[GF#21472]: org.hl7.fhir.core: Validator cannot validate BP Profile
This commit is contained in:
Oliver Egger
parent
62ec11aad2
commit
30803a7a41
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@ -468,6 +468,32 @@
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"errorCount": 0
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}
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},
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"observation-bp-validationfails.xml" : {
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"errorCount": 4,
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"errors": [
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"ERROR: Observation.component[1]: Error in discriminator at Observation.component:SystolicBP.code.coding: slicing found",
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"ERROR: Observation.component[2]: Error in discriminator at Observation.component:SystolicBP.code.coding: slicing found",
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"ERROR: Observation.component[1]: Error in discriminator at Observation.component:DiastolicBP.code.coding: slicing found",
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"ERROR: Observation.component[2]: Error in discriminator at Observation.component:DiastolicBP.code.coding: slicing found"
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]
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},
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"observation-bp.xml" : {
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"errorCount": 0,
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"profile" : {
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"source" : "observation-bp-profile.xml",
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"errorCount": 0
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}
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},
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"observation-bp-bad-onlydiastolic.xml" : {
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"errorCount": 0,
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"profile" : {
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"source" : "observation-bp-profile.xml",
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"errorCount": 1,
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"errors": [
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"ERROR: Observation: Profile http://hl7.org/fhir/StructureDefinition/observation-bp-profile, Element 'Observation.component[SystolicBP]': minimum required = 1, but only found 0"
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]
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}
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},
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"observation-cholesterol-good.xml" : {
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"errorCount": 0
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},
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@ -0,0 +1,250 @@
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<Observation xmlns="http://hl7.org/fhir">
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<!-- extract from https://www.hl7.org/fhir/observation-example-bloodpressure.xml,
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changed id from blood-pressure to observation-bp and removed systolic loinc coide that observation fails -->
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<id value="observation-bp-bad-onlydiastolic" />
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<text>
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<status value="generated" />
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<div xmlns="http://www.w3.org/1999/xhtml">
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<p>
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<b>Generated Narrative with Details</b>
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</p>
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<p>
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<b>id</b>
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: blood-pressure
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</p>
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<p>
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<b>meta</b>
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:
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</p>
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<p>
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<b>identifier</b>
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: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281
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</p>
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<p>
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<b>basedOn</b>
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:
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</p>
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<p>
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<b>status</b>
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: final
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</p>
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<p>
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<b>category</b>
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: Vital Signs
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<span>(Details :
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{http://terminology.hl7.org/CodeSystem/observation-category code
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'vital-signs' = 'Vital Signs', given as 'Vital
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Signs'})</span>
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</p>
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<p>
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<b>code</b>:
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Blood pressure systolic & diastolic
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<span>(Details : {LOINC code '85354-9' = 'Blood pressure
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panel with all children optional', given as 'Blood pressure
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panel with all children optional'})</span>
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</p>
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<p>
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<b>subject</b>
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:
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<a>Patient/example</a>
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</p>
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<p>
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<b>effective</b>
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: 17/09/2012
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</p>
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<p>
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<b>performer</b>
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:
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<a>Practitioner/example</a>
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</p>
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<p>
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<b>interpretation</b>
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: Below low normal
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<span>(Details :
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{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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code 'L' = 'Low', given as 'low'})</span>
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</p>
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<p>
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<b>bodySite</b>
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: Right arm
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<span>(Details : {SNOMED CT code '368209003' = 'Right
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upper arm', given as 'Right arm'})</span>
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</p>
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<blockquote>
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<p>
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<b>component</b>
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</p>
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<p>
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<b>code</b>
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: Systolic blood pressure
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<span>(Details : {LOINC code '8480-6' = 'Systolic blood
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pressure', given as 'Systolic blood pressure'};
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{SNOMED CT code '271649006' = 'Systolic blood
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pressure', given as 'Systolic blood pressure'};
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{http://acme.org/devices/clinical-codes code 'bp-s' =
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'bp-s', given as 'Systolic Blood pressure'})
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</span>
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</p>
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<p>
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<b>value</b>
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: 107 mmHg
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<span> (Details: UCUM code mm[Hg] = 'mmHg')</span>
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</p>
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<p>
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<b>interpretation</b>
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: Normal
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<span>(Details :
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{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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code 'N' = 'Normal', given as 'normal'})
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</span>
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</p>
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</blockquote>
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<blockquote>
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<p>
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<b>component</b>
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</p>
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<p>
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<b>code</b>
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: Diastolic blood pressure
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<span>(Details : {LOINC code '8462-4' = 'Diastolic
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blood pressure', given as 'Diastolic blood pressure'})
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</span>
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</p>
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<p>
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<b>value</b>
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: 60 mmHg
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<span> (Details: UCUM code mm[Hg] = 'mmHg')</span>
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</p>
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<p>
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<b>interpretation</b>
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: Below low normal
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<span>(Details :
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{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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code 'L' = 'Low', given as 'low'})</span>
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</p>
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</blockquote>
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</div>
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</text>
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<identifier>
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<system value="urn:ietf:rfc:3986" />
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<value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" />
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</identifier><!-- demonstrating the use of the baseOn element with a fictive
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identifier -->
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<basedOn>
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<identifier>
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<system value="https://acme.org/identifiers" />
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<value value="1234" />
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</identifier>
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</basedOn>
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<status value="final" />
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<category>
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<coding>
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<system
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value="http://terminology.hl7.org/CodeSystem/observation-category" />
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<code value="vital-signs" />
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<display value="Vital Signs" />
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</coding>
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</category>
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<code><!-- replaced by 85354-9 <coding> <system value="http://loinc.org"/>
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<code value="85354-9"/> <display value="Blood pressure systolic & diastolic"/>
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</coding> -->
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<coding>
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<system value="http://loinc.org" />
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<code value="85354-9" />
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<display
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value="Blood pressure panel with all children optional" />
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</coding>
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<text value="Blood pressure systolic & diastolic" />
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</code>
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<subject>
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<reference value="Patient/example" />
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</subject>
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<effectiveDateTime value="2012-09-17" />
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<performer>
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<reference value="Practitioner/example" />
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</performer><!-- an interpretation offered to the combination observation
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generally, it would only be appropriate to offer an interpretation of an
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observation that has no value if it has "COMP" (component) observations -->
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<interpretation>
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<coding>
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<system
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value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
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<code value="L" />
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<display value="low" />
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</coding>
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<text value="Below low normal" />
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</interpretation><!-- The BodySite can be captured in a LOINC code but am
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showing it here to demonstrate populating the element -->
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<bodySite>
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<coding>
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<system value="http://snomed.info/sct" />
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<code value="368209003" />
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<display value="Right arm" />
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</coding>
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</bodySite>
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<component><!-- Observations are often coded in multiple code systems. -
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LOINC provides a very specific code (though not more specific in this particular
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case) - snomed provides a clinically relevant code that is usually less granular
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than LOINC - the source system provides its own code, which may be less or
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more granular than LOINC this is shown here to demonstrate the concept of
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translations within the codeableConcept datatype. The diastolic code below
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only has a LOINC code -->
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<code><!-- LOINC -code -->
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<!-- removed systolic loinc coide that observation fails <coding>
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<system value="http://loinc.org" />
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<code value="8480-6" />
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<display value="Systolic blood pressure" />
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</coding>
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--> <!-- SNOMED CT Codes -->
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<coding>
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<system value="http://snomed.info/sct" />
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<code value="271649006" />
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<display value="Systolic blood pressure" />
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</coding><!-- Also, a local code specific to the source system -->
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<coding>
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<system value="http://acme.org/devices/clinical-codes" />
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<code value="bp-s" />
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<display value="Systolic Blood pressure" />
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</coding>
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</code>
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<valueQuantity>
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<value value="107" />
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<unit value="mmHg" />
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<system value="http://unitsofmeasure.org" />
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<code value="mm[Hg]" />
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</valueQuantity><!-- an interpretation for the individual composite observation -->
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<interpretation>
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<coding>
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<system
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value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
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<code value="N" />
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<display value="normal" />
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</coding>
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<text value="Normal" />
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</interpretation><!-- Should have a refrange as well -->
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</component>
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<component><!-- this codes only has a LOINC code -->
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<code>
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<coding>
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<system value="http://loinc.org" />
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<code value="8462-4" />
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<display value="Diastolic blood pressure" />
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</coding>
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</code>
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<valueQuantity>
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<value value="60" />
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<unit value="mmHg" />
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<system value="http://unitsofmeasure.org" />
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<code value="mm[Hg]" />
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</valueQuantity><!-- an interpretation for the individual composite observation -->
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<interpretation>
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<coding>
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<system
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value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
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<code value="L" />
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<display value="low" />
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</coding>
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<text value="Below low normal" />
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</interpretation><!-- Should have a refrange as well -->
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</component>
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</Observation>
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@ -0,0 +1,243 @@
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<StructureDefinition xmlns="http://hl7.org/fhir">
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<id value="observation-bp-profile" />
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<text>
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<status value="generated" />
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<div xmlns="http://www.w3.org/1999/xhtml">reworked official bp profile to use patternCodeableConcept</div>
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</text>
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<url value="http://hl7.org/fhir/StructureDefinition/observation-bp-profile" />
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<version value="4.0.0" />
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<name value="observation-bp" />
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<title value="Observation Blood Pressure Profile" />
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<status value="draft" />
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<experimental value="false" />
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<date value="2019-05-06" />
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<publisher
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value="Health Level Seven International (Orders and Observations Workgroup)" />
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<contact>
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<telecom>
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<system value="url" />
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<value
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value="http://www.hl7.org/Special/committees/orders/index.cfm Orders and Observations" />
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</telecom>
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</contact>
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<description value="FHIR Blood Pressure Profile" />
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<fhirVersion value="4.0.0" />
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<mapping>
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<identity value="workflow" />
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<uri value="http://hl7.org/fhir/workflow" />
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<name value="Workflow Pattern" />
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</mapping>
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<mapping>
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<identity value="sct-concept" />
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<uri value="http://snomed.info/conceptdomain" />
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<name value="SNOMED CT Concept Domain Binding" />
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</mapping>
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<mapping>
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<identity value="v2" />
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<uri value="http://hl7.org/v2" />
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<name value="HL7 v2 Mapping" />
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</mapping>
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<mapping>
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<identity value="rim" />
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<uri value="http://hl7.org/v3" />
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<name value="RIM Mapping" />
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</mapping>
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<mapping>
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<identity value="w5" />
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<uri value="http://hl7.org/fhir/fivews" />
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<name value="FiveWs Pattern Mapping" />
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</mapping>
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<mapping>
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<identity value="sct-attr" />
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<uri value="http://snomed.org/attributebinding" />
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<name value="SNOMED CT Attribute Binding" />
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</mapping>
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<kind value="resource" />
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<abstract value="false" />
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<type value="Observation" />
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<baseDefinition
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value="http://hl7.org/fhir/StructureDefinition/vitalsigns" />
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<derivation value="constraint" />
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<differential>
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<element id="Observation">
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<path value="Observation" />
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<short value="FHIR Blood Pressure Profile" />
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<definition
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value="This profile defines how to represent Blood Pressure observations in FHIR using a standard LOINC code and UCUM units of measure. This is a grouping structure. It has no value in Observation.valueQuantity but contains at least one component (systolic and/or diastolic)." />
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<min value="0" />
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<max value="*" />
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</element>
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<element id="Observation.code">
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<path value="Observation.code" />
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<short value="Blood Pressure" />
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<definition value="Blood Pressure" />
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<min value="1" />
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<max value="1" />
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<type>
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<code value="CodeableConcept" />
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</type>
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<patternCodeableConcept>
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<coding>
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<system value="http://loinc.org" />
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<code value="85354-9" />
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</coding>
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</patternCodeableConcept>
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<mustSupport value="true" />
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</element>
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<element id="Observation.valueQuantity">
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<path value="Observation.valueQuantity" />
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<min value="0" />
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<max value="0" />
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</element>
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<element id="Observation.component">
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<path value="Observation.component" />
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<slicing>
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<discriminator>
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<type value="pattern" />
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<path value="code" />
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</discriminator>
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<rules value="open" />
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</slicing>
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<min value="2" />
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<max value="*" />
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</element>
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<element id="Observation.component:SystolicBP">
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<path value="Observation.component" />
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<sliceName value="SystolicBP" />
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<short value="SystolicBP" />
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<min value="1" />
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<max value="1" />
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</element>
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<element id="Observation.component:SystolicBP.code">
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<path value="Observation.component.code" />
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<min value="1" />
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<patternCodeableConcept>
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<coding>
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<system value="http://loinc.org" />
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<code value="8480-6" />
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</coding>
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</patternCodeableConcept>
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</element>
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<element id="Observation.component:SystolicBP.valueQuantity">
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<path value="Observation.component.valueQuantity" />
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<type>
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<code value="Quantity" />
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</type>
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</element>
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<element
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id="Observation.component:SystolicBP.valueQuantity.value">
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<path value="Observation.component.valueQuantity.value" />
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<min value="1" />
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<max value="1" />
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<type>
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<code value="decimal" />
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</type>
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<mustSupport value="true" />
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</element>
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<element
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id="Observation.component:SystolicBP.valueQuantity.unit">
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<path value="Observation.component.valueQuantity.unit" />
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<min value="1" />
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<max value="1" />
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<type>
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<code value="string" />
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</type>
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<mustSupport value="true" />
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</element>
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<element
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id="Observation.component:SystolicBP.valueQuantity.system">
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<path value="Observation.component.valueQuantity.system" />
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<min value="1" />
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<max value="1" />
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<type>
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<code value="uri" />
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</type>
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<fixedUri value="http://unitsofmeasure.org" />
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<mustSupport value="true" />
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</element>
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<element
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id="Observation.component:SystolicBP.valueQuantity.code">
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<path value="Observation.component.valueQuantity.code" />
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<short
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value="Coded responses from the common UCUM units for vital signs value set." />
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<definition
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value="Coded responses from the common UCUM units for vital signs value set." />
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<min value="1" />
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<max value="1" />
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<type>
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<code value="code" />
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</type>
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<fixedCode value="mm[Hg]" />
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<mustSupport value="true" />
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</element>
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<element id="Observation.component:DiastolicBP">
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<path value="Observation.component" />
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<sliceName value="DiastolicBP" />
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<short value="DiastolicBP" />
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<min value="1" />
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<max value="1" />
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</element>
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<element id="Observation.component:DiastolicBP">
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<path value="Observation.component.code" />
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||||
<min value="1" />
|
||||
<patternCodeableConcept>
|
||||
<coding>
|
||||
<system value="http://loinc.org" />
|
||||
<code value="8462-4" />
|
||||
</coding>
|
||||
</patternCodeableConcept>
|
||||
</element>
|
||||
<element id="Observation.component:DiastolicBP.valueQuantity">
|
||||
<path value="Observation.component.valueQuantity" />
|
||||
<type>
|
||||
<code value="Quantity" />
|
||||
</type>
|
||||
</element>
|
||||
<element
|
||||
id="Observation.component:DiastolicBP.valueQuantity.value">
|
||||
<path value="Observation.component.valueQuantity.value" />
|
||||
<min value="1" />
|
||||
<max value="1" />
|
||||
<type>
|
||||
<code value="decimal" />
|
||||
</type>
|
||||
<mustSupport value="true" />
|
||||
</element>
|
||||
<element
|
||||
id="Observation.component:DiastolicBP.valueQuantity.unit">
|
||||
<path value="Observation.component.valueQuantity.unit" />
|
||||
<min value="1" />
|
||||
<max value="1" />
|
||||
<type>
|
||||
<code value="string" />
|
||||
</type>
|
||||
<mustSupport value="true" />
|
||||
</element>
|
||||
<element
|
||||
id="Observation.component:DiastolicBP.valueQuantity.system">
|
||||
<path value="Observation.component.valueQuantity.system" />
|
||||
<min value="1" />
|
||||
<max value="1" />
|
||||
<type>
|
||||
<code value="uri" />
|
||||
</type>
|
||||
<fixedUri value="http://unitsofmeasure.org" />
|
||||
<mustSupport value="true" />
|
||||
</element>
|
||||
<element
|
||||
id="Observation.component:DiastolicBP.valueQuantity.code">
|
||||
<path value="Observation.component.valueQuantity.code" />
|
||||
<short
|
||||
value="Coded responses from the common UCUM units for vital signs value set." />
|
||||
<definition
|
||||
value="Coded responses from the common UCUM units for vital signs value set." />
|
||||
<min value="1" />
|
||||
<max value="1" />
|
||||
<type>
|
||||
<code value="code" />
|
||||
</type>
|
||||
<fixedCode value="mm[Hg]" />
|
||||
<mustSupport value="true" />
|
||||
</element>
|
||||
</differential>
|
||||
</StructureDefinition>
|
||||
|
|
@ -0,0 +1,253 @@
|
|||
<Observation xmlns="http://hl7.org/fhir">
|
||||
<!-- extract from https://www.hl7.org/fhir/observation-example-bloodpressure.xml,
|
||||
changed id from blood-pressure to observation-bp-validationfails and added explicit profile
|
||||
reference to http://hl7.org/fhir/StructureDefinition/bp -->
|
||||
<id value="observation-bp-validationfails" />
|
||||
<meta>
|
||||
<profile value="http://hl7.org/fhir/StructureDefinition/bp" />
|
||||
</meta>
|
||||
<text>
|
||||
<status value="generated" />
|
||||
<div xmlns="http://www.w3.org/1999/xhtml">
|
||||
<p>
|
||||
<b>Generated Narrative with Details</b>
|
||||
</p>
|
||||
<p>
|
||||
<b>id</b>
|
||||
: blood-pressure
|
||||
</p>
|
||||
<p>
|
||||
<b>meta</b>
|
||||
:
|
||||
</p>
|
||||
<p>
|
||||
<b>identifier</b>
|
||||
: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281
|
||||
</p>
|
||||
<p>
|
||||
<b>basedOn</b>
|
||||
:
|
||||
</p>
|
||||
<p>
|
||||
<b>status</b>
|
||||
: final
|
||||
</p>
|
||||
<p>
|
||||
<b>category</b>
|
||||
: Vital Signs
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/observation-category code
|
||||
'vital-signs' = 'Vital Signs', given as 'Vital
|
||||
Signs'})</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>code</b>:
|
||||
Blood pressure systolic & diastolic
|
||||
<span>(Details : {LOINC code '85354-9' = 'Blood pressure
|
||||
panel with all children optional', given as 'Blood pressure
|
||||
panel with all children optional'})</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>subject</b>
|
||||
:
|
||||
<a>Patient/example</a>
|
||||
</p>
|
||||
<p>
|
||||
<b>effective</b>
|
||||
: 17/09/2012
|
||||
</p>
|
||||
<p>
|
||||
<b>performer</b>
|
||||
:
|
||||
<a>Practitioner/example</a>
|
||||
</p>
|
||||
<p>
|
||||
<b>interpretation</b>
|
||||
: Below low normal
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
|
||||
code 'L' = 'Low', given as 'low'})</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>bodySite</b>
|
||||
: Right arm
|
||||
<span>(Details : {SNOMED CT code '368209003' = 'Right
|
||||
upper arm', given as 'Right arm'})</span>
|
||||
</p>
|
||||
<blockquote>
|
||||
<p>
|
||||
<b>component</b>
|
||||
</p>
|
||||
<p>
|
||||
<b>code</b>
|
||||
: Systolic blood pressure
|
||||
<span>(Details : {LOINC code '8480-6' = 'Systolic blood
|
||||
pressure', given as 'Systolic blood pressure'};
|
||||
{SNOMED CT code '271649006' = 'Systolic blood
|
||||
pressure', given as 'Systolic blood pressure'};
|
||||
{http://acme.org/devices/clinical-codes code 'bp-s' =
|
||||
'bp-s', given as 'Systolic Blood pressure'})
|
||||
</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>value</b>
|
||||
: 107 mmHg
|
||||
<span> (Details: UCUM code mm[Hg] = 'mmHg')</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>interpretation</b>
|
||||
: Normal
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
|
||||
code 'N' = 'Normal', given as 'normal'})
|
||||
</span>
|
||||
</p>
|
||||
</blockquote>
|
||||
<blockquote>
|
||||
<p>
|
||||
<b>component</b>
|
||||
</p>
|
||||
<p>
|
||||
<b>code</b>
|
||||
: Diastolic blood pressure
|
||||
<span>(Details : {LOINC code '8462-4' = 'Diastolic
|
||||
blood pressure', given as 'Diastolic blood pressure'})
|
||||
</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>value</b>
|
||||
: 60 mmHg
|
||||
<span> (Details: UCUM code mm[Hg] = 'mmHg')</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>interpretation</b>
|
||||
: Below low normal
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
|
||||
code 'L' = 'Low', given as 'low'})</span>
|
||||
</p>
|
||||
</blockquote>
|
||||
</div>
|
||||
</text>
|
||||
<identifier>
|
||||
<system value="urn:ietf:rfc:3986" />
|
||||
<value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" />
|
||||
</identifier><!-- demonstrating the use of the baseOn element with a fictive
|
||||
identifier -->
|
||||
<basedOn>
|
||||
<identifier>
|
||||
<system value="https://acme.org/identifiers" />
|
||||
<value value="1234" />
|
||||
</identifier>
|
||||
</basedOn>
|
||||
<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><!-- replaced by 85354-9 <coding> <system value="http://loinc.org"/>
|
||||
<code value="85354-9"/> <display value="Blood pressure systolic & diastolic"/>
|
||||
</coding> -->
|
||||
<coding>
|
||||
<system value="http://loinc.org" />
|
||||
<code value="85354-9" />
|
||||
<display
|
||||
value="Blood pressure panel with all children optional" />
|
||||
</coding>
|
||||
<text value="Blood pressure systolic & diastolic" />
|
||||
</code>
|
||||
<subject>
|
||||
<reference value="Patient/example" />
|
||||
</subject>
|
||||
<effectiveDateTime value="2012-09-17" />
|
||||
<performer>
|
||||
<reference value="Practitioner/example" />
|
||||
</performer><!-- an interpretation offered to the combination observation
|
||||
generally, it would only be appropriate to offer an interpretation of an
|
||||
observation that has no value if it has "COMP" (component) observations -->
|
||||
<interpretation>
|
||||
<coding>
|
||||
<system
|
||||
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
|
||||
<code value="L" />
|
||||
<display value="low" />
|
||||
</coding>
|
||||
<text value="Below low normal" />
|
||||
</interpretation><!-- The BodySite can be captured in a LOINC code but am
|
||||
showing it here to demonstrate populating the element -->
|
||||
<bodySite>
|
||||
<coding>
|
||||
<system value="http://snomed.info/sct" />
|
||||
<code value="368209003" />
|
||||
<display value="Right arm" />
|
||||
</coding>
|
||||
</bodySite>
|
||||
<component><!-- Observations are often coded in multiple code systems. -
|
||||
LOINC provides a very specific code (though not more specific in this particular
|
||||
case) - snomed provides a clinically relevant code that is usually less granular
|
||||
than LOINC - the source system provides its own code, which may be less or
|
||||
more granular than LOINC this is shown here to demonstrate the concept of
|
||||
translations within the codeableConcept datatype. The diastolic code below
|
||||
only has a LOINC code -->
|
||||
<code><!-- LOINC -code -->
|
||||
<coding>
|
||||
<system value="http://loinc.org" />
|
||||
<code value="8480-6" />
|
||||
<display value="Systolic blood pressure" />
|
||||
</coding><!-- SNOMED CT Codes -->
|
||||
<coding>
|
||||
<system value="http://snomed.info/sct" />
|
||||
<code value="271649006" />
|
||||
<display value="Systolic blood pressure" />
|
||||
</coding><!-- Also, a local code specific to the source system -->
|
||||
<coding>
|
||||
<system value="http://acme.org/devices/clinical-codes" />
|
||||
<code value="bp-s" />
|
||||
<display value="Systolic Blood pressure" />
|
||||
</coding>
|
||||
</code>
|
||||
<valueQuantity>
|
||||
<value value="107" />
|
||||
<unit value="mmHg" />
|
||||
<system value="http://unitsofmeasure.org" />
|
||||
<code value="mm[Hg]" />
|
||||
</valueQuantity><!-- an interpretation for the individual composite observation -->
|
||||
<interpretation>
|
||||
<coding>
|
||||
<system
|
||||
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
|
||||
<code value="N" />
|
||||
<display value="normal" />
|
||||
</coding>
|
||||
<text value="Normal" />
|
||||
</interpretation><!-- Should have a refrange as well -->
|
||||
</component>
|
||||
<component><!-- this codes only has a LOINC code -->
|
||||
<code>
|
||||
<coding>
|
||||
<system value="http://loinc.org" />
|
||||
<code value="8462-4" />
|
||||
<display value="Diastolic blood pressure" />
|
||||
</coding>
|
||||
</code>
|
||||
<valueQuantity>
|
||||
<value value="60" />
|
||||
<unit value="mmHg" />
|
||||
<system value="http://unitsofmeasure.org" />
|
||||
<code value="mm[Hg]" />
|
||||
</valueQuantity><!-- an interpretation for the individual composite observation -->
|
||||
<interpretation>
|
||||
<coding>
|
||||
<system
|
||||
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
|
||||
<code value="L" />
|
||||
<display value="low" />
|
||||
</coding>
|
||||
<text value="Below low normal" />
|
||||
</interpretation><!-- Should have a refrange as well -->
|
||||
</component>
|
||||
</Observation>
|
||||
|
|
@ -0,0 +1,249 @@
|
|||
<Observation xmlns="http://hl7.org/fhir">
|
||||
<!-- extract from https://www.hl7.org/fhir/observation-example-bloodpressure.xml,
|
||||
changed id from blood-pressure to observation-bp -->
|
||||
<id value="observation-bp" />
|
||||
<text>
|
||||
<status value="generated" />
|
||||
<div xmlns="http://www.w3.org/1999/xhtml">
|
||||
<p>
|
||||
<b>Generated Narrative with Details</b>
|
||||
</p>
|
||||
<p>
|
||||
<b>id</b>
|
||||
: blood-pressure
|
||||
</p>
|
||||
<p>
|
||||
<b>meta</b>
|
||||
:
|
||||
</p>
|
||||
<p>
|
||||
<b>identifier</b>
|
||||
: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281
|
||||
</p>
|
||||
<p>
|
||||
<b>basedOn</b>
|
||||
:
|
||||
</p>
|
||||
<p>
|
||||
<b>status</b>
|
||||
: final
|
||||
</p>
|
||||
<p>
|
||||
<b>category</b>
|
||||
: Vital Signs
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/observation-category code
|
||||
'vital-signs' = 'Vital Signs', given as 'Vital
|
||||
Signs'})</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>code</b>:
|
||||
Blood pressure systolic & diastolic
|
||||
<span>(Details : {LOINC code '85354-9' = 'Blood pressure
|
||||
panel with all children optional', given as 'Blood pressure
|
||||
panel with all children optional'})</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>subject</b>
|
||||
:
|
||||
<a>Patient/example</a>
|
||||
</p>
|
||||
<p>
|
||||
<b>effective</b>
|
||||
: 17/09/2012
|
||||
</p>
|
||||
<p>
|
||||
<b>performer</b>
|
||||
:
|
||||
<a>Practitioner/example</a>
|
||||
</p>
|
||||
<p>
|
||||
<b>interpretation</b>
|
||||
: Below low normal
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
|
||||
code 'L' = 'Low', given as 'low'})</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>bodySite</b>
|
||||
: Right arm
|
||||
<span>(Details : {SNOMED CT code '368209003' = 'Right
|
||||
upper arm', given as 'Right arm'})</span>
|
||||
</p>
|
||||
<blockquote>
|
||||
<p>
|
||||
<b>component</b>
|
||||
</p>
|
||||
<p>
|
||||
<b>code</b>
|
||||
: Systolic blood pressure
|
||||
<span>(Details : {LOINC code '8480-6' = 'Systolic blood
|
||||
pressure', given as 'Systolic blood pressure'};
|
||||
{SNOMED CT code '271649006' = 'Systolic blood
|
||||
pressure', given as 'Systolic blood pressure'};
|
||||
{http://acme.org/devices/clinical-codes code 'bp-s' =
|
||||
'bp-s', given as 'Systolic Blood pressure'})
|
||||
</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>value</b>
|
||||
: 107 mmHg
|
||||
<span> (Details: UCUM code mm[Hg] = 'mmHg')</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>interpretation</b>
|
||||
: Normal
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
|
||||
code 'N' = 'Normal', given as 'normal'})
|
||||
</span>
|
||||
</p>
|
||||
</blockquote>
|
||||
<blockquote>
|
||||
<p>
|
||||
<b>component</b>
|
||||
</p>
|
||||
<p>
|
||||
<b>code</b>
|
||||
: Diastolic blood pressure
|
||||
<span>(Details : {LOINC code '8462-4' = 'Diastolic
|
||||
blood pressure', given as 'Diastolic blood pressure'})
|
||||
</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>value</b>
|
||||
: 60 mmHg
|
||||
<span> (Details: UCUM code mm[Hg] = 'mmHg')</span>
|
||||
</p>
|
||||
<p>
|
||||
<b>interpretation</b>
|
||||
: Below low normal
|
||||
<span>(Details :
|
||||
{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
|
||||
code 'L' = 'Low', given as 'low'})</span>
|
||||
</p>
|
||||
</blockquote>
|
||||
</div>
|
||||
</text>
|
||||
<identifier>
|
||||
<system value="urn:ietf:rfc:3986" />
|
||||
<value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" />
|
||||
</identifier><!-- demonstrating the use of the baseOn element with a fictive
|
||||
identifier -->
|
||||
<basedOn>
|
||||
<identifier>
|
||||
<system value="https://acme.org/identifiers" />
|
||||
<value value="1234" />
|
||||
</identifier>
|
||||
</basedOn>
|
||||
<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><!-- replaced by 85354-9 <coding> <system value="http://loinc.org"/>
|
||||
<code value="85354-9"/> <display value="Blood pressure systolic & diastolic"/>
|
||||
</coding> -->
|
||||
<coding>
|
||||
<system value="http://loinc.org" />
|
||||
<code value="85354-9" />
|
||||
<display
|
||||
value="Blood pressure panel with all children optional" />
|
||||
</coding>
|
||||
<text value="Blood pressure systolic & diastolic" />
|
||||
</code>
|
||||
<subject>
|
||||
<reference value="Patient/example" />
|
||||
</subject>
|
||||
<effectiveDateTime value="2012-09-17" />
|
||||
<performer>
|
||||
<reference value="Practitioner/example" />
|
||||
</performer><!-- an interpretation offered to the combination observation
|
||||
generally, it would only be appropriate to offer an interpretation of an
|
||||
observation that has no value if it has "COMP" (component) observations -->
|
||||
<interpretation>
|
||||
<coding>
|
||||
<system
|
||||
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
|
||||
<code value="L" />
|
||||
<display value="low" />
|
||||
</coding>
|
||||
<text value="Below low normal" />
|
||||
</interpretation><!-- The BodySite can be captured in a LOINC code but am
|
||||
showing it here to demonstrate populating the element -->
|
||||
<bodySite>
|
||||
<coding>
|
||||
<system value="http://snomed.info/sct" />
|
||||
<code value="368209003" />
|
||||
<display value="Right arm" />
|
||||
</coding>
|
||||
</bodySite>
|
||||
<component><!-- Observations are often coded in multiple code systems. -
|
||||
LOINC provides a very specific code (though not more specific in this particular
|
||||
case) - snomed provides a clinically relevant code that is usually less granular
|
||||
than LOINC - the source system provides its own code, which may be less or
|
||||
more granular than LOINC this is shown here to demonstrate the concept of
|
||||
translations within the codeableConcept datatype. The diastolic code below
|
||||
only has a LOINC code -->
|
||||
<code><!-- LOINC -code -->
|
||||
<coding>
|
||||
<system value="http://loinc.org" />
|
||||
<code value="8480-6" />
|
||||
<display value="Systolic blood pressure" />
|
||||
</coding><!-- SNOMED CT Codes -->
|
||||
<coding>
|
||||
<system value="http://snomed.info/sct" />
|
||||
<code value="271649006" />
|
||||
<display value="Systolic blood pressure" />
|
||||
</coding><!-- Also, a local code specific to the source system -->
|
||||
<coding>
|
||||
<system value="http://acme.org/devices/clinical-codes" />
|
||||
<code value="bp-s" />
|
||||
<display value="Systolic Blood pressure" />
|
||||
</coding>
|
||||
</code>
|
||||
<valueQuantity>
|
||||
<value value="107" />
|
||||
<unit value="mmHg" />
|
||||
<system value="http://unitsofmeasure.org" />
|
||||
<code value="mm[Hg]" />
|
||||
</valueQuantity><!-- an interpretation for the individual composite observation -->
|
||||
<interpretation>
|
||||
<coding>
|
||||
<system
|
||||
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
|
||||
<code value="N" />
|
||||
<display value="normal" />
|
||||
</coding>
|
||||
<text value="Normal" />
|
||||
</interpretation><!-- Should have a refrange as well -->
|
||||
</component>
|
||||
<component><!-- this codes only has a LOINC code -->
|
||||
<code>
|
||||
<coding>
|
||||
<system value="http://loinc.org" />
|
||||
<code value="8462-4" />
|
||||
<display value="Diastolic blood pressure" />
|
||||
</coding>
|
||||
</code>
|
||||
<valueQuantity>
|
||||
<value value="60" />
|
||||
<unit value="mmHg" />
|
||||
<system value="http://unitsofmeasure.org" />
|
||||
<code value="mm[Hg]" />
|
||||
</valueQuantity><!-- an interpretation for the individual composite observation -->
|
||||
<interpretation>
|
||||
<coding>
|
||||
<system
|
||||
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
|
||||
<code value="L" />
|
||||
<display value="low" />
|
||||
</coding>
|
||||
<text value="Below low normal" />
|
||||
</interpretation><!-- Should have a refrange as well -->
|
||||
</component>
|
||||
</Observation>
|
||||
Loading…
Reference in New Issue