PATH-R4-25: Observation Example - Lymphocyte Count

An example of a quantitative test result combined with an interpretation:

  • Lymphocyte count: 0.70 10*9/L LOW

<Observation xmlns="http://hl7.org/fhir">
<id value="Pathology-Observation-Lymphocyte-Example" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="2af46949-4938-4c57-bad4-c4363e1965d5" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- 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. -->
<!-- From PBCL observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="1022581000000105" />
<display value="Lymphocyte count" />
</coding>
<!-- From PaLM observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="67541000237108" />
<display value="Lymphocyte count in blood" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-09T11:17:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<value value="0.70" />
<unit value="10*9/L" />
<system value="http://unitsofmeasure.org" />
<code value="10^9/L" />
</valueQuantity>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="L" />
<display value="Low" />
</coding>
</interpretation>
<reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
</specimen>
<low>
<value value="1.00" />
<unit value="10*9/L" />
<system value="http://unitsofmeasure.org" />
<code value="10^9/L" />
</low>
<value value="3.00" />
<unit value="10*9/L" />
<system value="http://unitsofmeasure.org" />
<code value="10^9/L" />
</high>
</referenceRange>
</Observation>
{
"resourceType": "Observation",
"id": "Pathology-Observation-Lymphocyte-Example",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
]
},
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "2af46949-4938-4c57-bad4-c4363e1965d5"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1022581000000105",
"display": "Lymphocyte count"
},
{
"system": "http://snomed.info/sct",
"code": "67541000237108",
"display": "Lymphocyte count in blood"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"display": "MOXEY, Judy"
},
"issued": "2022-02-09T11:17:00+00:00",
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
"display": "TD008362 PATH LAB 001"
}
],
"value": 0.7,
"unit": "10*9/L",
"system": "http://unitsofmeasure.org",
"code": "10^9/L"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "L",
"display": "Low"
}
]
}
],
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
},
{
"low": {
"value": 1,
"unit": "10*9/L",
"system": "http://unitsofmeasure.org",
"code": "10^9/L"
},
"high": {
"value": 3,
"unit": "10*9/L",
"system": "http://unitsofmeasure.org",
"code": "10^9/L"
}
}
]
}
Observation
Observation.id[0]Pathology-Observation-Lymphocyte-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]2af46949-4938-4c57-bad4-c4363e1965d5
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]1022581000000105
Observation.code[0].coding[0].display[0]Lymphocyte count
Observation.code[0].coding[1].system[0]http://snomed.info/sct
Observation.code[0].coding[1].code[0]67541000237108
Observation.code[0].coding[1].display[0]Lymphocyte count in blood
Observation.subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Observation.subject[0].display[0]MOXEY, Judy
Observation.issued[0]2022-02-09T11:17:00+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]0.70
Observation.value[0].unit[0]10*9/L
Observation.value[0].system[0]http://unitsofmeasure.org
Observation.value[0].code[0]10^9/L
Observation.interpretation[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
Observation.interpretation[0].coding[0].code[0]L
Observation.interpretation[0].coding[0].display[0]Low
Observation.specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d
Observation.referenceRange[0].low[0].value[0]1.00
Observation.referenceRange[0].low[0].unit[0]10*9/L
Observation.referenceRange[0].low[0].system[0]http://unitsofmeasure.org
Observation.referenceRange[0].low[0].code[0]10^9/L
Observation.referenceRange[0].high[0].value[0]3.00
Observation.referenceRange[0].high[0].unit[0]10*9/L
Observation.referenceRange[0].high[0].system[0]http://unitsofmeasure.org
Observation.referenceRange[0].high[0].code[0]10^9/L