{

"resourceType": "Observation",
"id": "blood-pressure-cancel",
"meta": {
  "lastUpdated": "2014-01-30T22:35:23+11:00"
},
"text": {
  "fhir_comments": [
    "  \tEH  Narrative created by build\n\t<text>\n\t\t<status value=\"generated\"/>\n\t\t<div xmlns=\"http://www.w3.org/1999/xhtml\">Sept 17, 2012: Systolic Blood pressure 107/60 mmHg (low)</div>\n\t</text>\n  "
  ],
  "status": "generated",
  "div": "<div><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>code</b>: Blood pressure systolic &amp; diastolic <span>(Details : {LOINC code '55284-4' = 'Blood pressure systolic and diastolic', given as 'Blood pressure systolic &amp; diastolic'})</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 'L' = 'Low', given as 'Below low normal'})</span></p><p><b>comments</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 '368209003' = '368209003', given as 'Right arm'})</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span>(Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = '271649006', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = '??', given as 'Systolic Blood pressure'})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://hl7.org/fhir/data-absent-reason code 'not-asked' = 'Not Asked', given as 'Not Asked'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span>(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})</span></p><p><b>dataAbsentReason</b>: Not Asked <span>(Details : {http://hl7.org/fhir/data-absent-reason code 'not-asked' = 'Not Asked', given as 'Not Asked'})</span></p></blockquote></div>"
},
"identifier": [
  {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
  }
],
"status": "cancelled",
"code": {
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "55284-4",
      "display": "Blood pressure systolic & diastolic"
    }
  ]
},
"subject": {
  "reference": "Patient/example"
},
"effectiveDateTime": "2012-09-17",
"performer": [
  {
    "reference": "Practitioner/example"
  }
],
"interpretation": {
  "fhir_comments": [
    "   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 \"COMP\" (component)\n        observations   "
  ],
  "coding": [
    {
      "system": "http://hl7.org/fhir/v2/0078",
      "code": "L",
      "display": "Below low normal"
    }
  ],
  "text": "low"
},
"comments": "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": {
  "fhir_comments": [
    "   for an observation with components, these cannot disagree with the flags on the components   "
  ],
  "coding": [
    {
      "system": "http://snomed.info/sct",
      "code": "368209003",
      "display": "Right arm"
    }
  ]
},
"component": [
  {
    "code": {
      "fhir_comments": [
        "  \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   ",
        "   that shows the concept. The next two names only have a LOINC code   "
      ],
      "coding": [
        {
          "fhir_comments": [
            "   LOINC - always recommended to have a LOINC code   "
          ],
          "system": "http://loinc.org",
          "code": "8480-6",
          "display": "Systolic blood pressure"
        },
        {
          "fhir_comments": [
            "   SNOMED CT Codes - becoming more common   "
          ],
          "system": "http://snomed.info/sct",
          "code": "271649006",
          "display": "Systolic blood pressure"
        },
        {
          "fhir_comments": [
            "   Also, a local code specific to the source system   "
          ],
          "system": "http://acme.org/devices/clinical-codes",
          "code": "bp-s",
          "display": "Systolic Blood pressure"
        }
      ]
    },
    "dataAbsentReason": {
      "fhir_comments": [
        "   no value due to some error \n    <valueQuantity>\n      <value value=\"107\"/>\n      <unit value=\"mm[Hg]\"/>\n    </valueQuantity>\n  "
      ],
      "coding": [
        {
          "system": "http://hl7.org/fhir/data-absent-reason",
          "code": "not-asked",
          "display": "Not Asked"
        }
      ]
    }
  },
  {
    "code": {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "8462-4",
          "display": "Diastolic blood pressure"
        }
      ]
    },
    "dataAbsentReason": {
      "fhir_comments": [
        "   no value due to some error \n    <valueQuantity>\n      <value value=\"60\"/>\n      <unit value=\"mm[Hg]\"/>\n    </valueQuantity>\n  "
      ],
      "coding": [
        {
          "system": "http://hl7.org/fhir/data-absent-reason",
          "code": "not-asked",
          "display": "Not Asked"
        }
      ]
    }
  }
]

}