Obs-uslab-example8.xml

USLab Range Observation Profile Example: WBCs in Urine (id = "obs-uslab-example8")

<Observation xmlns="http://hl7.org/fhir">
  <id value="obs-uslab-example8"/>
<!--     FHIR build is generating the narratives
<text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <ul>
        <li> obs-uslab-example1.xml</li>
        <li> id: uslab-example1</li>
        <li> Name: USLab Observation Example1</li>
        <li>Description: USLab Quantitative Observation Profile Canonical Example: Capillary
   Blood Lead</li>
      </ul>
    </div>
  </text>
    -->
<!--     extension for specimen reject goes here - not for this use case
  <extension url="http://hl7.org/fhir/StructureDefinition/uslab-specimenrejectreason">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/v2/0490"/>
        <code value="EX"/>
        <display value="Expired"/>
      </coding>
    </valueCodeableConcept>
  </extension>
    -->
<!--     extension for observation kind goes here     -->
  <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-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] = '/HPF')</span></td><td>5 WBC/HPF<span> (Details: http://unitsofmeasure.org code /[HPF] = '/HPF')</span></td></tr></table></div></text><extension url="http://hl7.org/fhir/StructureDefinition/uslab-observationkind">
    <valueCode value="result"/>
  </extension>
  <identifier>
    <use value="official"/>
    <type>
      <text value="lab test result ID"/>
    </type>
    <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
    <value value="9099"/>
  </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="5821-4"/>
      <display value="Leukocytes [#/​area] in Urine sediment by Microscopy high power field"/>
    <!--     EH: LOINC code goes here    -->
    </coding>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.3.72.5.24"/>
      <code value="WBCFLD"/>
      <display value="White blood cells (WBC) in urine "/>
    </coding>
    <text value="White blood cells (WBC) in urine"/>
  </code>
  <subject>
    <reference value="Patient/patient-uslab-example1"/>
    <display value="Todd Lerr"/>
  </subject>
  <effectiveDateTime value="2014-12-03"/>
<!--     EH: Showing dateTime to ss with TZO although only needed to Day     -->
  <issued value="2014-12-04T15:42:15-08:00"/>
  <performer>
    <reference value="Practitioner/pract-uslab-example1"/>
    <display value="Dr Leonard T Bloodraw Jr"/>
  </performer>
<!--     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)
       -->
  <valueRange>
    <low>
      <value value="10"/>
      <unit value="WBC/HPF"/>
    </low>
    <high>
      <value value="20"/>
      <unit value="WBC/HPF"/>
    </high>
  </valueRange>
<!--      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="H"/>
    </coding>
  </interpretation>
  <specimen>
    <reference value="Specimen/spec-uslab-example2"/>
    <display value="Urine Sample"/>
  </specimen>
  <referenceRange>
    <low>
      <value value="0"/>
      <unit value="WBC/HPF"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/[HPF]"/>
    </low>
    <high>
      <value value="5"/>
      <unit value="WBC/HPF"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/[HPF]"/>
    </high>
  </referenceRange>
</Observation>