{
  "resourceType" : "Observation",
  "id" : "ExampleSGHIVitalSignsBloodPressure",
  "meta" : {
    "profile" : ["https://fhir.slade360.co.ke/fhir/StructureDefinition/observation"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleSGHIVitalSignsBloodPressure</b></p><a name=\"ExampleSGHIVitalSignsBloodPressure\"> </a><a name=\"hcExampleSGHIVitalSignsBloodPressure\"> </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-observation.html\">SGHI Observation</a></p></div><p><b>identifier</b>: Medical Record Number/OBS-BP-0001\u00a0(use:\u00a0official,\u00a0)</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:{http://loinc.org 55284-4}\">Blood pressure systolic and diastolic</span></p><p><b>subject</b>: <a href=\"Patient-ExampleSGHIPatient.html\">James Pond(official) Male, DoB: 1990-07-15 ( Medical Record Number: 12345)</a></p><p><b>encounter</b>: <a href=\"Encounter-ExampleSGHIEncounter.html\">Encounter: identifier = Visit Number: VN123456789\u00a0(use:\u00a0official,\u00a0); status = in-progress; class = Ambulatory</a></p><p><b>effective</b>: 2025-02-10 08:00:00+0000</p><p><b>issued</b>: 2025-02-10 08:00:00+0000</p><p><b>performer</b>: <a href=\"Organization-ExampleSGHIOrganization.html\">Organization SGHI Healthcare Organization</a></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation HH}\">Critical high</span></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>: 190 millimeter of mercury<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation HH}\">Critical high</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>90 millimeter of mercury<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td>129 millimeter of mercury<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></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>: 95 millimeter of mercury<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>60 millimeter of mercury<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td>79 millimeter of mercury<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></blockquote></div>"
  },
  "identifier" : [{
    "use" : "official",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MR",
        "display" : "Medical Record Number"
      }]
    },
    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
    "value" : "OBS-BP-0001",
    "assigner" : {
      "reference" : "Organization/ExampleSGHIOrganization"
    }
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "vital-signs",
      "display" : "Vital Signs"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "55284-4",
      "display" : "Blood pressure systolic and diastolic"
    }]
  },
  "subject" : {
    "reference" : "Patient/ExampleSGHIPatient"
  },
  "encounter" : {
    "reference" : "Encounter/ExampleSGHIEncounter"
  },
  "effectiveInstant" : "2025-02-10T08:00:00Z",
  "issued" : "2025-02-10T08:00:00Z",
  "performer" : [{
    "reference" : "Organization/ExampleSGHIOrganization"
  }],
  "interpretation" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "code" : "HH",
      "display" : "Critical high"
    }]
  }],
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "8480-6",
        "display" : "Systolic blood pressure"
      }]
    },
    "valueQuantity" : {
      "value" : 190,
      "unit" : "millimeter of mercury",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm[Hg]"
    },
    "interpretation" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
        "code" : "HH",
        "display" : "Critical high"
      }]
    }],
    "referenceRange" : [{
      "low" : {
        "value" : 90,
        "unit" : "millimeter of mercury",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      },
      "high" : {
        "value" : 129,
        "unit" : "millimeter of mercury",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      },
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
          "code" : "normal",
          "display" : "Normal Range"
        }]
      }
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "8462-4",
        "display" : "Diastolic blood pressure"
      }]
    },
    "valueQuantity" : {
      "value" : 95,
      "unit" : "millimeter of mercury",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm[Hg]"
    },
    "interpretation" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
        "code" : "H",
        "display" : "High"
      }]
    }],
    "referenceRange" : [{
      "low" : {
        "value" : 60,
        "unit" : "millimeter of mercury",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      },
      "high" : {
        "value" : 79,
        "unit" : "millimeter of mercury",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      },
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
          "code" : "normal",
          "display" : "Normal Range"
        }]
      }
    }]
  }]
}