Uslab\obs-uslab-example8.json

USLab Range Observation Profile Example: WBCs in Urine

{
  "resourceType": "Observation",
  "id": "obs-uslab-example8",
  "text": {
    "fhir_comments": [
      "    FHIR build is generating the narratives\n<text>\n\t\t<status value=\"generated\"/>\n\t\t<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<ul>\n\t\t\t\t<li> obs-uslab-example1.xml</li>\n\t\t\t\t<li> id: uslab-example1</li>\n\t\t\t\t<li> Name: USLab Observation Example1</li>\n\t\t\t\t<li>Description: USLab Quantitative Observation Profile Canonical Example: Capillary Blood Lead</li>\n\t\t\t</ul>\n\t\t</div>\n\t</text>\n   ",
      "    extension for specimen reject goes here - not for this use case\n\t<extension url=\"http://hl7.org/fhir/StructureDefinition/uslab-specimenrejectreason\">\n\t\t<valueCodeableConcept>\n\t\t\t<coding>\n\t\t\t\t<system value=\"http://hl7.org/fhir/v2/0490\"/>\n\t\t\t\t<code value=\"EX\"/>\n\t\t\t\t<display value=\"Expired\"/>\n\t\t\t</coding>\n\t\t</valueCodeableConcept>\n\t</extension>\n   ",
      "    extension for observation kind goes here    "
    ],
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obs-uslab-example8</p><p><b>identifier</b>: lab test result ID = 9099 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: White blood cells (WBC) in urine <span>(Details : {LOINC code '5821-4' = 'Leukocytes [#/area] in Urine sediment by Microscopy high power field', given as 'Leukocytes [#/​area] in Urine sediment by Microscopy high power field'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'WBCFLD' = '??', given as 'White blood cells (WBC) in urine '})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>effective</b>: 03/12/2014</p><p><b>issued</b>: 04/12/2014 3:42:15 PM</p><p><b>performer</b>: <a>Dr Leonard T Bloodraw Jr</a></p><p><b>value</b>: 10-20 WBC/HPF</p><p><b>interpretation</b>: High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></p><p><b>specimen</b>: <a>Urine Sample</a></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0 WBC/HPF<span> (Details: http://unitsofmeasure.org code /[HPF] = '??')</span></td><td>5 WBC/HPF<span> (Details: http://unitsofmeasure.org code /[HPF] = '??')</span></td></tr></table></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/uslab-observationkind",
      "valueCode": "result"
    }
  ],
  "identifier": [
    {
      "use": "official",
      "type": {
        "text": "lab test result ID"
      },
      "system": "http://lis.acmelabs.org/identifiers/labtestresult",
      "value": "9099"
    }
  ],
  "status": "final",
  "code": {
    "fhir_comments": [
      "   EH :  The local and /or LOINC test codes go here    "
    ],
    "coding": [
      {
        "fhir_comments": [
          "    EH: LOINC code goes here   ",
          "    EH: LOINC code goes here   "
        ],
        "system": "http://loinc.org",
        "code": "5821-4",
        "display": "Leukocytes [#/​area] in Urine sediment by Microscopy high power field"
      },
      {
        "system": "urn:oid:2.16.840.1.113883.3.72.5.24",
        "code": "WBCFLD",
        "display": "White blood cells (WBC) in urine "
      }
    ],
    "text": "White blood cells (WBC) in urine"
  },
  "subject": {
    "reference": "Patient/patient-uslab-example1",
    "display": "Todd Lerr"
  },
  "effectiveDateTime": "2014-12-03",
  "issued": "2014-12-04T15:42:15-08:00",
  "_issued": {
    "fhir_comments": [
      "    EH: Showing dateTime to ss with TZO although only needed to Day    "
    ]
  },
  "performer": [
    {
      "reference": "Practitioner/pract-uslab-example1",
      "display": "Dr Leonard T Bloodraw Jr"
    }
  ],
  "valueRange": {
    "fhir_comments": [
      "    In FHIR, units may be represented twice. Once in the\n    agreed human representation, and once in a coded form.\n    Both is best, since it's not always possible to infer\n    one from the other in code.\n\n    When a computable unit is provided, UCUM (http://unitsofmeasure.org)\n    is always preferred, but it doesn't provide notional units (such as\n    \"tablet\"), etc. For these, something else is required (e.g. Snomed-CT)\n      "
    ],
    "low": {
      "value": 10,
      "unit": "WBC/HPF"
    },
    "high": {
      "value": 20,
      "unit": "WBC/HPF"
    }
  },
  "interpretation": {
    "fhir_comments": [
      "     eH dataabsent reason  would go here if valueQuantity was empty e.g.:\n\t<dataAbsentReason value=\"error\"/>    "
    ],
    "coding": [
      {
        "system": "http://hl7.org/fhir/v2/0078",
        "code": "H"
      }
    ]
  },
  "specimen": {
    "reference": "Specimen/spec-uslab-example2",
    "display": "Urine Sample"
  },
  "referenceRange": [
    {
      "low": {
        "value": 0,
        "unit": "WBC/HPF",
        "system": "http://unitsofmeasure.org",
        "code": "/[HPF]"
      },
      "high": {
        "value": 5,
        "unit": "WBC/HPF",
        "system": "http://unitsofmeasure.org",
        "code": "/[HPF]"
      }
    }
  ]
}