Blood Pressure Measurement cancelled (id = "blood-pressure-cancel")

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
  <!--     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>
   -->(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs'
           = 'Vital Signs', given as 'Vital Signs'})(Details : {LOINC code '85354-9' = 'Blood pressure panel with all children optional',
           given as 'Blood pressure panel with all children optional'})(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'L'
           = 'Low', given as 'low'}): In this example, the blood pressure measurements are not available due to cancellation
         of the order.  Data absent reason is present for each component(Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood
             pressure'}; {SNOMED CT code '271649006' = 'Systolic blood pressure', given as 'Systolic
             blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = 'bp-s', given
             as 'Systolic Blood pressure'})(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code 'not-asked'
             = 'Not Asked', given as 'Not Asked'})(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood
             pressure'})(Details : {http://terminology.hl7.org/CodeSystem/data-absent-reason code 'not-asked'
             = 'Not Asked', given as 'Not Asked'})
    
    
  
  
  
    
      
      
      
    
  
  <!--    replaced by 85354-9
    <coding>
      <system value="http://loinc.org"/>
      <code value="85354-9"/>
      <display value="Blood pressure systolic &amp; diastolic"/>
    </coding>
   -->
      
      
      
    
    
  
  
    
  
  
  
    
  <!--    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    -->
    
      
      
      
    
    
  
  In this example, the blood pressure measurements are not available due to cancellation
     of the order.  Data absent reason is present for each component<!--    for an observation with components, these cannot disagree with the flags on the components
      -->
    
      
      
      
    
  
  <!--   
           Observations are often coded in multiple code systems.
           - LOINC provides a very specific code (though not usefully more specific in
     this particular case)

<!--  
 This is an example of a cancelled standard blood pressure measurement. with an
 Observation/component/dataAbsentReason valued due to cancellation.
 Blood Pressure is a regarded as a single observation, and
 presented that way in plain text: 120/80. Also, it is usually
 interpreted as a single value, though intepretation can also
 be offered to the parts individually
 Technically, though, a blood pressure is a pair of component
 observations. LOINC code 85354-9 notes say:
   This term is intended as a section header for various
   blood pressure measurements (e.g. systolic, diastolic).
   LOINC discourages the reporting of two numbers, such as
   systolic and diastolic blood pressure (e.g. 120/80),
   in one observation. They should be reported as two
   separate variables, systolic (LOINC 8480-6) and
   diastolic (LOINC 8462-4)
 This example shows the standard way to represent a meaurement that cause the expected
 values to be empty
 single resource, with a narrative in the standard form, and two
 component observations for the actual values with Observation/component/dataAbsentReason
 valued due to cancellation
  --><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>
  -->
  <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    -->
        
        
        
      
        
        
        
      
        
        
        
      <!--    no value due to some error
    <valueQuantity>
      <value value="107"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   -->
      
        
        
        
      
    
  
  
    
      
        
        
        
      
    <!--    no value due to some error
    <valueQuantity>
      <value value="60"/>
      <unit value="mm[Hg]"/>
    </valueQuantity>
   -->
      
        
        
        
      
    
  

     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

>