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

<id value="obs-uslab-example8"/>

<!– FHIR build is generating the narratives <text>

             <status value="generated"/>
             <div xmlns="http://www.w3.org/1999/xhtml">
                     <ul>
                             <li> obs-uslab-example1.xml</li>
                             <li> id: uslab-example1</li>
                             <li> Name: USLab Observation Example1</li>
                             <li>Description: USLab Quantitative Observation Profile Canonical Example: Capillary Blood Lead</li>
                     </ul>
             </div>
     </text>
-->

<!– extension for specimen reject goes here - not for this use case

     <extension url="http://hl7.org/fhir/StructureDefinition/uslab-specimenrejectreason">
             <valueCodeableConcept>
                     <coding>
                             <system value="http://hl7.org/fhir/v2/0490"/>
                             <code value="EX"/>
                             <display value="Expired"/>
                     </coding>
             </valueCodeableConcept>
     </extension>
-->

<!– extension for observation kind goes here –>

<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: obs-uslab-example8</p><p><b>identifier</b>: lab test result ID = 9099 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: White blood cells (WBC) in urine <span>(Details : {LOINC code &#39;5821-4&#39; = &#39;Leukocytes [#/area] in Urine sediment by Microscopy high power field&#39;, given as &#39;Leukocytes [#/​area] in Urine sediment by Microscopy high power field&#39;}; {urn:oid:2.16.840.1.113883.3.72.5.24 code &#39;WBCFLD&#39; = &#39;??&#39;, given as &#39;White blood cells (WBC) in urine &#39;})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>effective</b>: 03/12/2014</p><p><b>issued</b>: 04/12/2014 3:42:15 PM</p><p><b>performer</b>: <a>Dr Leonard T Bloodraw Jr</a></p><p><b>value</b>: 10-20 WBC/HPF</p><p><b>interpretation</b>: High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></p><p><b>specimen</b>: <a>Urine Sample</a></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>0 WBC/HPF<span> (Details: http://unitsofmeasure.org code /[HPF] = &#39;??&#39;)</span></td><td>5 WBC/HPF<span> (Details: http://unitsofmeasure.org code /[HPF] = &#39;??&#39;)</span></td></tr></table></div></text><extension url="http://hl7.org/fhir/StructureDefinition/uslab-observationkind">
  <valueCode value="result"/>
</extension>
<identifier>
  <use value="official"/>
  <type>
    <text value="lab test result ID"/>
  </type>
  <system value="http://lis.acmelabs.org/identifiers/labtestresult"/>
  <value value="9099"/>
</identifier>
<status value="final"/>

<!– EH : The local and /or LOINC test codes go here –>

<code>
<!--    EH: LOINC code goes here   -->
  <coding>
    <system value="http://loinc.org"/>
    <code value="5821-4"/>
    <display value="Leukocytes [#/​area] in Urine sediment by Microscopy high power field"/>
  <!--    EH: LOINC code goes here   -->
  </coding>
  <coding>
    <system value="urn:oid:2.16.840.1.113883.3.72.5.24"/>
    <code value="WBCFLD"/>
    <display value="White blood cells (WBC) in urine "/>
  </coding>
  <text value="White blood cells (WBC) in urine"/>
</code>
<subject>
  <reference value="Patient/patient-uslab-example1"/>
  <display value="Todd Lerr"/>
</subject>
<effectiveDateTime value="2014-12-03"/>

<!– EH: Showing dateTime to ss with TZO although only needed to Day –>

<issued value="2014-12-04T15:42:15-08:00"/>
<performer>
  <reference value="Practitioner/pract-uslab-example1"/>
  <display value="Dr Leonard T Bloodraw Jr"/>
</performer>

<!– In FHIR, units may be represented twice. Once in the

  agreed human representation, and once in a coded form.
  Both is best, since it's not always possible to infer
  one from the other in code.

  When a computable unit is provided, UCUM (http://unitsofmeasure.org)
  is always preferred, but it doesn't provide notional units (such as
  "tablet"), etc. For these, something else is required (e.g. Snomed-CT)
    -->
<valueRange>
  <low>
    <value value="10"/>
    <unit value="WBC/HPF"/>
  </low>
  <high>
    <value value="20"/>
    <unit value="WBC/HPF"/>
  </high>
</valueRange>

<!– eH dataabsent reason would go here if valueQuantity was empty e.g.:

      <dataAbsentReason value="error"/>    -->
<interpretation>
  <coding>
    <system value="http://hl7.org/fhir/v2/0078"/>
    <code value="H"/>
  </coding>
</interpretation>
<specimen>
  <reference value="Specimen/spec-uslab-example2"/>
  <display value="Urine Sample"/>
</specimen>
<referenceRange>
  <low>
    <value value="0"/>
    <unit value="WBC/HPF"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="/[HPF]"/>
  </low>
  <high>
    <value value="5"/>
    <unit value="WBC/HPF"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="/[HPF]"/>
  </high>
</referenceRange>

</Observation>