Clinical Observations

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

Blood Pressure Observation Example

<Observation xmlns="http://hl7.org/fhir">
    <id value="BloodPressureObservation" />
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="068c5c3c-cf11-4f7a-a58a-c445e9848657" />
    </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://snomed.info/sct" />
            <code value="75367002" />
            <display value="Blood pressure" />
        </coding>
        <coding>
            <system value="http://loinc.org" />
            <code value="85354-9" />
            <display value="Blood pressure panel with all children optional" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/30d3de6f-e800-47fa-b610-b02c7c8e9d57" />
    </subject>
    <effectiveDateTime value="2018-10-04T14:17:59+01:00" />
    <performer>
        <reference value="Practitioner/627be677-3eb2-4db4-9570-5669fd8c92f5" />
    </performer>
    <performer>
        <reference value="Organization/cdaea3db-8b40-41dc-9834-b42503e12382" />
    </performer>
    <component>
        <code>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="72313002" />
                <display value="Systolic arterial pressure" />
            </coding>
            <coding>
                <system value="http://loinc.org" />
                <code value="8480-6" />
                <display value="Systolic blood pressure" />
            </coding>
        </code>
        <valueQuantity>
            <value value="120" />
            <unit value="millimeter of mercury" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
        </valueQuantity>
    </component>
    <component>
        <code>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="1091811000000102" />
                <display value="Diastolic arterial pressure" />
            </coding>
            <coding>
                <system value="http://loinc.org" />
                <code value="8462-4" />
                <display value="Diastolic blood pressure" />
            </coding>
        </code>
        <valueQuantity>
            <value value="80" />
            <unit value="millimeter of mercury" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
        </valueQuantity>
    </component>
</Observation>
{
    "resourceType": "Observation",
    "id": "BloodPressureObservation",
    "identifier":  [
        {
            "system": "https://tools.ietf.org/html/rfc4122",
            "value": "068c5c3c-cf11-4f7a-a58a-c445e9848657"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "75367002",
                "display": "Blood pressure"
            },
            {
                "system": "http://loinc.org",
                "code": "85354-9",
                "display": "Blood pressure panel with all children optional"
            }
        ]
    },
    "subject": {
        "reference": "Patient/30d3de6f-e800-47fa-b610-b02c7c8e9d57"
    },
    "effectiveDateTime": "2018-10-04T14:17:59+01:00",
    "performer":  [
        {
            "reference": "Practitioner/627be677-3eb2-4db4-9570-5669fd8c92f5"
        },
        {
            "reference": "Organization/cdaea3db-8b40-41dc-9834-b42503e12382"
        }
    ],
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "72313002",
                        "display": "Systolic arterial pressure"
                    },
                    {
                        "system": "http://loinc.org",
                        "code": "8480-6",
                        "display": "Systolic blood pressure"
                    }
                ]
            },
            "valueQuantity": {
                "value": 120,
                "unit": "millimeter of mercury",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "1091811000000102",
                        "display": "Diastolic arterial pressure"
                    },
                    {
                        "system": "http://loinc.org",
                        "code": "8462-4",
                        "display": "Diastolic blood pressure"
                    }
                ]
            },
            "valueQuantity": {
                "value": 80,
                "unit": "millimeter of mercury",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
            }
        }
    ]
}
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