North West Genomic Medicine Service Alliance
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DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

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: MCV - Mean corpuscular volume - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "OBX-MCV"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation OBX-MCV</b></p><a name=\"OBX-MCV\"> </a><a name=\"hcOBX-MCV\"> </a><p><b>identifier</b>: 4326e29b-0875-401c-8ed4-459ce1fa24f0</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022491000000106}, {http://snomed.info/sct 1491000237105}, {http://snomed.info/sct 613061010000108}, {http://loinc.org 787-2}\">MCV - Mean corpuscular volume</span></p><p><b>subject</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-d6faafcf-db64-4c11-9da8-25f36774c1bd\">Octavia CHISLETT</a></p><p><b>encounter</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-984b8a89-4194-4eb4-a7ea-ca8049ebeea3\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#9612365d-52a4-4fab-87e7-8a09d753f095; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-FHIRDocumentGeneticReportBundle.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#1d7155e8-b5b8-4406-adda-01a474d5ff6c; type = document; timestamp = 2024-10-13 10:33:00+0000</a></p><p><b>value</b>: 85 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>87.3 fL<span style=\"background: LightGoldenRodYellow\"> (Details: unknown  codefL&quot; = 'fL&quot;')</span></td><td>82.4 fL<span style=\"background: LightGoldenRodYellow\"> (Details: unknown  codefL&quot; = 'fL&quot;')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "4326e29b-0875-401c-8ed4-459ce1fa24f0" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ;
fhir:display [ fhir:v "Laboratory" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a sct:1022491000000106 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1022491000000106" ] ;
fhir:display [ fhir:v "MCV - Mean corpuscular volume" ]     ] [
a sct:1491000237105 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1491000237105" ] ;
fhir:display [ fhir:v "Erythrocytes MCV (mean corpuscular volume) in blood" ]     ] [
a sct:613061010000108 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "613061010000108" ] ;
fhir:display [ fhir:v "MCV [Entitic mean volume] in Red Blood Cells by Automated count" ]     ] [
a loinc:787-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "787-2" ] ;
fhir:display [ fhir:v "MCV [Entitic mean volume] in Red Blood Cells by Automated count" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd" ] ;
fhir:identifier [
fhir:system [ fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9449305552" ]     ] ;
fhir:display [ fhir:v "Octavia CHISLETT" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3" ]
  ] ; # 
  fhir:effective [
a fhir:dateTime ;
fhir:v "2025-01-29T10:37:26+00:00"^^xsd:dateTime
  ] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8" ]
  ] ) ; # 
  fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "85"^^xsd:decimal ] ;
fhir:unit [ fhir:v "fL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fL" ]
  ] ; # 
  fhir:referenceRange ( [
fhir:low [
fhir:value [ fhir:v 87.3 ] ;
fhir:unit [ fhir:v "fL" ] ;
fhir:system [ fhir:v "ucum"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fL\"" ]     ] ;
fhir:high [
fhir:value [ fhir:v 82.4 ] ;
fhir:unit [ fhir:v "fL" ] ;
fhir:system [ fhir:v "ucum"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fL\"" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/referencerange-meaning"^^xsd:anyURI ] ;
fhir:code [ fhir:v "normal" ] ;
fhir:display [ fhir:v "Normal Range" ]       ] )     ]
  ] ) . #