Virtually Healthcare HL7 FHIR R4

blood pressure

SNOMED CT	SNOMED Display	Units Code	Units Display
75367002	Blood pressure	n/a	n/a

Components

SNOMED CT	SNOMED Display	Units Code	Units Display
72313002	Systolic arterial pressure	`mm[Hg]`	millimeter of mercury
1091811000000102	Diastolic blood pressure	`mm[Hg]`	millimeter of mercury

ObservationDefinition

id : snomed-75367002

extension

url : code

value

coding

system : http://snomed.info/sct

code : 72313002

display : Systolic arterial pressure

coding

system : http://loinc.org

code : 8480-6

display : Systolic blood pressure

extension

url : customaryUnit

value

coding

system : http://unitsofmeasure.org

code : mm[Hg]

display : millimeter of mercury

url : https://fhir.virtually.healthcare/StructureDefinition/Extension-ObservationDefinition-component

extension

url : code

value

coding

system : http://snomed.info/sct

code : 1091811000000102

display : Diastolic arterial pressure

coding

system : http://loinc.org

code : 8462-4

display : Diastolic blood pressure

extension

url : customaryUnit

value

coding

system : http://unitsofmeasure.org

code : mm[Hg]

display : millimeter of mercury

url : https://fhir.virtually.healthcare/StructureDefinition/Extension-ObservationDefinition-component

code

coding

system : http://snomed.info/sct

code : 75367002

display : Blood pressure

coding

system : http://loinc.org

code : 85354-9

display : Blood pressure panel with all children optional

Example

{
    "encounter": {
        "reference": "Encounter/7c8056db-5a6c-4799-8711-98f11cb039dc"
    },
    "identifier":  [
        {
            "system": "https://fhir.virtually.healthcare/Id/Observation",
            "value": "068c5c3c-cf11-4f7a-a58a-c445e9848657"
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "75367002",
                "display": "Blood pressure"
            }
        ]
    },
    "performer":  [
        {
            "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
        }
    ],
    "subject": {
        "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
    },
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "72313002",
                        "display": "Systolic arterial pressure"
                    }
                ]
            },
            "valueQuantity": {
                "unit": "millimeter of mercury",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]",
                "value": 120
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "1091811000000102",
                        "display": "Diastolic blood pressure"
                    }
                ]
            },
            "valueQuantity": {
                "unit": "millimeter of mercury",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]",
                "value": 80
            }
        }
    ],
    "effectiveDateTime": "2021-10-20T09:17:59+01:00",
    "meta": {
        "lastUpdated": "2022-05-15T10:07:56.165Z",
        "versionId": "1"
    },
    "id": "e990ea96-3484-41d1-b9ca-81ef00053650",
    "resourceType": "Observation",
    "status": "final"
}

body temperature

SNOMED CT	SNOMED Display	Units Code	Units Display
276885007	Core body temperature	`Cel`	degree Celsius

ObservationDefinition

id : snomed-276885007

code

coding

system : http://snomed.info/sct

code : 276885007

display : Core body temperature

coding

system : http://loinc.org

code : 8310-5

display : Body temperature

quantitativeDetails

customaryUnit

coding

system : http://unitsofmeasure.org

code : Cel

display : degree Celsius

Example

{
    "resourceType": "Observation",
    "id": "TemperatureObservation",
    "identifier":  [
        {
            "system": "https://fhir.virtually.healthcare/Id/Observation",
            "value": "07907fc7-4a38-49af-b1cf-17503fdd1fa5"
        }
    ],
    "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": "276885007",
                "display": "Core body temperature"
            },
            {
                "system": "http://loinc.org",
                "code": "8310-5",
                "display": "Body temperature"
            }
        ]
    },
    "subject": {
        "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
    },
    "effectiveDateTime": "2018-10-04T14:17:59+01:00",
    "performer":  [
        {
            "reference": "PractitionerRole/cdc68a6a-4201-44d6-a7c5-42becabbd1b6"
        }
    ],
    "valueQuantity": {
        "value": 36.5,
        "unit": "degree Celsius",
        "system": "http://unitsofmeasure.org",
        "code": "Cel"
    }
}

body weight

SNOMED CT	SNOMED Display	Units Code	Units Display
27113001	Body weight	`kg`	kilogram

ObservationDefinition

id : snomed-27113001

code

coding

system : http://snomed.info/sct

code : 27113001

display : Body weight

coding

system : http://loinc.org

code : 29463-7

display : Body Weight

quantitativeDetails

customaryUnit

coding

system : http://unitsofmeasure.org

code : kg

display : kilogram

Example

{
    "encounter": {
        "reference": "Encounter/7c8056db-5a6c-4799-8711-98f11cb039dc"
    },
    "identifier":  [
        {
            "system": "https://fhir.virtually.healthcare/Id/Observation",
            "value": "ae0ecaf8-dd2a-4336-bf86-2a6ef0b5e9a1"
        }
    ],
    "note":  [
        {
            "text": "X has been overtraining on zwift. He needs to look at reducing the intensity to give his body time to recover."
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "27113001",
                "display": "Body weight"
            }
        ]
    },
    "performer":  [
        {
            "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
        }
    ],
    "subject": {
        "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
    },
    "effectiveDateTime": "2021-10-20T09:17:59+01:00",
    "meta": {
        "lastUpdated": "2022-05-15T10:07:18.848Z",
        "versionId": "1"
    },
    "id": "97bb0384-29de-41f3-9132-cb5efa310939",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "resourceType": "Observation",
    "status": "final",
    "valueQuantity": {
        "unit": "kilogram",
        "system": "http://unitsofmeasure.org",
        "code": "kg",
        "value": 65
    }
}

inspired oxygen

SNOMED CT	SNOMED Display	Units Code	Units Display
927981000000106	Baseline oxygen saturation at periphery	`%`	percent

ObservationDefinition

id : snomed-371825009

code

coding

system : http://snomed.info/sct

code : 371825009

display : Patient on oxygen

quantitativeDetails

customaryUnit

coding

system : http://unitsofmeasure.org

code : L/min

display : liter per minute

Example

{
    "encounter": {
        "reference": "Encounter/7c8056db-5a6c-4799-8711-98f11cb039dc"
    },
    "identifier":  [
        {
            "system": "https://fhir.virtually.healthcare/Id/Observation",
            "value": "b24e6e43-8b51-4d82-ac58-a590a3196fcd"
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "927981000000106",
                "display": "Baseline oxygen saturation at periphery"
            }
        ]
    },
    "performer":  [
        {
            "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
        }
    ],
    "subject": {
        "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
    },
    "effectiveDateTime": "2021-10-20T09:17:59+01:00",
    "meta": {
        "lastUpdated": "2022-05-15T10:07:43.127Z",
        "versionId": "1"
    },
    "id": "ca012f88-d6e4-47fa-9c82-ad071ebe0a8d",
    "resourceType": "Observation",
    "status": "final",
    "valueQuantity": {
        "unit": "percent",
        "system": "http://unitsofmeasure.org",
        "code": "%",
        "value": 89
    }
}

heart rate

SNOMED CT	SNOMED Display	Units Code	Units Display
364075005	Heart rate	`{beats}/min`	heart beats per minute

ObservationDefinition

id : snomed-364075005

code

coding

system : http://snomed.info/sct

code : 364075005

display : Heart rate

coding

system : http://loinc.org

code : 8867-4

display : Heart rate

quantitativeDetails

customaryUnit

coding

system : http://unitsofmeasure.org

code : {beats}/min

display : heart beats per minute

{
    "resourceType": "Observation",
    "id": "HeartRateObservation",
    "identifier":  [
        {
            "system": "https://fhir.virtually.healthcare/Id/Observation",
            "value": "5c376658-6818-4e6f-86b2-c2495626bc47"
        }
    ],
    "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": "364075005",
                "display": "Heart rate"
            }
        ]
    },
    "subject": {
        "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
    },
    "effectiveDateTime": "2018-10-04T14:17:59+01:00",
    "performer":  [
        {
            "reference": "PractitionerRole/cdc68a6a-4201-44d6-a7c5-42becabbd1b6"
        }
    ],
    "valueQuantity": {
        "value": 48,
        "unit": "heart beats per minute",
        "system": "http://unitsofmeasure.org",
        "code": "{beats}/min"
    }
}

body height

SNOMED CT	SNOMED Display	Units Code	Units Display
50373000	Body height measure	`cm`	centimeter

ObservationDefinition

id : snomed-50373000

code

coding

system : http://snomed.info/sct

code : 50373000

display : Body height measure

coding

system : http://loinc.org

code : 8302-2

display : Body height

quantitativeDetails

customaryUnit

coding

system : http://unitsofmeasure.org

code : cm

display : centimeter

{
    "resourceType": "Observation",
    "id": "HeightObservation",
    "identifier":  [
        {
            "system": "https://fhir.virtually.healthcare/Id/Observation",
            "value": "4ce98ff9-7847-4212-b75c-20be9b11a5e6"
        }
    ],
    "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": "50373000",
                "display": "Body height measure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
    },
    "effectiveDateTime": "2018-10-04T14:17:59+01:00",
    "performer":  [
        {
            "reference": "PractitionerRole/cdc68a6a-4201-44d6-a7c5-42becabbd1b6"
        }
    ],
    "valueQuantity": {
        "value": 124,
        "unit": "centimeter",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    }
}

head circumference

SNOMED CT	SNOMED Display	Units Code	Units Display
363811000	Head circumference measure	`cm`	centimeter

ObservationDefinition

id : snomed-363811000

code

coding

system : http://snomed.info/sct

code : 363811000

display : Head circumference measure

coding

system : http://loinc.org

code : 9843-4

display : Head Occipital-frontal circumference

quantitativeDetails

customaryUnit

coding

system : http://unitsofmeasure.org

code : cm

display : centimeter

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "https://fhir.virtually.healthcare/Id/Observation",
            "value": "a816aa76-6e4f-410a-b0e0-7c6230a5cb7a"
        }
    ],
    "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": "363811000",
                "display": "Head circumference measure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/6d4e737a-b119-4a26-84af-ef6b84c7a7dd"
    },
    "effectiveDateTime": "2018-10-04T14:17:59+01:00",
    "performer":  [
        {
            "reference": "PractitionerRole/cdc68a6a-4201-44d6-a7c5-42becabbd1b6"
        }
    ],
    "valueQuantity": {
        "value": 41.2,
        "unit": "centimeter",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    }
}

Smoking Status

SNOMED CT	SNOMED Display	Valid ValueSet
365981007	Tobacco smoking behaviour - finding	SmokingStatus

ObservationDefinition

id : snomed-365981007

code

coding

system : http://snomed.info/sct

code : 365981007

display : Tobacco smoking behaviour - finding

validCodedValueSet

reference : https://fhir.virtually.healthcare/ValueSet/SmokingStatus

{
    "resourceType": "ObservationDefinition",
    "id": "snomed-365981007",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "365981007",
                "display": "Tobacco smoking behaviour - finding"
            }
        ]
    },
    "validCodedValueSet": {
        "reference": "https://fhir.virtually.healthcare/ValueSet/SmokingStatus"
    }
}