Observation-example-f203-bicarbonate.json

Real-world patient - CO2

{
  "resourceType": "Observation",
  "id": "f203",

  "text": {
    "status": "generated",
    "div": "<div>\n      <p>\n        <b>Generated Narrative</b>\n      </p>\n      <p>\n        <b>name</b>: \n        <span title=\"Codes: {http://snomed.info/sct 365722008}\">Bicarbonate level</span>\n      </p>\n      <p>\n        <b>value[x]</b>: 28 mmol/L\n      </p>\n      <p>\n        <b>interpretation</b>: \n        <span title=\"Codes: {http://snomed.info/sct 166698001}, {http://hl7.org/fhir/v2/0078 N}\">Serum bicarbonate level normal</span>\n      </p>\n      <p>\n        <b>issued</b>: 4-Apr 2013 14:34\n      </p>\n      <p>\n        <b>status</b>: final_\n      </p>\n      <p>\n        <b>reliability</b>: ok\n      </p>\n      <p>\n        <b>method</b>: \n        <span title=\"Codes: {http://snomed.info/sct 271239003}\">Serum bicarbonate measurement</span>\n      </p>\n      <p>\n        <b>identifier</b>: Bicarbonaat value of Roel on April 2013 - 03720 = 1304-03720-Bicarbonate\n      </p>\n      <p>\n        <b>subject</b>: Roel\n      </p>\n      <p>\n        <b>performer</b>: Luigi Maas\n      </p>\n      <h3>ReferenceRanges</h3>\n      <table class=\"grid\">\n        <tr>\n          <td>\n            <b>Low</b>\n          </td>\n          <td>\n            <b>High</b>\n          </td>\n          <td>\n            <b>Meaning</b>\n          </td>\n          <td>\n            <b>Age</b>\n          </td>\n        </tr>\n        <tr>\n          <td>22 null</td>\n          <td>29 null</td>\n          <td>\n            <span title=\"Codes: {http://hl7.org/fhir/referencerange-meaning normal}\">Normal Range</span>\n          </td>\n          <td> </td>\n        </tr>\n      </table>\n    </div>"

    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f203</p><p><b>identifier</b>: 1304-03720-Bicarbonate</p><p><b>status</b>: final</p><p><b>code</b>: Bicarbonate [Moles/?volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/?volume] in Serum'}; {SNOMED CT code '365722008' = '365722008', given as 'Bicarbonate level'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: 04/04/2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>value</b>: 28 mmol/L<span> (Details: SNOMED CT code 258813002 = '258813002')</span></p><p><b>interpretation</b>: Serum bicarbonate level normal <span>(Details : {SNOMED CT code '166698001' = '166698001', given as 'Serum bicarbonate level normal'}; {http://hl7.org/fhir/v2/0078 code 'N' = 'Normal)</span></p><p><b>method</b>: enzymatic method <span>(Details )</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Meaning</b></td></tr><tr><td>*</td><td>22</td><td>29</td><td>Normal Range <span>(Details : {http://hl7.org/fhir/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})</span></td></tr></table></div>"

  },
  "name": {

  "identifier": [
    {
      "system": "https://intranet.aumc.nl/labvalues",
      "value": "1304-03720-Bicarbonate",
      "_value": {
        "fhir_comments": [
          "   Does not exist   "
        ]
      }
    }
  ],
  "status": "final",
  "_status": {
    "fhir_comments": [
      "   Bicarbonate was measured on April fourth   "
    ]
  },
  "code": {

    "coding": [
      {
        "fhir_comments": [
          "   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.  "
        ],
        "system": "http://loinc.org",
        "code": "1963-8",
        "display": "Bicarbonate [Moles/?volume] in Serum"
      },
      {

        "system": "http://snomed.info/sct",
        "code": "365722008",
        "display": "Bicarbonate level"
      }
    ]
  },
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "issued": "2013-04-04T14:34:00+01:00",
  "performer": [
    {
      "reference": "Practitioner/f202",
      "display": "Luigi Maas"
    }
  ],

  "valueQuantity": {
    "value": 28,
    "units": "mmol/L",

    "_value": {
      "fhir_comments": [
        "   Bicarbonate=28mmol/L   "
      ]
    },
    "unit": "mmol/L",

    "system": "http://snomed.info/sct",
    "code": "258813002"
  },
  "interpretation": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "166698001",
        "display": "Serum bicarbonate level normal"
      },
      {
        "system": "http://hl7.org/fhir/v2/0078",
        "code": "N"
      }
    ]
  },
  "issued": "2013-04-04T14:34:00+01:00",
  "status": "final",
  "reliability": "ok",

  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "271239003",
        "display": "Serum bicarbonate measurement"
      }
    ]
  },
  "identifier": {
    "label": "Bicarbonaat value of Roel on April 2013 - 03720",
    "system": "https://intranet.aumc.nl/labvalues",
    "value": "1304-03720-Bicarbonate"
  },
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "performer": [
    {
      "reference": "Practitioner/f202",
      "display": "Luigi Maas"

    "fhir_comments": [
      "   The observation is complete   ",
      "   No reliability concerns   "
    ],
    "text": "enzymatic method",
    "_text": {
      "fhir_comments": [
        "   Method was enzymatic method   "
      ]

    }
  ],

  },

  "referenceRange": [
    {
      "low": {
        "fhir_comments": [
          "   Healthy bicarbonate level ranges from 22mmol/L to 29mmol/L   "
        ],

        "value": 22
      },
      "high": {
        "value": 29
      },
      "meaning": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/referencerange-meaning",
            "code": "normal",
            "display": "Normal Range"
          }
        ]
      }
    }
  ]
}