<?xml version=“1.0” encoding=“UTF-8”?><Observation xmlns=“hl7.org/fhir”>

<id value="f204"/>

<!– The observation is complete –> <!– No reliability concerns –>

<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f204</p><p><b>identifier</b>: 1304-03720-Creatinine</p><p><b>status</b>: final</p><p><b>code</b>: Creatinine(Serum) <span>(Details : {https://intranet.aumc.nl/labtestcodes code &#39;20005&#39; = &#39;??&#39;, given as &#39;Creatinine(Serum)&#39;})</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>: 122 umol/L<span> (Details: SNOMED CT code 258814008 = &#39;258814008&#39;)</span></p><p><b>interpretation</b>: Serum creatinine raised <span>(Details : {SNOMED CT code &#39;166717003&#39; = &#39;166717003&#39;, given as &#39;Serum creatinine raised&#39;}; {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</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>64</td><td>104</td><td>Normal Range <span>(Details : {http://hl7.org/fhir/referencerange-meaning code &#39;normal&#39; = &#39;Normal Range&#39;, given as &#39;Normal Range&#39;})</span></td></tr></table></div></text><identifier>
  <system value="https://intranet.aumc.nl/labvalues"/>
<!--   Does not exist   -->
  <value value="1304-03720-Creatinine"/>
</identifier>

<!– Creatinine was measured on April fourth –>

<status value="final"/>
<code>
<!--   Kind of observation = Serum Creatinine, Using only a local code in this example    -->
  <coding>
    <system value="https://intranet.aumc.nl/labtestcodes"/>
  <!--   Does not exist   -->
    <code value="20005"/>
    <display value="Creatinine(Serum)"/>
  </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>
<!--   Creatinine=122mmol/L   -->
  <value value="122"/>
  <unit value="umol/L"/>
  <system value="http://snomed.info/sct"/>
  <code value="258814008"/>
</valueQuantity>
<interpretation>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="166717003"/>
    <display value="Serum creatinine raised"/>
  </coding>
  <coding>
    <system value="http://hl7.org/fhir/v2/0078"/>
    <code value="H"/>
  </coding>
</interpretation>
<referenceRange>
<!--   Healthy creatinine level ranges from 64umol/L to 104umol/L   -->
  <low>
    <value value="64"/>
  </low>
  <high>
    <value value="104"/>
  </high>
  <meaning>
    <coding>
      <system value="http://hl7.org/fhir/referencerange-meaning"/>
      <code value="normal"/>
      <display value="Normal Range"/>
    </coding>
  </meaning>
</referenceRange>

</Observation>