Obs-uslab-example5.json

USLab Quantitative Observation Profile Example: Blood Lead

{
  "resourceType": "Observation",
  "id": "obs-uslab-example5",
  "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-example5.xml</li>\n\t\t\t\t<li> id: uslab-example5</li>\n\t\t\t\t<li> Name: USLab Observation Example5</li>\n\t\t\t\t<li>Description: USLab Quantitative Observation Profile Canonical Example: 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 kindt goes here    "
    ],
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obs-uslab-example5</p><p><b>identifier</b>: lab test result ID = 1234 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Blood Lead <span>(Details : {LOINC code '5671-3' = 'Lead [Mass/volume] in Blood', given as 'Lead [Mass/volume] in Blood'}; {urn:oid:2.16.840.1.113883.3.72.5.24 code 'BLDLD' = '??', given as 'Blood Lead'})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>effective</b>: 05/12/2014</p><p><b>issued</b>: 06/12/2014 3:42:15 PM</p><p><b>performer</b>: <a>Dr Leonard T Bloodraw Jr</a></p><p><b>value</b>: 65 microgram per deciliter<span> (Details: http://unitsofmeasure.org code ug/dL = 'ug/dL')</span></p><p><b>interpretation</b>: High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></p><p><b>specimen</b>: <a>Blood sample</a></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>5.0 microgram per deciliter<span> (Details: http://unitsofmeasure.org code ug/dL = 'ug/dL')</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": "1234"
    }
  ],
  "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": "5671-3",
        "display": "Lead [Mass/volume] in Blood"
      },
      {
        "system": "urn:oid:2.16.840.1.113883.3.72.5.24",
        "code": "BLDLD",
        "display": "Blood Lead"
      }
    ],
    "text": "Blood Lead"
  },
  "subject": {
    "reference": "Patient/patient-uslab-example1",
    "display": "Todd Lerr"
  },
  "effectiveDateTime": "2014-12-05",
  "issued": "2014-12-06T15:42:15-08:00",
  "_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"
    }
  ],
  "valueQuantity": {
    "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      "
    ],
    "value": 65,
    "unit": "microgram per deciliter",
    "system": "http://unitsofmeasure.org",
    "code": "ug/dL"
  },
  "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-example1",
    "display": "Blood sample"
  },
  "referenceRange": [
    {
      "high": {
        "value": 5.0,
        "unit": "microgram per deciliter",
        "system": "http://unitsofmeasure.org",
        "code": "ug/dL"
      }
    }
  ]
}