HL7 FHIR Malaysia Core (MY Core) Implementation Guide
2.0.0 - ci-build

HL7 FHIR Malaysia Core (MY Core) Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: example-bundle-lab-report - 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-bundle-lab-report"] ; # 
  fhir:type [ fhir:v "transaction"] ; # 
  fhir:entry ( [
    ( fhir:resource [
a fhir:DiagnosticReport ;
fhir:id [ fhir:v "dr-bundle-sample" ] ;
fhir:meta [
fhir:source [ fhir:v "sample"^^xsd:anyURI ] ;
        ( fhir:profile [
fhir:v "http://fhir.hie.moh.gov.my/StructureDefinition/DiagnosticReport-my-core"^^xsd:anyURI ;
fhir:link <http://fhir.hie.moh.gov.my/StructureDefinition/DiagnosticReport-my-core>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_dr-bundle-sample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport dr-bundle-sample</b></p><a name=\"dr-bundle-sample\"> </a><a name=\"hcdr-bundle-sample\"> </a><a name=\"dr-bundle-sample-en-US\"> </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\">Information Source: sample</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticReport-my-core.html\">DiagnosticReport (MY Core)</a></p></div><h2><span title=\"Codes:{http://loinc.org 58410-2}\">Full Blood Count (FBC)</span> (<span title=\"Codes:{http://fhir.hie.moh.gov.my/CodeSystem/servicerequest-category-my-core 108252007}\">Laboratory Procedure</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2022-12-26 08:00:08+0800</td></tr><tr><td>Reported</td><td>2022-12-26 08:00:00+0800</td></tr><tr><td>Performers</td><td> Amirul Bin Azhar (Identifier: primary_performer) Izzudin Bin Zaid (Identifier: secondary_performer) Nizam Bin Zulkifli (Identifier: verified_by) Nizar Bin Zubir (Identifier: validated_by) Akasyah Bin Ibrahim (Identifier: printed_by) Afiq Bin Ghazali (Identifier: amended_by)</td></tr><tr><td>Identifier</td><td> <code>http://fhir.hie.moh.gov.my/sid/barcode</code>/0000001000</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td/><td/></tr></table><p>This is a computer generated report. No signature is required</p></div>"^^rdf:XMLLiteral       ] ;
      ( fhir:extension [
fhir:url [ fhir:v "http://fhir.hie.moh.gov.my/StructureDefinition/printed-date-my-core"^^xsd:anyURI ] ;
fhir:value [
a fhir:dateTime ;
fhir:v "2022-03-27T08:00:08+08:00"^^xsd:dateTime         ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "amendedDate"^^xsd:anyURI ] ;
fhir:value [
a fhir:dateTime ;
fhir:v "2022-03-27T08:00:08+08:00"^^xsd:dateTime           ]         ] [
fhir:url [ fhir:v "amendedReason"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "Amended Reason remark goes here" ]           ]         ] ) ;
fhir:url [ fhir:v "http://fhir.hie.moh.gov.my/StructureDefinition/amended-reason-my-core"^^xsd:anyURI ]       ] ) ;
      ( fhir:identifier [
fhir:system [ fhir:v "http://fhir.hie.moh.gov.my/sid/barcode"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0000001000" ]       ] ) ;
fhir:status [ fhir:v "amended" ] ;
      ( fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://fhir.hie.moh.gov.my/CodeSystem/servicerequest-category-my-core"^^xsd:anyURI ] ;
fhir:code [ fhir:v "108252007" ] ;
fhir:display [ fhir:v "Laboratory Procedure" ]         ] )       ] ) ;
fhir:code [
        ( fhir:coding [
a loinc:58410-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "58410-2" ] ;
fhir:display [ fhir:v "Full Blood Count (FBC)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/patient-sample" ]       ] ;
fhir:encounter [
fhir:reference [ fhir:v "Encounter/encounter-sample" ]       ] ;
fhir:effective [
a fhir:dateTime ;
fhir:v "2022-12-26T08:00:08+08:00"^^xsd:dateTime       ] ;
fhir:issued [ fhir:v "2022-12-26T08:00:00+08:00"^^xsd:dateTime ] ;
      ( fhir:performer [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:value [ fhir:v "primary_performer" ]         ] ;
fhir:display [ fhir:v "Amirul Bin Azhar" ]       ] [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:value [ fhir:v "secondary_performer" ]         ] ;
fhir:display [ fhir:v "Izzudin Bin Zaid" ]       ] [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:value [ fhir:v "verified_by" ]         ] ;
fhir:display [ fhir:v "Nizam Bin Zulkifli" ]       ] [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:value [ fhir:v "validated_by" ]         ] ;
fhir:display [ fhir:v "Nizar Bin Zubir" ]       ] [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:value [ fhir:v "printed_by" ]         ] ;
fhir:display [ fhir:v "Akasyah Bin Ibrahim" ]       ] [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:value [ fhir:v "amended_by" ]         ] ;
fhir:display [ fhir:v "Afiq Bin Ghazali" ]       ] ) ;
      ( fhir:resultsInterpreter [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://fhir.hie.moh.gov.my/sid/mmc-no"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]         ] ;
fhir:display [ fhir:v "Arumugan A/L Aryan" ]       ] ) ;
      ( fhir:result [
fhir:reference [ fhir:v "Observation/obs-lab-bundle-sample" ]       ] ) ;
fhir:conclusion [ fhir:v "This is a computer generated report. No signature is required" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "DiagnosticReport"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "obs-lab-bundle-sample" ] ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2023-04-11T13:43:55.704+08:00"^^xsd:dateTime ] ;
fhir:source [ fhir:v "sample"^^xsd:anyURI ] ;
        ( fhir:profile [
fhir:v "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-lab-result-my-core"^^xsd:anyURI ;
fhir:link <http://fhir.hie.moh.gov.my/StructureDefinition/Observation-lab-result-my-core>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_obs-lab-bundle-sample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation obs-lab-bundle-sample</b></p><a name=\"obs-lab-bundle-sample\"> </a><a name=\"hcobs-lab-bundle-sample\"> </a><a name=\"obs-lab-bundle-sample-en-US\"> </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\">Last updated: 2023-04-11 13:43:55+0800; </p><p style=\"margin-bottom: 0px\">Information Source: sample</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-lab-result-my-core.html\">Observation Lab Result (MY Core)</a></p></div><p><b>identifier</b>: <code>http://fhir.hie.moh.gov.my/sid/barcode</code>/00021</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://fhir.hie.moh.gov.my/CodeSystem/lab-my-core 58410-2}, {http://loinc.org 14196-0}\">Full Blood Count (FBC)</span></p><p><b>subject</b>: <a href=\"Bundle-example-bundle-encounter-summary.html#Patient_patient-sample\">Bundle: type = transaction</a></p><p><b>encounter</b>: <a href=\"Bundle-example-bundle-encounter-summary.html#Encounter_encounter-sample\">Bundle: type = transaction</a></p><p><b>effective</b>: 2022-10-11 11:48:54+0800</p><p><b>issued</b>: 2022-10-11 11:53:54+0800</p><p><b>performer</b>: Arumugan A/L Aryan (Identifier: <code>http://fhir.hie.moh.gov.my/sid/mmc-no</code>/12345)</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">White Blood Cell Count</span></p><p><b>value</b>: 16.97 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>4.078</td><td>11.37</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Red Blood Cell Count</span></p><p><b>value</b>: 3.85 10*6/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*6/uL = '10*6/uL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">low</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>4.53</td><td>5.95</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Hemoglobin</span></p><p><b>value</b>: 6.7 g/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/dL = 'g/dL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation LL}\">Critical low</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>13.5</td><td>17.4</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Hematocrit</span></p><p><b>value</b>: 20.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>40.1</td><td>50.6</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Mean Cell Volume</span></p><p><b>value</b>: 53.2 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>26.9</td><td>32.3</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Mean Cell Haemoglobin</span></p><p><b>value</b>: 17.4 pg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codepg = 'pg')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>26.9</td><td>32.3</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Mean Cell Haemoglobin Concentration</span></p><p><b>value</b>: 32.7 g/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/dL = 'g/dL')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>31.9</td><td>35.3</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Platelet</span></p><p><b>value</b>: 626 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>142</td><td>350</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Red Cell Distribution Width - SD</span></p><p><b>value</b>:  fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>4.078</td><td>11.37</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Red Cell Distribution Width - CV</span></p><p><b>value</b>: 31.9 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>12</td><td>14.8</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Platelet Distribution Width</span></p><p><b>value</b>:  fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Mean Platelet Volume</span></p><p><b>value</b>:  fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Platelet Large Cell Ratio</span></p><p><b>value</b>:  %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Plateletcrit</span></p><p><b>value</b>:  %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Absolute Neutrophil</span></p><p><b>value</b>: 8.75 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>3.929</td><td>7.147</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Absolute Lymphocyte</span></p><p><b>value</b>: 6.45 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>1.847</td><td>4.807</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Absolute Monocyte</span></p><p><b>value</b>: 1.07 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>0.385</td><td>1.141</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Absolute Eosinophil</span></p><p><b>value</b>: 0.5 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>0</td><td>0.827</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Absolute Basophil</span></p><p><b>value</b>: 0.2 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>0</td><td>0.095</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Immature Granulocyte</span></p><p><b>value</b>: 0.21 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*3/uL = '10*3/uL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Percentage of Neutrophil</span></p><p><b>value</b>: 51.6 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Percentage of Lymphocyte</span></p><p><b>value</b>: 38 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Percentage of Monocyte</span></p><p><b>value</b>: 6.3 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Percentage of Eosinophil</span></p><p><b>value</b>: 2.9 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>4.078</td><td>11.37</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Percentage of Basophil</span></p><p><b>value</b>: 1.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p></blockquote></div>"^^rdf:XMLLiteral       ] ;
      ( fhir:identifier [
fhir:system [ fhir:v "http://fhir.hie.moh.gov.my/sid/barcode"^^xsd:anyURI ] ;
fhir:value [ fhir:v "00021" ]       ] ) ;
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 [
fhir:system [ fhir:v "http://fhir.hie.moh.gov.my/CodeSystem/lab-my-core"^^xsd:anyURI ] ;
fhir:code [ fhir:v "58410-2" ] ;
fhir:display [ fhir:v "Full Blood Count (FBC)" ]         ] [
a loinc:14196-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "14196-0" ] ;
fhir:display [ fhir:v "Reticulocytes [#/volume] in Blood" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/patient-sample" ]       ] ;
fhir:encounter [
fhir:reference [ fhir:v "Encounter/encounter-sample" ]       ] ;
fhir:effective [
a fhir:dateTime ;
fhir:v "2022-10-11T11:48:54+08:00"^^xsd:dateTime       ] ;
fhir:issued [ fhir:v "2022-10-11T11:53:54+08:00"^^xsd:dateTime ] ;
      ( fhir:performer [
fhir:type [ fhir:v "PractitionerRole"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://fhir.hie.moh.gov.my/sid/mmc-no"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]         ] ;
fhir:display [ fhir:v "Arumugan A/L Aryan" ]       ] ) ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "01" ] ;
fhir:display [ fhir:v "White Blood Cell Count" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "16.97"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "4.078"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "11.37"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "02" ] ;
fhir:display [ fhir:v "Red Blood Cell Count" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "3.85"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*6/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*6/uL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L" ] ;
fhir:display [ fhir:v "low" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "4.53"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "5.95"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "03" ] ;
fhir:display [ fhir:v "Hemoglobin" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "6.7"^^xsd:decimal ] ;
fhir:unit [ fhir:v "g/dL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "g/dL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LL" ] ;
fhir:display [ fhir:v "Critical low" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "13.5"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "17.4"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "04" ] ;
fhir:display [ fhir:v "Hematocrit" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "20.5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L" ] ;
fhir:display [ fhir:v "Low" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "40.1"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "50.6"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "05" ] ;
fhir:display [ fhir:v "Mean Cell Volume" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "53.2"^^xsd:decimal ] ;
fhir:unit [ fhir:v "fL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L" ] ;
fhir:display [ fhir:v "Low" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "26.9"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "32.3"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "06" ] ;
fhir:display [ fhir:v "Mean Cell Haemoglobin" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "17.4"^^xsd:decimal ] ;
fhir:unit [ fhir:v "pg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pg" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L" ] ;
fhir:display [ fhir:v "Low" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "26.9"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "32.3"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "07" ] ;
fhir:display [ fhir:v "Mean Cell Haemoglobin Concentration" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "32.7"^^xsd:decimal ] ;
fhir:unit [ fhir:v "g/dL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "g/dL" ]         ] ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "31.9"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "35.3"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "08" ] ;
fhir:display [ fhir:v "Platelet" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "626"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "142"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "350"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "09" ] ;
fhir:display [ fhir:v "Red Cell Distribution Width - SD" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:unit [ fhir:v "fL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "4.078"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "11.37"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "10" ] ;
fhir:display [ fhir:v "Red Cell Distribution Width - CV" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "31.9"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "12"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "14.8"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "11" ] ;
fhir:display [ fhir:v "Platelet Distribution Width" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:unit [ fhir:v "fL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "12" ] ;
fhir:display [ fhir:v "Mean Platelet Volume" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:unit [ fhir:v "fL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "13" ] ;
fhir:display [ fhir:v "Platelet Large Cell Ratio" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "14" ] ;
fhir:display [ fhir:v "Plateletcrit" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "15" ] ;
fhir:display [ fhir:v "Absolute Neutrophil" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "8.75"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "3.929"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "7.147"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "16" ] ;
fhir:display [ fhir:v "Absolute Lymphocyte" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "6.45"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "1.847"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "4.807"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "17" ] ;
fhir:display [ fhir:v "Absolute Monocyte" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "1.07"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ] ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "0.385"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "1.141"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "18" ] ;
fhir:display [ fhir:v "Absolute Eosinophil" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0.5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ] ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "0"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "0.827"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "19" ] ;
fhir:display [ fhir:v "Absolute Basophil" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0.2"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "0"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "0.095"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "20" ] ;
fhir:display [ fhir:v "Immature Granulocyte" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0.21"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "21" ] ;
fhir:display [ fhir:v "Percentage of Neutrophil" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "51.6"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "22" ] ;
fhir:display [ fhir:v "Percentage of Lymphocyte" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "38"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "23" ] ;
fhir:display [ fhir:v "Percentage of Monocyte" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "6.3"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "24" ] ;
fhir:display [ fhir:v "Percentage of Eosinophil" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "2.9"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ] ;
        ( fhir:interpretation [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ]           ] )         ] ) ;
        ( fhir:referenceRange [
fhir:low [
fhir:value [ fhir:v "4.078"^^xsd:decimal ]           ] ;
fhir:high [
fhir:value [ fhir:v "11.37"^^xsd:decimal ]           ]         ] )       ] [
fhir:code [
          ( fhir:coding [
fhir:code [ fhir:v "25" ] ;
fhir:display [ fhir:v "Percentage of Basophil" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "1.2"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "PUT" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] ) . #