{
  "resourceType": "Observation",
  "id": "blood-pressure-cancel",
  "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-cancel\"\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-cancel\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: \u003cspan title\u003d\" \tEH  Narrative created by build\n\t\u0026lt;text\u0026gt;\n\t\t\u0026lt;status value\u003d\u0026quot;generated\u0026quot;/\u0026gt;\n\t\t\u0026lt;div xmlns\u003d\u0026quot;http://www.w3.org/1999/xhtml\u0026quot;\u0026gt;Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)\u0026lt;/div\u0026gt;\n\t\u0026lt;/text\u0026gt;\n \"\u003eid: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003estatus\u003c/b\u003e: cancelled\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\u003enote\u003c/b\u003e: In this example, the blood pressure measurements are not available due to cancellation of the order.  Data absent reason is present for each component\u003c/p\u003e\u003cp\u003e\u003cb\u003ebodySite\u003c/b\u003e: \u003cspan title\u003d\"  for an observation with components, these cannot disagree with the flags on the components  \"\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 usefully 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\t this instance shows the concept. The other codes only have a LOINC code  \"\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\u003edataAbsentReason\u003c/b\u003e: \u003cspan title\u003d\"  no value due to some error\n    \u0026lt;valueQuantity\u0026gt;\n      \u0026lt;value value\u003d\u0026quot;107\u0026quot;/\u0026gt;\n      \u0026lt;unit value\u003d\u0026quot;mm[Hg]\u0026quot;/\u0026gt;\n    \u0026lt;/valueQuantity\u0026gt;\n \"\u003eNot Asked \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"http://terminology.hl7.org/5.1.0/CodeSystem-data-absent-reason.html\"\u003eDataAbsentReason\u003c/a\u003e#not-asked)\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: Diastolic 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/p\u003e\u003cp\u003e\u003cb\u003edataAbsentReason\u003c/b\u003e: \u003cspan title\u003d\"  no value due to some error\n    \u0026lt;valueQuantity\u0026gt;\n      \u0026lt;value value\u003d\u0026quot;60\u0026quot;/\u0026gt;\n      \u0026lt;unit value\u003d\u0026quot;mm[Hg]\u0026quot;/\u0026gt;\n    \u0026lt;/valueQuantity\u0026gt;\n \"\u003eNot Asked \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"http://terminology.hl7.org/5.1.0/CodeSystem-data-absent-reason.html\"\u003eDataAbsentReason\u003c/a\u003e#not-asked)\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"
    }
  ],
  "status": "cancelled",
  "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"
    }
  ],
  "note": [
    {
      "text": "In this example, the blood pressure measurements are not available due to cancellation of the order.  Data absent reason is present for each component"
    }
  ],
  "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"
          }
        ]
      },
      "dataAbsentReason": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
            "code": "not-asked",
            "display": "Not Asked"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8462-4",
            "display": "Diastolic blood pressure"
          }
        ]
      },
      "dataAbsentReason": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
            "code": "not-asked",
            "display": "Not Asked"
          }
        ]
      }
    }
  ]
}