Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Diagnosticreport-examples-general.json

Raw JSON (canonical form)

Various reports gathered from v2 messages

{
  "resourceType": "Bundle",
  "id": "72ac8493-52ac-41bd-8d5d-7258c289b5ea",
  "meta": {
    "lastUpdated": "2012-04-14T10:35:23Z"
  },
  "type": "collection",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/3",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "3",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div>\n            <table>\n              <tr>\n                <td>Sodium</td>\n                <td>140</td>\n                <td>mmol/L</td>\n                <td>137-147</td>\n              </tr>\n              <tr>\n                <td>Serum Potassium</td>\n                <td>4.2</td>\n                <td>mmol/L</td>\n                <td>3.5-5.0</td>\n              </tr>\n              <tr>\n                <td>Chloride</td>\n                <td>105</td>\n                <td>mmol/L</td>\n                <td>96-109</td>\n              </tr>\n              <tr>\n                <td>Bicarbonate</td>\n                <td>26</td>\n                <td>mmol/L</td>\n                <td>25-33</td>\n              </tr>\n              <tr>\n                <td>Other Anions</td>\n                <td>13</td>\n                <td>mmol/L</td>\n                <td>4-17</td>\n              </tr>\n              <tr>\n                <td>Glucose</td>\n                <td>7.4</td>\n                <td>mmol/L</td>\n                <td>3.0-7.7</td>\n              </tr>\n              <tr>\n                <td>Urea</td>\n                <td>4.7</td>\n                <td>mmol/L</td>\n                <td>2.0-7.0</td>\n              </tr>\n              <tr>\n                <td>Serum Creatinine</td>\n                <td>0.09</td>\n                <td>mmol/L</td>\n                <td>0.04-0.11</td>\n              </tr>\n              <tr>\n                <td>Serum Uric Acid</td>\n                <td>0.39</td>\n                <td>mmol/L</td>\n                <td>0.14-0.35</td>\n                <td>\n                  <b>+</b>\n                </td>\n              </tr>\n              <tr>\n                <td>Total Bilirubin</td>\n                <td>7</td>\n                <td>umol/L</td>\n                <td>2-20</td>\n              </tr>\n              <tr>\n                <td>Direct Bilirubin</td>\n                <td>3</td>\n                <td>umol/L</td>\n                <td>0-8</td>\n              </tr>\n              <tr>\n                <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>\n                <td>108</td>\n                <td>U/L</td>\n                <td>30-115</td>\n              </tr>\n              <tr>\n                <td>Gamma G.T.</td>\n                <td>35</td>\n                <td>U/L</td>\n                <td>0-45</td>\n              </tr>\n              <tr>\n                <td>ALT</td>\n                <td>54</td>\n                <td>U/L</td>\n                <td>0-45</td>\n                <td>\n                  <b>+</b>\n                </td>\n              </tr>\n              <tr>\n                <td>AST</td>\n                <td>30</td>\n                <td>U/L</td>\n                <td>0-41</td>\n              </tr>\n              <tr>\n                <td>LD</td>\n                <td>131</td>\n                <td>U/L</td>\n                <td>80-250</td>\n              </tr>\n              <tr>\n                <td>Serum Calcium</td>\n                <td>2.38</td>\n                <td>mmol/L</td>\n                <td>2.25-2.65</td>\n              </tr>\n              <tr>\n                <td>Corrected Calcium</td>\n                <td>2.39</td>\n                <td>mmol/L</td>\n                <td>2.25-2.65</td>\n              </tr>\n              <tr>\n                <td>Serum Phosphate</td>\n                <td>1.5</td>\n                <td>mmol/L</td>\n                <td>0.8-1.5</td>\n              </tr>\n              <tr>\n                <td>Total Protein</td>\n                <td>67</td>\n                <td>g/L</td>\n                <td>60-82</td>\n              </tr>\n              <tr>\n                <td>Serum Albumin</td>\n                <td>42</td>\n                <td>g/L</td>\n                <td>35-50</td>\n              </tr>\n              <tr>\n                <td>Globulins</td>\n                <td>25</td>\n                <td>g/L</td>\n                <td>20-40</td>\n              </tr>\n              <tr>\n                <td>Iron</td>\n                <td>5</td>\n                <td>umol/L</td>\n                <td>10-33</td>\n                <td>\n                  <b>--</b>\n                </td>\n              </tr>\n              <tr>\n                <td>Cholesterol</td>\n                <td>3.8</td>\n                <td>mmol/L</td>\n                <td>3.6-6.7</td>\n              </tr>\n              <tr>\n                <td>&nbsp;</td>\n                <td colspan=\"4\">Revised NHF cholesterol guidelines (Nov.,2001): Target below 4.0 mmol/L if high risk patient. Consider lipid lowering treatment if cholesterol above 6.0 mmol/L, and no other risk factor of CHD.</td>\n              </tr>\n              <tr>\n                <td>Triglycerides</td>\n                <td>0.9</td>\n                <td>mmol/L</td>\n                <td>0.3-4.0</td>\n              </tr>\n              <tr>\n                <td>HDL Cholesterol</td>\n                <td>1.2</td>\n                <td>mmol/L</td>\n                <td>1.0-2.0</td>\n              </tr>\n            </table>\n          </div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 140,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.39,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 54,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 131,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.38,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.39,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 42,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o26",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2085-9",
                  "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "17888004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 1.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.com/labs/reports",
              "code": "25T",
              "display": "E/LFT (MASTER)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/1"
        },
        "effectiveDateTime": "2005-01-27T06:40:17Z",
        "issued": "2005-01-27T06:40:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          },
          {
            "reference": "#o26"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/4",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "4",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 4</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/2</a></p><p><b>effective</b>: 08/12/2004 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/2; Acme Laboratory, Inc; 138 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' = '59573005)</span>; Patient/2; Acme Laboratory, Inc; 4.1 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' = '46511006)</span>; Patient/2; Acme Laboratory, Inc; 103 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' = '88645003)</span>; Patient/2; Acme Laboratory, Inc; 27 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' = '271057005)</span>; Patient/2; 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' = '36048009)</span>; Patient/2; Acme Laboratory, Inc; 6.8 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' = '273967009)</span>; Patient/2; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></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' = '70901006)</span>; Patient/2; Acme Laboratory, Inc; 0.07 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' = '86228006)</span>; Patient/2; Acme Laboratory, Inc; 0.42 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' = '27171005)</span>; Patient/2; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '39748002)</span>; Patient/2; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; 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' = '88810008)</span>; Patient/2; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; 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' = '69480007)</span>; Patient/2; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; 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' = '34608000)</span>; Patient/2; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; 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' = '45896001)</span>; Patient/2; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; 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' = '11274001)</span>; Patient/2; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; 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' = '71878006)</span>; Patient/2; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; 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' = '166708003)</span>; Patient/2; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; 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' = '104866001)</span>; Patient/2; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; 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' = '74040009)</span>; Patient/2; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; 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' = '104485008)</span>; Patient/2; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; 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' = '104979009)</span>; Patient/2; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; 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' = '42950004)</span>; Patient/2; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; 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' = '77068002)</span>; Patient/2; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; 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' = '104784006)</span>; Patient/2; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 138,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 103,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8.2,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.07,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.42,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 16,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 369,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 438,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 263,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 87,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 179,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.42,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "L"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/2"
        },
        "effectiveDateTime": "2004-12-08T07:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/5",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "5",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 5</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>: 15/12/2004 6:20:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/3; 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' = '59573005)</span>; Patient/3; Acme Laboratory, Inc; 4.0 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' = '46511006)</span>; Patient/3; Acme Laboratory, Inc; 105 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' = '88645003)</span>; Patient/3; Acme Laboratory, Inc; 28 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' = '271057005)</span>; Patient/3; Acme Laboratory, Inc; 13 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' = '36048009)</span>; Patient/3; Acme Laboratory, Inc; 5.2 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' = '273967009)</span>; Patient/3; Acme Laboratory, Inc; 6.4 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' = '70901006)</span>; Patient/3; Acme Laboratory, Inc; 0.09 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' = '86228006)</span>; Patient/3; Acme Laboratory, Inc; 0.46 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' = '27171005)</span>; Patient/3; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '39748002)</span>; Patient/3; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; 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' = '88810008)</span>; Patient/3; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; 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' = '69480007)</span>; Patient/3; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; 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' = '34608000)</span>; Patient/3; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; 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' = '45896001)</span>; Patient/3; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; 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' = '11274001)</span>; Patient/3; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; 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' = '71878006)</span>; Patient/3; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; 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' = '166708003)</span>; Patient/3; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; 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' = '104866001)</span>; Patient/3; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; 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' = '74040009)</span>; Patient/3; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; 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' = '104485008)</span>; Patient/3; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; 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' = '104979009)</span>; Patient/3; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; 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' = '42950004)</span>; Patient/3; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; 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' = '77068002)</span>; Patient/3; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; 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' = '104784006)</span>; Patient/3; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.46,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.1,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 204,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 192,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 150,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.37,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.47,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/3"
        },
        "effectiveDateTime": "2004-12-15T07:20:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }
        ]
      }
    },
    {
      "fhir_comments": [
        "       OBX|28|FT|TXT^^AUSPDI||                                Units  Ref Range\\.br\\ \\.br\\   SERUM CHEMISTRY\\.br\\ Sodium                 142      mmol/L 137-147\\.br\\ Serum Potassium        4.0      mmol/L 3.5-5.0\\.br\\ Chloride               105      mmol/L 96-109\\.br\\ Bicarbonate            28       mmol/L 25-33\\.br\\ Other Anions           13       mmol/L 4-17\\.br\\ Glucose                5.2      mmol/L 3.0-7.7\\.br\\ Urea                   6.4      mmol/L 2.0-7.0\\.br\\ Serum Creatinine       0.09     mmol/L 0.04-0.11\\.br\\ Serum Uric Acid        0.46 +++ mmol/L 0.14-0.35\\.br\\ Total Bilirubin        13       umol/L 2-20\\.br\\ Direct Bilirubin       6        umol/L 0-8\\.br\\ Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 204 +++  U/L    30-115\\.br\\ Gamma G.T.             192 +++  U/L    0-45\\.br\\ ALT                    70 +     U/L    0-45\\.br\\ AST                    26       U/L    0-41\\.br\\ LD                     150      U/L    80-250\\.br\\ Serum Calcium          2.37     mmol/L 2.25-2.65\\.br\\ Corrected Calcium      2.47     mmol/L 2.25-2.65\\.br\\ Serum Phosphate        1.4      mmol/L 0.8-1.5\\.br\\ Total Protein          67       g/L    60-82\\.br\\ Serum Albumin          39       g/L    35-50\\.br\\ Globulins              28       g/L    20-40\\.br\\ Iron                   5 - -     umol/L 10-33\\.br\\ Cholesterol            4.4      mmol/L 3.6-6.7\\.br\\ \\.br\\ Revised NHF cholesterol guidelines (Nov.,2001):\\.br\\   Target below 4.0 mmol/L if high risk patient.\\.br\\   Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\\.br\\   and no other risk factor of CHD.\\.br\\ \\.br\\ Triglycerides          1.1      mmol/L 0.3-4.0\\.br\\||       "
      ],
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/6",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "6",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 6</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>: 22/12/2004 6:45:17 PM</p><p><b>issued</b>: 21/12/2004 11:00:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/4; 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' = '59573005)</span>; Patient/4; Acme Laboratory, Inc; 4.0 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' = '46511006)</span>; Patient/4; Acme Laboratory, Inc; 107 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' = '88645003)</span>; Patient/4; Acme Laboratory, Inc; 26 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' = '271057005)</span>; Patient/4; Acme Laboratory, Inc; 13 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' = '36048009)</span>; Patient/4; Acme Laboratory, Inc; 6.3 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' = '273967009)</span>; Patient/4; Acme Laboratory, Inc; 6.7 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' = '70901006)</span>; Patient/4; Acme Laboratory, Inc; 0.08 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' = '86228006)</span>; Patient/4; Acme Laboratory, Inc; 0.40 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' = '27171005)</span>; Patient/4; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '39748002)</span>; Patient/4; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; 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' = '88810008)</span>; Patient/4; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; 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' = '69480007)</span>; Patient/4; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; 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' = '34608000)</span>; Patient/4; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; 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' = '45896001)</span>; Patient/4; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; 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' = '11274001)</span>; Patient/4; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; 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' = '71878006)</span>; Patient/4; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; 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' = '166708003)</span>; Patient/4; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; 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' = '104866001)</span>; Patient/4; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; 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' = '74040009)</span>; Patient/4; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; 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' = '104485008)</span>; Patient/4; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; 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' = '104979009)</span>; Patient/4; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; 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' = '42950004)</span>; Patient/4; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; 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' = '77068002)</span>; Patient/4; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; 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' = '104784006)</span>; Patient/4; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 107,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.08,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.40,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 9,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 144,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 18,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 66,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 41,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/4"
        },
        "effectiveDateTime": "2004-12-22T07:45:17Z",
        "issued": "2004-12-21T00:00:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }
        ]
      }
    },
    {
      "fhir_comments": [
        "       OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects                                            07 01/07/1996\\.br\\002   \\.br\\003 Report Run Number: 1    Created:   19/04/2005     at    22:58:15\\.br\\004 Surgery: XXX    Reports: 23/02/2005 10:04:00  to  23/02/2005 10:04:00       \\.br\\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\010 ANDERSON,DR. THOMAS                          0191322W\\.br\\019 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\020 Your Ref.   Patient Name                   Lab Ref.       Test\\.br\\021             JONES,June                      04-4154148     E/LFT (MASTER)\\.br\\029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\100 Start Patient  :      JONES,June                      \\.br\\101                       24 Sutherland Street, BUDERIM QLD 4556               \\.br\\104                       Birthdate: 08/01/1976     Age: Y29     Sex:F\\.br\\105                       Telephone: 07              \\.br\\109   \\.br\\110 Your Reference :      \\.br\\111 MO  Reference  :      04-4154148-25T-0\\.br\\112 Medicare Number:                \\.br\\115 Phone Enquiries:       (DR MARCUS WELBY)                           \\.br\\119   \\.br\\121 Referred by    :      WHITE,DR. WILSON                \\.br\\122 Copy to        :      ANDERSON,DR. THOMAS             \\.br\\123 Addressee      :      ANDERSON,DR. THOMAS               0191322W\\.br\\129   \\.br\\200 Start of Result:\\.br\\201 Specimen       :\\.br\\203 Requested      :      21/12/2004\\.br\\204 Collected      :      22/12/2004  07:45\\.br\\205 Name of Test   :      E/LFT (MASTER)                                       \\.br\\206 Reported       :      23/02/2005  10:04\\.br\\207 Confidential   :      N\\.br\\208 Test Category  :      N\\.br\\209   \\.br\\210 Normal Result  :      N\\.br\\299   \\.br\\301                               Units  Ref Range\\.br\\301 \\.br\\301   SERUM CHEMISTRY\\.br\\301 Sodium                 142     mmol/L 137-147\\.br\\301 Serum Potassium        4.0     mmol/L 3.5-5.0\\.br\\301 Chloride               107     mmol/L 96-109\\.br\\301 Bicarbonate            26      mmol/L 25-33\\.br\\301 Other Anions           13      mmol/L 4-17\\.br\\301 Glucose                6.3     mmol/L 3.0-7.7\\.br\\301 Urea                   6.7     mmol/L 2.0-7.0\\.br\\301 Serum Creatinine       0.08    mmol/L 0.04-0.11\\.br\\301 \\R\\FG04\\R\\Serum Uric Acid        0.40 ++ mmol/L 0.14-0.35\\R\\FG99\\R\\\\.br\\301 Total Bilirubin        9       umol/L 2-20\\.br\\301 Direct Bilirubin       4       umol/L 0-8\\.br\\301 \\R\\FG04\\R\\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 144 +   U/L    30-115\\R\\FG99\\R\\\\.br\\301 \\R\\FG04\\R\\Gamma G.T.             106 +++ U/L    0-45\\R\\FG99\\R\\\\.br\\301 ALT                    30      U/L    0-45\\.br\\301 AST                    18      U/L    0-41\\.br\\301 LD                     143     U/L    80-250\\.br\\301 Serum Calcium          2.28    mmol/L 2.25-2.65\\.br\\301 Corrected Calcium      2.32    mmol/L 2.25-2.65\\.br\\301 Serum Phosphate        1.3     mmol/L 0.8-1.5\\.br\\301 Total Protein          66      g/L    60-82\\.br\\301 Serum Albumin          41      g/L    35-50\\.br\\301 Globulins              25      g/L    20-40\\.br\\301 \\R\\FG04\\R\\Iron                   3 - - -   umol/L 10-33\\R\\FG99\\R\\\\.br\\301 Cholesterol            4.0     mmol/L 3.6-6.7\\.br\\301 \\.br\\301 Revised NHF cholesterol guidelines (Nov.,2001):\\.br\\301   Target below 4.0 mmol/L if high risk patient.\\.br\\301   Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\\.br\\301   and no other risk factor of CHD.\\.br\\301 \\.br\\301 Triglycerides          1.0     mmol/L 0.3-4.0\\.br\\309   \\.br\\319   \\.br\\390 End of Report  :\\.br\\399 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\999 END OF LISTING - Run Number:1     19/04/2005  22:58:15\\.br\\||       "
      ],
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/7",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "7",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 7</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/5</a></p><p><b>effective</b>: 03/12/2004 8:45:17 PM</p><p><b>issued</b>: 03/12/2004 11:00:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/5; Acme Laboratory, Inc; 141 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' = '59573005)</span>; Patient/5; Acme Laboratory, Inc; 4.2 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' = '46511006)</span>; Patient/5; Acme Laboratory, Inc; 106 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' = '88645003)</span>; Patient/5; Acme Laboratory, Inc; 29 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' = '271057005)</span>; Patient/5; Acme Laboratory, Inc; 10 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' = '36048009)</span>; Patient/5; Acme Laboratory, Inc; 7.0 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' = '273967009)</span>; Patient/5; Acme Laboratory, Inc; 4.7 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' = '70901006)</span>; Patient/5; Acme Laboratory, Inc; 0.05 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' = '86228006)</span>; Patient/5; Acme Laboratory, Inc; 0.32 mmol/L</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' = '27171005)</span>; Patient/5; Acme Laboratory, Inc; 43 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' = '88810008)</span>; Patient/5; Acme Laboratory, Inc; 708 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' = '69480007)</span>; Patient/5; Acme Laboratory, Inc; 1131 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' = '34608000)</span>; Patient/5; Acme Laboratory, Inc; 475 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' = '45896001)</span>; Patient/5; Acme Laboratory, Inc; 176 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' = '11274001)</span>; Patient/5; Acme Laboratory, Inc; 324 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' = '71878006)</span>; Patient/5; 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' = '166708003)</span>; Patient/5; 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' = '104866001)</span>; Patient/5; 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' = '74040009)</span>; Patient/5; 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' = '104485008)</span>; Patient/5; 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' = '104979009)</span>; Patient/5; Acme Laboratory, Inc; 33 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' = '42950004)</span>; Patient/5; Acme Laboratory, Inc; 17 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' = '77068002)</span>; Patient/5; Acme Laboratory, Inc; 7.0 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' = '104784006)</span>; Patient/5; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 141,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 29,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 10,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.05,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 43,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 708,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1131,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 475,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 176,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 324,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 33,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 17,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/5"
        },
        "effectiveDateTime": "2004-12-03T09:45:17Z",
        "issued": "2004-12-03T00:00:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/8",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "8",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 8</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/6</a></p><p><b>effective</b>: 04/12/2004 7:30:17 AM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/6; 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' = '59573005)</span>; Patient/6; 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' = '46511006)</span>; Patient/6; 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' = '88645003)</span>; Patient/6; 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' = '271057005)</span>; Patient/6; 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' = '36048009)</span>; Patient/6; 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' = '273967009)</span>; Patient/6; 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' = '70901006)</span>; Patient/6; 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' = '86228006)</span>; Patient/6; 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' = '27171005)</span>; Patient/6; 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' = '88810008)</span>; Patient/6; 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' = '69480007)</span>; Patient/6; 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' = '34608000)</span>; Patient/6; 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' = '45896001)</span>; Patient/6; 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' = '11274001)</span>; Patient/6; 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' = '71878006)</span>; Patient/6; 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' = '166708003)</span>; Patient/6; 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' = '104866001)</span>; Patient/6; 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' = '74040009)</span>; Patient/6; 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' = '104485008)</span>; Patient/6; 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' = '104979009)</span>; Patient/6; 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' = '42950004)</span>; Patient/6; 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' = '77068002)</span>; Patient/6; 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' = '104784006)</span>; Patient/6; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 104,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.37,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 50,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 684,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1105,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 466,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 198,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 323,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 32,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 11,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.9,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/6"
        },
        "effectiveDateTime": "2004-12-03T20:30:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/9",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "9",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 9</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/7</a></p><p><b>effective</b>: 05/12/2004 6:15:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/7; 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' = '59573005)</span>; Patient/7; 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' = '46511006)</span>; Patient/7; 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' = '88645003)</span>; Patient/7; 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' = '271057005)</span>; Patient/7; 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' = '36048009)</span>; Patient/7; 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' = '273967009)</span>; Patient/7; 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' = '70901006)</span>; Patient/7; 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' = '86228006)</span>; Patient/7; 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' = '27171005)</span>; Patient/7; 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' = '88810008)</span>; Patient/7; 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' = '69480007)</span>; Patient/7; 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' = '34608000)</span>; Patient/7; 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' = '45896001)</span>; Patient/7; 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' = '11274001)</span>; Patient/7; 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' = '71878006)</span>; Patient/7; 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' = '166708003)</span>; Patient/7; 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' = '104866001)</span>; Patient/7; 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' = '74040009)</span>; Patient/7; 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' = '104485008)</span>; Patient/7; 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' = '104979009)</span>; Patient/7; 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' = '42950004)</span>; Patient/7; 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' = '77068002)</span>; Patient/7; 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' = '104784006)</span>; Patient/7; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 14,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.41,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 631,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 956,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 398,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 120,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 243,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.33,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.52,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 36,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/7"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/7"
        },
        "effectiveDateTime": "2004-12-05T07:15:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/15",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "15",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 15</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/8</a></p><p><b>effective</b>: 27/01/2005 5:40:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/8; Acme Laboratory, Inc; 140 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' = '59573005)</span>; Patient/8; Acme Laboratory, Inc; 4.2 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' = '46511006)</span>; Patient/8; Acme Laboratory, Inc; 105 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' = '88645003)</span>; Patient/8; Acme Laboratory, Inc; 26 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' = '271057005)</span>; Patient/8; Acme Laboratory, Inc; 13 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' = '36048009)</span>; Patient/8; Acme Laboratory, Inc; 7.4 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' = '273967009)</span>; Patient/8; Acme Laboratory, Inc; 4.7 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' = '70901006)</span>; Patient/8; Acme Laboratory, Inc; 0.09 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' = '86228006)</span>; Patient/8; Acme Laboratory, Inc; 0.39 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' = '27171005)</span>; Patient/8; Acme Laboratory, Inc; 7 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '39748002)</span>; Patient/8; Acme Laboratory, Inc; 3 umol/L</li><li>id: o12; 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' = '88810008)</span>; Patient/8; Acme Laboratory, Inc; 108 U/L</li><li>id: o13; 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' = '69480007)</span>; Patient/8; Acme Laboratory, Inc; 35 U/L</li><li>id: o14; 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' = '34608000)</span>; Patient/8; Acme Laboratory, Inc; 54 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; 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' = '45896001)</span>; Patient/8; Acme Laboratory, Inc; 30 U/L</li><li>id: o16; 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' = '11274001)</span>; Patient/8; Acme Laboratory, Inc; 131 U/L</li><li>id: o17; 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' = '71878006)</span>; Patient/8; Acme Laboratory, Inc; 2.38 mmol/L</li><li>id: o18; 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' = '166708003)</span>; Patient/8; Acme Laboratory, Inc; 2.39 mmol/L</li><li>id: o19; 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' = '104866001)</span>; Patient/8; Acme Laboratory, Inc; 1.5 mmol/L</li><li>id: o20; 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' = '74040009)</span>; Patient/8; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; 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' = '104485008)</span>; Patient/8; Acme Laboratory, Inc; 42 g/L</li><li>id: o22; 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' = '104979009)</span>; Patient/8; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; 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'}; {[not stated] code '42950004' = '??)</span>; Patient/8; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; 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' = '77068002)</span>; Patient/8; Acme Laboratory, Inc; 3.8 mmol/L</li><li>id: o25; 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' = '104784006)</span>; Patient/8; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 140,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.39,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 54,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 131,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.38,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.39,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 42,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/8"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/8"
        },
        "effectiveDateTime": "2005-01-27T06:40:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/16",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "16",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 16</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/9</a></p><p><b>effective</b>: 08/12/2004 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/9; Acme Laboratory, Inc; 138 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' = '59573005)</span>; Patient/9; Acme Laboratory, Inc; 4.1 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' = '46511006)</span>; Patient/9; Acme Laboratory, Inc; 103 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' = '88645003)</span>; Patient/9; Acme Laboratory, Inc; 27 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' = '271057005)</span>; Patient/9; 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' = '36048009)</span>; Patient/9; Acme Laboratory, Inc; 6.8 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' = '273967009)</span>; Patient/9; Acme Laboratory, Inc; 8.2 mmol/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></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' = '70901006)</span>; Patient/9; Acme Laboratory, Inc; 0.07 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' = '86228006)</span>; Patient/9; Acme Laboratory, Inc; 0.42 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' = '27171005)</span>; Patient/9; Acme Laboratory, Inc; 16 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '39748002)</span>; Patient/9; Acme Laboratory, Inc; 8 umol/L</li><li>id: o12; 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' = '88810008)</span>; Patient/9; Acme Laboratory, Inc; 369 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; 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' = '69480007)</span>; Patient/9; Acme Laboratory, Inc; 438 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; 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' = '34608000)</span>; Patient/9; Acme Laboratory, Inc; 263 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o15; 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' = '45896001)</span>; Patient/9; Acme Laboratory, Inc; 87 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o16; 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' = '11274001)</span>; Patient/9; Acme Laboratory, Inc; 179 U/L</li><li>id: o17; 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' = '71878006)</span>; Patient/9; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o18; 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' = '166708003)</span>; Patient/9; Acme Laboratory, Inc; 2.42 mmol/L</li><li>id: o19; 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' = '104866001)</span>; Patient/9; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; 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' = '74040009)</span>; Patient/9; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; 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' = '104485008)</span>; Patient/9; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; 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' = '104979009)</span>; Patient/9; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; 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' = '42950004)</span>; Patient/9; Acme Laboratory, Inc; 8 umol/L; Low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'L' = 'Low)</span></li><li>id: o24; 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' = '77068002)</span>; Patient/9; Acme Laboratory, Inc; 4.8 mmol/L</li><li>id: o25; 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' = '104784006)</span>; Patient/9; Acme Laboratory, Inc; 2.2 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 138,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 103,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8.2,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.07,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.42,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 16,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 369,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 438,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 263,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 87,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 179,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.42,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 8,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "L"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.8,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/9"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/9"
        },
        "effectiveDateTime": "2004-12-08T07:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/17",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "17",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 17</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/10</a></p><p><b>effective</b>: 15/12/2004 6:20:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/10; 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' = '59573005)</span>; Patient/10; Acme Laboratory, Inc; 4.0 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' = '46511006)</span>; Patient/10; Acme Laboratory, Inc; 105 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' = '88645003)</span>; Patient/10; Acme Laboratory, Inc; 28 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' = '271057005)</span>; Patient/10; Acme Laboratory, Inc; 13 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' = '36048009)</span>; Patient/10; Acme Laboratory, Inc; 5.2 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' = '273967009)</span>; Patient/10; Acme Laboratory, Inc; 6.4 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' = '70901006)</span>; Patient/10; Acme Laboratory, Inc; 0.09 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' = '86228006)</span>; Patient/10; Acme Laboratory, Inc; 0.46 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' = '27171005)</span>; Patient/10; Acme Laboratory, Inc; 13 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '39748002)</span>; Patient/10; Acme Laboratory, Inc; 6 umol/L</li><li>id: o12; 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' = '88810008)</span>; Patient/10; Acme Laboratory, Inc; 204 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o13; 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' = '69480007)</span>; Patient/10; Acme Laboratory, Inc; 192 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; 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' = '34608000)</span>; Patient/10; Acme Laboratory, Inc; 70 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o15; 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' = '45896001)</span>; Patient/10; Acme Laboratory, Inc; 26 U/L</li><li>id: o16; 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' = '11274001)</span>; Patient/10; Acme Laboratory, Inc; 150 U/L</li><li>id: o17; 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' = '71878006)</span>; Patient/10; Acme Laboratory, Inc; 2.37 mmol/L</li><li>id: o18; 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' = '166708003)</span>; Patient/10; Acme Laboratory, Inc; 2.47 mmol/L</li><li>id: o19; 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' = '104866001)</span>; Patient/10; Acme Laboratory, Inc; 1.4 mmol/L</li><li>id: o20; 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' = '74040009)</span>; Patient/10; Acme Laboratory, Inc; 67 g/L</li><li>id: o21; 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' = '104485008)</span>; Patient/10; Acme Laboratory, Inc; 39 g/L</li><li>id: o22; 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' = '104979009)</span>; Patient/10; Acme Laboratory, Inc; 28 g/L</li><li>id: o23; 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' = '42950004)</span>; Patient/10; Acme Laboratory, Inc; 5 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; 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' = '77068002)</span>; Patient/10; Acme Laboratory, Inc; 4.4 mmol/L</li><li>id: o25; 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' = '104784006)</span>; Patient/10; Acme Laboratory, Inc; 1.1 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 105,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.09,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.46,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 204,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 192,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 150,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.37,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.47,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 67,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 28,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 5,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.4,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/10"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.1,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/10"
        },
        "effectiveDateTime": "2004-12-15T07:20:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }
        ]
      }
    },
    {
      "fhir_comments": [
        "       OBX|28|FT|TXT^^AUSPDI||                                Units  Ref Range\\.br\\ \\.br\\   SERUM CHEMISTRY\\.br\\ Sodium                 142      mmol/L 137-147\\.br\\ Serum Potassium        4.0      mmol/L 3.5-5.0\\.br\\ Chloride               105      mmol/L 96-109\\.br\\ Bicarbonate            28       mmol/L 25-33\\.br\\ Other Anions           13       mmol/L 4-17\\.br\\ Glucose                5.2      mmol/L 3.0-7.7\\.br\\ Urea                   6.4      mmol/L 2.0-7.0\\.br\\ Serum Creatinine       0.09     mmol/L 0.04-0.11\\.br\\ Serum Uric Acid        0.46 +++ mmol/L 0.14-0.35\\.br\\ Total Bilirubin        13       umol/L 2-20\\.br\\ Direct Bilirubin       6        umol/L 0-8\\.br\\ Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 204 +++  U/L    30-115\\.br\\ Gamma G.T.             192 +++  U/L    0-45\\.br\\ ALT                    70 +     U/L    0-45\\.br\\ AST                    26       U/L    0-41\\.br\\ LD                     150      U/L    80-250\\.br\\ Serum Calcium          2.37     mmol/L 2.25-2.65\\.br\\ Corrected Calcium      2.47     mmol/L 2.25-2.65\\.br\\ Serum Phosphate        1.4      mmol/L 0.8-1.5\\.br\\ Total Protein          67       g/L    60-82\\.br\\ Serum Albumin          39       g/L    35-50\\.br\\ Globulins              28       g/L    20-40\\.br\\ Iron                   5 - -     umol/L 10-33\\.br\\ Cholesterol            4.4      mmol/L 3.6-6.7\\.br\\ \\.br\\ Revised NHF cholesterol guidelines (Nov.,2001):\\.br\\   Target below 4.0 mmol/L if high risk patient.\\.br\\   Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\\.br\\   and no other risk factor of CHD.\\.br\\ \\.br\\ Triglycerides          1.1      mmol/L 0.3-4.0\\.br\\||       "
      ],
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/18",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "18",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 18</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/1</a></p><p><b>effective</b>: 22/12/2004 6:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/1; 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' = '59573005)</span>; Patient/1; Acme Laboratory, Inc; 4.0 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' = '46511006)</span>; Patient/1; Acme Laboratory, Inc; 107 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' = '88645003)</span>; Patient/1; Acme Laboratory, Inc; 26 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' = '271057005)</span>; Patient/1; Acme Laboratory, Inc; 13 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' = '36048009)</span>; Patient/1; Acme Laboratory, Inc; 6.3 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' = '273967009)</span>; Patient/1; Acme Laboratory, Inc; 6.7 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' = '70901006)</span>; Patient/1; Acme Laboratory, Inc; 0.08 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' = '86228006)</span>; Patient/1; Acme Laboratory, Inc; 0.40 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' = '27171005)</span>; Patient/1; Acme Laboratory, Inc; 9 umol/L</li><li>id: o11; status: final; Bilirubin.direct [Moles/volume] in Serum or Plasma <span>(Details : {LOINC code '14629-0' = 'Bilirubin.direct [Moles/volume] in Serum or Plasma', given as 'Bilirubin.direct [Moles/volume] in Serum or Plasma'}; {SNOMED CT code '39748002' = '39748002)</span>; Patient/1; Acme Laboratory, Inc; 4 umol/L</li><li>id: o12; 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' = '88810008)</span>; Patient/1; Acme Laboratory, Inc; 144 U/L; High <span>(Details : {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></li><li>id: o13; 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' = '69480007)</span>; Patient/1; Acme Laboratory, Inc; 106 U/L; Critically high <span>(Details : {http://hl7.org/fhir/v2/0078 code 'HH' = 'Critically high)</span></li><li>id: o14; 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' = '34608000)</span>; Patient/1; Acme Laboratory, Inc; 30 U/L</li><li>id: o15; 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' = '45896001)</span>; Patient/1; Acme Laboratory, Inc; 18 U/L</li><li>id: o16; 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' = '11274001)</span>; Patient/1; Acme Laboratory, Inc; 143 U/L</li><li>id: o17; 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' = '71878006)</span>; Patient/1; Acme Laboratory, Inc; 2.28 mmol/L</li><li>id: o18; 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' = '166708003)</span>; Patient/1; Acme Laboratory, Inc; 2.32 mmol/L</li><li>id: o19; 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' = '104866001)</span>; Patient/1; Acme Laboratory, Inc; 1.3 mmol/L</li><li>id: o20; 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' = '74040009)</span>; Patient/1; Acme Laboratory, Inc; 66 g/L</li><li>id: o21; 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' = '104485008)</span>; Patient/1; Acme Laboratory, Inc; 41 g/L</li><li>id: o22; 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' = '104979009)</span>; Patient/1; Acme Laboratory, Inc; 25 g/L</li><li>id: o23; 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' = '42950004)</span>; Patient/1; Acme Laboratory, Inc; 3 umol/L; Critically low <span>(Details : {http://hl7.org/fhir/v2/0078 code 'LL' = 'Critically low)</span></li><li>id: o24; 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' = '77068002)</span>; Patient/1; Acme Laboratory, Inc; 4.0 mmol/L</li><li>id: o25; 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' = '104784006)</span>; Patient/1; Acme Laboratory, Inc; 1.0 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 107,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 26,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 13,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.08,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.40,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 9,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14629-0",
                  "display": "Bilirubin.direct [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39748002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 8,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 144,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 18,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.28,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 66,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 41,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "LL"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o25",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/1"
        },
        "effectiveDateTime": "2004-12-22T07:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          },
          {
            "reference": "#o25"
          }
        ]
      }
    },
    {
      "fhir_comments": [
        "       OBX|28|FT|PIT^^AUSPDI||001 Medical-Objects                                            07 01/07/1996\\.br\\002   \\.br\\003 Report Run Number: 1    Created:   19/04/2005     at    22:58:15\\.br\\004 Surgery: XXX    Reports: 23/02/2005 10:04:00  to  23/02/2005 10:04:00       \\.br\\009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\010 ANDERSON,DR. THOMAS                          0191322W\\.br\\019 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\020 Your Ref.   Patient Name                   Lab Ref.       Test\\.br\\021             JONES,June                      04-4154148     E/LFT (MASTER)\\.br\\029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\100 Start Patient  :      JONES,June                      \\.br\\101                       24 Sutherland Street, BUDERIM QLD 4556               \\.br\\104                       Birthdate: 08/01/1976     Age: Y29     Sex:F\\.br\\105                       Telephone: 07              \\.br\\109   \\.br\\110 Your Reference :      \\.br\\111 MO  Reference  :      04-4154148-25T-0\\.br\\112 Medicare Number:                \\.br\\115 Phone Enquiries:       (DR MARCUS WELBY)                           \\.br\\119   \\.br\\121 Referred by    :      WHITE,DR. WILSON                \\.br\\122 Copy to        :      ANDERSON,DR. THOMAS             \\.br\\123 Addressee      :      ANDERSON,DR. THOMAS               0191322W\\.br\\129   \\.br\\200 Start of Result:\\.br\\201 Specimen       :\\.br\\203 Requested      :      21/12/2004\\.br\\204 Collected      :      22/12/2004  07:45\\.br\\205 Name of Test   :      E/LFT (MASTER)                                       \\.br\\206 Reported       :      23/02/2005  10:04\\.br\\207 Confidential   :      N\\.br\\208 Test Category  :      N\\.br\\209   \\.br\\210 Normal Result  :      N\\.br\\299   \\.br\\301                               Units  Ref Range\\.br\\301 \\.br\\301   SERUM CHEMISTRY\\.br\\301 Sodium                 142     mmol/L 137-147\\.br\\301 Serum Potassium        4.0     mmol/L 3.5-5.0\\.br\\301 Chloride               107     mmol/L 96-109\\.br\\301 Bicarbonate            26      mmol/L 25-33\\.br\\301 Other Anions           13      mmol/L 4-17\\.br\\301 Glucose                6.3     mmol/L 3.0-7.7\\.br\\301 Urea                   6.7     mmol/L 2.0-7.0\\.br\\301 Serum Creatinine       0.08    mmol/L 0.04-0.11\\.br\\301 \\R\\FG04\\R\\Serum Uric Acid        0.40 ++ mmol/L 0.14-0.35\\R\\FG99\\R\\\\.br\\301 Total Bilirubin        9       umol/L 2-20\\.br\\301 Direct Bilirubin       4       umol/L 0-8\\.br\\301 \\R\\FG04\\R\\Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 144 +   U/L    30-115\\R\\FG99\\R\\\\.br\\301 \\R\\FG04\\R\\Gamma G.T.             106 +++ U/L    0-45\\R\\FG99\\R\\\\.br\\301 ALT                    30      U/L    0-45\\.br\\301 AST                    18      U/L    0-41\\.br\\301 LD                     143     U/L    80-250\\.br\\301 Serum Calcium          2.28    mmol/L 2.25-2.65\\.br\\301 Corrected Calcium      2.32    mmol/L 2.25-2.65\\.br\\301 Serum Phosphate        1.3     mmol/L 0.8-1.5\\.br\\301 Total Protein          66      g/L    60-82\\.br\\301 Serum Albumin          41      g/L    35-50\\.br\\301 Globulins              25      g/L    20-40\\.br\\301 \\R\\FG04\\R\\Iron                   3 - - -   umol/L 10-33\\R\\FG99\\R\\\\.br\\301 Cholesterol            4.0     mmol/L 3.6-6.7\\.br\\301 \\.br\\301 Revised NHF cholesterol guidelines (Nov.,2001):\\.br\\301   Target below 4.0 mmol/L if high risk patient.\\.br\\301   Consider lipid lowering treatment if cholesterol above 6.0 mmol/L\\.br\\301   and no other risk factor of CHD.\\.br\\301 \\.br\\301 Triglycerides          1.0     mmol/L 0.3-4.0\\.br\\309   \\.br\\319   \\.br\\390 End of Report  :\\.br\\399 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\\.br\\999 END OF LISTING - Run Number:1     19/04/2005  22:58:15\\.br\\||       "
      ],
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/19",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "19",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 19</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/2</a></p><p><b>effective</b>: 03/12/2004 8:45:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/2; Acme Laboratory, Inc; 141 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' = '59573005)</span>; Patient/2; Acme Laboratory, Inc; 4.2 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' = '46511006)</span>; Patient/2; Acme Laboratory, Inc; 106 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' = '88645003)</span>; Patient/2; Acme Laboratory, Inc; 29 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' = '271057005)</span>; Patient/2; Acme Laboratory, Inc; 10 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' = '36048009)</span>; Patient/2; Acme Laboratory, Inc; 7.0 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' = '273967009)</span>; Patient/2; Acme Laboratory, Inc; 4.7 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' = '70901006)</span>; Patient/2; Acme Laboratory, Inc; 0.05 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' = '86228006)</span>; Patient/2; Acme Laboratory, Inc; 0.32 mmol/L</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' = '27171005)</span>; Patient/2; Acme Laboratory, Inc; 43 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' = '88810008)</span>; Patient/2; Acme Laboratory, Inc; 708 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' = '69480007)</span>; Patient/2; Acme Laboratory, Inc; 1131 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' = '34608000)</span>; Patient/2; Acme Laboratory, Inc; 475 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' = '45896001)</span>; Patient/2; Acme Laboratory, Inc; 176 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' = '11274001)</span>; Patient/2; Acme Laboratory, Inc; 324 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' = '71878006)</span>; Patient/2; 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' = '166708003)</span>; Patient/2; 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' = '104866001)</span>; Patient/2; 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' = '74040009)</span>; Patient/2; 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' = '104485008)</span>; Patient/2; 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' = '104979009)</span>; Patient/2; Acme Laboratory, Inc; 33 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' = '42950004)</span>; Patient/2; Acme Laboratory, Inc; 17 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' = '77068002)</span>; Patient/2; Acme Laboratory, Inc; 7.0 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' = '104784006)</span>; Patient/2; Acme Laboratory, Inc; 0.9 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 141,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 106,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 29,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 10,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.7,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.05,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 43,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 708,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1131,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 475,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 176,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 324,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 33,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 17,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 7.0,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/2"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/2"
        },
        "effectiveDateTime": "2004-12-03T09:45:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/20",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "20",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><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>: 04/12/2004 7:30:17 AM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/3; 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' = '59573005)</span>; Patient/3; 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' = '46511006)</span>; Patient/3; 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' = '88645003)</span>; Patient/3; 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' = '271057005)</span>; Patient/3; 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' = '36048009)</span>; Patient/3; 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' = '273967009)</span>; Patient/3; 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' = '70901006)</span>; Patient/3; 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' = '86228006)</span>; Patient/3; 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' = '27171005)</span>; Patient/3; 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' = '88810008)</span>; Patient/3; 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' = '69480007)</span>; Patient/3; 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' = '34608000)</span>; Patient/3; 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' = '45896001)</span>; Patient/3; 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' = '11274001)</span>; Patient/3; 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' = '71878006)</span>; Patient/3; 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' = '166708003)</span>; Patient/3; 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' = '104866001)</span>; Patient/3; 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' = '74040009)</span>; Patient/3; 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' = '104485008)</span>; Patient/3; 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' = '104979009)</span>; Patient/3; 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' = '42950004)</span>; Patient/3; 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' = '77068002)</span>; Patient/3; 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' = '104784006)</span>; Patient/3; Acme Laboratory, Inc; 1.9 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 142,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 3.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 104,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 30,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 12,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.37,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 50,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 684,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1105,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 466,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 198,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 323,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.32,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.45,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 70,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 38,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 32,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 11,
              "unit": "umol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.9,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/3"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.9,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/3"
        },
        "effectiveDateTime": "2004-12-03T20:30:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/21",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "21",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><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 6:15:17 PM</p><p><b>issued</b>: 23/02/2005 9:04:01 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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' = '104934005)</span>; Patient/4; 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' = '59573005)</span>; Patient/4; 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' = '46511006)</span>; Patient/4; 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' = '88645003)</span>; Patient/4; 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' = '271057005)</span>; Patient/4; 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' = '36048009)</span>; Patient/4; 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' = '273967009)</span>; Patient/4; 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' = '70901006)</span>; Patient/4; 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' = '86228006)</span>; Patient/4; 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' = '27171005)</span>; Patient/4; 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' = '88810008)</span>; Patient/4; 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' = '69480007)</span>; Patient/4; 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' = '34608000)</span>; Patient/4; 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' = '45896001)</span>; Patient/4; 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' = '11274001)</span>; Patient/4; 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' = '71878006)</span>; Patient/4; 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' = '166708003)</span>; Patient/4; 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' = '104866001)</span>; Patient/4; 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' = '74040009)</span>; Patient/4; 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' = '104485008)</span>; Patient/4; 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' = '104979009)</span>; Patient/4; 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' = '42950004)</span>; Patient/4; 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' = '77068002)</span>; Patient/4; 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' = '104784006)</span>; Patient/4; Acme Laboratory, Inc; 1.5 mmol/L</li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2951-2",
                  "display": "Sodium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104934005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 143,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 137,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 147,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2823-3",
                  "display": "Potassium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "59573005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.5,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 5.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2075-0",
                  "display": "Chloride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "46511006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 108,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 96,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 109,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1963-8",
                  "display": "Bicarbonate [Moles/volume] in Serum"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88645003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 25,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1863-0",
                  "display": "Anion gap 4 in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271057005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 14,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 4,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 17,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14749-6",
                  "display": "Glucose [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "36048009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.3,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14937-7",
                  "display": "Urea nitrogen [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "273967009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4.6,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.0,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 7.0,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14682-9",
                  "display": "Creatinine [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "70901006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.06,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.04,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.11,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14933-6",
                  "display": "Urate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "86228006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.41,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.14,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 0.35,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14631-6",
                  "display": "Bilirubin.total [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "27171005"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 27,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 20,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "6768-6",
                  "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88810008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 631,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 30,
                  "unit": "U/L"
                },
                "high": {
                  "value": 115,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2324-2",
                  "display": "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "69480007"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 956,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1742-6",
                  "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "34608000"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 398,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 45,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1920-8",
                  "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "45896001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 120,
              "unit": "U/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "HH"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0,
                  "unit": "U/L"
                },
                "high": {
                  "value": 41,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2532-0",
                  "display": "Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "11274001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 243,
              "unit": "U/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 80,
                  "unit": "U/L"
                },
                "high": {
                  "value": 250,
                  "unit": "U/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2000-8",
                  "display": "Calcium [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "71878006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.33,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "13959-2",
                  "display": "Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "166708003"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.52,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 2.25,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 2.65,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14879-1",
                  "display": "Phosphate [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104866001"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.2,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.8,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 1.5,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o19",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "2885-2",
                  "display": "Protein [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "74040009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 71,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 60,
                  "unit": "g/L"
                },
                "high": {
                  "value": 82,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o20",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "1751-7",
                  "display": "Albumin [Mass/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104485008"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 36,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 35,
                  "unit": "g/L"
                },
                "high": {
                  "value": 50,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o21",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10834-0",
                  "display": "Globulin [Mass/volume] in Serum by calculation"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104979009"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 35,
              "unit": "g/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 20,
                  "unit": "g/L"
                },
                "high": {
                  "value": 40,
                  "unit": "g/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o22",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14798-3",
                  "display": "Iron [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "42950004"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 39,
              "unit": "umol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 10,
                  "unit": "umol/L"
                },
                "high": {
                  "value": 33,
                  "unit": "umol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o23",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14647-2",
                  "display": "Cholesterol [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "77068002"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 6.8,
              "unit": "mmol/L"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "H"
                }
              ]
            },
            "referenceRange": [
              {
                "low": {
                  "value": 3.6,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 6.7,
                  "unit": "mmol/L"
                }
              }
            ]
          },
          {
            "resourceType": "Observation",
            "id": "o24",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "14927-8",
                  "display": "Triglyceride [Moles/volume] in Serum or Plasma"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "104784006"
                }
              ]
            },
            "subject": {
              "reference": "Patient/4"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1.5,
              "unit": "mmol/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 0.3,
                  "unit": "mmol/L"
                },
                "high": {
                  "value": 4.0,
                  "unit": "mmol/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "text": "SERUM CHEMISTRY"
        },
        "subject": {
          "reference": "Patient/4"
        },
        "effectiveDateTime": "2004-12-05T07:15:17Z",
        "issued": "2005-02-23T10:04:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          },
          {
            "reference": "#o19"
          },
          {
            "reference": "#o20"
          },
          {
            "reference": "#o21"
          },
          {
            "reference": "#o22"
          },
          {
            "reference": "#o23"
          },
          {
            "reference": "#o24"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/25",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "25",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><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>: 08/11/2005 8:44:17 AM</p><p><b>issued</b>: 08/11/2005 10:38:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; 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>; Patient/5; Acme Laboratory, Inc; &lt;=1 U; Susceptible <span>(Details : {http://hl7.org/fhir/v2/0078 code 'S' = 'Susceptible)</span></li></ul></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11475-1",
                  "display": "Microorganism identified in Unspecified specimen by Culture"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueCodeableConcept": {
              "text": "KLEBSIELLA PNEUMONIAE"
            }
          },
          {
            "resourceType": "Observation",
            "id": "o2",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "43161-9",
                  "display": "Microorganism [#/volume] in Unspecified specimen by Viability count"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 20000,
              "unit": "CFU/ML"
            }
          },
          {
            "resourceType": "Observation",
            "id": "o3",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "AMS",
                  "display": "AMPICILLIN/SULBACTAM"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o4",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "AM",
                  "display": "AMPICILLIN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 16,
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "R"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o5",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "ATM",
                  "display": "AZTREONAM"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o6",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "CFZ",
                  "display": "CEFAZOLIN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o7",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "FEP",
                  "display": "CEFEPIME"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o8",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "CTN",
                  "display": "CEFOTETAN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o9",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "TAZ",
                  "display": "CEFTAZIDIME"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o10",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "CRO",
                  "display": "CEFTRIAXONE"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o11",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "CIPRO",
                  "display": "CIPROFLOXACIN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.25,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o12",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "GM",
                  "display": "GENTAMICIN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o13",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "IPM",
                  "display": "IMIPENEM"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o14",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "LVX",
                  "display": "LEVOFLOXACIN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 0.25,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o15",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "NIT",
                  "display": "NITROFURANTOIN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 32,
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o16",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "PTZ",
                  "display": "PIPERACILLIN/TAZOBAC"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 4,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o17",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "TRSUV",
                  "display": "TRIMETH/SULFA"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 20,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          },
          {
            "resourceType": "Observation",
            "id": "o18",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://example.org/local",
                  "code": "TOB",
                  "display": "TOBRAMYCIN"
                }
              ]
            },
            "subject": {
              "reference": "Patient/5"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 1,
              "comparator": "<=",
              "unit": "U"
            },
            "interpretation": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0078",
                  "code": "S"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "18769-0",
              "display": "Microbial susceptibility tests Set"
            }
          ]
        },
        "subject": {
          "reference": "Patient/5"
        },
        "effectiveDateTime": "2005-11-07T21:44:17Z",
        "issued": "2005-11-07T23:38:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "specimen": [
          {
            "display": "URINE, CLEAN CATCH/MIDSTREAM"
          }
        ],
        "result": [
          {
            "reference": "#o1"
          },
          {
            "reference": "#o2"
          },
          {
            "reference": "#o3"
          },
          {
            "reference": "#o4"
          },
          {
            "reference": "#o5"
          },
          {
            "reference": "#o6"
          },
          {
            "reference": "#o7"
          },
          {
            "reference": "#o8"
          },
          {
            "reference": "#o9"
          },
          {
            "reference": "#o10"
          },
          {
            "reference": "#o11"
          },
          {
            "reference": "#o12"
          },
          {
            "reference": "#o13"
          },
          {
            "reference": "#o14"
          },
          {
            "reference": "#o15"
          },
          {
            "reference": "#o16"
          },
          {
            "reference": "#o17"
          },
          {
            "reference": "#o18"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/26",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "26",
        "meta": {
          "lastUpdated": "2012-04-14T10:35:23Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><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' = '??', given as 'Rapid Plasma Reagin'})</span></p><p><b>subject</b>: <a>Patient/6</a></p><p><b>effective</b>: 08/03/2005 1:02:17 AM</p><p><b>issued</b>: 08/03/2005 1:02:01 AM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><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>; Patient/6; Acme Laboratory, Inc; value: Non-reactive</p></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "20507-0",
                  "display": "Reagin Ab [Presence] in Serum by RPR"
                }
              ]
            },
            "subject": {
              "reference": "Patient/6"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueString": "Non-reactive"
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "5234342"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.com/labs/reports",
              "code": "142080",
              "display": "Rapid Plasma Reagin"
            }
          ],
          "text": "RPR"
        },
        "subject": {
          "reference": "Patient/6"
        },
        "effectiveDateTime": "2005-03-07T14:02:17Z",
        "issued": "2005-03-07T14:02:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/DiagnosticReport/27",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "27",
        "meta": {
          "lastUpdated": "2012-05-23T14:27:01Z"
        },
        "text": {
          "status": "generated",
          "div": "<div>\n            <table>\n              <tr>\n                <td>hsCRP</td>\n                <td>2.8</td>\n                <td>mg/L</td>\n                <td>1.0-3.0</td>\n              </tr>\n            </table>\n          </div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "o1",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "30522-7",
                  "display": "C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "55235003"
                }
              ],
              "text": "hsCRP"
            },
            "subject": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
                "display": "Acme Laboratory, Inc"
              }
            ],
            "valueQuantity": {
              "value": 2.8,
              "unit": "mg/L"
            },
            "referenceRange": [
              {
                "low": {
                  "value": 1.0,
                  "unit": "mg/L"
                },
                "high": {
                  "value": 3.0,
                  "unit": "mg/L"
                }
              }
            ]
          }
        ],
        "identifier": [
          {
            "system": "http://acme.com/lab/reports",
            "value": "23412355"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://acme.com/labs/reports",
              "code": "bchem2",
              "display": "Specialist Biochemistry"
            }
          ]
        },
        "subject": {
          "reference": "Patient/1"
        },
        "effectiveDateTime": "2012-05-21T10:45:00Z",
        "issued": "2012-05-23T14:27:01Z",
        "performer": {
          "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f",
          "display": "Acme Laboratory, Inc"
        },
        "result": [
          {
            "reference": "#o1"
          }
        ]
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.