{
  "resourceType": "Observation",
  "id": "f203",
  "text": {
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f203</p><p><b>identifier</b>: 1304-03720-Bicarbonate</p><p><b>status</b>: final</p><p><b>code</b>: Bicarbonate [Moles/?volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/?volume] in Serum'}; {SNOMED CT code '365722008' = 'Finding of bicarbonate level (finding)', given as 'Bicarbonate level'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Apr 4, 2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>value</b>: 28 mmol/L<span> (Details: SNOMED CT code 258813002 = 'Millimole/liter (qualifier value)')</span></p><p><b>interpretation</b>: Serum bicarbonate level normal <span>(Details : {SNOMED CT code '166698001' = 'Serum bicarbonate level normal (finding)', given as 'Serum bicarbonate level normal'}; {http://hl7.org/fhir/v2/0078 code 'N' = 'Normal)</span></p><p><b>method</b>: enzymatic method <span>(Details )</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Meaning</b></td></tr><tr><td>*</td><td>22</td><td>29</td><td>Normal Range <span>(Details : {http://hl7.org/fhir/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})</span></td></tr></table></div>"
  },
  "identifier": [
    {
      "system": "https://intranet.aumc.nl/labvalues",
      "value": "1304-03720-Bicarbonate",
      "_value": {
        "fhir_comments": [
          "   Does not exist   "
        ]
      }
    }
  ],
  "status": "final",
  "_status": {
    "fhir_comments": [
      "   Bicarbonate was measured on April fourth   "
    ]
  },
  "code": {
    "coding": [
      {
        "fhir_comments": [
          "   Kind of observation = Bicarbonate LOINC and SNOMED CT translations here - Note in the US the primary code will be LOINC per meaningful use.  Further SNOMED CT  has acceeded to LOINC being the primary coding system for vitals and anthropromorphic measures.  SNOMED CT is required in some countries such as the UK.  "
        ],
        "system": "http://loinc.org",
        "code": "1963-8",
        "display": "Bicarbonate [Moles/?volume] in Serum"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "365722008",
        "display": "Bicarbonate level"
      }
    ]
  },
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "issued": "2013-04-04T14:34:00+01:00",
  "performer": [
    {
      "reference": "Practitioner/f202",
      "display": "Luigi Maas"
    }
  ],
  "valueQuantity": {
    "value": 28,
    "_value": {
      "fhir_comments": [
        "   Bicarbonate=28mmol/L   "
      ]
    },
    "unit": "mmol/L",
    "system": "http://snomed.info/sct",
    "code": "258813002"
  },
  "interpretation": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "166698001",
        "display": "Serum bicarbonate level normal"
      },
      {
        "system": "http://hl7.org/fhir/v2/0078",
        "code": "N"
      }
    ]
  },
  "method": {
    "fhir_comments": [
      "   The observation is complete   ",
      "   No reliability concerns   "
    ],
    "text": "enzymatic method",
    "_text": {
      "fhir_comments": [
        "   Method was enzymatic method   "
      ]
    }
  },
  "referenceRange": [
    {
      "low": {
        "fhir_comments": [
          "   Healthy bicarbonate level ranges from 22mmol/L to 29mmol/L   "
        ],
        "value": 22
      },
      "high": {
        "value": 29
      },
      "meaning": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/referencerange-meaning",
            "code": "normal",
            "display": "Normal Range"
          }
        ]
      }
    }
  ]
}