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

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

<!--  
 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"/> 
  <!--     EH  Narrative created by build

  </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>
   -->display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%   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;
   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  : 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)
           - 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
    &lt;valueQuantity&gt;
      &lt;value value=&quot;107&quot;/&gt;
      &lt;unit value=&quot;mm[Hg]&quot;/&gt;
    &lt;/valueQuantity&gt;
   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;
 

  -->
  <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> 
  <!--    replaced by 85354-9

  <category> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="85354-9"/> 
      <display value="Blood pressure panel with all children optional"/> 
    </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"/> 
  <!--    an interpretation offered to the combination observation

  </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    -->

        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> 
  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    -->

  <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> 
    <extension url="http://hl7.org/fhir/StructureDefinition/observation-componentCategory">
      <valueCodeableConcept> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="8480-6"/> 
          <display value="Systolic blood pressure"/> 
        </coding> 
      </valueCodeableConcept> 
    </extension> 
    <!--  
           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    -->

   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"/> 
      <!--    no value due to some error

      </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> 
    <extension url="http://hl7.org/fhir/StructureDefinition/observation-componentCategory">
      <valueCodeableConcept> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="8462-4"/> 
          <display value="Diastolic blood pressure"/> 
        </coding> 
      </valueCodeableConcept> 
    </extension> 
    <code> 
      <coding> 
        <system value="http://loinc.org"/> 
        <code value="8462-4"/> 
        <display value="Diastolic blood pressure"/> 
      </coding> 
    <!--    no value due to some error

    </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

>