<observationclassCode="OBS"moodCode="EVN"> <templateIdroot="2.16.840.1.113883.2.4.3.11.60.55.10.478"/><codecode="248477007"codeSystem="2.16.840.1.113883.6.96"displayName="Swelling or edema (finding)"/><valuexsi:type="CD"code="32411000146100"displayName="On examination - rebound tenderness in left upper quadrant (finding)"codeSystem="2.16.840.1.113883.6.96"/></observation>