<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>