<?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"/>
	
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </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: Observation</b><a name="blood-pressure-cancel"> </a></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 Observation "blood-pressure-cancel" </p><p style="margin-bottom: 0px">Profile: <a href="vitalsigns.html">Vital Signs Profile</a></p></div><p><b>identifier</b>: <span title=" &#x9;EH  Narrative created by build&#xA;&#x9;&lt;text&gt;&#xA;&#x9;&#x9;&lt;status value=&#34;generated&#34;/&gt;&#xA;&#x9;&#x9;&lt;div xmlns=&#34;http://www.w3.org/1999/xhtml&#34;&gt;Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)&lt;/div&gt;&#xA;&#x9;&lt;/text&gt;&#xA; ">id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</span></p><p><b>status</b>: cancelled</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#85354-9 "Blood pressure panel with all children optional")</span></p><p><b>subject</b>: <a href="patient-example.html">Patient/example</a> "Peter CHALMERS"</p><p><b>effective</b>: 2012-09-17</p><p><b>performer</b>: <a href="practitioner-example.html">Practitioner/example</a> "Adam CAREFUL"</p><p><b>interpretation</b>: <span title="  an interpretation offered to the combination observation&#xA;        generally, it would only be appropriate to offer an interpretation&#xA;        of an observation that has no value if it has &#34;COMP&#34; (component)&#xA;        observations  ">Below low normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a>#L "low")</span></span></p><p><b>note</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>: <span title="  for an observation with components, these cannot disagree with the flags on the components  ">Right arm <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#368209003)</span></span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=" &#xA;           Observations are often coded in multiple code systems.&#xA;           - LOINC provides a very specific code (though not usefully more specific in this particular case)&#xA;           - snomed provides a clinically relevant code that is usually less granular than LOINC&#xA;           - the source system provides its own code, which may be less or more granular than LOINC&#xA;&#x9; this instance shows the concept. The other codes only have a LOINC code  ">Systolic blood pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8480-6; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#271649006; clinical-codes#bp-s "Systolic Blood pressure")</span></span></p><p><b>dataAbsentReason</b>: <span title="  no value due to some error&#xA;    &lt;valueQuantity&gt;&#xA;      &lt;value value=&#34;107&#34;/&gt;&#xA;      &lt;unit value=&#34;mm[Hg]&#34;/&gt;&#xA;    &lt;/valueQuantity&gt;&#xA; ">Not Asked <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-data-absent-reason.html">DataAbsentReason</a>#not-asked)</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8462-4)</span></p><p><b>dataAbsentReason</b>: <span title="  no value due to some error&#xA;    &lt;valueQuantity&gt;&#xA;      &lt;value value=&#34;60&#34;/&gt;&#xA;      &lt;unit value=&#34;mm[Hg]&#34;/&gt;&#xA;    &lt;/valueQuantity&gt;&#xA; ">Not Asked <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-data-absent-reason.html">DataAbsentReason</a>#not-asked)</span></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>
	<note><text 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"/></note>    <!--   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>