{
  "resourceType" : "Observation",
  "id" : "OBX-MCV",
  "meta" : {
    "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation.html\">Observation</a></p></div><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://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\">Encounter: identifier = Account number; status = finished; class = ambulatory (ActCode#AMB); serviceType = Clinical haematology service; period = 2025-01-29 10:37:26+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2025-01-29 10:37:26+0000</p><p><b>performer</b>: <a href=\"Bundle-GenomicsOrderMessageAttachment.html#urn-uuid-ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8\">PractitionerRole: specialty = General Surgery</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: UCUM  codefL = 'fL')</span></td><td>82.4 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></div>"
  },
  "identifier" : [{
    "value" : "4326e29b-0875-401c-8ed4-459ce1fa24f0"
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory",
      "display" : "Laboratory"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1022491000000106",
      "display" : "MCV - Mean corpuscular volume"
    },
    {
      "system" : "http://snomed.info/sct",
      "code" : "1491000237105",
      "display" : "Erythrocytes MCV (mean corpuscular volume) in blood"
    },
    {
      "system" : "http://loinc.org",
      "code" : "787-2",
      "display" : "MCV [Entitic mean volume] in Red Blood Cells by Automated count"
    }]
  },
  "subject" : {
    "reference" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
    "identifier" : {
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9449305552"
    },
    "display" : "Octavia CHISLETT"
  },
  "encounter" : {
    "reference" : "urn:uuid:984b8a89-4194-4eb4-a7ea-ca8049ebeea3"
  },
  "effectiveDateTime" : "2025-01-29T10:37:26+00:00",
  "performer" : [{
    "reference" : "urn:uuid:ee9b8fcc-c233-43e1-b7fb-b58ce4cf1db8"
  }],
  "valueQuantity" : {
    "value" : 85,
    "unit" : "fL",
    "system" : "http://unitsofmeasure.org",
    "code" : "fL"
  },
  "referenceRange" : [{
    "low" : {
      "value" : 87.3,
      "unit" : "fL",
      "system" : "http://unitsofmeasure.org",
      "code" : "fL"
    },
    "high" : {
      "value" : 82.4,
      "unit" : "fL",
      "system" : "http://unitsofmeasure.org",
      "code" : "fL"
    },
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
        "code" : "normal",
        "display" : "Normal Range"
      }]
    }
  }]
}