<?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: 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 &quot;blood-pressure-cancel&quot; </p><p style="margin-bottom: 0px">Profile: <a href="vitalsigns.html">Vital Signs Profile</a></p></div><p><b>identifier</b>: <span title=" 	EH  Narrative created by build
	&lt;text&gt;
		&lt;status value=&quot;generated&quot;/&gt;
		&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)&lt;/div&gt;
	&lt;/text&gt;
 ">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 &quot;Blood pressure panel with all children optional&quot;)</span></p><p><b>subject</b>: <a href="patient-example.html">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2012-09-17</p><p><b>performer</b>: <a href="practitioner-example.html">Practitioner/example</a> &quot;Adam CAREFUL&quot;</p><p><b>interpretation</b>: <span title="  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 &quot;COMP&quot; (component)
        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 &quot;low&quot;)</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=" 
           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  ">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 &quot;Systolic Blood pressure&quot;)</span></span></p><p><b>dataAbsentReason</b>: <span title="  no value due to some error
    &lt;valueQuantity&gt;
      &lt;value value=&quot;107&quot;/&gt;
      &lt;unit value=&quot;mm[Hg]&quot;/&gt;
    &lt;/valueQuantity&gt;
 ">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
    &lt;valueQuantity&gt;
      &lt;value value=&quot;60&quot;/&gt;
      &lt;unit value=&quot;mm[Hg]&quot;/&gt;
    &lt;/valueQuantity&gt;
 ">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    -->  <!--    that shows the concept. The next two names 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></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>