{
  "resourceType": "Observation",
  "id": "blood-pressure",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
    ],
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp\u003e\u003cb\u003eGenerated Narrative: Observation\u003c/b\u003e\u003ca name\u003d\"blood-pressure\"\u003e \u003c/a\u003e\u003c/p\u003e\u003cdiv style\u003d\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"\u003e\u003cp style\u003d\"margin-bottom: 0px\"\u003eResource Observation \u0026quot;blood-pressure\u0026quot; \u003c/p\u003e\u003cp style\u003d\"margin-bottom: 0px\"\u003eProfile: \u003ca href\u003d\"vitalsigns.html\"\u003eVital Signs Profile\u003c/a\u003e\u003c/p\u003e\u003c/div\u003e\u003cp\u003e\u003cb\u003eidentifier\u003c/b\u003e: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281\u003c/p\u003e\u003cp\u003e\u003cb\u003ebasedOn\u003c/b\u003e: \u003cspan title\u003d\"   demonstrating the use of the baseOn element with a fictive identifier \"\u003e\u003cspan/\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003estatus\u003c/b\u003e: final\u003c/p\u003e\u003cp\u003e\u003cb\u003ecategory\u003c/b\u003e: Vital Signs \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"http://terminology.hl7.org/5.1.0/CodeSystem-observation-category.html\"\u003eObservation Category Codes\u003c/a\u003e#vital-signs)\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003ecode\u003c/b\u003e: Blood pressure systolic \u0026amp; diastolic \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"https://loinc.org/\"\u003eLOINC\u003c/a\u003e#85354-9 \u0026quot;Blood pressure panel with all children optional\u0026quot;)\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003esubject\u003c/b\u003e: \u003ca href\u003d\"patient-example.html\"\u003ePatient/example\u003c/a\u003e \u0026quot;Peter CHALMERS\u0026quot;\u003c/p\u003e\u003cp\u003e\u003cb\u003eeffective\u003c/b\u003e: 2012-09-17\u003c/p\u003e\u003cp\u003e\u003cb\u003eperformer\u003c/b\u003e: \u003ca href\u003d\"practitioner-example.html\"\u003ePractitioner/example\u003c/a\u003e \u0026quot;Adam CAREFUL\u0026quot;\u003c/p\u003e\u003cp\u003e\u003cb\u003einterpretation\u003c/b\u003e: \u003cspan title\u003d\"    an interpretation offered to the combination observation\n        generally, it would only be appropriate to offer an interpretation\n        of an observation that has no value if it has \u0026quot;COMP\u0026quot; (component)\n        observations    \"\u003eBelow low normal \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html\"\u003eObservationInterpretation\u003c/a\u003e#L \u0026quot;low\u0026quot;)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003ebodySite\u003c/b\u003e: \u003cspan title\u003d\" The BodySite can be captured in a LOINC code but am showing it here to demonstrate populating the element  \"\u003eRight arm \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"https://browser.ihtsdotools.org/\"\u003eSNOMED CT\u003c/a\u003e#368209003)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cblockquote\u003e\u003cp\u003e\u003cb\u003ecomponent\u003c/b\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003ecode\u003c/b\u003e: \u003cspan title\u003d\" \n           Observations are often coded in multiple code systems.\n           - LOINC provides a very specific code (though not more specific in this particular case)\n           - snomed provides a clinically relevant code that is usually less granular than LOINC\n           - the source system provides its own code, which may be less or more granular than LOINC\n\nthis is shown here to demonstrate  the concept of translations within the codeableConcept datatype. The diastolic code below only has a LOINC code\n            \"\u003eSystolic blood pressure \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"https://loinc.org/\"\u003eLOINC\u003c/a\u003e#8480-6; \u003ca href\u003d\"https://browser.ihtsdotools.org/\"\u003eSNOMED CT\u003c/a\u003e#271649006; clinical-codes#bp-s \u0026quot;Systolic Blood pressure\u0026quot;)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003evalue\u003c/b\u003e: 107 mmHg\u003cspan style\u003d\"background: LightGoldenRodYellow\"\u003e (Details: UCUM code mm[Hg] \u003d \u0027mmHg\u0027)\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003einterpretation\u003c/b\u003e: \u003cspan title\u003d\"    an interpretation for the individual composite observation  \"\u003eNormal \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html\"\u003eObservationInterpretation\u003c/a\u003e#N \u0026quot;normal\u0026quot;)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/blockquote\u003e\u003cblockquote\u003e\u003cp\u003e\u003cb\u003ecomponent\u003c/b\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003ecode\u003c/b\u003e: \u003cspan title\u003d\"    this codes only has a LOINC code    \"\u003eDiastolic blood pressure \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"https://loinc.org/\"\u003eLOINC\u003c/a\u003e#8462-4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003evalue\u003c/b\u003e: 60 mmHg\u003cspan style\u003d\"background: LightGoldenRodYellow\"\u003e (Details: UCUM code mm[Hg] \u003d \u0027mmHg\u0027)\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003einterpretation\u003c/b\u003e: \u003cspan title\u003d\"    an interpretation for the individual composite observation  \"\u003eBelow low normal \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html\"\u003eObservationInterpretation\u003c/a\u003e#L \u0026quot;low\u0026quot;)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/blockquote\u003e\u003c/div\u003e"
  },
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
    }
  ],
  "basedOn": [
    {
      "identifier": {
        "system": "https://acme.org/identifiers",
        "value": "1234"
      }
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs",
          "display": "Vital Signs"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "85354-9",
        "display": "Blood pressure panel with all children optional"
      }
    ],
    "text": "Blood pressure systolic \u0026 diastolic"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "effectiveDateTime": "2012-09-17",
  "performer": [
    {
      "reference": "Practitioner/example"
    }
  ],
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "L",
          "display": "low"
        }
      ],
      "text": "Below low normal"
    }
  ],
  "bodySite": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "368209003",
        "display": "Right arm"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8480-6",
            "display": "Systolic blood pressure"
          },
          {
            "system": "http://snomed.info/sct",
            "code": "271649006",
            "display": "Systolic blood pressure"
          },
          {
            "system": "http://acme.org/devices/clinical-codes",
            "code": "bp-s",
            "display": "Systolic Blood pressure"
          }
        ]
      },
      "valueQuantity": {
        "value": 107,
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code": "N",
              "display": "normal"
            }
          ],
          "text": "Normal"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8462-4",
            "display": "Diastolic blood pressure"
          }
        ]
      },
      "valueQuantity": {
        "value": 60,
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code": "L",
              "display": "low"
            }
          ],
          "text": "Below low normal"
        }
      ]
    }
  ]
}