PATH-R4-19: Observation Example - Albumin

An example of a quantitative test result:

  • Albumin: 47 g/L

<Observation xmlns="http://hl7.org/fhir">
    <id value="Pathology-Observation-Albumin-Example" />
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="78443cb9-f248-44ef-9e6b-37fc4a592c1b" />
    </identifier>
    <status value="final" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
        </coding>
    </category>
    <code>
        <!--  Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example.  -->
        <!--  In practice, it is likely that only a code from one reference set will be carried.  -->
        <coding>
            <!--  From PBCL observable entity reference set  -->
            <system value="http://snomed.info/sct" />
            <code value="1000821000000103" />
            <display value="Serum albumin level" />
        </coding>
        <coding>
            <!--  From PaLM observable entity reference set  -->
            <system value="http://snomed.info/sct" />
            <code value="1105861000000106" />
            <display value="Albumin mass concentration in serum" />
        </coding>
    </code>
    <subject>
        <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <display value="WELSH, Joel" />
    </subject>
    <issued value="2022-03-08T14:23:00+00:00" />
    <performer>
        <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
        <display value="TD008362 PATH LAB 001" />
    </performer>
    <valueQuantity>
        <value value="47" />
        <unit value="g/L" />
        <system value="http://unitsofmeasure.org" />
        <code value="g/L" />
    </valueQuantity>
    <specimen>
        <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
    </specimen>
    <referenceRange>
        <low>
            <value value="35" />
            <unit value="g/L" />
            <system value="http://unitsofmeasure.org" />
            <code value="g/L" />
        </low>
        <high>
            <value value="50" />
            <unit value="g/L" />
            <system value="http://unitsofmeasure.org" />
            <code value="g/L" />
        </high>
    </referenceRange>
</Observation>
{
    "resourceType": "Observation",
    "id": "Pathology-Observation-Albumin-Example",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
        ]
    },
    "identifier":  [
        {
            "system": "https://tools.ietf.org/html/rfc4122",
            "value": "78443cb9-f248-44ef-9e6b-37fc4a592c1b"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "1000821000000103",
                "display": "Serum albumin level"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "1105861000000106",
                "display": "Albumin mass concentration in serum"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
        "display": "WELSH, Joel"
    },
    "issued": "2022-03-08T14:23:00+00:00",
    "performer":  [
        {
            "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
            "display": "TD008362 PATH LAB 001"
        }
    ],
    "valueQuantity": {
        "value": 47,
        "unit": "g/L",
        "system": "http://unitsofmeasure.org",
        "code": "g/L"
    },
    "specimen": {
        "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
    },
    "referenceRange":  [
        {
            "low": {
                "value": 35,
                "unit": "g/L",
                "system": "http://unitsofmeasure.org",
                "code": "g/L"
            },
            "high": {
                "value": 50,
                "unit": "g/L",
                "system": "http://unitsofmeasure.org",
                "code": "g/L"
            }
        }
    ]
}
Observation
Observation.id[0]Pathology-Observation-Albumin-Example
Observation.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Observation.identifier[0].system[0]https://tools.ietf.org/html/rfc4122
Observation.identifier[0].value[0]78443cb9-f248-44ef-9e6b-37fc4a592c1b
Observation.status[0]final
Observation.category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Observation.category[0].coding[0].code[0]laboratory
Observation.category[0].coding[0].display[0]Laboratory
Observation.code[0].coding[0].system[0]http://snomed.info/sct
Observation.code[0].coding[0].code[0]1000821000000103
Observation.code[0].coding[0].display[0]Serum albumin level
Observation.code[0].coding[1].system[0]http://snomed.info/sct
Observation.code[0].coding[1].code[0]1105861000000106
Observation.code[0].coding[1].display[0]Albumin mass concentration in serum
Observation.subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Observation.subject[0].display[0]WELSH, Joel
Observation.issued[0]2022-03-08T14:23:00+00:00
Observation.performer[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Observation.performer[0].display[0]TD008362 PATH LAB 001
Observation.value[0].value[0]47
Observation.value[0].unit[0]g/L
Observation.value[0].system[0]http://unitsofmeasure.org
Observation.value[0].code[0]g/L
Observation.specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d
Observation.referenceRange[0].low[0].value[0]35
Observation.referenceRange[0].low[0].unit[0]g/L
Observation.referenceRange[0].low[0].system[0]http://unitsofmeasure.org
Observation.referenceRange[0].low[0].code[0]g/L
Observation.referenceRange[0].high[0].value[0]50
Observation.referenceRange[0].high[0].unit[0]g/L
Observation.referenceRange[0].high[0].system[0]http://unitsofmeasure.org
Observation.referenceRange[0].high[0].code[0]g/L