Diagnostics
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| Orders and Observations Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson |
Raw XML ( canonical form + also see XML Format Specification )
Real-world patient - CO2 (id = "f203")
<?xml version="1.0" encoding="UTF-8"?>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/?volume] in Serum'}; {SNOMED CT code '365722008' = 'Bicarbonate level - finding', given as 'Bicarbonate level'})(Details : {SNOMED CT code '166698001' = 'Serum bicarbonate level normal', given as 'Serum bicarbonate level normal'}; {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal)(Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'}) <!-- 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. --><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: Observation</b> <a name="f203"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "f203" </p> </div> <p> <b> identifier</b> : id: 1304-03720-Bicarbonate</p> <p> <b> status</b> : <span title=" Bicarbonate was measured on April fourth ">final</span> </p> <p> <b> code</b> : Bicarbonate [Moles/?volume] in Serum <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #1963-8; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #365722008 "Bicarbonate level")</span> </p> <p> <b> subject</b> : <a href="patient-example-f201-roel.html">Patient/f201: Roel</a> "Roel"</p> <p> <b> issued</b> : 5 Apr 2013, 12:34:00 am</p> <p> <b> performer</b> : <a href="practitioner-example-f202-lm.html">Practitioner/f202: Luigi Maas</a> "Luigi Maas"</p> <p> <b> value</b> : 28 mmol/L<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 258813002 = 'mM')</span> </p> <p> <b> interpretation</b> : Serum bicarbonate level normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #166698001; <a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a> #N)</span> </p> <p> <b> method</b> : <span title=" The observation is complete &#10; No reliability concerns ">enzymatic method <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </span> </p> <h3> ReferenceRanges</h3> <table class="grid"><tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> <td> <b> Type</b> </td> </tr> <tr> <td> *</td> <td> <span title=" Healthy bicarbonate level ranges from 22mmol/L to 29mmol/L ">22</span> </td> <td> 29</td> <td> Normal Range <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-referencerange-meaning.html">Observation Reference Range Meaning Codes</a> #normal)</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 >
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
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