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
{
"resourceType" : "Observation",
"id" : "example-observation-lab-ip1",
"meta" : {
"source" : "Postman",
"profile" : [
🔗 "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-lab-result-my-core"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation example-observation-lab-ip1</b></p><a name=\"example-observation-lab-ip1\"> </a><a name=\"hcexample-observation-lab-ip1\"> </a><a name=\"example-observation-lab-ip1-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: Postman</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>/UAT0000000021</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=\"Patient/ROS-21\">Patient/ROS-21</a></p><p><b>encounter</b>: <a href=\"Encounter/ROS-ENC-21\">Encounter/ROS-ENC-21</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>: <a href=\"PractitionerRole/c8692550-37c8-49e5-a367-829c3aceb41b/_history/1\">SAIFULDAULAH BIN MOHD HAFIZ NGOO</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000001}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000002}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000003}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000004}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000005}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000006}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000007}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000008}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000009}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000010}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000011}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000012}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000013}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000014}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000015}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000016}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000017}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000018}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000019}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000020}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000021}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000022}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000023}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000024}\">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:{http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core 0000025}\">Percentage of Basophil</span></p><p><b>value</b>: 1.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote></div>"
},
"identifier" : [
{
"system" : "http://fhir.hie.moh.gov.my/sid/barcode",
"value" : "UAT0000000021"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-my-core",
"code" : "58410-2",
"display" : "Full Blood Count (FBC)"
},
{
"system" : "http://loinc.org",
"code" : "14196-0",
"display" : "Reticulocytes [#/volume] in Blood"
}
]
},
"subject" : {
"reference" : "Patient/ROS-21"
},
"encounter" : {
"reference" : "Encounter/ROS-ENC-21"
},
"effectiveDateTime" : "2022-10-11T11:48:54+08:00",
"issued" : "2022-10-11T11:53:54+08:00",
"performer" : [
{
"reference" : "PractitionerRole/c8692550-37c8-49e5-a367-829c3aceb41b/_history/1",
"display" : "SAIFULDAULAH BIN MOHD HAFIZ NGOO"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000001",
"display" : "White Blood Cell Count"
}
]
},
"valueQuantity" : {
"value" : 16.97,
"unit" : "10*3/uL",
"system" : "http://unitsofmeasure.org",
"code" : "10*3/uL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H",
"display" : "High"
}
]
}
],
"referenceRange" : [
{
"low" : {
"value" : 4.078
},
"high" : {
"value" : 11.37
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000002",
"display" : "Red Blood Cell Count"
}
]
},
"valueQuantity" : {
"value" : 3.85,
"unit" : "10*6/uL",
"system" : "http://unitsofmeasure.org",
"code" : "10*6/uL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "L",
"display" : "low"
}
]
}
],
"referenceRange" : [
{
"low" : {
"value" : 4.53
},
"high" : {
"value" : 5.95
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000003",
"display" : "Hemoglobin"
}
]
},
"valueQuantity" : {
"value" : 6.7,
"unit" : "g/dL",
"system" : "http://unitsofmeasure.org",
"code" : "g/dL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "LL",
"display" : "Critical low"
}
]
}
],
"referenceRange" : [
{
"low" : {
"value" : 13.5
},
"high" : {
"value" : 17.4
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000004",
"display" : "Hematocrit"
}
]
},
"valueQuantity" : {
"value" : 20.5,
"unit" : "%",
"system" : "http://unitsofmeasure.org",
"code" : "%"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "L",
"display" : "Low"
}
]
}
],
"referenceRange" : [
{
"low" : {
"value" : 40.1
},
"high" : {
"value" : 50.6
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000005",
"display" : "Mean Cell Volume"
}
]
},
"valueQuantity" : {
"value" : 53.2,
"unit" : "fL",
"system" : "http://unitsofmeasure.org",
"code" : "fL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "L",
"display" : "Low"
}
]
}
],
"referenceRange" : [
{
"low" : {
"value" : 26.9
},
"high" : {
"value" : 32.3
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000006",
"display" : "Mean Cell Haemoglobin"
}
]
},
"valueQuantity" : {
"value" : 17.4,
"unit" : "pg",
"system" : "http://unitsofmeasure.org",
"code" : "pg"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "L",
"display" : "Low"
}
]
}
],
"referenceRange" : [
{
"low" : {
"value" : 26.9
},
"high" : {
"value" : 32.3
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000007",
"display" : "Mean Cell Haemoglobin Concentration"
}
]
},
"valueQuantity" : {
"value" : 32.7,
"unit" : "g/dL",
"system" : "http://unitsofmeasure.org",
"code" : "g/dL"
},
"referenceRange" : [
{
"low" : {
"value" : 31.9
},
"high" : {
"value" : 35.3
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core",
"code" : "0000008",
"display" : "Platelet"
}
]
},
"valueQuantity" : {
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