<?xml version=“1.0” encoding=“UTF-8”?><Observation xmlns=“hl7.org/fhir”>

<id value="blood-pressure"/>
<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</p><p><b>meta</b>: </p><p><b>identifier</b>: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>status</b>: final</p><p><b>code</b>: Blood pressure systolic &amp; diastolic <span>(Details : {LOINC code &#39;55284-4&#39; = &#39;Blood pressure systolic and diastolic&#39;, given as &#39;Blood pressure systolic &amp; diastolic&#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>: low <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;L&#39; = &#39;Low&#39;, given as &#39;Below low normal&#39;})</span></p><p><b>bodySite</b>: Right arm <span>(Details : {SNOMED CT code &#39;368209003&#39; = &#39;368209003&#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;271649006&#39;, given as &#39;Systolic blood pressure&#39;}; {http://acme.org/devices/clinical-codes code &#39;bp-s&#39; = &#39;??&#39;, given as &#39;Systolic Blood pressure&#39;})</span></p><p><b>value</b>: 107 mm[Hg]</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>value</b>: 60 mm[Hg]</p></blockquote></div></text><identifier>
  <system value="urn:ietf:rfc:3986"/>
  <value value="urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"/>
</identifier>
<status value="final"/>
<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="Below low normal"/>
  </coding>
  <text value="low"/>
</interpretation>
<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 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
         -->
  <code>
    <!--   LOINC -code   -->
    <coding>
      <system value="http://loinc.org"/>
      <code value="8480-6"/>
      <display value="Systolic blood pressure"/>
    </coding>
    <!--   SNOMED CT Codes   -->
    <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 codes only have a LOINC code   -->
  </code>
  <!--   no standard units used in this example   -->
  <valueQuantity>
    <value value="107"/>
    <unit value="mm[Hg]"/>
  </valueQuantity>
</component>
<component>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="8462-4"/>
      <display value="Diastolic blood pressure"/>
    </coding>
  </code>
  <!--   no formal units in this example   -->
  <valueQuantity>
    <value value="60"/>
    <unit value="mm[Hg]"/>
  </valueQuantity>
</component>

</Observation>