Observation-example-f203-bicarbonate.xml

Real-world patient - CO2 (id = "f203")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="f203"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : f203</p> <p> <b> identifier</b> : id: 1304-03720-Bicarbonate</p> <p/>  <p> <b> code</b> : <span> Bicarbonate [Moles/?volume] in Serum</span> </p> <p> <b> subject</b> : <a> Roel. Generated Summary: id: f201; BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL);
           active; Roel(OFFICIAL); ph: +31612345678(MOBILE), ph: +31201234567(HOME); gender: male;
           birthDate: 1960-03-13; <span> Legally married</span> ; </a> </p> <p> <b> issued</b> : 05/04/2013 12:34:00 AM</p> <p> <b> performer</b> : <a> Luigi Maas. Generated Summary: id: f202; UZI-nummer: 12345678902 (OFFICIAL), BIG-nummer:
           12345678902 (OFFICIAL); active; Luigi Maas(OFFICIAL); ph: +31715269111(WORK); gender:
           male; birthDate: 1960-06-12</a> </p> <p> <b> value</b> : 28 mmol/L</p> <p> <b> interpretation</b> : <span> Serum bicarbonate level normal</span> </p> <p> <b> method</b> : <span> enzymatic method</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> <td> <b> Type</b> </td> </tr> <tr> <td> *</td> <td> 22</td> <td> 29</td> <td> <span> Normal Range</span> </td> </tr> </table> </div> </text> <identifier> 
    <system value="https://intranet.aumc.nl/labvalues"/> <!--    Does not exist    --><value value="1304-03720-Bicarbonate"/> 
  </identifier> <!--    Bicarbonate was measured on April fourth    --><status value="final"/> 
  <code> <!--    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.   --><coding> 
      <system value="http://loinc.org"/> 
      <code value="1963-8"/> 
      <display value="Bicarbonate [Moles/?volume] in Serum"/> 
    </coding> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="365722008"/> 
      <display value="Bicarbonate level"/> 
    </coding> 
  </code> 
  <subject> 
    <reference value="Patient/f201"/> 
    <display value="Roel"/> 
  </subject> 
  <issued value="2013-04-04T14:34:00+01:00"/> 
  <performer> 
    <reference value="Practitioner/f202"/> 
    <display value="Luigi Maas"/> 
  </performer> 
  <valueQuantity> <!--    Bicarbonate=28mmol/L    --><value value="28"/> 
    <unit value="mmol/L"/> 
    <system value="http://snomed.info/sct"/> 
    <code value="258813002"/> 
  </valueQuantity> 
  <interpretation> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="166698001"/> 
      <display value="Serum bicarbonate level normal"/> 
    </coding> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
      <code value="N"/> 
    </coding> 
  </interpretation> <!--    The observation is complete    --><!--    No reliability concerns    --><method> <!--    Method was enzymatic method    --><text value="enzymatic method"/> 
  </method> 
  <referenceRange> <!--    Healthy bicarbonate level ranges from 22mmol/L to 29mmol/L    --><low> 
      <value value="22"/> 
    </low> 
    <high> 
      <value value="29"/> 
    </high> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/> 
        <code value="normal"/> 
        <display value="Normal Range"/> 
      </coding> 
    </type> 
  </referenceRange> 
</Observation>