<?xml version="1.0" encoding="UTF-8"?> <Observation xmlns="http://hl7.org/fhir"> <id value="obs-301"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p> <b>Generated Narrative with Details</b> </p> <p> <b>id</b>: obs-301</p> <p> <b>identifier</b>: obs-301</p> <p> <b>status</b>: final</p> <p> <b>code</b>: Leukocytes <span style="background: LightGoldenRodYellow ">(Details : {LOINC code "26464-8" := "26464-8", given as "Leukocytes [#/volume] in Blood"})</span> </p> <p> <b>subject</b>: <a href="Patient/patient-uslab-example1">Todd Lerr</a> </p> <p> <b>effective</b>: 12/5/2014</p> <p> <b>issued</b>: 12/6/2014 3:42:15 PM</p> <p> <b>value</b>: 105600/uL <span style="background: LightGoldenRodYellow ">(Details: http://unitsofmeasure.org code {cells}/uL := "{cells}/uL")</span> </p> <p> <b>interpretation</b>: Critically high <span style="background: LightGoldenRodYellow ">(Details : {http://hl7.org/fhir/v2/0078 code "HH" := "Critically high)</span> </p> <p> <b>specimen</b>: <a href="Specimen/spec-uslab-example1">Blood sample</a> </p> </div> </text> <identifier> <system value="http://lis.acmelabs.org/identifiers/labtestresult"/> <value value="obs-301"/> </identifier> <status value="final"/> <!-- EH : The local and /or LOINC test codes go here --> <code> <!-- EH: LOINC code goes here --> <coding> <system value="http://loinc.org"/> <code value="26464-8"/> <display value="Leukocytes [#/volume] in Blood"/> <!-- EH: Local code goes here --> </coding> <text value="Leukocytes"/> </code> <subject> <reference value="Patient/patient-uslab-example1"/> <display value="Todd Lerr"/> </subject> <effectiveDateTime value="2014-12-05"/> <!-- EH: Showing dateTime to ss with TZO although only needed to Day --> <issued value="2014-12-06T15:42:15-08:00"/> <!-- In FHIR, units may be represented twice. Once in the agreed human representation, and once in a coded form. Both is best, since it's not always possible to infer one from the other in code. When a computable unit is provided, UCUM (http://unitsofmeasure.org) is always preferred, but it doesn't provide notional units (such as "tablet"), etc. For these, something else is required (e.g. Snomed-CT) --> <valueQuantity> <value value="105600"/> <unit value="/uL"/> <system value="http://unitsofmeasure.org"/> <code value="{cells}/uL"/> </valueQuantity> <!-- eH dataabsent reason would go here if valueQuantity was empty e.g.: <dataAbsentReason value="error"/> --> <interpretation> <coding> <system value="http://hl7.org/fhir/v2/0078"/> <code value="HH"/> </coding> </interpretation> <specimen> <reference value="Specimen/spec-uslab-example1"/> <display value="Blood sample"/> </specimen> <referenceRange> <low> <value value="4300"/> <unit value="/uL"/> <system value="http://unitsofmeasure.org"/> <code value="{cells}/uL"/> </low> <high> <value value="10800"/> <unit value="/uL"/> <system value="http://unitsofmeasure.org"/> <code value="{cells}/uL"/> </high> </referenceRange> </Observation>