FHIR © HL7.org  |  Server Home  |  Health Intersections FHIR Server v1.0.237  |  FHIR Version 3.0.1  | User: ANONYMOUS (Unknown)  

History Record

XML or JSON representation

Links: First Previous Next Last  (49 found). Search: http://test.fhir.org/r3/DiagnosticReport/_history?&_prior=2018-07-21T13:48:05Z&_format=text/xhtml&history-id=02bf59d8-7876-458b-b3a4-0590857b46 

SQL (for debugging): Insert into SearchEntries Select 26215, Ids.ResourceKey, Versions.ResourceVersionKey, RIGHT ('0000000000000'+CAST(Versions.ResourceVersionKey AS VARCHAR(14)),14) as sort, null, null from Versions, Ids, Sessions where Ids.ResourceTypeKey = 37 and Versions.ResourceKey = Ids.ResourceKey and Versions.SessionKey = Sessions.SessionKey order by ResourceVersionKey DESC

DiagnosticReport "108" Version "1"

Created by ANONYMOUS (Unknown) at 6/20/2018 11:36:08 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="108"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-06-20T23:36:08Z"/>
  </meta>
  <contained>
    <Observation>
      <id value="rpeck_glucose"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="15074-8"/>
          <display value="Glucose [Moles/volume] in Blood"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/rpeck"/>
        <display value="Raymond Peck"/>
      </subject>
      <effectivePeriod>
        <start value="2013-04-02T09:30:10+01:00"/>
      </effectivePeriod>
      <valueQuantity>
        <value value="6.3"/>
        <unit value="mmol/l"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mmol/L"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="rpeck_excess"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11555-0"/>
          <display value="Base excess in Blood by calculation"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/rpeck"/>
        <display value="Raymond Peck"/>
      </subject>
      <effectivePeriod>
        <start value="2013-04-02T10:30:10+01:00"/>
        <end value="2013-04-05T10:30:10+01:00"/>
      </effectivePeriod>
      <valueQuantity>
        <value value="12.6"/>
        <unit value="mmol/l"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mmol/L"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="rpeck_co2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11557-6"/>
          <display value="Carbon dioxide in blood"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/rpeck"/>
        <display value="Raymond Peck"/>
      </subject>
      <effectivePeriod>
        <start value="2013-04-02T10:30:10+01:00"/>
        <end value="2013-04-05T10:30:10+01:00"/>
      </effectivePeriod>
      <valueQuantity>
        <value value="6.2"/>
        <unit value="kPa"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="kPa"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="rpeck_erythrocyte"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="789-8"/>
          <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/rpeck"/>
        <display value="Raymond Peck"/>
      </subject>
      <effectivePeriod>
        <start value="2013-04-02T10:30:10+01:00"/>
        <end value="2013-04-05T10:30:10+01:00"/>
      </effectivePeriod>
      <valueQuantity>
        <value value="4.12"/>
        <unit value="10^12/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*12/L"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="rpeck_hemoglobin"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="718-7"/>
          <display value="Hemoglobin [Mass/volume] in Blood"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/rpeck"/>
        <display value="Raymond Peck"/>
      </subject>
      <effectivePeriod>
        <start value="2013-04-05T10:30:10+01:00"/>
        <end value="2013-04-05T10:30:10+01:00"/>
      </effectivePeriod>
      <valueQuantity>
        <value value="7.2"/>
        <unit value="g/dl"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="g/dL"/>
      </valueQuantity>
    </Observation>
  </contained>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="252275004"/>
      <display value="Haematology test"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="58410-2"/>
      <display value="Complete blood count (hemogram) panel - Blood by Automated count"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/rpeck"/>
    <display value="Raymond Peck"/>
  </subject>
  <result>
    <reference value="#rpeck_glucose"/>
  </result>
  <result>
    <reference value="#rpeck_excess"/>
  </result>
  <result>
    <reference value="#rpeck_co2"/>
  </result>
  <result>
    <reference value="#rpeck_erythrocyte"/>
  </result>
  <result>
    <reference value="#rpeck_hemoglobin"/>
  </result>
</DiagnosticReport>

DiagnosticReport "107" Version "1"

Created by ANONYMOUS (Unknown) at 6/20/2018 10:38:30 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="107"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-06-20T22:38:30Z"/>
  </meta>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="252275004"/>
      <display value="Haematology test"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="58410-2"/>
      <display value="Complete blood count (hemogram) panel - Blood by Automated count"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/rpeck"/>
    <display value="Raymond Peck"/>
  </subject>
  <result>
    <reference value="Observation/rpeck_glucose"/>
  </result>
  <result>
    <reference value="Observation/rpeck_excess"/>
  </result>
  <result>
    <reference value="Observation/rpeck_co2"/>
  </result>
  <result>
    <reference value="Observation/rpeck_erythrocyte"/>
  </result>
  <result>
    <reference value="Observation/rpeck_hemoglobin"/>
  </result>
</DiagnosticReport>

DiagnosticReport "f57a083c-550f-4a1f-8c5f-b9d03896d0" Version "1"

Created by ANONYMOUS (Unknown) at 5/13/2018 8:04:58 AM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="f57a083c-550f-4a1f-8c5f-b9d03896d0"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-05-13T08:04:58Z"/>
  </meta>
  <identifier>
    <value value="LungRADS.KUM0IRA011117189.test"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="https://www.rsna.org/RadLex.aspx"/>
      <code value="RID50134"/>
      <display value="Lung-RADS assessment"/>
    </coding>
  </code>
  <effectiveDateTime value="2013-01-12"/>
  <result>
    <reference value="Observation/cda33969-48e1-43ac-a7b7-f2c209c3c2"/>
  </result>
  <conclusion value="Category 3 or 4 nodules with additional features or imaging findings that increases the suspicion of malignancy"/>
  <codedDiagnosis>
    <coding>
      <code value="RID50141"/>
      <display value="Category 4X - Suspicious (Findings for which additional diagnostic testing and/or tissue sampling is recommended)"/>
    </coding>
  </codedDiagnosis>
</DiagnosticReport>

DiagnosticReport "e5fe079b-1393-4f9b-8237-56b051d2b2" Version "1"

Created by ANONYMOUS (Unknown) at 5/12/2018 3:23:07 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="e5fe079b-1393-4f9b-8237-56b051d2b2"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-05-12T15:23:07Z"/>
  </meta>
  <identifier>
    <value value="LungNodule.KUM0IRA011117189.2.test"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="300577008"/>
      <display value="Finding of lesion"/>
    </coding>
  </code>
  <effectiveDateTime value="2013-01-12"/>
  <result>
    <reference value="Observation/cda33969-48e1-43ac-a7b7-f2c209c3c2"/>
  </result>
</DiagnosticReport>

DiagnosticReport "80e2a22c-2468-488a-b601-eb114d9122" Version "1"

Created by ANONYMOUS (Unknown) at 5/12/2018 9:59:08 AM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="80e2a22c-2468-488a-b601-eb114d9122"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-05-12T09:59:08Z"/>
  </meta>
  <identifier>
    <value value="LungImagingAdditionalFinding.KUM0IRA011117189.1.test"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LA9042-8"/>
      <display value="Finding"/>
    </coding>
  </code>
  <effectiveDateTime value="2013-01-12"/>
  <codedDiagnosis>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="13645005"/>
      <display value="Chronic obstructive lung diseact"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="255604002"/>
      <display value="Mild"/>
    </coding>
  </codedDiagnosis>
</DiagnosticReport>

DiagnosticReport "7c88117f-c10d-4d71-8c0f-fe265266b9" Version "1"

Created by ANONYMOUS (Unknown) at 5/12/2018 9:51:36 AM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="7c88117f-c10d-4d71-8c0f-fe265266b9"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-05-12T09:51:36Z"/>
  </meta>
  <identifier>
    <value value="LungImagingAdditionalFinding.KUM0IRA011117189.1.test"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LA9042-8"/>
      <display value="Finding"/>
    </coding>
  </code>
  <effectiveDateTime value="2013-01-12"/>
  <codedDiagnosis>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="13645005"/>
      <display value="Chronic obstructive lung diseact"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="255604002"/>
      <display value="Mild"/>
    </coding>
  </codedDiagnosis>
</DiagnosticReport>

DiagnosticReport "testtestdiagrpt1" Version "3"

Updated by ANONYMOUS (Unknown) at 4/5/2018 9:31:49 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="testtestdiagrpt1"/>
  <meta>
    <versionId value="3"/>
    <lastUpdated value="2018-04-05T21:31:49Z"/>
  </meta>
  <status value="preliminary"/>
  <code>
    <coding>
      <code value="567"/>
    </coding>
  </code>
  <result>
    <reference value="Observation/testtestobs1"/>
  </result>
</DiagnosticReport>

DiagnosticReport "testtestdiagrpt1" Version "2"

Updated by ANONYMOUS (Unknown) at 4/5/2018 9:07:20 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="testtestdiagrpt1"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2018-04-05T21:07:20Z"/>
  </meta>
  <basedOn>
    <reference value="MedicationRequest/testtestmedreq1"/>
  </basedOn>
  <status value="preliminary"/>
  <code>
    <coding>
      <code value="567"/>
    </coding>
  </code>
  <context>
    <reference value="Encounter/testtestenc1"/>
  </context>
</DiagnosticReport>

DiagnosticReport "testtestdiagrpt1" Version "1"

Created by ANONYMOUS (Unknown) at 4/5/2018 8:56:43 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="testtestdiagrpt1"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-04-05T20:56:43Z"/>
  </meta>
  <basedOn>
    <reference value="MedicationRequest/testtestmedreq1"/>
  </basedOn>
  <status value="preliminary"/>
  <code>
    <coding>
      <code value="567"/>
    </coding>
  </code>
</DiagnosticReport>

DiagnosticReport "106" Version "1"

Created by ANONYMOUS (Unknown) at 1/27/2018 10:18:54 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

comprehensive bone marrow report

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="106"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-01-27T22:18:54Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">comprehensive bone marrow report</div>
  </text>
  <contained>
    <Observation>
      <id value="o1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="26464-8"/>
          <display value="Leukocytes [#/volume] in Blood"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="31.9"/>
        <unit value="K/ul"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="20570-8"/>
          <display value="Hematocrit [Volume Fraction] of Blood"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="27"/>
        <unit value="%"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="26515-7"/>
          <display value="Platelets [#/volume] in Blood"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="84"/>
        <unit value="K/ul"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="75034-9"/>
          <display value="NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="54447-8"/>
          <display value="FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="55201-8"/>
          <display value="KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o7"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="30444-4"/>
          <display value="Myeloblasts [#/volume] in Blood"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="47016-1"/>
          <display value="CD4 Ag [Presence] in Tissue by Immune stain"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o9"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="49464-1"/>
          <display value="CD13 Ag [Presence] in Tissue by Immune stain"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o10"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="49466-6"/>
          <display value="CD2 Ag [Presence] in Tissue by Immune stain"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o11"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="33893-9"/>
          <display value="Karyotype [Identifier] in Bone marrow Nominal"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <text value="46,XX[20]"/>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o12"/>
      <status value="final"/>
      <code>
        <text value="MDS-associated genetic abnormalities"/>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o13"/>
      <status value="final"/>
      <code>
        <text value="AML-associated genetic abnormalities"/>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition">
    <valueReference>
      <reference value="Condition/17"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="http://happyvalley.com/diagnosticreport"/>
    <value value="a3MCwLrlXo-06391094"/>
  </identifier>
  <status value="final"/>
  <code>
    <text value="comprehensive bone marrow report"/>
  </code>
  <subject>
    <reference value="Patient/726781"/>
    <display value="Everywoman, Eve A, MRN: HOSP-SdbG5QwpaglUsO0845"/>
  </subject>
  <effectiveDateTime value="2015-01-02T13:20:10+01:00"/>
  <issued value="2015-01-06T13:20:10+01:00"/>
  <performer>
    <actor>
      <reference value="Practitioner/727036"/>
      <display value="Molecular Diagnostic Laboratory"/>
    </actor>
  </performer>
  <specimen>
    <reference value="Specimen/107"/>
    <display value="Bone marrow ID: MLD45-Z4-1234"/>
  </specimen>
  <result>
    <reference value="#o1"/>
  </result>
  <result>
    <reference value="#o2"/>
  </result>
  <result>
    <reference value="#o3"/>
  </result>
  <result>
    <reference value="#o4"/>
  </result>
  <result>
    <reference value="#o5"/>
  </result>
  <result>
    <reference value="#o6"/>
  </result>
  <result>
    <reference value="#o7"/>
  </result>
  <result>
    <reference value="#o8"/>
  </result>
  <result>
    <reference value="#o9"/>
  </result>
  <result>
    <reference value="#o10"/>
  </result>
  <result>
    <reference value="#o11"/>
  </result>
  <result>
    <reference value="#o12"/>
  </result>
  <result>
    <reference value="#o13"/>
  </result>
</DiagnosticReport>

DiagnosticReport "105" Version "1"

Created by ANONYMOUS (Unknown) at 1/27/2018 10:18:43 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

status: final

code: HLA genotyping results (Details )

subject: Molecular Lab Patient ID: HOSP-pnHsaTDj2915535785

effective: May 26, 2015 3:30:10 PM

issued: May 26, 2015 3:30:10 PM

performer: Molecular Diagnostic Laboratory

specimen: Molecular Specimen ID: MLD45-Z4-1234


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="105"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-01-27T22:18:43Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b> </p>
      <p>
        <b>status</b>: final </p>
      <p>
        <b>code</b>: HLA genotyping results
        <span>(Details )</span> </p>
      <p>
        <b>subject</b>:
        <a>Molecular Lab Patient ID: HOSP-pnHsaTDj2915535785</a> </p>
      <p>
        <b>effective</b>: May 26, 2015 3:30:10 PM </p>
      <p>
        <b>issued</b>: May 26, 2015 3:30:10 PM </p>
      <p>
        <b>performer</b>:
        <a>Molecular Diagnostic Laboratory</a> </p>
      <p>
        <b>specimen</b>:
        <a>Molecular Specimen ID: MLD45-Z4-1234</a> </p> </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/hla-genotyping-resultsGlstring">
    <extension url="text">
      <valueString value="HLA-A*01:01:01+HLA-A*24:02:01"/>
    </extension>
  </extension>
  <identifier>
    <system value="http://acme.com/lab/reports"/>
    <value value="pnHsaTDj2-3106856"/>
  </identifier>
  <status value="final"/>
  <code>
    <text value="HLA genotyping results"/>
  </code>
  <subject>
    <reference value="Patient/726779"/>
    <display value="Molecular Lab Patient ID: HOSP-pnHsaTDj2915535785"/>
  </subject>
  <effectiveDateTime value="2015-05-26T15:30:10+01:00"/>
  <issued value="2015-05-26T15:30:10+01:00"/>
  <performer>
    <actor>
      <reference value="Practitioner/727035"/>
      <display value="Molecular Diagnostic Laboratory"/>
    </actor>
  </performer>
  <specimen>
    <reference value="Specimen/106"/>
    <display value="Molecular Specimen ID: MLD45-Z4-1234"/>
  </specimen>
</DiagnosticReport>

DiagnosticReport "104" Version "1"

Created by ANONYMOUS (Unknown) at 1/27/2018 10:18:31 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Genetic test Report for Mary Chambers

Gene DNAVariation Status Interpretation BRCA2 185delAG Positive Pathogenic

Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc

Issued: 2015-05-26T15:30:10+01:00

FamilyMemeberHistory: Mother

Gene DNAVariation Status BRCA2 185delAG Positive

Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="104"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-01-27T22:18:31Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h3>Genetic test Report for Mary Chambers</h3>
      <pre>Gene DNAVariation Status Interpretation BRCA2 185delAG Positive Pathogenic</pre>
      <p>Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc</p>
      <p>Issued: 2015-05-26T15:30:10+01:00</p>
      <p>FamilyMemeberHistory: Mother</p>
      <pre>Gene DNAVariation Status BRCA2 185delAG Positive</pre>
      <p>Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc</p> </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory">
    <valueReference>
      <reference value="FamilyMemberHistory/38"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="http://happyvalley.com/diagnosticreport"/>
    <value value="i83Tazk23580685909"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="15220000"/>
      <display value="Laboratory test"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="LAB"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="55233-1"/>
      <display value="Genetic analysis master panel"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/726778"/>
    <display value="Mary Chambers"/>
  </subject>
  <effectiveDateTime value="2015-05-26T15:30:10+01:00"/>
  <issued value="2014-05-16T10:28:00+01:00"/>
  <performer>
    <actor>
      <reference value="Practitioner/727034"/>
      <display value="Molecular Diagnostic Laboratory"/>
    </actor>
  </performer>
  <specimen>
    <reference value="Specimen/105"/>
    <display value="Molecular Specimen ID: MLD45-Z4-1234"/>
  </specimen>
  <result>
    <reference value="Observation/426406"/>
    <display value="Genetic analysis for BRAC -2"/>
  </result>
</DiagnosticReport>

DiagnosticReport 103 deleted

Deleted by ANONYMOUS (Unknown) at 1/4/2018 4:18:57 PM(UTC) (Audit)

DiagnosticReport 103 deleted

Deleted by ANONYMOUS (Unknown) at 1/4/2018 4:18:56 PM(UTC) (Audit)

DiagnosticReport "103" Version "2"

Updated by ANONYMOUS (Unknown) at 1/4/2018 4:18:40 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

AwQmYcSAC6NS9mb7TRAvQQ==

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="103"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2018-01-04T16:18:40Z"/>
    <tag>
      <system value="http://projectcrucible.org"/>
      <code value="testdata"/>
    </tag>
  </meta>
  <language value="ja"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">AwQmYcSAC6NS9mb7TRAvQQ==</div>
  </text>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/v2/0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
        <userSelected value="false"/>
      </coding>
      <text value="M2MItZonMT4MorwFbiU59Q=="/>
    </type>
    <system value="http://projectcrucible.org/sExeY6c/YSYA4Mgsn7MqJQ=="/>
    <value value="CILIHAh7Smm8dWI8RGVUyw=="/>
    <period>
      <start value="2018-01-04T11:18:40.270Z"/>
      <end value="2018-01-04T11:18:40.270Z"/>
    </period>
    <assigner>
      <identifier>
        <use value="official"/>
        <system value="http://projectcrucible.org/78AdQBDnDYCbr4DDZnKA6Q=="/>
        <value value="jW50AXo5s9TKwy+lOJ/xfw=="/>
      </identifier>
      <display value="Organization 46gfXiXltpfvddlUgG1PLQ=="/>
    </assigner>
  </identifier>
  <basedOn>
    <identifier>
      <use value="secondary"/>
      <type>
        <text value="RXPrOJBWoBjIGNm4WezTLA=="/>
      </type>
      <system value="http://projectcrucible.org/C3ZknA7C3kNKgeUFem7YCQ=="/>
      <value value="wOmxJ/1T/1bjQOzAmXcU0Q=="/>
      <period>
        <start value="2018-01-04T11:18:40.271Z"/>
        <end value="2018-01-04T11:18:40.271Z"/>
      </period>
      <assigner>
        <display value="Organization 05/ITD+cZfnuVWeKX+asIg=="/>
      </assigner>
    </identifier>
    <display value="NutritionOrder NtFBk4t/tMPVLLGu0+D2uA=="/>
  </basedOn>
  <status value="partial"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="OTH"/>
      <display value="Other"/>
      <userSelected value="false"/>
    </coding>
    <text value="igBzbqfSyQXdPN7JesFkEQ=="/>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="10441-4"/>
      <display value="CD34 Ag [Presence] in Tissue by Immune stain"/>
      <userSelected value="false"/>
    </coding>
    <text value="InNtASD8qZNdhU5LvZfCTQ=="/>
  </code>
  <subject>
    <identifier>
      <use value="usual"/>
      <type>
        <text value="Dr5XUIu8/77+Qfu3l3aGpA=="/>
      </type>
      <system value="http://projectcrucible.org/zsbAsMpwA/dYSI9sbK8xyA=="/>
      <value value="vEh2ktL63yKvt8uQUlrb7Q=="/>
      <period>
        <start value="2018-01-04T11:18:40.277Z"/>
        <end value="2018-01-04T11:18:40.277Z"/>
      </period>
      <assigner>
        <display value="Organization bO9svCWVJ+50EYB3LWjY0A=="/>
      </assigner>
    </identifier>
    <display value="Patient T+bJ+X+Q3+aPTwm2iA6I5Q=="/>
  </subject>
  <context>
    <identifier>
      <use value="usual"/>
      <type>
        <text value="3IPmCDGoD4eviMUZgd2FOA=="/>
      </type>
      <system value="http://projectcrucible.org/84JKR3OqLTMKh4QaGSOzcQ=="/>
      <value value="KRpD28NOR+hjdzUK+z47fw=="/>
      <period>
        <start value="2018-01-04T11:18:40.278Z"/>
        <end value="2018-01-04T11:18:40.278Z"/>
      </period>
      <assigner>
        <display value="Organization QiMDQ/hjfN3d2A4dwuAbWg=="/>
      </assigner>
    </identifier>
    <display value="EpisodeOfCare J6SiLPMrJbsRVkfGcafZWg=="/>
  </context>
  <effectiveDateTime value="2018-01-04T11:18:40.314Z"/>
  <issued value="2018-01-04T11:18:40.278Z"/>
  <performer>
    <role>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="224614003"/>
        <display value="Research associate"/>
        <userSelected value="false"/>
      </coding>
      <text value="0lSBS6FGqSqtPBhEMFjacA=="/>
    </role>
    <actor>
      <identifier>
        <use value="secondary"/>
        <system value="http://projectcrucible.org/fTe2msnEzv0olyEnW6Gu0w=="/>
        <value value="57JYahZHCvyPjFD42j4YLg=="/>
      </identifier>
      <display value="Organization 7lkc/SFotubI5qR7JDsEbw=="/>
    </actor>
  </performer>
  <specimen>
    <identifier>
      <use value="temp"/>
      <type>
        <text value="D2tVIi8InqWFT++mpvodxw=="/>
      </type>
      <system value="http://projectcrucible.org/fXQb93eyNswNgJCWQzuBLQ=="/>
      <value value="6jyjLvdqqBhNFlJBFFiXLA=="/>
      <period>
        <start value="2018-01-04T11:18:40.308Z"/>
        <end value="2018-01-04T11:18:40.308Z"/>
      </period>
      <assigner>
        <display value="Organization D1zmJ4k80nVl4+TWJpVKXA=="/>
      </assigner>
    </identifier>
    <display value="Specimen +UyFIjswkvzG6jv37hOaNA=="/>
  </specimen>
  <result>
    <identifier>
      <use value="official"/>
      <type>
        <text value="O2YVBJ4s9snfKeIEMNTo3g=="/>
      </type>
      <system value="http://projectcrucible.org/bGhhKihuopHcHVkSVj1GFQ=="/>
      <value value="VwoCnl+GtWaSngjKFNsdQQ=="/>
      <period>
        <start value="2018-01-04T11:18:40.309Z"/>
        <end value="2018-01-04T11:18:40.309Z"/>
      </period>
      <assigner>
        <display value="Organization hwpyln1YDK7cmSB6m2tDdw=="/>
      </assigner>
    </identifier>
    <display value="Observation L/B44C6bgavy3hl2X2TZJA=="/>
  </result>
  <imagingStudy>
    <identifier>
      <use value="official"/>
      <type>
        <text value="DStEmITpSFdZQ2NdNZ33gg=="/>
      </type>
      <system value="http://projectcrucible.org//zZpeI4NnjWsz3mt+op7+A=="/>
      <value value="bGunRiJAB1LNwLpuTDOJ4w=="/>
      <period>
        <start value="2018-01-04T11:18:40.310Z"/>
        <end value="2018-01-04T11:18:40.310Z"/>
      </period>
      <assigner>
        <display value="Organization hlMEIot6F/XkNENlzY1cuQ=="/>
      </assigner>
    </identifier>
    <display value="ImagingStudy +ZFfZqLwqD0OnPHqEBoLNg=="/>
  </imagingStudy>
  <image>
    <comment value="u9PpyTTDGSiu6w0fjmNztg=="/>
    <link>
      <identifier>
        <use value="temp"/>
        <system value="http://projectcrucible.org/9DyByIUhPd0UFXUbcn13yg=="/>
        <value value="uq9zJLAAajs8g37ZMDrWVQ=="/>
      </identifier>
      <display value="Media AX3cnCQ0wvE1yIIcqzu0UQ=="/>
    </link>
  </image>
  <conclusion value="IR0RFLQRYEuAE5WzKxG2oQ=="/>
  <codedDiagnosis>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="2239004"/>
      <display value="Previous pregnancies 6"/>
      <userSelected value="false"/>
    </coding>
    <text value="q1h92kgtc0b0Cwxyi9XCuQ=="/>
  </codedDiagnosis>
  <presentedForm>
    <contentType value="application/x-dtbresource+xml"/>
    <language value="zh-SG"/>
    <url value="http://projectcrucible.org/corE8IujNUpKu9+813V/iA=="/>
    <size value="55"/>
    <hash value="ssDSNQLfLtx8iBsZuj0GjQ=="/>
    <title value="6HsPefHaElhGsTddgkMjxw=="/>
    <creation value="2018-01-04T11:18:40.313Z"/>
  </presentedForm>
</DiagnosticReport>

DiagnosticReport "103" Version "1"

Created by ANONYMOUS (Unknown) at 1/4/2018 4:18:37 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

LjFjT1B2bDrDnBWXhIj12Q==

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="103"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-01-04T16:18:37Z"/>
    <tag>
      <system value="http://projectcrucible.org"/>
      <code value="testdata"/>
    </tag>
  </meta>
  <language value="en-NZ"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">LjFjT1B2bDrDnBWXhIj12Q==</div>
  </text>
  <identifier>
    <use value="secondary"/>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/v2/0203"/>
        <code value="EN"/>
        <display value="Employer number"/>
        <userSelected value="false"/>
      </coding>
      <text value="tIMS+v4AmA8nZlw/4lScPA=="/>
    </type>
    <system value="http://projectcrucible.org/CQvWpNr8B0YPh2nPXRhiJA=="/>
    <value value="7bdXTqyS8EBwreg4AwdPNQ=="/>
    <period>
      <start value="2018-01-04T11:18:37.408Z"/>
      <end value="2018-01-04T11:18:37.408Z"/>
    </period>
    <assigner>
      <identifier>
        <use value="secondary"/>
        <system value="http://projectcrucible.org/Rvaw7SJWubzGuQRNOIMvsQ=="/>
        <value value="Aii8pzEfLxTl7vc3oLPF7Q=="/>
      </identifier>
      <display value="Organization HJRxyNNzzrdQT8u83RHO3w=="/>
    </assigner>
  </identifier>
  <basedOn>
    <identifier>
      <use value="usual"/>
      <type>
        <text value="An63160pncIxX7tGJWpXpQ=="/>
      </type>
      <system value="http://projectcrucible.org/Vpf4OvvfN1mQWItTnDWnTw=="/>
      <value value="yNurTfb9OeGgGRYJeeYq8g=="/>
      <period>
        <start value="2018-01-04T11:18:37.409Z"/>
        <end value="2018-01-04T11:18:37.409Z"/>
      </period>
      <assigner>
        <display value="Organization TV5c0ldXlcdSwMbQrpZ4gQ=="/>
      </assigner>
    </identifier>
    <display value="NutritionOrder yOOYKkTpfemnsqyMPxaA0Q=="/>
  </basedOn>
  <status value="cancelled"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="RT"/>
      <display value="Radiation Therapy"/>
      <userSelected value="false"/>
    </coding>
    <text value="J6R+SLvH21t4pus5qOfktg=="/>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="1017-3"/>
      <display value="E Ab [Presence] in Serum or Plasma from donor"/>
      <userSelected value="false"/>
    </coding>
    <text value="U3grHhKgUqjv3ZHjCVlK9Q=="/>
  </code>
  <subject>
    <identifier>
      <use value="usual"/>
      <type>
        <text value="BKW3Ps9e0wy5E6ODzTAVdA=="/>
      </type>
      <system value="http://projectcrucible.org/Dtqw2fhb5QYwUvD0A990PA=="/>
      <value value="UgW3/wpoNFoNMfP4X9wJpA=="/>
      <period>
        <start value="2018-01-04T11:18:37.413Z"/>
        <end value="2018-01-04T11:18:37.413Z"/>
      </period>
      <assigner>
        <display value="Organization bGZlQYoF3IgZKFdjn6Xzvw=="/>
      </assigner>
    </identifier>
    <display value="Patient Q8WOqOZv1IsUOTdku8BKUw=="/>
  </subject>
  <context>
    <identifier>
      <use value="usual"/>
      <type>
        <text value="VktUQs2CH5ylE7oApDKWOw=="/>
      </type>
      <system value="http://projectcrucible.org/kzE+T2J9xT0kAmbIdPNWJQ=="/>
      <value value="z9owNEdJTBMhm0iHvVrnXw=="/>
      <period>
        <start value="2018-01-04T11:18:37.413Z"/>
        <end value="2018-01-04T11:18:37.413Z"/>
      </period>
      <assigner>
        <display value="Organization WtKmC8+b95cmkM+Fabx0Cw=="/>
      </assigner>
    </identifier>
    <display value="Encounter 4vRmT8VNJP4b7AMsZZNszw=="/>
  </context>
  <effectiveDateTime value="2018-01-04T11:18:37.449Z"/>
  <issued value="2018-01-04T11:18:37.414Z"/>
  <performer>
    <role>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="158983008"/>
        <display value="Nurse administrator - national"/>
        <userSelected value="false"/>
      </coding>
      <text value="YXLOV1bUupTZEWhjj98Y6g=="/>
    </role>
    <actor>
      <identifier>
        <use value="temp"/>
        <system value="http://projectcrucible.org/r1Uf46zbc4M1aMC8JgOAiQ=="/>
        <value value="8/tnlBArxcU0sxpNQja10g=="/>
      </identifier>
      <display value="Organization ox5uU0NYUcdY8Z1lngOhKQ=="/>
    </actor>
  </performer>
  <specimen>
    <identifier>
      <use value="temp"/>
      <type>
        <text value="MWhUkt0hEhB8G9FcSQsRsw=="/>
      </type>
      <system value="http://projectcrucible.org/BHkq93h7Tth0YZ/hI92Wbg=="/>
      <value value="0gN/2ARJ4v941eK+HdKqgQ=="/>
      <period>
        <start value="2018-01-04T11:18:37.443Z"/>
        <end value="2018-01-04T11:18:37.444Z"/>
      </period>
      <assigner>
        <display value="Organization dW3GhTDFooRiGPUNz0VIcQ=="/>
      </assigner>
    </identifier>
    <display value="Specimen u7BQbuQpThXJS6UUMFmQNQ=="/>
  </specimen>
  <result>
    <identifier>
      <use value="official"/>
      <type>
        <text value="96Cd2eJlgXUmUsiou+SMJA=="/>
      </type>
      <system value="http://projectcrucible.org/6+4fvMlzCl4ZMVzpx/2+Zw=="/>
      <value value="kxILbTiZkdPV7dGnzRHgEw=="/>
      <period>
        <start value="2018-01-04T11:18:37.444Z"/>
        <end value="2018-01-04T11:18:37.444Z"/>
      </period>
      <assigner>
        <display value="Organization w1t8+gf2W5HxfY4Jsh6BkA=="/>
      </assigner>
    </identifier>
    <display value="Observation 0QbGjQ16XdnHKrYaFbFagg=="/>
  </result>
  <imagingStudy>
    <identifier>
      <use value="usual"/>
      <type>
        <text value="pIjLD/JXerCwSZIPP8X4tA=="/>
      </type>
      <system value="http://projectcrucible.org/d7JsUYeYfCjSVfrA9O6XWQ=="/>
      <value value="iLdgJLYGk/36wFxWBPPHMA=="/>
      <period>
        <start value="2018-01-04T11:18:37.445Z"/>
        <end value="2018-01-04T11:18:37.445Z"/>
      </period>
      <assigner>
        <display value="Organization vo5KOxNcRSRsBOrbnU8BPg=="/>
      </assigner>
    </identifier>
    <display value="ImagingStudy FBZutAcy5OcwAThwt6tclA=="/>
  </imagingStudy>
  <image>
    <comment value="EbIkhSZAojeF+hD2u1OAhg=="/>
    <link>
      <identifier>
        <use value="temp"/>
        <system value="http://projectcrucible.org/5QBJF2coIR13zP23But2mA=="/>
        <value value="NMflhcW622I1uJNbHvdbBw=="/>
      </identifier>
      <display value="Media djZ3X0cN9Nv+MKKg9T2u+Q=="/>
    </link>
  </image>
  <conclusion value="7Zb/3eOcxlukzWErgWhn9Q=="/>
  <codedDiagnosis>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1475003"/>
      <display value="Herpes labialis"/>
      <userSelected value="false"/>
    </coding>
    <text value="IjhVr+kJjne5smtN5TKigw=="/>
  </codedDiagnosis>
  <presentedForm>
    <contentType value="video/MJ2"/>
    <language value="fr-FR"/>
    <url value="http://projectcrucible.org/Xv4hsm9KxEg6iP0tcBaE7A=="/>
    <size value="56"/>
    <hash value="Ub8XX6KZHefkGQfi5GX6zA=="/>
    <title value="eobApYpjDeDaT+Y6srJAlg=="/>
    <creation value="2018-01-04T11:18:37.448Z"/>
  </presentedForm>
</DiagnosticReport>

DiagnosticReport "cf-1511893483291" Version "1"

Created by ANONYMOUS (Unknown) at 12/3/2017 12:35:04 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="cf-1511893483291"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-12-03T12:35:04Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <a name="mm"/>
    </div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="RAD"/>
      <display value="Radiology"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="54531-9"/>
      <display value="Active disease diagnosis"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/330828"/>
  </subject>
  <effectiveDateTime value="2017-05-04"/>
  <specimen>
    <reference value="Specimen/cf-1511258993583"/>
  </specimen>
  <specimen>
    <reference value="Specimen/cf-1511788612375"/>
  </specimen>
  <result>
    <reference value="Observation/330872"/>
  </result>
  <result>
    <reference value="Observation/330852"/>
  </result>
  <result>
    <reference value="Observation/330859"/>
  </result>
  <result>
    <reference value="Observation/330856"/>
  </result>
  <result>
    <reference value="Observation/cf-1511787744424"/>
  </result>
  <result>
    <reference value="Observation/cf-1511787371708"/>
  </result>
  <result>
    <reference value="Observation/cf-1511786993953"/>
  </result>
</DiagnosticReport>

DiagnosticReport "cf-1511893451152" Version "1"

Created by ANONYMOUS (Unknown) at 12/3/2017 12:35:04 PM(UTC) (Audit)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="cf-1511893451152"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-12-03T12:35:04Z"/>
    <tag>
      <system value="https://smarthealthit.org/tags"/>
      <code value="synthea-7-2017"/>
    </tag>
  </meta>
  <status value="partial"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="LAB"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57698-3"/>
      <display value="Lipid Panel"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/330828"/>
  </subject>
  <context>
    <reference value="Encounter/330848"/>
  </context>
  <effectiveDateTime value="2017-06-08"/>
  <issued value="2015-01-11T23:41:00-05:00"/>
  <performer>
    <actor>
      <reference value="Practitioner/5357"/>
    </actor>
  </performer>
  <specimen>
    <reference value="Specimen/cf-1511258993583"/>
  </specimen>
  <specimen>
    <reference value="Specimen/cf-1511788612375"/>
  </specimen>
  <specimen>
    <reference value="Specimen/cf-1511892577198"/>
  </specimen>
  <result>
    <reference value="Observation/cf-1511526268833"/>
  </result>
  <result>
    <reference value="Observation/cf-1511526302061"/>
  </result>
  <result>
    <reference value="Observation/cf-1511526179032"/>
  </result>
  <result>
    <reference value="Observation/cf-1511526231069"/>
  </result>
  <result>
    <reference value="Observation/cf-1511787744424"/>
  </result>
  <result>
    <reference value="Observation/cf-1511787371708"/>
  </result>
</DiagnosticReport>

DiagnosticReport "micro" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: micro

contained: , , , , , , , , , , , , , , , , , , , , , , , , ,

identifier: 290741144

basedOn: id: req; 255337816; status: active; intent: original-order; Culture, MRSA (Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture); ????

status: final

category: Microbiology (Details : {http://hl7.org/fhir/v2/0074 code 'MB' = 'Microbiology)

code: Culture, MRSA (Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)

subject: Patient/example

issued: 10/08/2009 8:25:44 AM

Performers

-Actor
*Todd Ashby

result: id: org1; status: final; Staphylococcus aureus Panel (Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur); ????


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="micro"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: micro</p>
      <p>
        <b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , </p>
      <p>
        <b>identifier</b>: 290741144</p>
      <p>
        <b>basedOn</b>: id: req 255337816 status: active intent: original-order Culture, MRSA
        <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span> ????</p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>category</b>: Microbiology
        <span>(Details : {http://hl7.org/fhir/v2/0074 code 'MB' = 'Microbiology)</span>
      </p>
      <p>
        <b>code</b>: Culture, MRSA
        <span>(Details : {LOINC code '632-0' = 'Bacteria identified in Wound by Aerobe culture)</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Patient/example</a>
      </p>
      <p>
        <b>issued</b>: 10/08/2009 8:25:44 AM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Todd Ashby</td>
        </tr>
      </table>
      <p>
        <b>result</b>: id: org1 status: final Staphylococcus aureus Panel
        <span>(Details : {http://acme.org/lab/codes/organisms code 'Staaur' = 'Staaur)</span> ????</p>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="obx1-4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="ORGANISM"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://acme.org/lab/codes/organisms"/>
          <code value="Staaur"/>
        </coding>
        <text value="Staphylococcus aureus"/>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx1-5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="CULTPOSNEG"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://acme.org/lab/codes/flags"/>
          <code value="POS"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60504"/>
          <display value="Ampicillin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="R"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60512"/>
          <display value="Cefazolin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="2"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60516"/>
          <display value="Cefoxitin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="4"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60527"/>
          <display value="Clindamycin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
        <comparator value="&gt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="61203"/>
          <display value="Daptomycin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&gt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-10"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60532"/>
          <display value="Doxycycline"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-12"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60533"/>
          <display value="Erythromycin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="8"/>
        <comparator value="&gt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="R"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-14"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60536"/>
          <display value="Gentamicin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="2"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-16"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="61007"/>
          <display value="Levofloxacin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-18"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60699"/>
          <display value="Linezolid"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="4"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-20"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="61204"/>
          <display value="Moxifloxacin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-22"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60551"/>
          <display value="Oxacillin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-24"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60552"/>
          <display value="Penicillin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="2"/>
        <comparator value="&gt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="R"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-26"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60697"/>
          <display value="Quinupristin/Dalfopristin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-28"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60555"/>
          <display value="Rifampin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-30"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60558"/>
          <display value="Tetracycline"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.5"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-32"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60561"/>
          <display value="Trimethoprim/Sulfamethoxazole"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="0.0526"/>
        <comparator value="&lt;="/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx2-34"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60563"/>
          <display value="Vancomycin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="nte-1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="2099930"/>
          <display value="D-Test"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <valueString value="D-Test: Negative - This isolate does not demonstrate inducible clindamycin resistance in vitro."/>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obx3-1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/tests"/>
          <code value="60036"/>
          <display value="Oxacillin"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obr-2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/panels"/>
          <code value="60790"/>
          <display value="Susceptibility - Automated broth dilution (Billed)"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <performer>
        <display value="Todd Ashby"/>
      </performer>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-1"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-2"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-4"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-6"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-8"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-10"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-12"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-14"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-16"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-18"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-20"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-22"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-24"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-26"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-28"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-30"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-32"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx2-34"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#nte-1"/>
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="obr-3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/panels"/>
          <code value="60418"/>
          <display value="Susceptibility - Disk diffusion (Billed)"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx3-1"/>
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="org1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://acme.org/lab/codes/organisms"/>
          <code value="Staaur"/>
        </coding>
        <text value="Staphylococcus aureus Panel"/>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx1-4"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obx1-5"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obr-2"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#obr-3"/>
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <ProcedureRequest>
      <id value="req"/>
      <identifier>
        <value value="255337816"/>
      </identifier>
      <status value="active"/>
      <intent value="original-order"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="632-0"/>
        </coding>
        <text value="Culture, MRSA"/>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
    </ProcedureRequest>
  </contained>
  <identifier>
    <system value="http://hnam.org/identifiers/orders"/>
    <value value="290741144"/>
  </identifier>
  <basedOn>
    <reference value="#req"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="MB"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="632-0"/>
    </coding>
    <text value="Culture, MRSA"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <issued value="2009-08-10T08:25:44+10:00"/>
  <performer>
    <actor>
      <display value="Todd Ashby"/>
    </actor>
  </performer>
  <result>
    <reference value="#org1"/>
  </result>
</DiagnosticReport>

DiagnosticReport "dg2" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Genetic test Report for Marry Chalmers (MRN: 12345)

              Gene                DNAVariation       Status        Interpretation
              BRCA1                                 Negative
              BRCA2                 185delAG        Positive         Pathogenic
          

Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc

Issued: 2015-05-26T15:30:10+01:00

FamilyMemeberHistory: Mother

              Gene                 DNAVariation      Status
              BRCA2                 185delAG        Positive
          

Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="dg2"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h3>Genetic test Report for Marry Chalmers (MRN: 12345) </h3>
      <pre>Gene DNAVariation Status Interpretation BRCA1 Negative BRCA2 185delAG Positive Pathogenic </pre>
      <p>Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc </p>
      <p>Issued: 2015-05-26T15:30:10+01:00</p>
      <p>FamilyMemeberHistory: Mother </p>
      <pre>Gene DNAVariation Status BRCA2 185delAG Positive </pre>
      <p>Method: BRACAnalysis CDx Offered by Myriad Genetic Laboratories, Inc </p> </div>
  </text>
  <contained>
    <FamilyMemberHistory>
      <id value="f1-genetics"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation">
        <valueReference>
          <reference value="Observation/dgf1"/>
        </valueReference>
      </extension>
      <status value="completed"/>
      <patient>
        <reference value="Patient/example"/>
      </patient>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="MTH"/>
          <display value="Mother"/>
        </coding>
      </relationship>
    </FamilyMemberHistory>
  </contained>
  <extension url="http://localhost/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory">
    <valueReference>
      <reference value="#f1-genetics"/>
    </valueReference>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="15220000"/>
      <display value="Laboratory test"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074"/>
      <code value="LAB"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="55233-1"/>
      <display value="Genetic analysis master panel"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example"/>
    <display value="Peter James Chalmers(MRN: 12345)"/>
  </subject>
  <effectiveDateTime value="2015-05-26T15:30:10+01:00"/>
  <issued value="2014-05-16T10:28:00+01:00"/>
  <performer>
    <actor>
      <reference value="Practitioner/genetics-example2"/>
      <display value="Molecular Diagnostic Laboratory"/>
    </actor>
  </performer>
  <specimen>
    <reference value="Specimen/genetics-example2"/>
    <display value="Molecular Specimen ID: MLD45-Z4-1234"/>
  </specimen>
  <result>
    <reference value="Observation/ob-genetics-3-1"/>
    <display value="Genetic analysis for BRAC -1"/>
  </result>
  <result>
    <reference value="Observation/ob-genetics-3-2"/>
    <display value="Genetic analysis for BRAC -2"/>
  </result>
</DiagnosticReport>

DiagnosticReport "report" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:37 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: report

contained: , , , , , , , , , , , ,

status: final

code: comprehensive bone marrow report (Details )

subject: Everywoman, Eve A, MRN: 123456789

effective: 02/01/2015 1:20:10 PM

issued: 06/01/2015 1:20:10 PM

Performers

-Actor
*Molecular Diagnostic Laboratory

specimen: Bone marrow ID: MLD45-Z4-1234

result:

  • id: o1; status: final; Leukocytes [#/volume] in Blood (Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes [#/volume] in Blood'}); 31.9 K/ul
  • id: o2; status: final; Hematocrit [Volume Fraction] of Blood (Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit [Volume Fraction] of Blood'}); 27 %
  • id: o3; status: final; Platelets [#/volume] in Blood (Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets [#/volume] in Blood'}); 84 K/ul
  • id: o4; status: final; NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal (Details : {LOINC code '75034-9' = 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal', given as 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal'}); Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})
  • id: o5; status: final; FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative (Details : {LOINC code '54447-8' = 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative', given as 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative'}); Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})
  • id: o6; status: final; KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative (Details : {LOINC code '55201-8' = 'KIT gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative'}); Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})
  • id: o7; status: final; Myeloblasts [#/volume] in Blood (Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts [#/volume] in Blood'}); Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})
  • id: o8; status: final; CD4 Ag [Presence] in Tissue by Immune stain (Details : {LOINC code '47016-1' = 'CD4 Ag [Presence] in Tissue by Immune stain', given as 'CD4 Ag [Presence] in Tissue by Immune stain'}); Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})
  • id: o9; status: final; CD13 Ag [Presence] in Tissue by Immune stain (Details : {LOINC code '49464-1' = 'CD13 Ag [Presence] in Tissue by Immune stain', given as 'CD13 Ag [Presence] in Tissue by Immune stain'}); Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})
  • id: o10; status: final; CD2 Ag [Presence] in Tissue by Immune stain (Details : {LOINC code '49466-6' = 'CD2 Ag [Presence] in Tissue by Immune stain', given as 'CD2 Ag [Presence] in Tissue by Immune stain'}); Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})
  • id: o11; status: final; Karyotype [Identifier] in Bone marrow Nominal (Details : {LOINC code '33893-9' = 'Karyotype [Identifier] in Bone marrow Nominal', given as 'Karyotype [Identifier] in Bone marrow Nominal'}); 46,XX[20] (Details )
  • id: o12; status: final; MDS-associated genetic abnormalities (Details ); Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})
  • id: o13; status: final; AML-associated genetic abnormalities (Details ); Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="report"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:37Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: report</p>
      <p>
        <b>contained</b>: , , , , , , , , , , , , </p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: comprehensive bone marrow report
        <span>(Details )</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Everywoman, Eve A, MRN: 123456789</a>
      </p>
      <p>
        <b>effective</b>: 02/01/2015 1:20:10 PM</p>
      <p>
        <b>issued</b>: 06/01/2015 1:20:10 PM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>
            <a>Molecular Diagnostic Laboratory</a>
          </td>
        </tr>
      </table>
      <p>
        <b>specimen</b>:
        <a>Bone marrow ID: MLD45-Z4-1234</a>
      </p>
      <p>
        <b>result</b>: </p>
      <ul>
        <li>id: o1 status: final Leukocytes [#/volume] in Blood
          <span>(Details : {LOINC code '26464-8' = 'Leukocytes [#/volume] in Blood', given as 'Leukocytes [#/volume] in Blood'})</span> 31.9 K/ul</li>
        <li>id: o2 status: final Hematocrit [Volume Fraction] of Blood
          <span>(Details : {LOINC code '20570-8' = 'Hematocrit [Volume Fraction] of Blood', given as 'Hematocrit [Volume Fraction] of Blood'})</span> 27 %</li>
        <li>id: o3 status: final Platelets [#/volume] in Blood
          <span>(Details : {LOINC code '26515-7' = 'Platelets [#/volume] in Blood', given as 'Platelets [#/volume] in Blood'})</span> 84 K/ul</li>
        <li>id: o4 status: final NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal
          <span>(Details : {LOINC code '75034-9' = 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal', given as 'NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal'})</span> Positive
          <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span>
        </li>
        <li>id: o5 status: final FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative
          <span>(Details : {LOINC code '54447-8' = 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative', given as 'FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})</span> Negative
          <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span>
        </li>
        <li>id: o6 status: final KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative
          <span>(Details : {LOINC code '55201-8' = 'KIT gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative', given as 'KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative'})</span> Negative
          <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span>
        </li>
        <li>id: o7 status: final Myeloblasts [#/volume] in Blood
          <span>(Details : {LOINC code '30444-4' = 'Myeloblasts [#/volume] in Blood', given as 'Myeloblasts [#/volume] in Blood'})</span> Positive
          <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span>
        </li>
        <li>id: o8 status: final CD4 Ag [Presence] in Tissue by Immune stain
          <span>(Details : {LOINC code '47016-1' = 'CD4 Ag [Presence] in Tissue by Immune stain', given as 'CD4 Ag [Presence] in Tissue by Immune stain'})</span> Positive
          <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span>
        </li>
        <li>id: o9 status: final CD13 Ag [Presence] in Tissue by Immune stain
          <span>(Details : {LOINC code '49464-1' = 'CD13 Ag [Presence] in Tissue by Immune stain', given as 'CD13 Ag [Presence] in Tissue by Immune stain'})</span> Positive
          <span>(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</span>
        </li>
        <li>id: o10 status: final CD2 Ag [Presence] in Tissue by Immune stain
          <span>(Details : {LOINC code '49466-6' = 'CD2 Ag [Presence] in Tissue by Immune stain', given as 'CD2 Ag [Presence] in Tissue by Immune stain'})</span> Negative
          <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span>
        </li>
        <li>id: o11 status: final Karyotype [Identifier] in Bone marrow Nominal
          <span>(Details : {LOINC code '33893-9' = 'Karyotype [Identifier] in Bone marrow Nominal', given as 'Karyotype [Identifier] in Bone marrow Nominal'})</span> 46,XX[20]
          <span>(Details )</span>
        </li>
        <li>id: o12 status: final MDS-associated genetic abnormalities
          <span>(Details )</span> Negative
          <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span>
        </li>
        <li>id: o13 status: final AML-associated genetic abnormalities
          <span>(Details )</span> Negative
          <span>(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</span>
        </li>
      </ul>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="o1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="26464-8"/>
          <display value="Leukocytes [#/volume] in Blood"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="31.9"/>
        <unit value="K/ul"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="20570-8"/>
          <display value="Hematocrit [Volume Fraction] of Blood"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="27"/>
        <unit value="%"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="26515-7"/>
          <display value="Platelets [#/volume] in Blood"/>
        </coding>
      </code>
      <valueQuantity>
        <value value="84"/>
        <unit value="K/ul"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="75034-9"/>
          <display value="NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="54447-8"/>
          <display value="FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="55201-8"/>
          <display value="KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o7"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="30444-4"/>
          <display value="Myeloblasts [#/volume] in Blood"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="47016-1"/>
          <display value="CD4 Ag [Presence] in Tissue by Immune stain"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o9"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="49464-1"/>
          <display value="CD13 Ag [Presence] in Tissue by Immune stain"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="10828004"/>
          <display value="Positive"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o10"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="49466-6"/>
          <display value="CD2 Ag [Presence] in Tissue by Immune stain"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o11"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="33893-9"/>
          <display value="Karyotype [Identifier] in Bone marrow Nominal"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <text value="46,XX[20]"/>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o12"/>
      <status value="final"/>
      <code>
        <text value="MDS-associated genetic abnormalities"/>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o13"/>
      <status value="final"/>
      <code>
        <text value="AML-associated genetic abnormalities"/>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <extension url="http://localhost/StructureDefinition/DiagnosticReport-geneticsAssessedCondition">
    <valueReference>
      <reference value="c1"/>
    </valueReference>
  </extension>
  <status value="final"/>
  <code>
    <text value="comprehensive bone marrow report"/>
  </code>
  <subject>
    <reference value="Patient/genetics-example1"/>
    <display value="Everywoman, Eve A, MRN: 123456789"/>
  </subject>
  <effectiveDateTime value="2015-01-02T13:20:10+01:00"/>
  <issued value="2015-01-06T13:20:10+01:00"/>
  <performer>
    <actor>
      <reference value="Practitioner/genetics-example1"/>
      <display value="Molecular Diagnostic Laboratory"/>
    </actor>
  </performer>
  <specimen>
    <reference value="Specimen/genetics-example1"/>
    <display value="Bone marrow ID: MLD45-Z4-1234"/>
  </specimen>
  <result>
    <reference value="#o1"/>
  </result>
  <result>
    <reference value="#o2"/>
  </result>
  <result>
    <reference value="#o3"/>
  </result>
  <result>
    <reference value="#o4"/>
  </result>
  <result>
    <reference value="#o5"/>
  </result>
  <result>
    <reference value="#o6"/>
  </result>
  <result>
    <reference value="#o7"/>
  </result>
  <result>
    <reference value="#o8"/>
  </result>
  <result>
    <reference value="#o9"/>
  </result>
  <result>
    <reference value="#o10"/>
  </result>
  <result>
    <reference value="#o11"/>
  </result>
  <result>
    <reference value="#o12"/>
  </result>
  <result>
    <reference value="#o13"/>
  </result>
</DiagnosticReport>

DiagnosticReport "27" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:37 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

hsCRP 2.8 mg/L 1.0-3.0

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="27"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:37Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table>
        <tr>
          <td>hsCRP</td>
          <td>2.8</td>
          <td>mg/L</td>
          <td>1.0-3.0</td> </tr> </table> </div>
  </text>
  <contained>
    <Observation>
      <id value="o1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="30522-7"/>
          <display value="C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="55235003"/>
        </coding>
        <text value="hsCRP"/>
      </code>
      <subject>
        <reference value="Patient/1"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="2.8"/>
        <unit value="mg/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="1.0"/>
          <unit value="mg/L"/>
        </low>
        <high>
          <value value="3.0"/>
          <unit value="mg/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <identifier>
    <system value="http://acme.com/lab/reports"/>
    <value value="23412355"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://acme.com/labs/reports"/>
      <code value="bchem2"/>
      <display value="Specialist Biochemistry"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/1"/>
  </subject>
  <effectiveDateTime value="2012-05-21T10:45:00Z"/>
  <issued value="2012-05-23T14:27:01Z"/>
  <performer>
    <actor>
      <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
      <display value="Acme Laboratory, Inc"/>
    </actor>
  </performer>
  <result>
    <reference value="#o1"/>
  </result>
</DiagnosticReport>

DiagnosticReport "26" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:37 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 26

meta:

contained:

identifier: 5234342

status: final

code: RPR (Details : {http://acme.com/labs/reports code '142080' = '142080', given as 'Rapid Plasma Reagin'})

subject: Patient/6

effective: 07/03/2005 2:02:17 PM

issued: 07/03/2005 2:02:01 PM

Performers

-Actor
*Acme Laboratory, Inc

result: id: o1; status: final; Reagin Ab [Presence] in Serum by RPR (Details : {LOINC code '20507-0' = 'Reagin Ab [Presence] in Serum by RPR', given as 'Reagin Ab [Presence] in Serum by RPR'}); ????; Acme Laboratory, Inc; value: Non-reactive


<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="26"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:37Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 26</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>contained</b>: </p>
      <p>
        <b>identifier</b>: 5234342</p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: RPR
        <span>(Details : {http://acme.com/labs/reports code '142080' = '142080', given as 'Rapid Plasma Reagin'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Patient/6</a>
      </p>
      <p>
        <b>effective</b>: 07/03/2005 2:02:17 PM</p>
      <p>
        <b>issued</b>: 07/03/2005 2:02:01 PM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>
            <a>Acme Laboratory, Inc</a>
          </td>
        </tr>
      </table>
      <p>
        <b>result</b>: id: o1 status: final Reagin Ab [Presence] in Serum by RPR
        <span>(Details : {LOINC code '20507-0' = 'Reagin Ab [Presence] in Serum by RPR', given as 'Reagin Ab [Presence] in Serum by RPR'})</span> ???? Acme Laboratory, Inc value: Non-reactive</p>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="o1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="20507-0"/>
          <display value="Reagin Ab [Presence] in Serum by RPR"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/6"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueString value="Non-reactive"/>
    </Observation>
  </contained>
  <identifier>
    <system value="http://acme.com/lab/reports"/>
    <value value="5234342"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://acme.com/labs/reports"/>
      <code value="142080"/>
      <display value="Rapid Plasma Reagin"/>
    </coding>
    <text value="RPR"/>
  </code>
  <subject>
    <reference value="Patient/6"/>
  </subject>
  <effectiveDateTime value="2005-03-07T14:02:17Z"/>
  <issued value="2005-03-07T14:02:01Z"/>
  <performer>
    <actor>
      <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
      <display value="Acme Laboratory, Inc"/>
    </actor>
  </performer>
  <result>
    <reference value="#o1"/>
  </result>
</DiagnosticReport>

DiagnosticReport "25" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:37 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 25

meta:

contained: , , , , , , , , , , , , , , , , ,

identifier: 5234342

status: final

code: Microbial susceptibility tests Set (Details : {LOINC code '18769-0' = 'Microbial susceptibility tests Set', given as 'Microbial susceptibility tests Set'})

subject: Patient/5

effective: 07/11/2005 9:44:17 PM

issued: 07/11/2005 11:38:01 PM

Performers

-Actor
*Acme Laboratory, Inc

specimen: URINE, CLEAN CATCH/MIDSTREAM

result:

  • id: o1; status: final; Microorganism identified in Unspecified specimen by Culture (Details : {LOINC code '11475-1' = 'Microorganism identified in Unspecified specimen by Culture', given as 'Microorganism identified in Unspecified specimen by Culture'}); ????; Acme Laboratory, Inc; KLEBSIELLA PNEUMONIAE (Details )
  • id: o2; status: final; Microorganism [#/volume] in Unspecified specimen by Viability count (Details : {LOINC code '43161-9' = 'Microorganism [#/volume] in Unspecified specimen by Viability count', given as 'Microorganism [#/volume] in Unspecified specimen by Viability count'}); ????; Acme Laboratory, Inc; 20000 CFU/ML
  • id: o3; status: final; AMPICILLIN/SULBACTAM (Details : {http://example.org/local code 'AMS' = 'AMS', given as 'AMPICILLIN/SULBACTAM'}); ????; Acme Laboratory, Inc; 4 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o4; status: final; AMPICILLIN (Details : {http://example.org/local code 'AM' = 'AM', given as 'AMPICILLIN'}); ????; Acme Laboratory, Inc; 16 U; Resistant (Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)
  • id: o5; status: final; AZTREONAM (Details : {http://example.org/local code 'ATM' = 'ATM', given as 'AZTREONAM'}); ????; Acme Laboratory, Inc; <=1 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o6; status: final; CEFAZOLIN (Details : {http://example.org/local code 'CFZ' = 'CFZ', given as 'CEFAZOLIN'}); ????; Acme Laboratory, Inc; <=4 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o7; status: final; CEFEPIME (Details : {http://example.org/local code 'FEP' = 'FEP', given as 'CEFEPIME'}); ????; Acme Laboratory, Inc; <=1 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o8; status: final; CEFOTETAN (Details : {http://example.org/local code 'CTN' = 'CTN', given as 'CEFOTETAN'}); ????; Acme Laboratory, Inc; <=4 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o9; status: final; CEFTAZIDIME (Details : {http://example.org/local code 'TAZ' = 'TAZ', given as 'CEFTAZIDIME'}); ????; Acme Laboratory, Inc; <=1 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o10; status: final; CEFTRIAXONE (Details : {http://example.org/local code 'CRO' = 'CRO', given as 'CEFTRIAXONE'}); ????; Acme Laboratory, Inc; <=1 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o11; status: final; CIPROFLOXACIN (Details : {http://example.org/local code 'CIPRO' = 'CIPRO', given as 'CIPROFLOXACIN'}); ????; Acme Laboratory, Inc; <=0.25 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o12; status: final; GENTAMICIN (Details : {http://example.org/local code 'GM' = 'GM', given as 'GENTAMICIN'}); ????; Acme Laboratory, Inc; <=1 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o13; status: final; IMIPENEM (Details : {http://example.org/local code 'IPM' = 'IPM', given as 'IMIPENEM'}); ????; Acme Laboratory, Inc; <=1 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o14; status: final; LEVOFLOXACIN (Details : {http://example.org/local code 'LVX' = 'LVX', given as 'LEVOFLOXACIN'}); ????; Acme Laboratory, Inc; <=0.25 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o15; status: final; NITROFURANTOIN (Details : {http://example.org/local code 'NIT' = 'NIT', given as 'NITROFURANTOIN'}); ????; Acme Laboratory, Inc; 32 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o16; status: final; PIPERACILLIN/TAZOBAC (Details : {http://example.org/local code 'PTZ' = 'PTZ', given as 'PIPERACILLIN/TAZOBAC'}); ????; Acme Laboratory, Inc; <=4 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o17; status: final; TRIMETH/SULFA (Details : {http://example.org/local code 'TRSUV' = 'TRSUV', given as 'TRIMETH/SULFA'}); ????; Acme Laboratory, Inc; <=20 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)
  • id: o18; status: final; TOBRAMYCIN (Details : {http://example.org/local code 'TOB' = 'TOB', given as 'TOBRAMYCIN'}); ????; Acme Laboratory, Inc; <=1 U; Susceptible (Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="25"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:37Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 25</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>contained</b>: , , , , , , , , , , , , , , , , , </p>
      <p>
        <b>identifier</b>: 5234342</p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: Microbial susceptibility tests Set
        <span>(Details : {LOINC code '18769-0' = 'Microbial susceptibility tests Set', given as 'Microbial susceptibility tests Set'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Patient/5</a>
      </p>
      <p>
        <b>effective</b>: 07/11/2005 9:44:17 PM</p>
      <p>
        <b>issued</b>: 07/11/2005 11:38:01 PM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>
            <a>Acme Laboratory, Inc</a>
          </td>
        </tr>
      </table>
      <p>
        <b>specimen</b>: URINE, CLEAN CATCH/MIDSTREAM</p>
      <p>
        <b>result</b>: </p>
      <ul>
        <li>id: o1 status: final Microorganism identified in Unspecified specimen by Culture
          <span>(Details : {LOINC code '11475-1' = 'Microorganism identified in Unspecified specimen by Culture', given as 'Microorganism identified in Unspecified specimen by Culture'})</span> ???? Acme Laboratory, Inc KLEBSIELLA PNEUMONIAE
          <span>(Details )</span>
        </li>
        <li>id: o2 status: final Microorganism [#/volume] in Unspecified specimen by Viability count
          <span>(Details : {LOINC code '43161-9' = 'Microorganism [#/volume] in Unspecified specimen by Viability count', given as 'Microorganism [#/volume] in Unspecified specimen by Viability count'})</span> ???? Acme Laboratory, Inc 20000 CFU/ML</li>
        <li>id: o3 status: final AMPICILLIN/SULBACTAM
          <span>(Details : {http://example.org/local code 'AMS' = 'AMS', given as 'AMPICILLIN/SULBACTAM'})</span> ???? Acme Laboratory, Inc 4 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o4 status: final AMPICILLIN
          <span>(Details : {http://example.org/local code 'AM' = 'AM', given as 'AMPICILLIN'})</span> ???? Acme Laboratory, Inc 16 U Resistant
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'R' = 'Resistant)</span>
        </li>
        <li>id: o5 status: final AZTREONAM
          <span>(Details : {http://example.org/local code 'ATM' = 'ATM', given as 'AZTREONAM'})</span> ???? Acme Laboratory, Inc &lt;=1 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o6 status: final CEFAZOLIN
          <span>(Details : {http://example.org/local code 'CFZ' = 'CFZ', given as 'CEFAZOLIN'})</span> ???? Acme Laboratory, Inc &lt;=4 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o7 status: final CEFEPIME
          <span>(Details : {http://example.org/local code 'FEP' = 'FEP', given as 'CEFEPIME'})</span> ???? Acme Laboratory, Inc &lt;=1 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o8 status: final CEFOTETAN
          <span>(Details : {http://example.org/local code 'CTN' = 'CTN', given as 'CEFOTETAN'})</span> ???? Acme Laboratory, Inc &lt;=4 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o9 status: final CEFTAZIDIME
          <span>(Details : {http://example.org/local code 'TAZ' = 'TAZ', given as 'CEFTAZIDIME'})</span> ???? Acme Laboratory, Inc &lt;=1 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o10 status: final CEFTRIAXONE
          <span>(Details : {http://example.org/local code 'CRO' = 'CRO', given as 'CEFTRIAXONE'})</span> ???? Acme Laboratory, Inc &lt;=1 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o11 status: final CIPROFLOXACIN
          <span>(Details : {http://example.org/local code 'CIPRO' = 'CIPRO', given as 'CIPROFLOXACIN'})</span> ???? Acme Laboratory, Inc &lt;=0.25 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o12 status: final GENTAMICIN
          <span>(Details : {http://example.org/local code 'GM' = 'GM', given as 'GENTAMICIN'})</span> ???? Acme Laboratory, Inc &lt;=1 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o13 status: final IMIPENEM
          <span>(Details : {http://example.org/local code 'IPM' = 'IPM', given as 'IMIPENEM'})</span> ???? Acme Laboratory, Inc &lt;=1 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o14 status: final LEVOFLOXACIN
          <span>(Details : {http://example.org/local code 'LVX' = 'LVX', given as 'LEVOFLOXACIN'})</span> ???? Acme Laboratory, Inc &lt;=0.25 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o15 status: final NITROFURANTOIN
          <span>(Details : {http://example.org/local code 'NIT' = 'NIT', given as 'NITROFURANTOIN'})</span> ???? Acme Laboratory, Inc 32 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o16 status: final PIPERACILLIN/TAZOBAC
          <span>(Details : {http://example.org/local code 'PTZ' = 'PTZ', given as 'PIPERACILLIN/TAZOBAC'})</span> ???? Acme Laboratory, Inc &lt;=4 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o17 status: final TRIMETH/SULFA
          <span>(Details : {http://example.org/local code 'TRSUV' = 'TRSUV', given as 'TRIMETH/SULFA'})</span> ???? Acme Laboratory, Inc &lt;=20 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
        <li>id: o18 status: final TOBRAMYCIN
          <span>(Details : {http://example.org/local code 'TOB' = 'TOB', given as 'TOBRAMYCIN'})</span> ???? Acme Laboratory, Inc &lt;=1 U Susceptible
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span>
        </li>
      </ul>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="o1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11475-1"/>
          <display value="Microorganism identified in Unspecified specimen by Culture"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueCodeableConcept>
        <text value="KLEBSIELLA PNEUMONIAE"/>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="43161-9"/>
          <display value="Microorganism [#/volume] in Unspecified specimen by Viability count"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="20000"/>
        <unit value="CFU/ML"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="AMS"/>
          <display value="AMPICILLIN/SULBACTAM"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4"/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="AM"/>
          <display value="AMPICILLIN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="16"/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="R"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="ATM"/>
          <display value="AZTREONAM"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="CFZ"/>
          <display value="CEFAZOLIN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o7"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="FEP"/>
          <display value="CEFEPIME"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="CTN"/>
          <display value="CEFOTETAN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o9"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="TAZ"/>
          <display value="CEFTAZIDIME"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o10"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="CRO"/>
          <display value="CEFTRIAXONE"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o11"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="CIPRO"/>
          <display value="CIPROFLOXACIN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.25"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o12"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="GM"/>
          <display value="GENTAMICIN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o13"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="IPM"/>
          <display value="IMIPENEM"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o14"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="LVX"/>
          <display value="LEVOFLOXACIN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.25"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o15"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="NIT"/>
          <display value="NITROFURANTOIN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="32"/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o16"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="PTZ"/>
          <display value="PIPERACILLIN/TAZOBAC"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o17"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="TRSUV"/>
          <display value="TRIMETH/SULFA"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="20"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o18"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="TOB"/>
          <display value="TOBRAMYCIN"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/5"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;="/>
        <unit value="U"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="S"/>
        </coding>
      </interpretation>
    </Observation>
  </contained>
  <identifier>
    <system value="http://acme.com/lab/reports"/>
    <value value="5234342"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18769-0"/>
      <display value="Microbial susceptibility tests Set"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/5"/>
  </subject>
  <effectiveDateTime value="2005-11-07T21:44:17Z"/>
  <issued value="2005-11-07T23:38:01Z"/>
  <performer>
    <actor>
      <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
      <display value="Acme Laboratory, Inc"/>
    </actor>
  </performer>
  <specimen>
    <display value="URINE, CLEAN CATCH/MIDSTREAM"/>
  </specimen>
  <result>
    <reference value="#o1"/>
  </result>
  <result>
    <reference value="#o2"/>
  </result>
  <result>
    <reference value="#o3"/>
  </result>
  <result>
    <reference value="#o4"/>
  </result>
  <result>
    <reference value="#o5"/>
  </result>
  <result>
    <reference value="#o6"/>
  </result>
  <result>
    <reference value="#o7"/>
  </result>
  <result>
    <reference value="#o8"/>
  </result>
  <result>
    <reference value="#o9"/>
  </result>
  <result>
    <reference value="#o10"/>
  </result>
  <result>
    <reference value="#o11"/>
  </result>
  <result>
    <reference value="#o12"/>
  </result>
  <result>
    <reference value="#o13"/>
  </result>
  <result>
    <reference value="#o14"/>
  </result>
  <result>
    <reference value="#o15"/>
  </result>
  <result>
    <reference value="#o16"/>
  </result>
  <result>
    <reference value="#o17"/>
  </result>
  <result>
    <reference value="#o18"/>
  </result>
</DiagnosticReport>

DiagnosticReport "21" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:37 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 21

meta:

contained: , , , , , , , , , , , , , , , , , , , , , , ,

identifier: 5234342

status: final

code: SERUM CHEMISTRY (Details )

subject: Patient/4

effective: 05/12/2004 7:15:17 AM

issued: 23/02/2005 10:04:01 AM

Performers

-Actor
*Acme Laboratory, Inc

result:

  • id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum); ????; Acme Laboratory, Inc; 143 mmol/L
  • id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement); ????; Acme Laboratory, Inc; 4.3 mmol/L
  • id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement); ????; Acme Laboratory, Inc; 108 mmol/L
  • id: o4; status: final; Bicarbonate [Moles/volume] in Serum (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement); ????; Acme Laboratory, Inc; 25 mmol/L
  • id: o5; status: final; Anion gap 4 in Serum or Plasma (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement); ????; Acme Laboratory, Inc; 14 mmol/L
  • id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement); ????; Acme Laboratory, Inc; 4.3 mmol/L
  • id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level); ????; Acme Laboratory, Inc; 4.6 mmol/L
  • id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement); ????; Acme Laboratory, Inc; 0.06 mmol/L
  • id: o9; status: final; Urate [Moles/volume] in Serum or Plasma (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement); ????; Acme Laboratory, Inc; 0.41 mmol/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis); ????; Acme Laboratory, Inc; 27 umol/L; High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)
  • id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement); ????; Acme Laboratory, Inc; 631 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement); ????; Acme Laboratory, Inc; 956 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement); ????; Acme Laboratory, Inc; 398 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement); ????; Acme Laboratory, Inc; 120 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement); ????; Acme Laboratory, Inc; 243 U/L
  • id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement); ????; Acme Laboratory, Inc; 2.33 mmol/L
  • id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement); ????; Acme Laboratory, Inc; 2.52 mmol/L
  • id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement); ????; Acme Laboratory, Inc; 1.2 mmol/L
  • id: o19; status: final; Protein [Mass/volume] in Serum or Plasma (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement); ????; Acme Laboratory, Inc; 71 g/L
  • id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum); ????; Acme Laboratory, Inc; 36 g/L
  • id: o21; status: final; Globulin [Mass/volume] in Serum by calculation (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement); ????; Acme Laboratory, Inc; 35 g/L
  • id: o22; status: final; Iron [Moles/volume] in Serum or Plasma (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement); ????; Acme Laboratory, Inc; 39 umol/L; High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)
  • id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement); ????; Acme Laboratory, Inc; 6.8 mmol/L; High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)
  • id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement); ????; Acme Laboratory, Inc; 1.5 mmol/L

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="21"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:37Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 21</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p>
      <p>
        <b>identifier</b>: 5234342</p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: SERUM CHEMISTRY
        <span>(Details )</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Patient/4</a>
      </p>
      <p>
        <b>effective</b>: 05/12/2004 7:15:17 AM</p>
      <p>
        <b>issued</b>: 23/02/2005 10:04:01 AM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>
            <a>Acme Laboratory, Inc</a>
          </td>
        </tr>
      </table>
      <p>
        <b>result</b>: </p>
      <ul>
        <li>id: o1 status: final Sodium [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'} {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span> ???? Acme Laboratory, Inc 143 mmol/L</li>
        <li>id: o2 status: final Potassium [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'} {SNOMED CT code '59573005' = 'Potassium measurement)</span> ???? Acme Laboratory, Inc 4.3 mmol/L</li>
        <li>id: o3 status: final Chloride [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'} {SNOMED CT code '46511006' = 'Chloride measurement)</span> ???? Acme Laboratory, Inc 108 mmol/L</li>
        <li>id: o4 status: final Bicarbonate [Moles/volume] in Serum
          <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'} {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ???? Acme Laboratory, Inc 25 mmol/L</li>
        <li>id: o5 status: final Anion gap 4 in Serum or Plasma
          <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'} {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ???? Acme Laboratory, Inc 14 mmol/L</li>
        <li>id: o6 status: final Glucose [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'} {SNOMED CT code '36048009' = 'Glucose measurement)</span> ???? Acme Laboratory, Inc 4.3 mmol/L</li>
        <li>id: o7 status: final Urea nitrogen [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'} {SNOMED CT code '273967009' = 'Serum urea level)</span> ???? Acme Laboratory, Inc 4.6 mmol/L</li>
        <li>id: o8 status: final Creatinine [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'} {SNOMED CT code '70901006' = 'Creatinine measurement)</span> ???? Acme Laboratory, Inc 0.06 mmol/L</li>
        <li>id: o9 status: final Urate [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'} {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ???? Acme Laboratory, Inc 0.41 mmol/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o10 status: final Bilirubin.total [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'} {SNOMED CT code '27171005' = 'Urinalysis)</span> ???? Acme Laboratory, Inc 27 umol/L High
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span>
        </li>
        <li>id: o11 status: final Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ???? Acme Laboratory, Inc 631 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o12 status: final Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ???? Acme Laboratory, Inc 956 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o13 status: final Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ???? Acme Laboratory, Inc 398 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o14 status: final Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ???? Acme Laboratory, Inc 120 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o15 status: final Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ???? Acme Laboratory, Inc 243 U/L</li>
        <li>id: o16 status: final Calcium [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'} {SNOMED CT code '71878006' = 'Calcium measurement)</span> ???? Acme Laboratory, Inc 2.33 mmol/L</li>
        <li>id: o17 status: final Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
          <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'} {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ???? Acme Laboratory, Inc 2.52 mmol/L</li>
        <li>id: o18 status: final Phosphate [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'} {SNOMED CT code '104866001' = 'Phosphate measurement)</span> ???? Acme Laboratory, Inc 1.2 mmol/L</li>
        <li>id: o19 status: final Protein [Mass/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'} {SNOMED CT code '74040009' = 'Protein measurement)</span> ???? Acme Laboratory, Inc 71 g/L</li>
        <li>id: o20 status: final Albumin [Mass/volume] in Serum or Plasma
          <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'} {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span> ???? Acme Laboratory, Inc 36 g/L</li>
        <li>id: o21 status: final Globulin [Mass/volume] in Serum by calculation
          <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'} {SNOMED CT code '104979009' = 'Total globulins measurement)</span> ???? Acme Laboratory, Inc 35 g/L</li>
        <li>id: o22 status: final Iron [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'} {SNOMED CT code '42950004' = 'Iron measurement)</span> ???? Acme Laboratory, Inc 39 umol/L High
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span>
        </li>
        <li>id: o23 status: final Cholesterol [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'} {SNOMED CT code '77068002' = 'Cholesterol measurement)</span> ???? Acme Laboratory, Inc 6.8 mmol/L High
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span>
        </li>
        <li>id: o24 status: final Triglyceride [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'} {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span> ???? Acme Laboratory, Inc 1.5 mmol/L</li>
      </ul>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="o1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2951-2"/>
          <display value="Sodium [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104934005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="143"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="137"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="147"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2823-3"/>
          <display value="Potassium [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="59573005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4.3"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="3.5"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="5.0"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2075-0"/>
          <display value="Chloride [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="46511006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="108"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="96"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="109"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1963-8"/>
          <display value="Bicarbonate [Moles/volume] in Serum"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="88645003"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="25"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="33"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1863-0"/>
          <display value="Anion gap 4 in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="271057005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="14"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="4"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="17"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14749-6"/>
          <display value="Glucose [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="36048009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4.3"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="3.0"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="7.7"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o7"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14937-7"/>
          <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="273967009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4.6"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.0"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="7.0"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14682-9"/>
          <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="70901006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.06"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="0.04"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="0.11"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o9"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14933-6"/>
          <display value="Urate [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="86228006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.41"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0.14"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="0.35"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o10"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14631-6"/>
          <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="27171005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="27"/>
        <unit value="umol/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="2"/>
          <unit value="umol/L"/>
        </low>
        <high>
          <value value="20"/>
          <unit value="umol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o11"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="6768-6"/>
          <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="88810008"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="631"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="30"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="115"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o12"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2324-2"/>
          <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="69480007"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="956"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="45"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o13"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1742-6"/>
          <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="34608000"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="398"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="45"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o14"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1920-8"/>
          <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="45896001"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="120"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="41"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o15"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2532-0"/>
          <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="11274001"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="243"/>
        <unit value="U/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="80"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="250"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o16"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2000-8"/>
          <display value="Calcium [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="71878006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="2.33"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="2.65"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o17"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="13959-2"/>
          <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="166708003"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="2.52"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="2.65"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o18"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14879-1"/>
          <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104866001"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1.2"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="0.8"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="1.5"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o19"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2885-2"/>
          <display value="Protein [Mass/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="74040009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="71"/>
        <unit value="g/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="60"/>
          <unit value="g/L"/>
        </low>
        <high>
          <value value="82"/>
          <unit value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o20"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1751-7"/>
          <display value="Albumin [Mass/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104485008"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="36"/>
        <unit value="g/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="35"/>
          <unit value="g/L"/>
        </low>
        <high>
          <value value="50"/>
          <unit value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o21"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="10834-0"/>
          <display value="Globulin [Mass/volume] in Serum by calculation"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104979009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="35"/>
        <unit value="g/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="20"/>
          <unit value="g/L"/>
        </low>
        <high>
          <value value="40"/>
          <unit value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o22"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14798-3"/>
          <display value="Iron [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="42950004"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="39"/>
        <unit value="umol/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="10"/>
          <unit value="umol/L"/>
        </low>
        <high>
          <value value="33"/>
          <unit value="umol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o23"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14647-2"/>
          <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="77068002"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="6.8"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="3.6"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="6.7"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o24"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14927-8"/>
          <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104784006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/4"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1.5"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="0.3"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="4.0"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <identifier>
    <system value="http://acme.com/lab/reports"/>
    <value value="5234342"/>
  </identifier>
  <status value="final"/>
  <code>
    <text value="SERUM CHEMISTRY"/>
  </code>
  <subject>
    <reference value="Patient/4"/>
  </subject>
  <effectiveDateTime value="2004-12-05T07:15:17Z"/>
  <issued value="2005-02-23T10:04:01Z"/>
  <performer>
    <actor>
      <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
      <display value="Acme Laboratory, Inc"/>
    </actor>
  </performer>
  <result>
    <reference value="#o1"/>
  </result>
  <result>
    <reference value="#o2"/>
  </result>
  <result>
    <reference value="#o3"/>
  </result>
  <result>
    <reference value="#o4"/>
  </result>
  <result>
    <reference value="#o5"/>
  </result>
  <result>
    <reference value="#o6"/>
  </result>
  <result>
    <reference value="#o7"/>
  </result>
  <result>
    <reference value="#o8"/>
  </result>
  <result>
    <reference value="#o9"/>
  </result>
  <result>
    <reference value="#o10"/>
  </result>
  <result>
    <reference value="#o11"/>
  </result>
  <result>
    <reference value="#o12"/>
  </result>
  <result>
    <reference value="#o13"/>
  </result>
  <result>
    <reference value="#o14"/>
  </result>
  <result>
    <reference value="#o15"/>
  </result>
  <result>
    <reference value="#o16"/>
  </result>
  <result>
    <reference value="#o17"/>
  </result>
  <result>
    <reference value="#o18"/>
  </result>
  <result>
    <reference value="#o19"/>
  </result>
  <result>
    <reference value="#o20"/>
  </result>
  <result>
    <reference value="#o21"/>
  </result>
  <result>
    <reference value="#o22"/>
  </result>
  <result>
    <reference value="#o23"/>
  </result>
  <result>
    <reference value="#o24"/>
  </result>
</DiagnosticReport>

DiagnosticReport "20" Version "1"

Created by SYSTEM () at 11/28/2017 8:30:36 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 20

meta:

contained: , , , , , , , , , , , , , , , , , , , , , , ,

identifier: 5234342

status: final

code: SERUM CHEMISTRY (Details )

subject: Patient/3

effective: 03/12/2004 8:30:17 PM

issued: 23/02/2005 10:04:01 AM

Performers

-Actor
*Acme Laboratory, Inc

result:

  • id: o1; status: final; Sodium [Moles/volume] in Serum or Plasma (Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104934005' = 'Sodium measurement, serum); ????; Acme Laboratory, Inc; 142 mmol/L
  • id: o2; status: final; Potassium [Moles/volume] in Serum or Plasma (Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '59573005' = 'Potassium measurement); ????; Acme Laboratory, Inc; 3.6 mmol/L
  • id: o3; status: final; Chloride [Moles/volume] in Serum or Plasma (Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '46511006' = 'Chloride measurement); ????; Acme Laboratory, Inc; 104 mmol/L
  • id: o4; status: final; Bicarbonate [Moles/volume] in Serum (Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'}; {SNOMED CT code '88645003' = 'Bicarbonate measurement); ????; Acme Laboratory, Inc; 30 mmol/L
  • id: o5; status: final; Anion gap 4 in Serum or Plasma (Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'}; {SNOMED CT code '271057005' = 'Serum anion gap measurement); ????; Acme Laboratory, Inc; 12 mmol/L
  • id: o6; status: final; Glucose [Moles/volume] in Serum or Plasma (Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '36048009' = 'Glucose measurement); ????; Acme Laboratory, Inc; 6.2 mmol/L
  • id: o7; status: final; Urea nitrogen [Moles/volume] in Serum or Plasma (Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '273967009' = 'Serum urea level); ????; Acme Laboratory, Inc; 4.5 mmol/L
  • id: o8; status: final; Creatinine [Moles/volume] in Serum or Plasma (Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '70901006' = 'Creatinine measurement); ????; Acme Laboratory, Inc; 0.06 mmol/L
  • id: o9; status: final; Urate [Moles/volume] in Serum or Plasma (Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '86228006' = 'Uric acid measurement); ????; Acme Laboratory, Inc; 0.37 mmol/L; High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)
  • id: o10; status: final; Bilirubin.total [Moles/volume] in Serum or Plasma (Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '27171005' = 'Urinalysis); ????; Acme Laboratory, Inc; 50 umol/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o11; status: final; Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement); ????; Acme Laboratory, Inc; 684 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o12; status: final; Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement); ????; Acme Laboratory, Inc; 1105 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o13; status: final; Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement); ????; Acme Laboratory, Inc; 466 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o14; status: final; Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement); ????; Acme Laboratory, Inc; 198 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o15; status: final; Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma (Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'}; {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement); ????; Acme Laboratory, Inc; 323 U/L; Critically high (Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)
  • id: o16; status: final; Calcium [Moles/volume] in Serum or Plasma (Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '71878006' = 'Calcium measurement); ????; Acme Laboratory, Inc; 2.32 mmol/L
  • id: o17; status: final; Calcium.ionized [Moles/volume] in Serum or Plasma by calculation (Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'}; {SNOMED CT code '166708003' = 'Corrected serum calcium measurement); ????; Acme Laboratory, Inc; 2.45 mmol/L
  • id: o18; status: final; Phosphate [Moles/volume] in Serum or Plasma (Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104866001' = 'Phosphate measurement); ????; Acme Laboratory, Inc; 0.9 mmol/L
  • id: o19; status: final; Protein [Mass/volume] in Serum or Plasma (Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '74040009' = 'Protein measurement); ????; Acme Laboratory, Inc; 70 g/L
  • id: o20; status: final; Albumin [Mass/volume] in Serum or Plasma (Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'}; {SNOMED CT code '104485008' = 'Albumin measurement, serum); ????; Acme Laboratory, Inc; 38 g/L
  • id: o21; status: final; Globulin [Mass/volume] in Serum by calculation (Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'}; {SNOMED CT code '104979009' = 'Total globulins measurement); ????; Acme Laboratory, Inc; 32 g/L
  • id: o22; status: final; Iron [Moles/volume] in Serum or Plasma (Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '42950004' = 'Iron measurement); ????; Acme Laboratory, Inc; 11 umol/L
  • id: o23; status: final; Cholesterol [Moles/volume] in Serum or Plasma (Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '77068002' = 'Cholesterol measurement); ????; Acme Laboratory, Inc; 6.9 mmol/L; High (Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)
  • id: o24; status: final; Triglyceride [Moles/volume] in Serum or Plasma (Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement); ????; Acme Laboratory, Inc; 1.9 mmol/L

<?xml version="1.0" encoding="UTF-8"?>
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="20"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:30:36Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 20</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , </p>
      <p>
        <b>identifier</b>: 5234342</p>
      <p>
        <b>status</b>: final</p>
      <p>
        <b>code</b>: SERUM CHEMISTRY
        <span>(Details )</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Patient/3</a>
      </p>
      <p>
        <b>effective</b>: 03/12/2004 8:30:17 PM</p>
      <p>
        <b>issued</b>: 23/02/2005 10:04:01 AM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>
            <a>Acme Laboratory, Inc</a>
          </td>
        </tr>
      </table>
      <p>
        <b>result</b>: </p>
      <ul>
        <li>id: o1 status: final Sodium [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2951-2' = 'Sodium [Moles/volume] in Serum or Plasma', given as 'Sodium [Moles/volume] in Serum or Plasma'} {SNOMED CT code '104934005' = 'Sodium measurement, serum)</span> ???? Acme Laboratory, Inc 142 mmol/L</li>
        <li>id: o2 status: final Potassium [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2823-3' = 'Potassium [Moles/volume] in Serum or Plasma', given as 'Potassium [Moles/volume] in Serum or Plasma'} {SNOMED CT code '59573005' = 'Potassium measurement)</span> ???? Acme Laboratory, Inc 3.6 mmol/L</li>
        <li>id: o3 status: final Chloride [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2075-0' = 'Chloride [Moles/volume] in Serum or Plasma', given as 'Chloride [Moles/volume] in Serum or Plasma'} {SNOMED CT code '46511006' = 'Chloride measurement)</span> ???? Acme Laboratory, Inc 104 mmol/L</li>
        <li>id: o4 status: final Bicarbonate [Moles/volume] in Serum
          <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/volume] in Serum'} {SNOMED CT code '88645003' = 'Bicarbonate measurement)</span> ???? Acme Laboratory, Inc 30 mmol/L</li>
        <li>id: o5 status: final Anion gap 4 in Serum or Plasma
          <span>(Details : {LOINC code '1863-0' = 'Anion gap 4 in Serum or Plasma', given as 'Anion gap 4 in Serum or Plasma'} {SNOMED CT code '271057005' = 'Serum anion gap measurement)</span> ???? Acme Laboratory, Inc 12 mmol/L</li>
        <li>id: o6 status: final Glucose [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14749-6' = 'Glucose [Moles/volume] in Serum or Plasma', given as 'Glucose [Moles/volume] in Serum or Plasma'} {SNOMED CT code '36048009' = 'Glucose measurement)</span> ???? Acme Laboratory, Inc 6.2 mmol/L</li>
        <li>id: o7 status: final Urea nitrogen [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14937-7' = 'Urea nitrogen [Moles/volume] in Serum or Plasma', given as 'Urea nitrogen [Moles/volume] in Serum or Plasma'} {SNOMED CT code '273967009' = 'Serum urea level)</span> ???? Acme Laboratory, Inc 4.5 mmol/L</li>
        <li>id: o8 status: final Creatinine [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14682-9' = 'Creatinine [Moles/volume] in Serum or Plasma', given as 'Creatinine [Moles/volume] in Serum or Plasma'} {SNOMED CT code '70901006' = 'Creatinine measurement)</span> ???? Acme Laboratory, Inc 0.06 mmol/L</li>
        <li>id: o9 status: final Urate [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14933-6' = 'Urate [Moles/volume] in Serum or Plasma', given as 'Urate [Moles/volume] in Serum or Plasma'} {SNOMED CT code '86228006' = 'Uric acid measurement)</span> ???? Acme Laboratory, Inc 0.37 mmol/L High
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span>
        </li>
        <li>id: o10 status: final Bilirubin.total [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14631-6' = 'Bilirubin.total [Moles/volume] in Serum or Plasma', given as 'Bilirubin.total [Moles/volume] in Serum or Plasma'} {SNOMED CT code '27171005' = 'Urinalysis)</span> ???? Acme Laboratory, Inc 50 umol/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o11 status: final Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '6768-6' = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '88810008' = 'Alkaline phosphatase measurement)</span> ???? Acme Laboratory, Inc 684 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o12 status: final Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2324-2' = 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '69480007' = 'Gamma glutamyl transferase measurement)</span> ???? Acme Laboratory, Inc 1105 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o13 status: final Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '1742-6' = 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '34608000' = 'Alanine aminotransferase measurement)</span> ???? Acme Laboratory, Inc 466 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o14 status: final Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '1920-8' = 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma', given as 'Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '45896001' = 'Aspartate aminotransferase measurement)</span> ???? Acme Laboratory, Inc 198 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o15 status: final Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2532-0' = 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma', given as 'Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma'} {SNOMED CT code '11274001' = 'Lactate dehydrogenase measurement)</span> ???? Acme Laboratory, Inc 323 U/L Critically high
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span>
        </li>
        <li>id: o16 status: final Calcium [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2000-8' = 'Calcium [Moles/volume] in Serum or Plasma', given as 'Calcium [Moles/volume] in Serum or Plasma'} {SNOMED CT code '71878006' = 'Calcium measurement)</span> ???? Acme Laboratory, Inc 2.32 mmol/L</li>
        <li>id: o17 status: final Calcium.ionized [Moles/volume] in Serum or Plasma by calculation
          <span>(Details : {LOINC code '13959-2' = 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation', given as 'Calcium.ionized [Moles/volume] in Serum or Plasma by calculation'} {SNOMED CT code '166708003' = 'Corrected serum calcium measurement)</span> ???? Acme Laboratory, Inc 2.45 mmol/L</li>
        <li>id: o18 status: final Phosphate [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14879-1' = 'Phosphate [Moles/volume] in Serum or Plasma', given as 'Phosphate [Moles/volume] in Serum or Plasma'} {SNOMED CT code '104866001' = 'Phosphate measurement)</span> ???? Acme Laboratory, Inc 0.9 mmol/L</li>
        <li>id: o19 status: final Protein [Mass/volume] in Serum or Plasma
          <span>(Details : {LOINC code '2885-2' = 'Protein [Mass/volume] in Serum or Plasma', given as 'Protein [Mass/volume] in Serum or Plasma'} {SNOMED CT code '74040009' = 'Protein measurement)</span> ???? Acme Laboratory, Inc 70 g/L</li>
        <li>id: o20 status: final Albumin [Mass/volume] in Serum or Plasma
          <span>(Details : {LOINC code '1751-7' = 'Albumin [Mass/volume] in Serum or Plasma', given as 'Albumin [Mass/volume] in Serum or Plasma'} {SNOMED CT code '104485008' = 'Albumin measurement, serum)</span> ???? Acme Laboratory, Inc 38 g/L</li>
        <li>id: o21 status: final Globulin [Mass/volume] in Serum by calculation
          <span>(Details : {LOINC code '10834-0' = 'Globulin [Mass/volume] in Serum by calculation', given as 'Globulin [Mass/volume] in Serum by calculation'} {SNOMED CT code '104979009' = 'Total globulins measurement)</span> ???? Acme Laboratory, Inc 32 g/L</li>
        <li>id: o22 status: final Iron [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14798-3' = 'Iron [Moles/volume] in Serum or Plasma', given as 'Iron [Moles/volume] in Serum or Plasma'} {SNOMED CT code '42950004' = 'Iron measurement)</span> ???? Acme Laboratory, Inc 11 umol/L</li>
        <li>id: o23 status: final Cholesterol [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14647-2' = 'Cholesterol [Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'} {SNOMED CT code '77068002' = 'Cholesterol measurement)</span> ???? Acme Laboratory, Inc 6.9 mmol/L High
          <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span>
        </li>
        <li>id: o24 status: final Triglyceride [Moles/volume] in Serum or Plasma
          <span>(Details : {LOINC code '14927-8' = 'Triglyceride [Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'} {SNOMED CT code '104784006' = 'Lipids, triglycerides measurement)</span> ???? Acme Laboratory, Inc 1.9 mmol/L</li>
      </ul>
    </div>
  </text>
  <contained>
    <Observation>
      <id value="o1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2951-2"/>
          <display value="Sodium [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104934005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="142"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="137"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="147"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2823-3"/>
          <display value="Potassium [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="59573005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="3.6"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="3.5"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="5.0"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2075-0"/>
          <display value="Chloride [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="46511006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="104"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="96"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="109"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1963-8"/>
          <display value="Bicarbonate [Moles/volume] in Serum"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="88645003"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="30"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="33"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1863-0"/>
          <display value="Anion gap 4 in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="271057005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="12"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="4"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="17"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14749-6"/>
          <display value="Glucose [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="36048009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="6.2"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="3.0"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="7.7"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o7"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14937-7"/>
          <display value="Urea nitrogen [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="273967009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4.5"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.0"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="7.0"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14682-9"/>
          <display value="Creatinine [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="70901006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.06"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="0.04"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="0.11"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o9"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14933-6"/>
          <display value="Urate [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="86228006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.37"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0.14"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="0.35"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o10"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14631-6"/>
          <display value="Bilirubin.total [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="27171005"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="50"/>
        <unit value="umol/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="2"/>
          <unit value="umol/L"/>
        </low>
        <high>
          <value value="20"/>
          <unit value="umol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o11"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="6768-6"/>
          <display value="Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="88810008"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="684"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="30"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="115"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o12"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2324-2"/>
          <display value="Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="69480007"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1105"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="45"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o13"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1742-6"/>
          <display value="Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="34608000"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="466"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="45"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o14"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1920-8"/>
          <display value="Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="45896001"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="198"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="41"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o15"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2532-0"/>
          <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="11274001"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="323"/>
        <unit value="U/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="HH"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="80"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="250"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o16"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2000-8"/>
          <display value="Calcium [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="71878006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="2.32"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="2.65"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o17"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="13959-2"/>
          <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="166708003"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/3"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="2.45"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="2.65"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o18"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14879-1"/>
          <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104866001"/>
        </coding>
      </code>
      <subject>