{
  "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>: Sep 17, 2012</p><p><b>performer</b>: <a>Practitioner/example</a></p><p><b>interpretation</b>: Below low normal <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low', given as 'low'})</span></p><p><b>comment</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' = 'Right upper arm structure (body structure)', 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' = 'Systolic blood pressure (observable entity)', 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": "low"
      }
    ],
    "text": "Below low normal"
  },
  "comment": "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"
          }
        ]
      }
    }
  ]
}