Personal Health Device Implementation Guide
1.0.0 - STU 1

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## : Example of a ASN1 BITs measurement - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "bits-1.0.0.40",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"bits-1.0.0.40\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdBitsEnumerationObservation.html\">PhdBitsEnumerationObservation</a></p></div><p><b>Gateway Device</b>: <a href=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_PULS_OXIM_DEV_STATUS: Measuring process issues <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#150604)</span></p><p><b>subject</b>: <a href=\"Patient-sisansarahId.1.2.3.4.5.6.7.8.10.html\">Patient/sisansarahId.1.2.3.4.5.6.7.8.10</a> \" PIGGY\"</p><p><b>effective</b>: 2018-11-11 07:07:48-0500</p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p><blockquote><p><b>component</b></p><p><b>code</b>: sensor-displaced <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.2)</span></p><p><b>value</b>: Sensor is incorrectly placed on user <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: signal-pulse-questionable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.7)</span></p><p><b>value</b>: Questionable pulse detected <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: signal-low-perfusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.10)</span></p><p><b>value</b>: Signal experiencing low perfusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: signal-poor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.11)</span></p><p><b>value</b>: Signal is poor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: signal-inadequate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.12)</span></p><p><b>value</b>: Signal is inadequate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
          "valueReference" : {
            "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
          }
        }
      ],
      "status" : "final",
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "150604"
          }
        ],
        "text" : "MDC_PULS_OXIM_DEV_STATUS: Measuring process issues"
      },
      "subject" : {
        "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
      },
      "effectiveDateTime" : "2018-11-11T19:07:48-05:00",
      "device" : {
        "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
      },
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                "code" : "150604.2"
              }
            ],
            "text" : "sensor-displaced"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                "code" : "Y"
              }
            ],
            "text" : "Sensor is incorrectly placed on user"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                "code" : "150604.7"
              }
            ],
            "text" : "signal-pulse-questionable"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                "code" : "Y"
              }
            ],
            "text" : "Questionable pulse detected"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                "code" : "150604.10"
              }
            ],
            "text" : "signal-low-perfusion"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                "code" : "Y"
              }
            ],
            "text" : "Signal experiencing low perfusion"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                "code" : "150604.11"
              }
            ],
            "text" : "signal-poor"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                "code" : "Y"
              }
            ],
            "text" : "Signal is poor"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                "code" : "150604.12"
              }
            ],
            "text" : "signal-inadequate"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                "code" : "Y"
              }
            ],
            "text" : "Signal is inadequate"
          }
        }
      ]
    }