UK Core Implementation Guide STU3 Sequence

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This contains BREAKING CHANGES as a result of the C&TA Sprint 7 Review, and STU2 Sequence ballot reconciliation.
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An example to illustrate an average blood pressure over 24 hours

Table View

Observation.id[0]	UKCore-Observation-24HourBloodPressure-Example
Observation.text[0].status[0]	additional
Observation.text[0].div[0]	<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate an average blood pressure over 24 hours</div>
Observation.status[0]	final
Observation.category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Observation.category[0].coding[0].code[0]	vital-signs
Observation.category[0].coding[0].display[0]	Vital Signs
Observation.code[0].coding[0].system[0]	http://snomed.info/sct
Observation.code[0].coding[0].code[0]	314463006
Observation.code[0].coding[0].display[0]	24 hour blood pressure
Observation.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
Observation.effective[0]	2023-03-10
Observation.performer[0].reference[0]	Organization/UKCore-Organization-LeedsTeachingHospital-Example
Observation.component[0].code[0].coding[0].system[0]	http://snomed.info/sct
Observation.component[0].code[0].coding[0].code[0]	314464000
Observation.component[0].code[0].coding[0].display[0]	24 hour systolic blood pressure
Observation.component[0].code[0].text[0]	Systolic blood pressure
Observation.component[0].value[0].value[0]	102
Observation.component[0].value[0].unit[0]	millimeter of mercury
Observation.component[0].value[0].system[0]	http://unitsofmeasure.org
Observation.component[0].value[0].code[0]	mm[Hg]
Observation.component[1].code[0].coding[0].system[0]	http://snomed.info/sct
Observation.component[1].code[0].coding[0].code[0]	314465004
Observation.component[1].code[0].coding[0].display[0]	24 hour diastolic blood pressure
Observation.component[1].code[0].text[0]	Diastolic blood pressure
Observation.component[1].value[0].value[0]	84
Observation.component[1].value[0].unit[0]	millimeter of mercury
Observation.component[1].value[0].system[0]	http://unitsofmeasure.org
Observation.component[1].value[0].code[0]	mm[Hg]

Tree View

Observation

id : UKCore-Observation-24HourBloodPressure-Example

text

status : additional

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 : 314463006

display : 24 hour blood pressure

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

effective : 2023-03-10

performer

reference : Organization/UKCore-Organization-LeedsTeachingHospital-Example

component

code

coding

system : http://snomed.info/sct

code : 314464000

display : 24 hour systolic blood pressure

text : Systolic blood pressure

value

value : 102

unit : millimeter of mercury

system : http://unitsofmeasure.org

code : mm[Hg]

component

code

coding

system : http://snomed.info/sct

code : 314465004

display : 24 hour diastolic blood pressure

text : Diastolic blood pressure

value

value : 84

unit : millimeter of mercury

system : http://unitsofmeasure.org

code : mm[Hg]

XML View

<Observation xmlns="http://hl7.org/fhir">
    <id value="UKCore-Observation-24HourBloodPressure-Example" />
    <text>
        <status value="additional" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <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="314463006" />
            <display value="24 hour blood pressure" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <effectiveDateTime value="2023-03-10" />
    <performer>
        <reference value="Organization/UKCore-Organization-LeedsTeachingHospital-Example" />
    </performer>
    <component>
        <code>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="314464000" />
                <display value="24 hour systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
        </code>
        <valueQuantity>
            <value value="102" />
            <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="314465004" />
                <display value="24 hour diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
        </code>
        <valueQuantity>
            <value value="84" />
            <unit value="millimeter of mercury" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
        </valueQuantity>
    </component>
</Observation>

JSON View

{
    "resourceType": "Observation",
    "id": "UKCore-Observation-24HourBloodPressure-Example",
    "text": {
        "status": "additional",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "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": "314463006",
                "display": "24 hour blood pressure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "effectiveDateTime": "2023-03-10",
    "performer":  [
        {
            "reference": "Organization/UKCore-Organization-LeedsTeachingHospital-Example"
        }
    ],
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "314464000",
                        "display": "24 hour systolic blood pressure"
                    }
                ],
                "text": "Systolic blood pressure"
            },
            "valueQuantity": {
                "value": 102,
                "unit": "millimeter of mercury",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "314465004",
                        "display": "24 hour diastolic blood pressure"
                    }
                ],
                "text": "Diastolic blood pressure"
            },
            "valueQuantity": {
                "value": 84,
                "unit": "millimeter of mercury",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
            }
        }
    ]
}