)</span></p><p><b>value</b>: 60 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs sbp-load}">Systolic blood pressure load (%)</span></p><p><b>value</b>: 22 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs dbp-load}">Diastolic blood pressure load (%)</span></p><p><b>value</b>: 15 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs sbp-dip}">Systolic blood pressure nocturnal dip (%)</span></p><p><b>value</b>: 12.6 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs dbp-dip}">Diastolic blood pressure nocturnal dip (%)</span></p><p><b>value</b>: 16.7 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote></div>
</text>
<identifier>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id"/>
<value value="VIT-1-0002"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="vital-signs-panel"/>
<display value="Vital signs panel"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/ExamplePatientTransplant1"/>
</subject>
<encounter>🔗
<reference value="Encounter/VisitMonth12Example1"/>
</encounter>
<effectiveDateTime value="2024-08-15"/>
<performer>🔗
<reference value="Organization/PCCenter1LaPaz"/>
</performer>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="112"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
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<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="70"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
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</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8867-4"/>
<display value="Heart rate"/>
</coding>
</code>
<valueQuantity>
<value value="80"/>
<unit value="bpm"/>
<system value="http://unitsofmeasure.org"/>
<code value="/min"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="59408-5"/>
<display
value="Oxygen saturation in Arterial blood by Pulse oximetry"/>
</coding>
</code>
<valueQuantity>
<value value="98"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
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<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="sbp-percentile"/>
<display value="Systolic blood pressure percentile"/>
</coding>
</code>
<valueInteger value="82"/>
</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="dbp-percentile"/>
<display value="Diastolic blood pressure percentile"/>
</coding>
</code>
<valueInteger value="74"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8490-5"/>
<display value="Systolic blood pressure 24 hour mean"/>
</coding>
</code>
<valueQuantity>
<value value="114"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8472-3"/>
<display value="Diastolic blood pressure 24 hour mean"/>
</coding>
</code>
<valueQuantity>
<value value="68"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="mean-sbp-day"/>
<display value="Mean systolic blood pressure — daytime (mmHg)"/>
</coding>
</code>
<valueQuantity>
<value value="119"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
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</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="mean-dbp-day"/>
<display value="Mean diastolic blood pressure — daytime (mmHg)"/>
</coding>
</code>
<valueQuantity>
<value value="72"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="mean-sbp-night"/>
<display value="Mean systolic blood pressure — night-time (mmHg)"/>
</coding>
</code>
<valueQuantity>
<value value="104"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="mean-dbp-night"/>
<display value="Mean diastolic blood pressure — night-time (mmHg)"/>
</coding>
</code>
<valueQuantity>
<value value="60"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="sbp-load"/>
<display value="Systolic blood pressure load (%)"/>
</coding>
</code>
<valueQuantity>
<value value="22"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="dbp-load"/>
<display value="Diastolic blood pressure load (%)"/>
</coding>
</code>
<valueQuantity>
<value value="15"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="sbp-dip"/>
<display value="Systolic blood pressure nocturnal dip (%)"/>
</coding>
</code>
<valueQuantity>
<value value="12.6"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
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</component>
<component>
<code>
<coding>
<system
value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs"/>
<code value="dbp-dip"/>
<display value="Diastolic blood pressure nocturnal dip (%)"/>
</coding>
</code>
<valueQuantity>
<value value="16.7"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
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