SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
<Observation xmlns="http://hl7.org/fhir">
<id value="ExampleSGHIVitalSignsBloodPressure"/>
<meta>
<profile
value="https://fhir.slade360.co.ke/fhir/StructureDefinition/observation"/>
</meta>
<text>
<status value="generated"/>
<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 (use: official, )</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 (use: official, ); 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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<value value="OBS-BP-0001"/>
<assigner>🔗
<reference value="Organization/ExampleSGHIOrganization"/>
</assigner>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55284-4"/>
<display value="Blood pressure systolic and diastolic"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/ExampleSGHIPatient"/>
</subject>
<encounter>🔗
<reference value="Encounter/ExampleSGHIEncounter"/>
</encounter>
<effectiveInstant value="2025-02-10T08:00:00Z"/>
<issued value="2025-02-10T08:00:00Z"/>
<performer>🔗
<reference value="Organization/ExampleSGHIOrganization"/>
</performer>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="HH"/>
<display value="Critical high"/>
</coding>
</interpretation>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="190"/>
<unit value="millimeter of mercury"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="HH"/>
<display value="Critical high"/>
</coding>
</interpretation>
<referenceRange>
<low>
<value value="90"/>
<unit value="millimeter of mercury"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</low>
<high>
<value value="129"/>
<unit value="millimeter of mercury"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</high>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
<code value="normal"/>
<display value="Normal Range"/>
</coding>
</type>
</referenceRange>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="95"/>
<unit value="millimeter of mercury"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
</interpretation>
<referenceRange>
<low>
<value value="60"/>
<unit value="millimeter of mercury"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</low>
<high>
<value value="79"/>
<unit value="millimeter of mercury"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</high>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
<code value="normal"/>
<display value="Normal Range"/>
</coding>
</type>
</referenceRange>
</component>
</Observation>