diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json b/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json index 526495352..45a48029e 100644 --- a/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json +++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/manifest.json @@ -468,6 +468,32 @@ "errorCount": 0 } }, + "observation-bp-validationfails.xml" : { + "errorCount": 4, + "errors": [ + "ERROR: Observation.component[1]: Error in discriminator at Observation.component:SystolicBP.code.coding: slicing found", + "ERROR: Observation.component[2]: Error in discriminator at Observation.component:SystolicBP.code.coding: slicing found", + "ERROR: Observation.component[1]: Error in discriminator at Observation.component:DiastolicBP.code.coding: slicing found", + "ERROR: Observation.component[2]: Error in discriminator at Observation.component:DiastolicBP.code.coding: slicing found" + ] + }, + "observation-bp.xml" : { + "errorCount": 0, + "profile" : { + "source" : "observation-bp-profile.xml", + "errorCount": 0 + } + }, + "observation-bp-bad-onlydiastolic.xml" : { + "errorCount": 0, + "profile" : { + "source" : "observation-bp-profile.xml", + "errorCount": 1, + "errors": [ + "ERROR: Observation: Profile http://hl7.org/fhir/StructureDefinition/observation-bp-profile, Element 'Observation.component[SystolicBP]': minimum required = 1, but only found 0" + ] + } + }, "observation-cholesterol-good.xml" : { "errorCount": 0 }, diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-bad-onlydiastolic.xml b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-bad-onlydiastolic.xml new file mode 100644 index 000000000..17bace2c6 --- /dev/null +++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-bad-onlydiastolic.xml @@ -0,0 +1,250 @@ + + + + + +
+

+ Generated Narrative with Details +

+

+ id + : blood-pressure +

+

+ meta + : +

+

+ identifier + : urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281 +

+

+ basedOn + : +

+

+ status + : final +

+

+ category + : Vital Signs + (Details : + {http://terminology.hl7.org/CodeSystem/observation-category code + 'vital-signs' = 'Vital Signs', given as 'Vital + Signs'}) +

+

+ code: + Blood pressure systolic & diastolic + (Details : {LOINC code '85354-9' = 'Blood pressure + panel with all children optional', given as 'Blood pressure + panel with all children optional'}) +

+

+ subject + : + Patient/example +

+

+ effective + : 17/09/2012 +

+

+ performer + : + Practitioner/example +

+

+ interpretation + : Below low normal + (Details : + {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation + code 'L' = 'Low', given as 'low'}) +

+

+ bodySite + : Right arm + (Details : {SNOMED CT code '368209003' = 'Right + upper arm', given as 'Right arm'}) +

+
+

+ component +

+

+ code + : Systolic blood pressure + (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'}) + +

+

+ value + : 107 mmHg + (Details: UCUM code mm[Hg] = 'mmHg') +

+

+ interpretation + : Normal + (Details : + {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation + code 'N' = 'Normal', given as 'normal'}) + +

+
+
+

+ component +

+

+ code + : Diastolic blood pressure + (Details : {LOINC code '8462-4' = 'Diastolic + blood pressure', given as 'Diastolic blood pressure'}) + +

+

+ value + : 60 mmHg + (Details: UCUM code mm[Hg] = 'mmHg') +

+

+ interpretation + : Below low normal + (Details : + {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation + code 'L' = 'Low', given as 'low'}) +

+
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + \ No newline at end of file diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-profile.xml b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-profile.xml new file mode 100644 index 000000000..2cde58b0c --- /dev/null +++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-profile.xml @@ -0,0 +1,243 @@ + + + + +
reworked official bp profile to use patternCodeableConcept
+ + + + + + <status value="draft" /> + <experimental value="false" /> + <date value="2019-05-06" /> + <publisher + value="Health Level Seven International (Orders and Observations Workgroup)" /> + <contact> + <telecom> + <system value="url" /> + <value + value="http://www.hl7.org/Special/committees/orders/index.cfm Orders and Observations" /> + </telecom> + </contact> + <description value="FHIR Blood Pressure Profile" /> + <fhirVersion value="4.0.0" /> + <mapping> + <identity value="workflow" /> + <uri value="http://hl7.org/fhir/workflow" /> + <name value="Workflow Pattern" /> + </mapping> + <mapping> + <identity value="sct-concept" /> + <uri value="http://snomed.info/conceptdomain" /> + <name value="SNOMED CT Concept Domain Binding" /> + </mapping> + <mapping> + <identity value="v2" /> + <uri value="http://hl7.org/v2" /> + <name value="HL7 v2 Mapping" /> + </mapping> + <mapping> + <identity value="rim" /> + <uri value="http://hl7.org/v3" /> + <name value="RIM Mapping" /> + </mapping> + <mapping> + <identity value="w5" /> + <uri value="http://hl7.org/fhir/fivews" /> + <name value="FiveWs Pattern Mapping" /> + </mapping> + <mapping> + <identity value="sct-attr" /> + <uri value="http://snomed.org/attributebinding" /> + <name value="SNOMED CT Attribute Binding" /> + </mapping> + <kind value="resource" /> + <abstract value="false" /> + <type value="Observation" /> + <baseDefinition + value="http://hl7.org/fhir/StructureDefinition/vitalsigns" /> + <derivation value="constraint" /> + <differential> + <element id="Observation"> + <path value="Observation" /> + <short value="FHIR Blood Pressure Profile" /> + <definition + 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)." /> + <min value="0" /> + <max value="*" /> + </element> + <element id="Observation.code"> + <path value="Observation.code" /> + <short value="Blood Pressure" /> + <definition value="Blood Pressure" /> + <min value="1" /> + <max value="1" /> + <type> + <code value="CodeableConcept" /> + </type> + <patternCodeableConcept> + <coding> + <system value="http://loinc.org" /> + <code value="85354-9" /> + </coding> + </patternCodeableConcept> + <mustSupport value="true" /> + </element> + <element id="Observation.valueQuantity"> + <path value="Observation.valueQuantity" /> + <min value="0" /> + <max value="0" /> + </element> + <element id="Observation.component"> + <path value="Observation.component" /> + <slicing> + <discriminator> + <type value="pattern" /> + <path value="code" /> + </discriminator> + <rules value="open" /> + </slicing> + <min value="2" /> + <max value="*" /> + </element> + <element id="Observation.component:SystolicBP"> + <path value="Observation.component" /> + <sliceName value="SystolicBP" /> + <short value="SystolicBP" /> + <min value="1" /> + <max value="1" /> + </element> + <element id="Observation.component:SystolicBP.code"> + <path value="Observation.component.code" /> + <min value="1" /> + <patternCodeableConcept> + <coding> + <system value="http://loinc.org" /> + <code value="8480-6" /> + </coding> + </patternCodeableConcept> + </element> + <element id="Observation.component:SystolicBP.valueQuantity"> + <path value="Observation.component.valueQuantity" /> + <type> + <code value="Quantity" /> + </type> + </element> + <element + id="Observation.component:SystolicBP.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:SystolicBP.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:SystolicBP.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:SystolicBP.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> + <element id="Observation.component:DiastolicBP"> + <path value="Observation.component" /> + <sliceName value="DiastolicBP" /> + <short value="DiastolicBP" /> + <min value="1" /> + <max value="1" /> + </element> + <element id="Observation.component:DiastolicBP"> + <path value="Observation.component.code" /> + <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> \ No newline at end of file diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-validationfails.xml b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-validationfails.xml new file mode 100644 index 000000000..e42332282 --- /dev/null +++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp-validationfails.xml @@ -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> \ No newline at end of file diff --git a/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp.xml b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp.xml new file mode 100644 index 000000000..46e63a465 --- /dev/null +++ b/org.hl7.fhir.validation/src/test/resources/validation-examples/observation-bp.xml @@ -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> \ No newline at end of file