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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "ObservationHbA1cHospitalControlExample",
  "meta": {
    "profile": [
      "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-observation-laboratory-result"
    ]
  },
  "language": "es",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "4548-4"
      }
    ]
  },
  "subject": {
    "reference": "Patient/PatientHbA1cHospitalControlExample"
  },
  "effectiveDateTime": "2026-04-08T10:00:00-06:00",
  "performer": [
    {
      "reference": "Organization/OrganizationHospitalMexicoLabExample"
    },
    {
      "reference": "PractitionerRole/PractitionerRoleHospitalMexicoLabExample"
    }
  ],
  "valueQuantity": {
    "value": 9.2,
    "unit": "%",
    "system": "http://unitsofmeasure.org",
    "code": "%"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "H"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Escenario hospitalario de seguimiento de paciente con diabetes y control glucémico no satisfactorio."
    }
  ],
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "726449005"
      }
    ]
  },
  "specimen": {
    "reference": "Specimen/SpecimenHbA1cHospitalControlExample"
  },
  "referenceRange": [
    {
      "low": {
        "value": 4,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      },
      "high": {
        "value": 5.6,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      },
      "text": "Resultado marcadamente elevado respecto al rango de referencia general."
    }
  ]
}