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
<Observation xmlns="http://hl7.org/fhir">
<id value="example-observation-lab-ip1"/>
<meta>
<source value="Postman"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-lab-result-my-core"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/barcode"/>
<value value="UAT0000000021"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://fhir.hie.moh.gov.my/CodeSystem/lab-my-core"/>
<code value="58410-2"/>
<display value="Full Blood Count (FBC)"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="14196-0"/>
<display value="Reticulocytes [#/volume] in Blood"/>
</coding>
</code>
<subject>
<reference value="Patient/ROS-21"/>
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<encounter>
<reference value="Encounter/ROS-ENC-21"/>
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<effectiveDateTime value="2022-10-11T11:48:54+08:00"/>
<issued value="2022-10-11T11:53:54+08:00"/>
<performer>
<reference
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<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
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<component>
<code>
<coding>
<system
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<code value="0000001"/>
<display value="White Blood Cell Count"/>
</coding>
</code>
<valueQuantity>
<value value="16.97"/>
<unit value="10*3/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*3/uL"/>
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<interpretation>
<coding>
<system
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<code value="H"/>
<display value="High"/>
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<referenceRange>
<low>
<value value="4.078"/>
</low>
<high>
<value value="11.37"/>
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</referenceRange>
</component>
<component>
<code>
<coding>
<system
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<code value="0000002"/>
<display value="Red Blood Cell Count"/>
</coding>
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<valueQuantity>
<value value="3.85"/>
<unit value="10*6/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*6/uL"/>
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<interpretation>
<coding>
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<code value="L"/>
<display value="low"/>
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<referenceRange>
<low>
<value value="4.53"/>
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<high>
<value value="5.95"/>
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</component>
<component>
<code>
<coding>
<system
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<code value="0000003"/>
<display value="Hemoglobin"/>
</coding>
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<valueQuantity>
<value value="6.7"/>
<unit value="g/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
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<interpretation>
<coding>
<system
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<code value="LL"/>
<display value="Critical low"/>
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<referenceRange>
<low>
<value value="13.5"/>
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<high>
<value value="17.4"/>
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<component>
<code>
<coding>
<system
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<code value="0000004"/>
<display value="Hematocrit"/>
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<valueQuantity>
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<system value="http://unitsofmeasure.org"/>
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<interpretation>
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<referenceRange>
<low>
<value value="40.1"/>
</low>
<high>
<value value="50.6"/>
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</component>
<component>
<code>
<coding>
<system
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<code value="0000005"/>
<display value="Mean Cell Volume"/>
</coding>
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<valueQuantity>
<value value="53.2"/>
<unit value="fL"/>
<system value="http://unitsofmeasure.org"/>
<code value="fL"/>
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<interpretation>
<coding>
<system
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<referenceRange>
<low>
<value value="26.9"/>
</low>
<high>
<value value="32.3"/>
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</component>
<component>
<code>
<coding>
<system
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<code value="0000006"/>
<display value="Mean Cell Haemoglobin"/>
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</code>
<valueQuantity>
<value value="17.4"/>
<unit value="pg"/>
<system value="http://unitsofmeasure.org"/>
<code value="pg"/>
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<interpretation>
<coding>
<system
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<referenceRange>
<low>
<value value="26.9"/>
</low>
<high>
<value value="32.3"/>
</high>
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</component>
<component>
<code>
<coding>
<system
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<code value="0000007"/>
<display value="Mean Cell Haemoglobin Concentration"/>
</coding>
</code>
<valueQuantity>
<value value="32.7"/>
<unit value="g/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
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<referenceRange>
<low>
<value value="31.9"/>
</low>
<high>
<value value="35.3"/>
</high>
</referenceRange>
</component>
<component>
<code>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/lab-component-my-core"/>
<code value="0000008"/>
<display value="Platelet"/>
</coding>
</code>
<valueQuantity>
<value value="626"/>
<unit value="10*3/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*3/uL"/>
</valueQuantity>
<interpretation>
<coding>
<system
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<code value="H"/>
<display value="High"/>
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</interpretation>
<referenceRange>
<low>
<value value="142"/>
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<high>
<value value="350"/>
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<component>
<code>
<coding>
<system
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<code value="0000009"/>
<display value="Red Cell Distribution Width - SD"/>
</coding>
</code>
<valueQuantity>
<unit value="fL"/>
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