Observation-example-bloodpressure-cancel.xml

Blood Pressure Measurement cancelled (id = "blood-pressure-cancel")

<Observation xmlns="http://hl7.org/fhir">
  <id value="blood-pressure-cancel"/>
  <meta>
    <lastUpdated value="2014-01-30T22:35:23+11:00"/>
  </meta>
  <!--     EH  Narrative created by build
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Sept 17, 2012: Systolic Blood pressure 107/60
   mmHg (low)</div>
  </text>
   -->
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: blood-pressure-cancel</p><p><b>meta</b>: </p><p><b>identifier</b>: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>status</b>: cancelled</p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span>(Details : {LOINC code '55284-4' = 'Blood pressure systolic and diastolic', given as 'Blood
           pressure systolic &amp; diastolic'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>effective</b>: 17/09/2012</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>interpretation</b>: Below low normal <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'low'})</span></p><p><b>comment</b>: In this example, the blood pressure measurements are not available due to cancellation
         of the order.  Data absent reason is present for each component</p><p><b>bodySite</b>: Right arm <span>(Details : {SNOMED CT code '368209003' = 'Right upper arm structure (body structure)',
           given as 'Right arm'})</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span>(Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood
             pressure'}; {SNOMED CT code '271649006' = 'Systolic blood pressure (observable entity)',
             given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s'
             = 'bp-s', given as 'Systolic Blood pressure'})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://hl7.org/fhir/data-absent-reason code 'not-asked' = 'Not Asked', given
             as 'Not Asked'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span>(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood
             pressure'})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://hl7.org/fhir/data-absent-reason code 'not-asked' = 'Not Asked', given
             as 'Not Asked'})</span></p></blockquote></div></text><identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"/>
  </identifier>
  <status value="cancelled"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="55284-4"/>
      <display value="Blood pressure systolic &amp; diastolic"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <effectiveDateTime value="2012-09-17"/>
  <performer>
    <reference value="Practitioner/example"/>
  </performer>
  <!--    an interpretation offered to the combination observation
        generally, it would only be appropriate to offer an interpretation
        of an observation that has no value if it has "COMP" (component)
        observations    -->
  <interpretation>
    <coding>
      <system value="http://hl7.org/fhir/v2/0078"/>
      <code value="L"/>
      <display value="low"/>
    </coding>
    <text value="Below low normal"/>
  </interpretation>
  <comment value="In this example, the blood pressure measurements are not available due to cancellation
   of the order.  Data absent reason is present for each component"/>
  <!--    for an observation with components, these cannot disagree with the flags on the components
      -->
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="368209003"/>
      <display value="Right arm"/>
    </coding>
  </bodySite>
  <component>
    <!--   
           Observations are often coded in multiple code systems.
           - LOINC provides a very specific code (though not usefully more specific in
     this particular case)
           - snomed provides a clinically relevant code that is usually less granular
     than LOINC
           - the source system provides its own code, which may be less or more granular
     than LOINC
   this instance shows the concept. The other codes only have a LOINC code    -->
       
    <code>
      <!--    LOINC - always recommended to have a LOINC code    -->
      <coding>
        <system value="http://loinc.org"/>
        <code value="8480-6"/>
        <display value="Systolic blood pressure"/>
      </coding>
      <!--    SNOMED CT Codes - becoming more common    -->
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="271649006"/>
        <display value="Systolic blood pressure"/>
      </coding>
      <!--    Also, a local code specific to the source system    -->
      <coding>
        <system value="http://acme.org/devices/clinical-codes"/>
        <code value="bp-s"/>
        <display value="Systolic Blood pressure"/>
      </coding>
      <!--    that shows the concept. The next two names only have a LOINC code    -->
    </code>
    <!--    no value due to some error 
    <valueQuantity>
      <value value="107"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   -->
    <dataAbsentReason>
      <coding>
        <system value="http://hl7.org/fhir/data-absent-reason"/>
        <code value="not-asked"/>
        <display value="Not Asked"/>
      </coding>
    </dataAbsentReason>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8462-4"/>
        <display value="Diastolic blood pressure"/>
      </coding>
    </code>
    <!--    no value due to some error 
    <valueQuantity>
      <value value="60"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   -->
    <dataAbsentReason>
      <coding>
        <system value="http://hl7.org/fhir/data-absent-reason"/>
        <code value="not-asked"/>
        <display value="Not Asked"/>
      </coding>
    </dataAbsentReason>
  </component>
</Observation>