HIMS-CVS-Risk-Factor-Bundle
type: Bundle
node role: treeRoot
id:
  v: HIMS-CVS-Risk-Factor-Bundle
type:
  v: transaction
entry:
  full url:
    v: RiskAssessment/CVDRiskCategoryExample
  resource: CVDRiskCategoryExample
  request:
    method:
      v: PUT
    url:
      v: RiskAssessment/CVDRiskCategoryExample
entry:
  full url:
    v: Patient/HIMSPatientExample
  resource: HIMSPatientExample
  request:
    method:
      v: PUT
    url:
      v: Patient/HIMSPatientExample
entry:
  full url:
    v: Encounter/TargetFacilityEncounterExample
  resource: TargetFacilityEncounterExample
  request:
    method:
      v: PUT
    url:
      v: Encounter/TargetFacilityEncounterExample
entry:
  full url:
    v: Practitioner/GeneralPractitionerExample
  resource: GeneralPractitionerExample
  request:
    method:
      v: PUT
    url:
      v: Practitioner/GeneralPractitionerExample
entry:
  full url:
    v: Observation/RiskBehaviourTobaccoSmokerExample
  resource: RiskBehaviourTobaccoSmokerExample
  request:
    method:
      v: PUT
    url:
      v: Observation/RiskBehaviourTobaccoSmokerExample
entry:
  full url:
    v: Observation/TotalCholesterolExample
  resource: TotalCholesterolExample
  request:
    method:
      v: PUT
    url:
      v: Observation/TotalCholesterolExample
entry:
  full url:
    v: Observation/BloodPressureExample
  resource: BloodPressureExample
  request:
    method:
      v: PUT
    url:
      v: Observation/BloodPressureExample
entry:
  full url:
    v: Observation/RandomBloodSugarExample
  resource: RandomBloodSugarExample
  request:
    method:
      v: PUT
    url:
      v: Observation/RandomBloodSugarExample
entry:
  full url:
    v: Observation/FastingBloodSugarExample
  resource: FastingBloodSugarExample
  request:
    method:
      v: PUT
    url:
      v: Observation/FastingBloodSugarExample

CVDRiskCategoryExample
type: RiskAssessment
id:
  v: CVDRiskCategoryExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/cvd-risk-category
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/cvd-risk-category
text:
  status:
    v: generated
  div: Generated Narrative: RiskAssessment Resource RiskAssessment "CVDRiskCategoryExample" Profile: Cardiovascular Risk Assessment status: final code: Assessment for risk of cardiovascular disease (SNOMED CT#441829007) subject: See above (Patient/HIMSPatientExample) encounter: See above (Encounter/TargetFacilityEncounterExample) occurrence: 2023-10-06 13:28:17-0500 performer: See above (Practitioner/GeneralPractitionerExample) basis: See above (Patient/HIMSPatientExample) See above (Observation/RiskBehaviourTobaccoSmokerExample) See above (Observation/TotalCholesterolExample) See above (Observation/BloodPressureExample) See above (Observation/RandomBloodSugarExample) See above (Observation/FastingBloodSugarExample) Predictions - Outcome Probability[x] QualitativeRisk When[x] * Risk of heart attack (SNOMED CT#395112001) 0.02 Risk Category (Cardiovascular Risk Categories#Critical) 39-49 years
status:
  v: final
code:
  coding: http://snomed.info/id/441829007
    system:
      v: http://snomed.info/sct
    code:
      v: 441829007
  text:
    v: Assessment for risk of cardiovascular disease
subject:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
encounter:
  link: http://openhie.org/fhir/sri-lanka/Encounter/TargetFacilityEncounterExample
  reference:
    v: Encounter/TargetFacilityEncounterExample
occurrence:
  v: 2023-10-06T13:28:17-05:00
performer:
  link: http://openhie.org/fhir/sri-lanka/Practitioner/GeneralPractitionerExample
  reference:
    v: Practitioner/GeneralPractitionerExample
basis:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
basis:
  link: http://openhie.org/fhir/sri-lanka/Observation/RiskBehaviourTobaccoSmokerExample
  reference:
    v: Observation/RiskBehaviourTobaccoSmokerExample
basis:
  link: http://openhie.org/fhir/sri-lanka/Observation/TotalCholesterolExample
  reference:
    v: Observation/TotalCholesterolExample
basis:
  link: http://openhie.org/fhir/sri-lanka/Observation/BloodPressureExample
  reference:
    v: Observation/BloodPressureExample
basis:
  link: http://openhie.org/fhir/sri-lanka/Observation/RandomBloodSugarExample
  reference:
    v: Observation/RandomBloodSugarExample
basis:
  link: http://openhie.org/fhir/sri-lanka/Observation/FastingBloodSugarExample
  reference:
    v: Observation/FastingBloodSugarExample
prediction:
  outcome:
    coding: http://snomed.info/id/395112001
      system:
        v: http://snomed.info/sct
      code:
        v: 395112001
    text:
      v: Risk of heart attack
  probability:
    v: 0.02
  qualitative risk:
    coding:
      system:
        v: http://openhie.org/fhir/sri-lanka/CodeSystem/cs-cvd-risk-category
      code:
        v: Critical
    text:
      v: Risk Category
  when: Range
    low:
      value:
        v: 39
      unit:
        v: years
      system:
        v: http://unitsofmeasure.org
      code:
        v: a
    high:
      value:
        v: 49
      unit:
        v: years
      system:
        v: http://unitsofmeasure.org
      code:
        v: a

HIMSPatientExample
type: Patient
id:
  v: HIMSPatientExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/hims-patient
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/hims-patient
text:
  status:
    v: generated
  div: Generated Narrative: Patient Resource Patient "HIMSPatientExample" Profile: HIMS Patient identifier: Personal Health Number: personal health number, Passport number: Passport-1, Passport number: Passport-2, Driver's license number: Drivers license-1, Driver's license number: Drivers license-2, National identity number: National identity number-1, National identity number: National identity number-2, Senior Citizen Number: Senior citizen number-1, Senior Citizen Number: Senior citizen number-2 name: Mr. Mike John Smith (OFFICIAL) telecom: +27829999999, someone@something.com, someone2@something.com gender: male birthDate: 1983-05-22 address: 177 Nawala Road Nugegoda Colombo 32350 Sri Lanka
identifier:
  type:
    coding:
      system:
        v: http://openhie.org/fhir/sri-lanka/CodeSystem/cs-identifier-types
      code:
        v: PHN
    text:
      v: Personal Health Number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/phn
  value:
    v: personal health number
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PPN
    text:
      v: Passport number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/passport
  value:
    v: Passport-1
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PPN
    text:
      v: Passport number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/passport
  value:
    v: Passport-2
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: DL
    text:
      v: Driver's license number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/drivers
  value:
    v: Drivers license-1
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: DL
    text:
      v: Driver's license number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/drivers
  value:
    v: Drivers license-2
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: NNLKA
    text:
      v: National identity number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/nic
  value:
    v: National identity number-1
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: NNLKA
    text:
      v: National identity number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/nic
  value:
    v: National identity number-2
identifier:
  type:
    coding:
      system:
        v: http://openhie.org/fhir/sri-lanka/CodeSystem/cs-identifier-types
      code:
        v: SCN
    text:
      v: Senior Citizen Number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/scn
  value:
    v: Senior citizen number-1
identifier:
  type:
    coding:
      system:
        v: http://openhie.org/fhir/sri-lanka/CodeSystem/cs-identifier-types
      code:
        v: SCN
    text:
      v: Senior Citizen Number
  system:
    v: http://openhie.org/fhir/sri-lanka/identifier/scn
  value:
    v: Senior citizen number-2
name:
  use:
    v: official
  family:
    v: Smith
  given:
    v: Mr.
  given:
    v: Mike
  given:
    v: John
telecom:
  system:
    v: phone
  value:
    v: +27829999999
telecom:
  system:
    v: email
telecom:
  system:
    v: email
gender:
  v: male
birth date:
  v: 1983-05-22
address:
  type:
    v: postal
  line:
    v: 177
  line:
    v: Nawala Road
  city:
    v: Nugegoda
  district:
    v: Ampara
  state:
    v: Colombo
  postal code:
    v: 32350
  country:
    v: Sri Lanka

TargetFacilityEncounterExample
type: Encounter
id:
  v: TargetFacilityEncounterExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/target-facility-encounter
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/target-facility-encounter
text:
  status:
    v: generated
  div: Generated Narrative: Encounter Resource Encounter "TargetFacilityEncounterExample" Profile: Target Facility Encounter status: finished class: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null') subject: See above (Patient/HIMSPatientExample) Participants - Individual * See above (Practitioner/GeneralPractitionerExample) period: 2022-12-01 --> 2023-01-20 reasonCode: 140004 (SNOMED CT#140004) Locations - Location * Location/ProvidersLocationExample "Name for the location"
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
  code:
    v: AMB
subject:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
participant:
  individual:
    link: http://openhie.org/fhir/sri-lanka/Practitioner/GeneralPractitionerExample
    reference:
      v: Practitioner/GeneralPractitionerExample
period:
  start:
    v: 2022-12-01
  end:
    v: 2023-01-20
reason code:
  coding: http://snomed.info/id/140004
    system:
      v: http://snomed.info/sct
    code:
      v: 140004
location:
  location:
    link: http://openhie.org/fhir/sri-lanka/Location/ProvidersLocationExample
    reference:
      v: Location/ProvidersLocationExample

GeneralPractitionerExample
type: Practitioner
id:
  v: GeneralPractitionerExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/practitioner
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner Resource Practitioner "GeneralPractitionerExample" Profile: Practitioner name: Tom Junes Smith telecom: ph: 27537652509(WORK), someone@something.org
name:
  family:
    v: Smith
  given:
    v: Tom
  given:
    v: Junes
  prefix:
    v: Dr
telecom:
  system:
    v: phone
  value:
    v: 27537652509
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: home

RiskBehaviourTobaccoSmokerExample
type: Observation
id:
  v: RiskBehaviourTobaccoSmokerExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/risk-behaviour-tobacco-smoker
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/risk-behaviour-tobacco-smoker
text:
  status:
    v: generated
  div: Generated Narrative: Observation Resource Observation "RiskBehaviourTobaccoSmokerExample" Profile: Tobacco Smoker Observation status: final code: Tobacco smoking (LOINC#72166-2) subject: See above (Patient/HIMSPatientExample) encounter: See above (Encounter/TargetFacilityEncounterExample) effective: 2022-11-30 performer: Organization/OrganizationExample "Some Health Facility" See above (Practitioner/GeneralPractitionerExample) value: Moderate cigarette smoker (10-19 cigs/day) (SNOMED CT#160604004)
status:
  v: final
code:
  coding: https://loinc.org/rdf/72166-2
    system:
      v: http://loinc.org
    code:
      v: 72166-2
  text:
    v: Tobacco smoking
subject:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
encounter:
  link: http://openhie.org/fhir/sri-lanka/Encounter/TargetFacilityEncounterExample
  reference:
    v: Encounter/TargetFacilityEncounterExample
effective:
  v: 2022-11-30
performer:
  link: http://openhie.org/fhir/sri-lanka/Organization/OrganizationExample
  reference:
    v: Organization/OrganizationExample
performer:
  link: http://openhie.org/fhir/sri-lanka/Practitioner/GeneralPractitionerExample
  reference:
    v: Practitioner/GeneralPractitionerExample
value: CodeableConcept
  coding: http://snomed.info/id/160604004
    system:
      v: http://snomed.info/sct
    code:
      v: 160604004
  text:
    v: Moderate cigarette smoker (10-19 cigs/day)

TotalCholesterolExample
type: Observation
id:
  v: TotalCholesterolExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/total-cholesterol
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/total-cholesterol
text:
  status:
    v: generated
  div: Generated Narrative: Observation Resource Observation "TotalCholesterolExample" Profile: Total Cholesterol Observation status: final code: Cholesterol (LOINC#2093-3) subject: See above (Patient/HIMSPatientExample) encounter: See above (Encounter/TargetFacilityEncounterExample) effective: 2022-11-30 performer: Organization/OrganizationExample "Some Health Facility" See above (Practitioner/GeneralPractitionerExample) value: 6.3 mmol/l (Details: UCUM code mmol/l = 'mmol/l') interpretation: High (ObservationInterpretation#H) ReferenceRanges - High Type * 5 mmol/l (Details: UCUM code mmol/l = 'mmol/l') Type (Observation Reference Range Meaning Codes#type)
status:
  v: final
code:
  coding: https://loinc.org/rdf/2093-3
    system:
      v: http://loinc.org
    code:
      v: 2093-3
  text:
    v: Cholesterol
subject:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
encounter:
  link: http://openhie.org/fhir/sri-lanka/Encounter/TargetFacilityEncounterExample
  reference:
    v: Encounter/TargetFacilityEncounterExample
effective:
  v: 2022-11-30
performer:
  link: http://openhie.org/fhir/sri-lanka/Organization/OrganizationExample
  reference:
    v: Organization/OrganizationExample
performer:
  link: http://openhie.org/fhir/sri-lanka/Practitioner/GeneralPractitionerExample
  reference:
    v: Practitioner/GeneralPractitionerExample
value: Quantity
  value:
    v: 6.3
  unit:
    v: mmol/l
  system:
    v: http://unitsofmeasure.org
  code:
    v: mmol/l
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    code:
      v: H
reference range:
  high:
    value:
      v: 5
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
    code:
      v: mmol/l
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/referencerange-meaning
      code:
        v: type

BloodPressureExample
type: Observation
id:
  v: BloodPressureExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/blood-pressure
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/blood-pressure
text:
  status:
    v: generated
  div: Generated Narrative: Observation Resource Observation "BloodPressureExample" Profile: Blood Pressure Observation status: final category: Vital Signs (Observation Category Codes#vital-signs) code: Blood Pressure (LOINC#85354-9) subject: See above (Patient/HIMSPatientExample) encounter: See above (Encounter/TargetFacilityEncounterExample) effective: 2022-11-30 performer: Organization/OrganizationExample "Some Health Facility" See above (Practitioner/GeneralPractitionerExample) component code: 8480-6 (LOINC#8480-6) value: 106 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]') component code: 8462-4 (LOINC#8462-4) value: 60 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/85354-9
    system:
      v: http://loinc.org
    code:
      v: 85354-9
  text:
    v: Blood Pressure
subject:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
encounter:
  link: http://openhie.org/fhir/sri-lanka/Encounter/TargetFacilityEncounterExample
  reference:
    v: Encounter/TargetFacilityEncounterExample
effective:
  v: 2022-11-30
performer:
  link: http://openhie.org/fhir/sri-lanka/Organization/OrganizationExample
  reference:
    v: Organization/OrganizationExample
performer:
  link: http://openhie.org/fhir/sri-lanka/Practitioner/GeneralPractitionerExample
  reference:
    v: Practitioner/GeneralPractitionerExample
component:
  code:
    coding: https://loinc.org/rdf/8480-6
      system:
        v: http://loinc.org
      code:
        v: 8480-6
  value: Quantity
    value:
      v: 106
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/8462-4
      system:
        v: http://loinc.org
      code:
        v: 8462-4
  value: Quantity
    value:
      v: 60
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
    code:
      v: mm[Hg]

RandomBloodSugarExample
type: Observation
id:
  v: RandomBloodSugarExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/random-blood-sugar
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/random-blood-sugar
text:
  status:
    v: generated
  div: Generated Narrative: Observation Resource Observation "RandomBloodSugarExample" Profile: Random Blood Sugar Observation status: final code: Glucose (LOINC#15074-8) subject: See above (Patient/HIMSPatientExample) encounter: See above (Encounter/TargetFacilityEncounterExample) effective: 2022-11-30 performer: Organization/OrganizationExample "Some Health Facility" See above (Practitioner/GeneralPractitionerExample) value: 6.3 mmol/l (Details: UCUM code mmol/l = 'mmol/l') interpretation: High (ObservationInterpretation#H) ReferenceRanges - Low High Type * 3.1 mmol/l (Details: UCUM code mmol/l = 'mmol/l') 6.2 mmol/l (Details: UCUM code mmol/l = 'mmol/l') Type (Observation Reference Range Meaning Codes#type)
status:
  v: final
code:
  coding: https://loinc.org/rdf/15074-8
    system:
      v: http://loinc.org
    code:
      v: 15074-8
  text:
    v: Glucose
subject:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
encounter:
  link: http://openhie.org/fhir/sri-lanka/Encounter/TargetFacilityEncounterExample
  reference:
    v: Encounter/TargetFacilityEncounterExample
effective:
  v: 2022-11-30
performer:
  link: http://openhie.org/fhir/sri-lanka/Organization/OrganizationExample
  reference:
    v: Organization/OrganizationExample
performer:
  link: http://openhie.org/fhir/sri-lanka/Practitioner/GeneralPractitionerExample
  reference:
    v: Practitioner/GeneralPractitionerExample
value: Quantity
  value:
    v: 6.3
  unit:
    v: mmol/l
  system:
    v: http://unitsofmeasure.org
  code:
    v: mmol/l
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    code:
      v: H
reference range:
  low:
    value:
      v: 3.1
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
    code:
      v: mmol/l
  high:
    value:
      v: 6.2
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
    code:
      v: mmol/l
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/referencerange-meaning
      code:
        v: type

FastingBloodSugarExample
type: Observation
id:
  v: FastingBloodSugarExample
meta:
  profile:
    v: http://openhie.org/fhir/sri-lanka/StructureDefinition/fasting-blood-sugar
    link: http://openhie.org/fhir/sri-lanka/StructureDefinition/fasting-blood-sugar
text:
  status:
    v: generated
  div: Generated Narrative: Observation Resource Observation "FastingBloodSugarExample" Profile: Fasting Blood Sugar Observation status: final code: Fasting glucose (LOINC#76629-5) subject: See above (Patient/HIMSPatientExample) encounter: See above (Encounter/TargetFacilityEncounterExample) effective: 2022-11-30 performer: Organization/OrganizationExample "Some Health Facility" See above (Practitioner/GeneralPractitionerExample) value: 5.4 mmol/l (Details: UCUM code mmol/l = 'mmol/l') interpretation: Normal (ObservationInterpretation#N) ReferenceRanges - Low High Type * 3.9 mmol/l (Details: UCUM code mmol/l = 'mmol/l') 5.6 mmol/l (Details: UCUM code mmol/l = 'mmol/l') Type (Observation Reference Range Meaning Codes#type)
status:
  v: final
code:
  coding: https://loinc.org/rdf/76629-5
    system:
      v: http://loinc.org
    code:
      v: 76629-5
  text:
    v: Fasting glucose
subject:
  link: http://openhie.org/fhir/sri-lanka/Patient/HIMSPatientExample
  reference:
    v: Patient/HIMSPatientExample
encounter:
  link: http://openhie.org/fhir/sri-lanka/Encounter/TargetFacilityEncounterExample
  reference:
    v: Encounter/TargetFacilityEncounterExample
effective:
  v: 2022-11-30
performer:
  link: http://openhie.org/fhir/sri-lanka/Organization/OrganizationExample
  reference:
    v: Organization/OrganizationExample
performer:
  link: http://openhie.org/fhir/sri-lanka/Practitioner/GeneralPractitionerExample
  reference:
    v: Practitioner/GeneralPractitionerExample
value: Quantity
  value:
    v: 5.4
  unit:
    v: mmol/l
  system:
    v: http://unitsofmeasure.org
  code:
    v: mmol/l
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    code:
      v: N
reference range:
  low:
    value:
      v: 3.9
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
    code:
      v: mmol/l
  high:
    value:
      v: 5.6
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
    code:
      v: mmol/l
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/referencerange-meaning
      code:
        v: type