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

<Observation xmlns="http://hl7.org/fhir">
  <id value="abdo-tender"/>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="exam"/>
      <display value="Exam"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="43478001"/>
      <display value="Abdominal tenderness (finding)"/>
    </coding>
    <text value="Abdominal tenderness"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
  </encounter>
  <effectivePeriod>
    <start value="2018-04-02T10:30:10+01:00"/>
  </effectivePeriod>
  <issued value="2018-04-03T15:30:10+01:00"/>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="52101004"/>
      <display value="Present (qualifier value)"/>
    </coding>
    <text value="Present"/>
  </valueCodeableConcept>
  <interpretation>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="A"/>
      <display value="Abnormal"/>
    </coding>
    <text value="Abnormal"/>
  </interpretation>
</Observation>