England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: Laboratory Result - Mean cell volume

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<Observation xmlns="http://hl7.org/fhir">
  <id value="ResultFBCMeanCellVolume"/>
  <meta>
    <profile
             value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <basedOn>🔗 
    <reference value="ServiceRequest/LaboratoryOrderFBC"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1022491000000106"/>
      <display value="Mean cell volume"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="787-2"/>
      <display
               value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/PatientOctaviaCHISLETT"/>
  </subject>
  <effectiveDateTime value="2026-11-03T09:15:00Z"/>
  <issued value="2026-11-03T16:05:00Z"/>
  <performer>🔗 
    <reference value="Organization/OrganizationMFT"/>
  </performer>
  <valueQuantity>
    <value value="88"/>
    <unit value="fL"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="fL"/>
  </valueQuantity>
  <interpretation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="N"/>
      <display value="Normal"/>
    </coding>
  </interpretation>
  <specimen>🔗 
    <reference value="Specimen/SpecimenFBC"/>
  </specimen>
  <referenceRange>
    <low>
      <value value="80"/>
      <unit value="fL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="fL"/>
    </low>
    <high>
      <value value="100"/>
      <unit value="fL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="fL"/>
    </high>
  </referenceRange>
</Observation>