{
  "resourceType" : "Observation",
  "id" : "ResultFBCMeanCellVolume",
  "meta" : {
    "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCMeanCellVolume</b></p><a name=\"ResultFBCMeanCellVolume\"> </a><a name=\"hcResultFBCMeanCellVolume\"> </a><div style=\"display: inline-block; background-color: #fbffeb; 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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</a></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://loinc.org 787-2}\">Mean cell volume</span></p><p><b>subject</b>: <a href=\"Patient-PatientOctaviaCHISLETT.html\">Octavia CHISLETT  Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)</a></p><p><b>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</p><p><b>performer</b>: <a href=\"Organization-OrganizationMFT.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></p><p><b>value</b>: 88 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 N}\">Normal</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></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>80 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td><td>100 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td></tr></table></div>"
  },
  "basedOn" : [{
    "reference" : "ServiceRequest/LaboratoryOrderFBC"
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1022491000000106",
      "display" : "Mean cell volume"
    },
    {
      "system" : "http://loinc.org",
      "code" : "787-2",
      "display" : "MCV [Entitic mean volume] in Red Blood Cells by Automated count"
    }]
  },
  "subject" : {
    "reference" : "Patient/PatientOctaviaCHISLETT"
  },
  "effectiveDateTime" : "2026-11-03T09:15:00Z",
  "issued" : "2026-11-03T16:05:00Z",
  "performer" : [{
    "reference" : "Organization/OrganizationMFT"
  }],
  "valueQuantity" : {
    "value" : 88,
    "unit" : "fL",
    "system" : "http://unitsofmeasure.org",
    "code" : "fL"
  },
  "interpretation" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "code" : "N",
      "display" : "Normal"
    }]
  }],
  "specimen" : {
    "reference" : "Specimen/SpecimenFBC"
  },
  "referenceRange" : [{
    "low" : {
      "value" : 80,
      "unit" : "fL",
      "system" : "http://unitsofmeasure.org",
      "code" : "fL"
    },
    "high" : {
      "value" : 100,
      "unit" : "fL",
      "system" : "http://unitsofmeasure.org",
      "code" : "fL"
    }
  }]
}