{
  "resourceType": "DiagnosticReport",
  "id": "f001",
  "text": {
    "status": "generated",
    "div": "<div>\n      <p>\n        <b>Generated Narrative with Details</b>\n      </p>\n      <p>\n        <b>contained</b>: \n      </p>\n      <p>\n        <b>name</b>: Complete blood count (hemogram) panel - Blood by Automated count \n        <span style=\"background: LightGoldenRodYellow \">(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span>\n      </p>\n      <p>\n        <b>status</b>: FINAL\n      </p>\n      <p>\n        <b>issued</b>: May 16, 2013 4:32:52 AM\n      </p>\n      <p>\n        <b>subject</b>: \n        <a href=\"Patient/f001\">P. van den Heuvel. Generated Summary: 738472983 (USUAL), ?? (USUAL); Pieter van de Heuvel ; ph: 0648352638(MOBILE), p.heuvel@gmail.com(HOME); MALE; birthDate: Nov 17, 1944; \n          <span title=\"Codes: {http://hl7.org/fhir/v3/MaritalStatus M}\">Getrouwd</span>; multipleBirth; active\n        </a>\n      </p>\n      <p>\n        <b>performer</b>: \n        <a href=\"Organization/f001\">Burgers University Medical Centre. Generated Summary: 91654 (OFFICIAL), 17-0112278 (USUAL); name: Burgers University Medical Center; \n          <span title=\"Codes: {urn:oid:2.16.840.1.113883.2.4.15.1060 V6}, {http://hl7.org/fhir/organization-type prov}\">University Medical Hospital</span>; ph: 022-655 2300(WORK)\n        </a>\n      </p>\n      <p>\n        <b>identifier</b>: nr1239044 (OFFICIAL)\n      </p>\n      <p>\n        <b>requestDetail</b>: P. van den Heuvel; L2381 (OFFICIAL); clinicalNotes: patient almost fainted during procedure\n      </p>\n      <p>\n        <b>serviceCategory</b>: Haematology test \n        <span style=\"background: LightGoldenRodYellow \">(Details : {SNOMED CT code '252275004' = 'Hematology test', given as 'Haematology test'}; {http://hl7.org/fhir/v2/0074 code 'HM' = 'Hematology)</span>\n      </p>\n      <p>\n        <b>diagnostic</b>: Apr 2, 2013\n      </p>\n      <p>\n        <b>result</b>: \n      </p>\n      <ul>\n        <li>\n          <a href=\"Observation/f001\">Generated Summary: \n            <span title=\"Codes: {http://loinc.org 15074-8}\">Glucose [Moles/volume] in Blood</span>; 6.3 mmol/l; \n            <span title=\"Codes: {http://hl7.org/fhir/v2/0078 A}\">abnormal</span>; applies: Apr 2, 2013 7:30:10 PM --&gt; Apr 5, 2013 7:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; \n            <span title=\"Codes: {http://snomed.info/sct 308046002}\">Superficial forearm vein</span>; \n            <span title=\"Codes: {http://snomed.info/sct 120220003}\">Injection to forearm</span>; 6323 (OFFICIAL); P. van de Heuvel; A. Langeveld\n          </a>\n        </li>\n        <li>\n          <a href=\"Observation/f002\">Generated Summary: \n            <span title=\"Codes: {http://loinc.org 11555-0}\">Base excess in Blood by calculation</span>; 12.6 mmol/l; \n            <span title=\"Codes: {http://hl7.org/fhir/v2/0078 A}\">abnormal</span>; applies: Apr 2, 2013 8:30:10 PM --&gt; Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; \n            <span title=\"Codes: {http://snomed.info/sct 308046002}\">Superficial forearm vein</span>; \n            <span title=\"Codes: {http://snomed.info/sct 120220003}\">Injection to forearm</span>; 6324 (OFFICIAL); P. van de Heuvel; A. Langeveld\n          </a>\n        </li>\n        <li>\n          <a href=\"Observation/f003\">Generated Summary: \n            <span title=\"Codes: {http://loinc.org 11557-6}\">Carbon dioxide in blood</span>; 6.2 kPa; \n            <span title=\"Codes: {http://hl7.org/fhir/v2/0078 A}\">abnormal</span>; applies: Apr 2, 2013 8:30:10 PM --&gt; Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; \n            <span title=\"Codes: {http://snomed.info/id 308046002}\">Superficial forearm vein</span>; \n            <span title=\"Codes: {http://snomed.info/id 120220003}\">Injection to forearm</span>; 6325 (OFFICIAL); P. van de Heuvel; A. Langeveld\n          </a>\n        </li>\n        <li>\n          <a href=\"Observation/f004\">Generated Summary: \n            <span title=\"Codes: {http://loinc.org 789-8}\">Erythrocytes [#/volume] in Blood by Automated count</span>; 4.12 10^12/L; \n            <span title=\"Codes: {http://hl7.org/fhir/v2/0078 A}\">abnormal</span>; applies: Apr 2, 2013 8:30:10 PM --&gt; Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; \n            <span title=\"Codes: {http://snomed.info/id 308046002}\">Superficial forearm vein</span>; \n            <span title=\"Codes: {http://snomed.info/id 120220003}\">Injection to forearm</span>; 6326 (OFFICIAL); P. van de Heuvel; A. Langeveld\n          </a>\n        </li>\n        <li>\n          <a href=\"Observation/f005\">Generated Summary: \n            <span title=\"Codes: {http://loinc.org 30350-3}\">Hemoglobin [Mass/volume] in Venous blood</span>; 7.2 g/dl; \n            <span title=\"Codes: {http://hl7.org/fhir/v2/0078 L}\">low</span>; applies: Apr 2, 2013 8:30:10 PM --&gt; Apr 5, 2013 8:30:10 PM; issued: Apr 4, 2013 1:30:10 AM; \n            <span title=\"Codes: {http://snomed.info/sct 308046002}\">Superficial forearm vein</span>; \n            <span title=\"Codes: {http://snomed.info/sct 120220003}\">Injection to forearm</span>; 6327 (OFFICIAL); P. van de Heuvel; A. Langeveld\n          </a>\n        </li>\n      </ul>\n      <p>\n        <b>conclusion</b>: Core lab\n      </p>\n    </div>"
  },
  "contained": [
    {
      "resourceType": "DiagnosticOrder",
      "id": "req",
      "subject": {
        "reference": "Patient/f001",
        "display": "P. van den Heuvel"
      },
      "orderer": {
        "reference": "Practitioner/f001",
        "display": "E.van den Broek"
      },
      "identifier": [
        {
          "use": "official",
          "system": "http://www.bmc.nl/zorgportal/identifiers/labresults",
          "value": "L2381"
        }
      ],
      "encounter": {
        "reference": "Encounter/f001"
      },
      "clinicalNotes": "patient almost fainted during procedure",
      "item": [
        {
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "58410-2",
                "display": "Complete blood count (hemogram) panel - Blood by Automated count"
              }
            ]
          },
          "bodySiteCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "14975008",
                "display": "Forearm structure"
              }
            ]
          }
        }
      ]
    }
  ],
  "name": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "58410-2",
        "display": "Complete blood count (hemogram) panel - Blood by Automated count"
      }
    ]
  },
  "status": "final",
  "issued": "2013-05-15T19:32:52+01:00",
  "subject": {
    "reference": "Patient/f001",
    "display": "P. van den Heuvel"
  },
  "performer": {
    "reference": "Organization/f001",
    "display": "Burgers University Medical Centre"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/zorgportal/identifiers/reports",
      "value": "nr1239044"
    }
  ],
  "requestDetail": [
    {
      "reference": "#req"
    }
  ],
  "serviceCategory": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "252275004",
        "display": "Haematology test"
      },
      {
        "system": "http://hl7.org/fhir/v2/0074",
        "code": "HM"
      }
    ]
  },
  "diagnosticDateTime": "2013-04-02",
  "result": [
    {
      "reference": "Observation/f001"
    },
    {
      "reference": "Observation/f002"
    },
    {
      "reference": "Observation/f003"
    },
    {
      "reference": "Observation/f004"
    },
    {
      "reference": "Observation/f005"
    }
  ],
  "conclusion": "Core lab"
}