<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
	<id value="blood-pressure-cancel"/>
	<meta>
		<profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
	</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>category</b>: Vital Signs <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code &#39;vital-signs&#39; = &#39;Vital Signs&#39;, given as &#39;Vital Signs&#39;})</span></p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span>(Details : {LOINC code &#39;85354-9&#39; = &#39;Blood pressure panel with all children optional&#39;, given as &#39;Blood pressure panel with all children optional&#39;})</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code &#39;L&#39; = &#39;Low&#39;, given as &#39;low&#39;})</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 &#39;368209003&#39; = &#39;Right upper arm&#39;, given as &#39;Right arm&#39;})</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span>(Details : {LOINC code &#39;8480-6&#39; = &#39;Systolic blood pressure&#39;, given as &#39;Systolic blood pressure&#39;}; {SNOMED CT code &#39;271649006&#39; = &#39;Systolic blood pressure&#39;, given as &#39;Systolic blood pressure&#39;}; {http://acme.org/devices/clinical-codes code &#39;bp-s&#39; = &#39;bp-s&#39;, given as &#39;Systolic Blood pressure&#39;})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code &#39;not-asked&#39; = &#39;Not Asked&#39;, given as &#39;Not Asked&#39;})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span>(Details : {LOINC code &#39;8462-4&#39; = &#39;Diastolic blood pressure&#39;, given as &#39;Diastolic blood pressure&#39;})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code &#39;not-asked&#39; = &#39;Not Asked&#39;, given as &#39;Not Asked&#39;})</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"/>
	<category>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
			<code value="vital-signs"/>
			<display value="Vital Signs"/>
		</coding>
	</category>
	<code><!--   replaced by 85354-9
		<coding>
			<system value="http://loinc.org"/>
			<code value="85354-9"/>
			<display value="Blood pressure systolic &amp; diastolic"/>
		</coding>
  --><coding>
			<system value="http://loinc.org"/>
			<code value="85354-9"/>
			<display value="Blood pressure panel with all children optional"/>
		</coding>
		<text value="Blood pressure systolic &amp; diastolic"/>
	</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://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
			<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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/data-absent-reason"/>
				<code value="not-asked"/>
				<display value="Not Asked"/>
			</coding>
		</dataAbsentReason>
	</component>
</Observation>