Leitfaden Basis DE (R4)

VitalParameter

Atemfrequenz

Empfohlen wird die Verwendung des FHIR Respiratory Rate Profile aus der FHIR-Kern-Spezifikation.

Beispiel (XML):

<Observation xmlns="http://hl7.org/fhir">
    <meta>
        <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns" />
    </meta>
    <status value="final" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
        </coding>
        <text value="Vital Signs" />
    </category>
    <code>
        <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="Respiratory rate" />
        </coding>
        <text value="Atemfrequenz" />
    </code>
    <subject>
        <reference value="Patient/example" />
    </subject>
    <effectiveDateTime value="2019-07-02" />
    <valueQuantity>
        <value value="26" />
        <unit value="Atemzüge pro Minute" />
        <system value="http://unitsofmeasure.org" />
        <code value="/min" />
    </valueQuantity>
</Observation>

Beispiel (JSON): 

{
    "resourceType":"Observation",
    "meta":{
        "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
        ]
    },
    "status":"final",
    "category": [
        {
            "coding": [
                {
                    "system":"http://terminology.hl7.org/CodeSystem/observation-category",
                    "code":"vital-signs",
                    "display":"Vital Signs"
                }
            ],
            "text":"Vital Signs"
        }
    ],
    "code":{
        "coding": [
            {
                "system":"http://loinc.org",
                "code":"9279-1",
                "display":"Respiratory rate"
            }
        ],
        "text":"Atemfrequenz"
    },
    "subject":{
        "reference":"Patient/example"
    },
    "effectiveDateTime":"2019-07-02",
    "valueQuantity":{
        "value":"26",
        "unit":"Atemzüge pro Minute",
        "system":"http://unitsofmeasure.org",
        "code":"/min"
    }
}

Blutdruck

Empfohlen wird die Verwendung des FHIR Blood Pressure Profile aus der FHIR-Kern-Spezifikation:

Beispiel (XML):

<Observation xmlns="http://hl7.org/fhir">
    <meta>
        <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns" />
    </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://loinc.org" />
            <code value="85354-9" />
            <display value="Blood pressure panel with all children optional" />
        </coding>
        <text value="Systolischer und Diastolischer Blutdruck" />
    </code>
    <subject>
        <reference value="Patient/example" />
    </subject>
    <effectiveDateTime value="2012-09-17" />
    <performer>
        <reference value="Practitioner/example" />
    </performer>
    <interpretation>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
            <code value="L" />
            <display value="low" />
        </coding>
        <text value="Below low normal" />
    </interpretation>
    <bodySite>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="368209003" />
            <display value="Right arm" />
        </coding>
    </bodySite>
    <component>
        <code>
            <coding>
                <system value="http://loinc.org" />
                <code value="8480-6" />
                <display value="Systolic blood pressure" />
            </coding>
        </code>
        <valueQuantity>
            <value value="107" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
        </valueQuantity>
    </component>
    <component>
        <code>
            <coding>
                <system value="http://loinc.org" />
                <code value="8462-4" />
                <display value="Diastolic blood pressure" />
            </coding>
        </code>
        <valueQuantity>
            <value value="60" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
        </valueQuantity>
    </component>
</Observation>

Beispiel (JSON): 

{
    "resourceType":"Observation",
    "meta":{
        "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
        ]
    },
    "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":"Systolischer und Diastolischer Blutdruck"
    },
    "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"
                    }
                ]
            },
            "valueQuantity":{
                "value":"107",
                "unit":"mmHg",
                "system":"http://unitsofmeasure.org",
                "code":"mm[Hg]"
            }
        },
        {
            "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]"
            }
        }
    ]
}

BMI

Empfohlen wird die Verwendung des FHIR Body Mass Index (BMI) Profile aus der FHIR-Kern-Spezifikation:

Beispiel (XML):

<Observation xmlns="http://hl7.org/fhir">
    <id value="bmi" />
    <meta>
        <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns" />
    </meta>
    <status value="final" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
        </coding>
        <text value="Vital Signs" />
    </category>
    <code>
        <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="Body mass index (BMI) [Ratio]" />
        </coding>
        <text value="BMI" />
    </code>
    <subject>
        <reference value="Patient/example" />
    </subject>
    <effectiveDateTime value="1999-07-02" />
    <valueQuantity>
        <value value="16.2" />
        <unit value="kg/m2" />
        <system value="http://unitsofmeasure.org" />
        <code value="kg/m2" />
    </valueQuantity>
</Observation>

Beispiel (JSON): 

{
    "resourceType":"Observation",
    "id":"bmi",
    "meta":{
        "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
        ]
    },
    "status":"final",
    "category": [
        {
            "coding": [
                {
                    "system":"http://terminology.hl7.org/CodeSystem/observation-category",
                    "code":"vital-signs",
                    "display":"Vital Signs"
                }
            ],
            "text":"Vital Signs"
        }
    ],
    "code":{
        "coding": [
            {
                "system":"http://loinc.org",
                "code":"39156-5",
                "display":"Body mass index (BMI) [Ratio]"
            }
        ],
        "text":"BMI"
    },
    "subject":{
        "reference":"Patient/example"
    },
    "effectiveDateTime":"1999-07-02",
    "valueQuantity":{
        "value":"16.2",
        "unit":"kg/m2",
        "system":"http://unitsofmeasure.org",
        "code":"kg/m2"
    }
}

Herzfrequenz

Empfohlen wird die Verwendung des Profils aus der FHIR-Kern-Spezifikation:

http://hl7.org/implement/standards/fhir/heartrate.html

Sauerstoffsättigung

Empfohlen wird die Verwendung des Profils aus der FHIR-Kern-Spezifikation:

http://hl7.org/implement/standards/fhir/oxygensat.html