Wales FHIR Implementation Guide

Example Observation - Blood Pressure

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Observation

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/DataStandardsWales-Observation

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

coding

system : http://loinc.org

code : 85354-9

display : Blood pressure panel with all children optional

subject

reference : Patient/Example-DataStandardsWales-Patient-PeterPiper

display : PIPER, Peter (NHS: 1192335566)

effective : 2022-10-11T14:17:59+01:00

performer

reference : Performer/Example-DataStandardsWales-Practitioner-PrescribingNurse

bodySite

coding

system : http://snomed.info/sct

code : 368209003

display : Right upper arm structure

component

code

coding

system : http://snomed.info/sct

code : 72313002

display : Systolic arterial pressure

coding

system : http://loinc.org

code : 8480-6

display : Systolic blood pressure

value

value : 120

unit : millimeter of mercury

system : http://unitsofmeasure.org

code : mm[Hg]

component

code

coding

system : http://snomed.info/sct

code : 1091811000000102

display : Diastolic arterial pressure

coding

system : http://loinc.org

code : 8462-4

display : Diastolic blood pressure

value

value : 60

unit : millimeter of mercury

system : http://unitsofmeasure.org

code : mm[Hg]

Observation.meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/DataStandardsWales-Observation
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]	75367002
Observation.code[0].coding[0].display[0]	Blood pressure
Observation.code[0].coding[1].system[0]	http://loinc.org
Observation.code[0].coding[1].code[0]	85354-9
Observation.code[0].coding[1].display[0]	Blood pressure panel with all children optional
Observation.subject[0].reference[0]	Patient/Example-DataStandardsWales-Patient-PeterPiper
Observation.subject[0].display[0]	PIPER, Peter (NHS: 1192335566)
Observation.effectiveDateTime[0]	2022-10-11T14:17:59+01:00
Observation.performer[0].reference[0]	Performer/Example-DataStandardsWales-Practitioner-PrescribingNurse
Observation.bodySite[0].coding[0].system[0]	http://snomed.info/sct
Observation.bodySite[0].coding[0].code[0]	368209003
Observation.bodySite[0].coding[0].display[0]	Right upper arm structure
Observation.component[0].code[0].coding[0].system[0]	http://snomed.info/sct
Observation.component[0].code[0].coding[0].code[0]	72313002
Observation.component[0].code[0].coding[0].display[0]	Systolic arterial pressure
Observation.component[0].code[0].coding[1].system[0]	http://loinc.org
Observation.component[0].code[0].coding[1].code[0]	8480-6
Observation.component[0].code[0].coding[1].display[0]	Systolic blood pressure
Observation.component[0].valueQuantity[0].value[0]	120
Observation.component[0].valueQuantity[0].unit[0]	millimeter of mercury
Observation.component[0].valueQuantity[0].system[0]	http://unitsofmeasure.org
Observation.component[0].valueQuantity[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]	1091811000000102
Observation.component[1].code[0].coding[0].display[0]	Diastolic arterial pressure
Observation.component[1].code[0].coding[1].system[0]	http://loinc.org
Observation.component[1].code[0].coding[1].code[0]	8462-4
Observation.component[1].code[0].coding[1].display[0]	Diastolic blood pressure
Observation.component[1].valueQuantity[0].value[0]	60
Observation.component[1].valueQuantity[0].unit[0]	millimeter of mercury
Observation.component[1].valueQuantity[0].system[0]	http://unitsofmeasure.org
Observation.component[1].valueQuantity[0].code[0]	mm[Hg]

<Observation xmlns="http://hl7.org/fhir">
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/DataStandardsWales-Observation" />
    </meta>
    <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/Example-DataStandardsWales-Patient-PeterPiper" />
        <display value="PIPER, Peter (NHS: 1192335566)" />
    </subject>
    <effectiveDateTime value="2022-10-11T14:17:59+01:00" />
    <performer>
        <reference value="Performer/Example-DataStandardsWales-Practitioner-PrescribingNurse" />
    </performer>
    <bodySite>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="368209003" />
            <display value="Right upper arm structure" />
        </coding>
    </bodySite>
    <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="60" />
            <unit value="millimeter of mercury" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
        </valueQuantity>
    </component>
</Observation>

{
    "resourceType": "Observation",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/DataStandardsWales-Observation"
        ]
    },
    "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/Example-DataStandardsWales-Patient-PeterPiper",
        "display": "PIPER, Peter (NHS: 1192335566)"
    },
    "effectiveDateTime": "2022-10-11T14:17:59+01:00",
    "performer":  [
        {
            "reference": "Performer/Example-DataStandardsWales-Practitioner-PrescribingNurse"
        }
    ],
    "bodySite": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "368209003",
                "display": "Right upper arm structure"
            }
        ]
    },
    "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": 60,
                "unit": "millimeter of mercury",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
            }
        }
    ]
}