Finnish PHR Blood Pressure profile

Finnish PHR profile for FHIR® Observation used in blood pressure measurements.

The profile is based on the Finnish PHR Vital Signs Base profile UPDATED. This profile alone does not describe all the elements needed and most of the elements are visible only in base profile. This profile describes changes to the base profile and the implementers must also familiarize themself with the base profile.

A full list of the extensions, constraints and a structured definition of this profile can be found in Simplifier. There are also different views of the profile (details, mappings, table, XML, JSON).

The Finnish PHR Blood Pressure profile constrains the Finnish PHR Vital Signs Base Profile as follows:

Mandatory elements for Finnish PHR Blood Pressure

Observation subject and performer has to reference to FinnishPatient.

Mandatory elements table for Finnish PHR Blood pressure profile
Content Name in structure Description / Type of information
Code for blood pressure code A blood pressure observation SHALL have the code 85354-9 Blood pressure panel with all children optional from the LOINC code system.
Actual result component The measured systolic and diastolic values of the blood pressure. The systolic value SHALL have the code 8480-6 Systolic blood pressure and the diastolic value the code 8462-4 Diastolic blood pressure from the LOINC code system . Both values SHALL be provided with the unit of measurement mm[Hg].

Elements not in use for Finnish PHR Blood Pressure

  • value[ x]
  • dataAbsentReason

Narrative guide

Narrative SHALL contain following mandatory information taken from the elements of the resource instance:

  • Code: <Observation.code.coding.display>(<Observation.code.coding.code>)
  • Time: <Observation.effectiveDateTime>
  • Result: <Observation.component.code.coding.display>(<Observation.component.code.coding.code>) <Observation.component.valueQuantity.value><Observation.component.valueQuantity.unit> <Observation.component.code.coding.display>(<Observation.component.code.coding.code>) <Observation.component.valueQuantity.value><Observation.component.valueQuantity.unit>

Narrative SHOULD contain following optional information if given in the resource instance:

  • Interpretation: <Observation.interpretation.coding.display> (<Observation.interpretation.coding.code>)
  • Comment: <Observation.comment>
  • Method: <Observation.method>
  • Device: <Observation.device>
  • Reference range: <Observation.component.referenceRange> per component

If element is missing from resource, it shall not be mentioned in narrative.

Example:

Code: Blood pressure (85354-9)
Time: 18.9.2017 12:01
Result: Systolic blood pressure (8480-6): 120 mm[Hg], Diastolic blood pressure (8462-4): 80  mm[Hg]

Examples of Finnish PHR Blood Pressure resources in Simplifier