Connectathon 11 Snapshot
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Snapshot of a live feed from a laboratory (id = "2763c3ea-6bce-4f15-bdc9-4b41aaceee03")
<Bundle xmlns="http://hl7.org/fhir"> <id value="2763c3ea-6bce-4f15-bdc9-4b41aaceee03"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <type value="collection"/> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/103"/> <resource> <DiagnosticReport> <id value="103"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z168748 Z968634 Z986932 Date: 10/12/02 05/04/12 05/04/12 Time: 16:00 11:15 23:30 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 * * 0.8-1.3 APTT 26 * * secs 23-36 Fibrinogen 8.1H * * g/L 2.0-5.0 12Z968932 05/04/12 23:30 Comment: Please note specimen clotted. Ward notified. 12Z968634 05/04/12 11:15 Comment: * Specimen clotted. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/112"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986932-16258709"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/112"/> </subject> <effectiveDateTime value="2012-04-05T23:30:00Z"/> <issued value="2012-04-06T00:38:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/104"/> <resource> <DiagnosticReport> <id value="104"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z916580 Z661921 Z766455 Z986634 Z968932 Date: 09/10/06 26/03/07 28/09/07 05/04/12 05/04/12 Time: 09:25 10:10 08:45 11:15 23:30 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 130 119 121 136 129 g/L 115-150 WCC 6.1 5.5 6.0 8.9 8.6 x10^9/L 4.0-11.0 PLT 263 237 264 * 213 x10^9/L 140-400 RCC 4.92 4.41 4.58 4.63 4.42 x10^12/L 3.80-5.10 PCV 0.39 0.35 0.36 0.39 0.38 L/L 0.35-0.45 MCV 79.3L 79.7L 79.3L 84.6 86.0 fL 80.0-96.0 MCH 26.5L 26.8L 26.3L 29.3 29.3 pg 27.0-33.0 MCHC 334 337 332 346 341 g/L 320-360 RDW 15.1H 15.5H 15.2H 13.7 14.0 % 11.0-15.0 White Cell Differential Neut 3.8 2.9 3.4 6.7 6.2 x10^9/L 2.0-8.0 Lymph 1.6 2.0 2.0 1.5 1.5 x10^9/L 1.2-4.0 Mono 0.4 0.5 0.5 0.6 0.8 x10^9/L 0.1-1.0 Eos 0.2 0.0 0.1 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.1 x10^9/L 0.0-0.1 07Z661921 26/03/07 10:10 Film Comment : Film scanned. 12Z986634 05/04/12 11:15 Film Comment : Platelets are clumped, but appear adequate in number. Red cells are mainly normocytic normochromic with mild rouleaux. White cells appear normal. Comment: *PLEASE NOTE AMENDED REPORT* </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968932-16258708"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/112"/> </subject> <effectiveDateTime value="2012-04-05T23:30:00Z"/> <issued value="2012-04-05T23:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/105"/> <resource> <DiagnosticReport> <id value="105"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516369 Date: 05/04/12 Arterial Time: 23:55 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.38 7.35-7.45 pCO2 55H mmHg 35-45 Base Excess 7.1H mmol/L -3.0/3.0 pO2 30L mmHg 75-100 O2 Sat 41L % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.3 mmol/L 3.5-5.5 Sodium 141 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 145 g/L 130-170 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/113"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561369-16258707"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T23:55:00Z"/> <issued value="2012-04-05T23:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/106"/> <resource> <DiagnosticReport> <id value="106"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Anti-Factor Xa Assay (Plasma) Heparin Level by Anti-Xa 0.03 U/mL Anti-Factor Xa Comment: Reference range for Anti-Xa level depends upon route, time, dose and reason for anticoagulation. Therapeutic anticoagulation with LMWH (such as Enoxaparin) generally does not require routine monitoring. However, anti-Xa levels are recommended for patients on LMWH requiring dose adjustment in settings of (1) renal impairment, (2) obesity and (3) pregnancy. To assist interpretation of therapeutic ranges, anti-Xa levels should be collected four hours after the third dose. For less common indications such a patients at high risk of bleeding, and interpretation of results, please contact the on-call laboratory Haematology registrar or Haematologist via ACME switchboard. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968942-16258706"/> </identifier> <status value="final"/> <code> <text value="Special Coagulation"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T23:40:00Z"/> <issued value="2012-04-06T00:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/107"/> <resource> <DiagnosticReport> <id value="107"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968427 Z968448 Z986671 Z968774 Z968942 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Time: 03:30 05:10 09:10 17:02 23:40 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.7H 1.7H 0.8-1.3 APTT 31 31 27 31 35 secs 23-36 Fibrinogen 1.9L 1.8L g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986942-16258705"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T23:40:00Z"/> <issued value="2012-04-06T00:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/108"/> <resource> <DiagnosticReport> <id value="108"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z466872 Z864523 Z560485 Z896274 Z968972 Date: 08/01/09 08/01/09 17/02/09 19/02/09 05/04/12 Time: 08:10 09:34 15:30 06:00 23:10 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR * 1.0 0.8 0.9 1.0 0.8-1.3 APTT * 23L 25 25 24 secs 23-36 Fibrinogen * 3.5 2.9 3.3 5.3H g/L 2.0-5.0 09Z466872 08/01/09 08:10 Comment: * Note: unsuitable specimen - tube underfilled. Please fill coag. tubes to the blue line. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968972-16258704"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T23:10:00Z"/> <issued value="2012-04-06T00:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/109"/> <resource> <DiagnosticReport> <id value="109"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 3.9 mmol/L ( 3.5-5.5 ) Chloride 108 mmol/L ( 95-110 ) HCO3 25 mmol/L ( 22-30 ) Creatinine 62 umol/L ( 64-104 ) (Creatinine) 0.062 mmol/L ( 0.05-0.11) Urea 6.3 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Calcium 2.40 mmol/L ( 2.10-2.60) Phosphate 1.74 mmol/L ( 0.8-1.5 ) Magnesium 0.87 mmol/L ( 0.7-1.1 ) Albumin 32 g/L ( 35-50 ) Troponin I 24.15 ug/L (See Below ) CK 828 IU/L ( <175 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986972-16258703"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T23:10:00Z"/> <issued value="2012-04-06T00:39:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/110"/> <resource> <DiagnosticReport> <id value="110"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> THYROID FUNCTION Free T4 75.1 H pmol/L ( 9.0-26.0 ) Free T3 14.9 H pmol/L ( 3.5-6.5 ) TSH 0.01 L mIU/L ( 0.1-4.0 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968972-16258702"/> </identifier> <status value="final"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T23:10:00Z"/> <issued value="2012-04-06T05:49:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/111"/> <resource> <DiagnosticReport> <id value="111"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z466872 Z560485 Z869274 Z676769 Z968972 Date: 08/01/09 17/02/09 19/02/09 24/01/12 05/04/12 Time: 08:10 15:30 06:00 15:50 23:10 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 159 143 144 149 132 g/L 130-170 WCC 7.3 6.5 7.1 7.6 6.9 x10^9/L 4.0-11.0 PLT 231 241 220 225 227 x10^9/L 140-400 RCC 4.96 4.54 4.54 4.68 4.17L x10^12/L 4.50-5.70 PCV 0.46 0.42 0.42 0.43 0.38L L/L 0.40-0.50 MCV 92.9 92.7 92.3 92.4 91.7 fL 80.0-96.0 MCH 32.1 31.5 31.6 31.8 31.8 pg 27.0-33.0 MCHC 345 340 343 344 346 g/L 320-360 RDW 12.8 13.3 13.7 13.3 12.4 % 11.0-15.0 White Cell Differential Neut 4.6 3.3 4.5 4.0 3.7 x10^9/L 2.0-8.0 Lymph 1.9 2.4 1.8 2.7 2.1 x10^9/L 1.2-4.0 Mono 0.5 0.5 0.6 0.6 0.8 x10^9/L 0.1-1.0 Eos 0.2 0.3 0.2 0.2 0.3 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968972-16258701"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T23:10:00Z"/> <issued value="2012-04-05T23:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/112"/> <resource> <DiagnosticReport> <id value="112"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 3.6 mmol/L ( 3.5-5.5 ) Chloride 109 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 66 umol/L ( 49-90 ) (Creatinine) 0.066 mmol/L ( 0.05-0.09) Urea 4.0 mmol/L ( 2.5-8.3 ) eGFR 76 ( SEE-BELOW) C-React Prot 152 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/116"/> </subject> <reason> <text value="Infected Tendon Sheath"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968922-16258699"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T23:30:00Z"/> <issued value="2012-04-05T23:30:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/113"/> <resource> <DiagnosticReport> <id value="113"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z986922 Date: 05/04/12 Time: 23:30 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 123 g/L 115-150 WCC 9.7 x10^9/L 4.0-11.0 PLT 217 x10^9/L 140-400 RCC 3.93 x10^12/L 3.80-5.10 PCV 0.36 L/L 0.35-0.45 MCV 91.1 fL 80.0-96.0 MCH 31.3 pg 27.0-33.0 MCHC 344 g/L 320-360 RDW 13.2 % 11.0-15.0 White Cell Differential Neut 7.2 x10^9/L 2.0-8.0 Lymph 1.9 x10^9/L 1.2-4.0 Mono 0.6 x10^9/L 0.1-1.0 Eos 0.0 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/116"/> </subject> <reason> <text value="Infected Tendon Sheath"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968922-16258698"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T23:30:00Z"/> <issued value="2012-04-05T23:30:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/114"/> <resource> <DiagnosticReport> <id value="114"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 136 mmol/L ( 135-145 ) Potassium 3.8 mmol/L ( 3.5-5.5 ) Chloride 108 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 117 umol/L ( 64-104 ) (Creatinine) 0.117 mmol/L ( 0.05-0.11) Urea 10.0 mmol/L ( 2.5-8.3 ) eGFR 53 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/117"/> </subject> <reason> <text value="Post Tx"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968991-16258697"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/117"/> </subject> <effectiveDateTime value="2012-04-05T22:40:00Z"/> <issued value="2012-04-06T00:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/115"/> <resource> <DiagnosticReport> <id value="115"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968331 Z968584 Z986666 Z968991 Date: 04/04/12 05/04/12 05/04/12 05/04/12 Time: 19:45 04:35 12:05 22:40 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 76L 81L 86L 80L g/L 130-170 WCC 10.6 9.0 11.1H 8.1 x10^9/L 4.0-11.0 PLT 177 155 141 207 x10^9/L 140-400 RCC 2.24L 2.39L 2.51L 2.37L x10^12/L 4.50-5.70 PCV 0.22L 0.23L 0.24L 0.23L L/L 0.40-0.50 MCV 98.6H 96.4H 96.9H 96.3H fL 80.0-96.0 MCH 33.7H 34.0H 34.1H 33.9H pg 27.0-33.0 MCHC 342 352 352 352 g/L 320-360 RDW 15.8H 16.3H 16.8H 17.5H % 11.0-15.0 White Cell Differential Neut 7.8 6.8 9.8H 6.3 x10^9/L 2.0-8.0 Lymph 1.1L 1.1L 0.7L 0.9L x10^9/L 1.2-4.0 Mono 0.6 0.8 0.7 0.7 x10^9/L 0.1-1.0 Eos 0.1 0.2 0.0 0.2 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 0.8H x10^9/L 0.0-0.5 Meta 0.1H x10^9/L 0.0 NRBC 1H /100WBCs 0 NRBC Abs 0.1H x10^9/L 0 12Z968331 04/04/12 19:45 Film Comment : Red cells show moderate polychromasia with occasional nucleated red cells. Mild neutrophilia with moderate left shift and toxic changes. Manual differential. Platelets appear normal. Conclusion: In keeping with stated history of acute blood loss. Infection / inflammation cannot be excluded. Suggest clinical correlation and follow up FBE. Comment: Film reviewed by Dr Radio Xray - Haematology Registrar 12Z986584 05/04/12 04:35 Comment: Please note rise in haemoglobin since the last examination. ? Consistent with post blood transfusion. 12Z968666 05/04/12 12:05 Film Comment : Mild neutrophilia with mild toxic changes. Manual differential. Red cells are mildly macrocytic with some target cells and polychromatic cells. Platelets appear normal. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/117"/> </subject> <reason> <text value="Post Tx"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986991-16258696"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/117"/> </subject> <effectiveDateTime value="2012-04-05T22:40:00Z"/> <issued value="2012-04-05T23:53:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/116"/> <resource> <DiagnosticReport> <id value="116"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z362693 Z763647 Z886473 Z461534 Z968912 Date: 08/02/12 15/02/12 15/02/12 29/02/12 05/04/12 Time: 20:20 14:15 16:37 12:20 19:50 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.3 * 1.2 1.2 * 0.8-1.3 APTT 28 * 26 27 * secs 23-36 Fibrinogen 6.5H * 4.6 6.3H * g/L 2.0-5.0 12Z986912 05/04/12 19:50 Comment: Please note specimen clotted. Ward notified. 12Z763647 15/02/12 14:15 Comment: * Specimen clotted. Suggest repeat. Ward notified. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986912-16258695"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T19:50:00Z"/> <issued value="2012-04-06T00:22:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/117"/> <resource> <DiagnosticReport> <id value="117"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 6.1 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 20 mmol/L ( 22-30 ) Creatinine 193 umol/L ( 49-90 ) (Creatinine) 0.193 mmol/L ( 0.05-0.09) Urea 19.8 mmol/L ( 2.5-8.3 ) eGFR 22 ( SEE-BELOW) Comment: The Potassium result has been checked. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986912-16258694"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T19:50:00Z"/> <issued value="2012-04-06T01:03:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/118"/> <resource> <DiagnosticReport> <id value="118"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z963032 Z346840 Z963807 Z963931 Z986912 Date: 26/03/12 02/04/12 03/04/12 05/04/12 05/04/12 Time: 09:15 10:10 09:15 08:10 19:50 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 82L 80L 80L 92L 80L g/L 115-150 WCC 10.1 12.1H 10.5 13.0H 8.1 x10^9/L 4.0-11.0 PLT 553H 554H 596H 683H 578H x10^9/L 140-400 RCC 3.13L 3.11L 3.11L 3.57L 3.17L x10^12/L 3.80-5.10 PCV 0.24L 0.24L 0.24L 0.27L 0.24L L/L 0.35-0.45 MCV 76.9L 76.7L 76.3L 76.0L 76.3L fL 80.0-96.0 MCH 26.3L 25.8L 25.6L 25.8L 25.2L pg 27.0-33.0 MCHC 343 336 336 340 331 g/L 320-360 RDW 16.0H 16.3H 15.8H 16.4H 16.4H % 11.0-15.0 White Cell Differential Neut 7.4 9.5H 8.3H 10.7H 6.3 x10^9/L 2.0-8.0 Lymph 1.5 1.5 1.2 1.5 1.3 x10^9/L 1.2-4.0 Mono 0.6 0.6 0.4 0.5 0.4 x10^9/L 0.1-1.0 Eos 0.5 0.5 0.6H 0.1 0.1 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.1 0.1 0.1 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968912-16258693"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T19:50:00Z"/> <issued value="2012-04-05T23:54:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/119"/> <resource> <DiagnosticReport> <id value="119"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561960 Z561162 Z516464 Z561266 Z561269 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 14:05 14:50 17:35 20:21 23:31 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH * 7.38 7.36 7.39 7.41 7.35-7.45 pCO2 37 38 35 37 36 mmHg 35-45 HCO3(Std) 23 20L 22 23 mmol/L 22.0-30.0 Base Excess -2.1 -5.0L -2.5 -1.8 mmol/L -3.0/3.0 pO2 113H 203H 89 102H 99 mmHg 75-100 O2 Sat 99 100 97 98 98 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.0 4.3 4.1 4.1 4.1 mmol/L 3.5-5.5 Sodium 139 138 139 138 140 mmol/L 135-145 Chloride 108 109 109 109 109 mmol/L 95-110 iCa++ 1.10L 1.09L 1.09L 1.11L 1.14 mmol/L 1.12-1.30 Glucose 8.3H 7.4 8.7H 8.1H 6.1 mmol/L 3.6-7.7 Lactate 1.2 1.5 1.6 1.2 1.1 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 89L 90L 86L 87L 87L g/L 130-170 Reduced Hb 1.4 0.4 3.0 1.9 1.8 % 0-5 CarbOxy Hb 1.8H 1.5 1.7H 1.6H 1.7H % 0.5-1.5 Meth Hb 1.7H 1.1 1.5 1.1 1.4 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/119"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516269-16258691"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/119"/> </subject> <effectiveDateTime value="2012-04-05T23:31:00Z"/> <issued value="2012-04-05T23:35:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/120"/> <resource> <DiagnosticReport> <id value="120"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 4.8 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 153 umol/L ( 64-104 ) (Creatinine) 0.153 mmol/L ( 0.05-0.11) Urea 10.0 mmol/L ( 2.5-8.3 ) eGFR 40 ( SEE-BELOW) Troponin I <0.02 ug/L (See Below ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968941-16258690"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T23:21:00Z"/> <issued value="2012-04-06T00:11:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/121"/> <resource> <DiagnosticReport> <id value="121"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z568494 Z068305 R099045 Z826677 Z968941 Date: 02/07/10 14/09/10 02/02/11 07/02/12 05/04/12 Time: 15:25 08:50 09:00 10:54 23:21 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 127L 126L 123L 123L 110L g/L 130-170 WCC 5.7 5.1 8.9 5.3 x10^9/L 4.0-11.0 PLT 141 140 189 132L x10^9/L 140-400 RCC 3.74L 3.57L 3.79L 3.42L x10^12/L 4.50-5.70 PCV 0.36L 0.35L 0.36L 0.32L L/L 0.40-0.50 MCV 95.8 97.7H 93.7 92.5 fL 80.0-96.0 MCH 33.8H 34.3H 32.3 32.3 pg 27.0-33.0 MCHC 353 351 345 349 g/L 320-360 RDW 13.9 13.5 14.8 14.9 % 11.0-15.0 White Cell Differential Neut 3.5 3.1 5.4 3.5 x10^9/L 2.0-8.0 Lymph 1.8 1.5 2.4 1.3 x10^9/L 1.2-4.0 Mono 0.3 0.3 0.8 0.4 x10^9/L 0.1-1.0 Eos 0.2 0.1 0.3 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986941-16258689"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T23:21:00Z"/> <issued value="2012-04-06T08:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/122"/> <resource> <DiagnosticReport> <id value="122"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 4.0 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 78 umol/L ( 64-104 ) (Creatinine) 0.078 mmol/L ( 0.05-0.11) Urea 5.4 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Troponin I <0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/111"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986951-16258688"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/111"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T00:12:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/123"/> <resource> <DiagnosticReport> <id value="123"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968951 Date: 05/04/12 Time: 23:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 133 g/L 130-170 WCC 7.0 x10^9/L 4.0-11.0 PLT 248 x10^9/L 140-400 RCC 4.44L x10^12/L 4.50-5.70 PCV 0.39L L/L 0.40-0.50 MCV 87.4 fL 80.0-96.0 MCH 30.0 pg 27.0-33.0 MCHC 343 g/L 320-360 RDW 12.7 % 11.0-15.0 White Cell Differential Neut 4.0 x10^9/L 2.0-8.0 Lymph 2.2 x10^9/L 1.2-4.0 Mono 0.6 x10^9/L 0.1-1.0 Eos 0.2 x10^9/L 0.0-0.5 Baso 0.1 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/111"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968951-16258687"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/111"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-05T23:35:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/124"/> <resource> <DiagnosticReport> <id value="124"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z964154 Z946710 Z965564 Z265492 Z986961 Date: 04/03/12 05/03/12 19/03/12 20/03/12 05/04/12 Time: 22:57 21:40 10:10 09:55 23:00 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.4H 1.3 1.2 1.2 1.3 0.8-1.3 APTT 30 29 29 secs 23-36 Fibrinogen 1.9L 2.2 2.0 g/L 2.0-5.0 12Z964154 04/03/12 22:57 Comment: Please note mild hypofibrinogenaemia persists. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/111"/> </subject> <reason> <text value="PR Bleed Hep C +ve"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968961-16258686"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/111"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T00:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/125"/> <resource> <DiagnosticReport> <id value="125"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 136 mmol/L ( 135-145 ) Potassium 4.4 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 62 umol/L ( 49-90 ) (Creatinine) 0.062 mmol/L ( 0.05-0.09) Urea 11.7 mmol/L ( 2.5-8.3 ) eGFR 78 ( SEE-BELOW) Albumin 22 g/L ( 35-50 ) AP 71 IU/L ( 30-120 ) GGT 41 IU/L ( 10-65 ) ALT 76 IU/L ( <34 ) AST 134 IU/L ( <31 ) Bili Total 17 umol/L ( <19 ) Protein Total 63 g/L ( 65-85 ) Troponin I 0.03 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/111"/> </subject> <reason> <text value="PR Bleed Hep C +ve"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968961-16258685"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/111"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T00:44:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/126"/> <resource> <DiagnosticReport> <id value="126"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 136 mmol/L ( 135-145 ) Potassium 4.4 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 62 umol/L ( 49-90 ) (Creatinine) 0.062 mmol/L ( 0.05-0.09) Urea 11.7 mmol/L ( 2.5-8.3 ) eGFR 78 ( SEE-BELOW) Albumin 22 g/L ( 35-50 ) AP 71 IU/L ( 30-120 ) GGT 41 IU/L ( 10-65 ) ALT 76 IU/L ( <34 ) AST 134 IU/L ( <31 ) Bili Total 17 umol/L ( <19 ) Protein Total 63 g/L ( 65-85 ) Troponin I 0.03 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/111"/> </subject> <reason> <text value="PR Bleed Hep C +ve"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986961-16258685"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/111"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T00:44:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/127"/> <resource> <DiagnosticReport> <id value="127"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z268321 Z386901 Z965931 Z965863 Z986961 Date: 23/03/12 24/03/12 25/03/12 26/03/12 05/04/12 Time: 10:35 11:10 09:35 10:50 23:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 127 124 120 110L 101L g/L 115-150 WCC 4.9 4.7 4.2 3.7L 5.9 x10^9/L 4.0-11.0 PLT 98L 93L 85L 77L 96L x10^9/L 140-400 RCC 3.81 3.73L 3.62L 3.37L 2.93L x10^12/L 3.80-5.10 PCV 0.37 0.36 0.35 0.33L 0.29L L/L 0.35-0.45 MCV 96.7H 96.7H 96.8H 97.1H 98.0H fL 80.0-96.0 MCH 33.3H 33.2H 33.3H 32.8 34.4H pg 27.0-33.0 MCHC 345 343 344 338 351 g/L 320-360 RDW 20.1H 21.2H 20.4H 20.4H 21.7H % 11.0-15.0 White Cell Differential Neut 3.4 2.7 2.6 2.3 3.8 x10^9/L 2.0-8.0 Lymph 0.9L 1.3 1.0L 0.8L 1.4 x10^9/L 1.2-4.0 Mono 0.4 0.5 0.4 0.4 0.6 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.1 0.1 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.1 0.0 0.0 0.0 x10^9/L 0.0-0.1 12Z268321 23/03/12 10:35 Comment: Please note moderate thrombocytopenia persists. Instrument differential and parameters reported. 12Z368901 24/03/12 11:10 Comment: Instrument differential and parameters reported. 12Z956931 25/03/12 09:35 Comment: Note persistent thrombocytopenia. Instrument differential and parameters reported. 12Z965863 26/03/12 10:50 Film Comment : Mild anaemia. Red cells show moderate anisocytosis with some macrocytes, occasional target cells and mild rouleaux. White cells are unremarkable. Moderate thrombocytopenia. Comment: Please note moderate thrombocytopenia persists. Please note: no clinical details given. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/111"/> </subject> <reason> <text value="PR Bleed Hep C +ve"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968961-16258684"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/111"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-05T23:37:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/128"/> <resource> <DiagnosticReport> <id value="128"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 134 mmol/L ( 135-145 ) Potassium 3.4 mmol/L ( 3.5-5.5 ) Chloride 97 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 45 umol/L ( 49-90 ) (Creatinine) 0.045 mmol/L ( 0.05-0.09) Urea 3.4 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 31 g/L ( 35-50 ) AP 88 IU/L ( 30-120 ) GGT 51 IU/L ( 10-65 ) ALT 39 IU/L ( <34 ) AST 24 IU/L ( <31 ) Bili Total <5 umol/L ( <19 ) Protein Total 65 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/112"/> </subject> <reason> <text value="Vomiting Diarrhoea"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968971-16258683"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/112"/> </subject> <effectiveDateTime value="2012-04-05T23:23:00Z"/> <issued value="2012-04-06T01:03:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/129"/> <resource> <DiagnosticReport> <id value="129"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z167613 Z167802 Z886375 Z868929 Z968971 Date: 01/04/12 02/04/12 03/04/12 04/04/12 05/04/12 Time: 20:15 06:20 04:50 05:30 23:23 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 104L 111L 113L 105L 114L g/L 115-150 WCC 4.4 4.0 3.9L 4.7 10.3 x10^9/L 4.0-11.0 PLT 163 183 236 250 310 x10^9/L 140-400 RCC 3.76L 3.98 4.09 3.73L 4.05 x10^12/L 3.80-5.10 PCV 0.31L 0.32L 0.34L 0.30L 0.33L L/L 0.35-0.45 MCV 81.3 80.2 81.9 80.9 80.9 fL 80.0-96.0 MCH 27.8 28.0 27.7 28.3 28.1 pg 27.0-33.0 MCHC 342 349 338 350 348 g/L 320-360 RDW 14.7 15.1H 14.9 14.9 14.8 % 11.0-15.0 White Cell Differential Neut 3.0 2.1 1.6L 1.9L 7.6 x10^9/L 2.0-8.0 Lymph 0.7L 1.2 1.7 1.8 0.9L x10^9/L 1.2-4.0 Mono 0.7 0.7 0.5 0.5 0.8 x10^9/L 0.1-1.0 Eos 0.0 0.1 0.1 0.3 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 0.0 0.1 0.9H x10^9/L 0.0-0.5 12Z176613 01/04/12 20:15 Comment: Note: fall in haemoglobin. 12Z868375 03/04/12 04:50 Film Comment : White cells show mild neutropenia. Manual differential. Red cells are mainly normocytic normochromic with occasional elongated cells and target cells. Platelets appear normal. Conclusion: ? Cause of decreasing neutrophil count, ? therapy-related. 12Z868929 04/04/12 05:30 Film Comment : White cells show mild neutropenia, the neutrophils present show mild toxic changes. Manual differential. Red cells appear essentially normal. Platelets appear normal. 12Z986971 05/04/12 23:23 Film Comment : Mild neutrophilia with mild left shift, moderate toxic granulation and vacuolation and occasional Doehle bodies. Occasional reactive lymphocytes. Manual differential. Conclusion: Suggestive of infection. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/112"/> </subject> <reason> <text value="Vomiting Diarrhoea"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986971-16258682"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/112"/> </subject> <effectiveDateTime value="2012-04-05T23:23:00Z"/> <issued value="2012-04-06T08:55:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/130"/> <resource> <DiagnosticReport> <id value="130"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z563831 Z986981 Date: 02/07/11 05/04/12 Therapeut Time: 16:00 23:25 Units Range -------- -------- -------- -------- -------- ------ --------- PLASMA Carbamazepine <2L umol/L 20-50 Hrs Since Dose No Info HH:MM Phenytoin <2L umol/L 40-80 Hrs Since Dose No Info HH:MM Valproate 283L 57L umol/L 350-700 Hrs Since Dose No Info No Info HH:MM </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/113"/> </subject> <reason> <text value="Intoxicated Agitated ? Penetrating Head Injury"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968981-16258681"/> </identifier> <status value="final"/> <code> <text value="Therapeutic Drugs"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T23:25:00Z"/> <issued value="2012-04-06T03:24:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/131"/> <resource> <DiagnosticReport> <id value="131"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 139 mmol/L ( 135-145 ) Potassium 3.5 mmol/L ( 3.5-5.5 ) Chloride 91 mmol/L ( 95-110 ) HCO3 28 mmol/L ( 22-30 ) Creatinine 82 umol/L ( 64-104 ) (Creatinine) 0.082 mmol/L ( 0.05-0.11) Urea 3.8 mmol/L ( 2.5-8.3 ) eGFR 90 ( SEE-BELOW) Albumin 37 g/L ( 35-50 ) AP 62 IU/L ( 30-120 ) GGT 117 IU/L ( 10-65 ) ALT 31 IU/L ( <45 ) AST 71 IU/L ( <35 ) Bili Total 10 umol/L ( <19 ) Protein Total 78 g/L ( 65-85 ) Lipase 87 IU/L ( <60 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/113"/> </subject> <reason> <text value="Intoxicated Agitated ? Penetrating Head Injury"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986981-16258680"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T23:25:00Z"/> <issued value="2012-04-06T00:08:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/132"/> <resource> <DiagnosticReport> <id value="132"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z563540 Z536831 Z468013 Z968981 Date: 02/07/11 02/07/11 03/07/11 05/04/12 Time: 02:00 16:00 04:20 23:25 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 125L 113L 125L 148 g/L 130-170 WCC 7.0 3.9L 7.1 6.2 x10^9/L 4.0-11.0 PLT 292 268 267 246 x10^9/L 140-400 RCC 3.40L 3.11L 3.36L 4.17L x10^12/L 4.50-5.70 PCV 0.36L 0.33L 0.36L 0.43 L/L 0.40-0.50 MCV 106.5H 105.3H 106.5H 103.0H fL 80.0-96.0 MCH 36.7H 36.4H 37.2H 35.5H pg 27.0-33.0 MCHC 345 346 349 345 g/L 320-360 RDW 16.5H 15.7H 15.2H 14.1 % 11.0-15.0 White Cell Differential Neut 4.1 2.9 5.2 2.7 x10^9/L 2.0-8.0 Lymph 2.1 0.5L 1.0L 3.0 x10^9/L 1.2-4.0 Mono 0.5 0.4 0.7 0.4 x10^9/L 0.1-1.0 Eos 0.1 0.0 0.1 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.1 0.1 0.0 x10^9/L 0.0-0.1 11Z536540 02/07/11 02:00 Film Comment : Red cells are macrocytic with some target cells and stomatocytes. White cells are unremarkable. Platelets are plentiful. Conclusion: Common causes of macrocytosis include liver disease, B12/folate deficiency, hypothyroidism, alcohol, smoking, and certain drugs including chemotherapy. Suggest liver function tests, serum B12/folate levels, and review drug history if cause not already known. 11Z563831 02/07/11 16:00 Comment: Instrument differential and parameters reported. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/113"/> </subject> <reason> <text value="Intoxicated Agitated ? Penetrating Head Injury"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968981-16258679"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T23:25:00Z"/> <issued value="2012-04-05T23:36:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/133"/> <resource> <DiagnosticReport> <id value="133"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z986931 Date: 05/04/12 Time: 23:00 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.2 0.8-1.3 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968931-16258678"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T00:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/134"/> <resource> <DiagnosticReport> <id value="134"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 132 mmol/L ( 135-145 ) Potassium 4.1 mmol/L ( 3.5-5.5 ) Chloride 101 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 156 umol/L ( 64-104 ) (Creatinine) 0.156 mmol/L ( 0.05-0.11) Urea 19.5 mmol/L ( 2.5-8.3 ) eGFR 43 ( SEE-BELOW) Calcium 1.97 mmol/L ( 2.10-2.60) Phosphate 0.94 mmol/L ( 0.8-1.5 ) Magnesium 0.58 mmol/L ( 0.7-1.1 ) Albumin 26 g/L ( 35-50 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968931-16258677"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T00:06:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/135"/> <resource> <DiagnosticReport> <id value="135"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561169 Date: 05/04/12 Arterial Time: 23:19 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.39 7.35-7.45 pCO2 40 mmHg 35-45 Base Excess -0.9 mmol/L -3.0/3.0 pO2 57L mmHg 75-100 O2 Sat 91L % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.1 mmol/L 3.5-5.5 Sodium 128L mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 122L g/L 130-170 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/113"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516169-16258676"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T23:19:00Z"/> <issued value="2012-04-05T23:21:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/135a"/> <resource> <DiagnosticReport> <id value="135a"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968921 Date: 05/04/12 Time: 23:00 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 3.0H 0.8-1.3 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/114"/> </subject> <reason> <text value="Fall From Standing Height Headstrike LOC"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986921-16258675"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T00:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/136"/> <resource> <DiagnosticReport> <id value="136"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 4.6 mmol/L ( 3.5-5.5 ) Chloride 105 mmol/L ( 95-110 ) HCO3 25 mmol/L ( 22-30 ) Creatinine 73 umol/L ( 64-104 ) (Creatinine) 0.073 mmol/L ( 0.05-0.11) Urea 8.0 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/114"/> </subject> <reason> <text value="Fall From Standing Height Headstrike LOC"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986921-16258674"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-06T01:03:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/137"/> <resource> <DiagnosticReport> <id value="137"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968921 Date: 05/04/12 Time: 23:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 142 g/L 130-170 WCC 7.2 x10^9/L 4.0-11.0 PLT 184 x10^9/L 140-400 RCC 4.31L x10^12/L 4.50-5.70 PCV 0.41 L/L 0.40-0.50 MCV 96.0 fL 80.0-96.0 MCH 33.0 pg 27.0-33.0 MCHC 343 g/L 320-360 RDW 15.2H % 11.0-15.0 White Cell Differential Neut 5.0 x10^9/L 2.0-8.0 Lymph 1.3 x10^9/L 1.2-4.0 Mono 0.5 x10^9/L 0.1-1.0 Eos 0.3 x10^9/L 0.0-0.5 Baso 0.1 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/114"/> </subject> <reason> <text value="Fall From Standing Height Headstrike LOC"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968921-16258673"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T23:00:00Z"/> <issued value="2012-04-05T23:37:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/138"/> <resource> <DiagnosticReport> <id value="138"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561576 Z516361 Z561663 Z561365 Z516069 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 09:27 14:18 17:00 19:04 23:15 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.50H * 7.51H * 7.51H 7.35-7.45 pCO2 36 31L 34L 34L 33L mmHg 35-45 HCO3(Std) 29 28 28 mmol/L 22.0-30.0 Base Excess 4.5H 3.7H 3.8H mmol/L -3.0/3.0 pO2 90 86 89 86 78 mmHg 75-100 O2 Sat 98 98 98 97 97 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.2 3.8 4.2 3.8 3.3L mmol/L 3.5-5.5 Sodium 142 140 141 141 142 mmol/L 135-145 Chloride 109 107 108 106 109 mmol/L 95-110 iCa++ 1.11L 1.09L 1.09L 1.12 1.07L mmol/L 1.12-1.30 Glucose 5.9 13.0H 13.4H 12.6H 8.9H mmol/L 3.6-7.7 Lactate 1.0 1.0 1.5 1.4 1.1 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 94L 92L 88L 88L 87L g/L 130-170 Reduced Hb 1.8 2.2 2.2 2.6 3.1 % 0-5 CarbOxy Hb 1.1 1.3 1.3 1.3 1.4 % 0.5-1.5 Meth Hb 1.0 1.5 1.2 1.4 1.3 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/115"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561069-16258672"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T23:15:00Z"/> <issued value="2012-04-05T23:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/139"/> <resource> <DiagnosticReport> <id value="139"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968901 Date: 05/04/12 Time: 22:30 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 0.8-1.3 APTT 29 secs 23-36 Fibrinogen 5.5H g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/116"/> </subject> <reason> <text value="TIA Slurred Speech Facial Droop Cardiac Hx"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986901-16258671"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T22:30:00Z"/> <issued value="2012-04-06T00:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/140"/> <resource> <DiagnosticReport> <id value="140"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.6 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 148 umol/L ( 64-104 ) (Creatinine) 0.148 mmol/L ( 0.05-0.11) Urea 14.6 mmol/L ( 2.5-8.3 ) eGFR 41 ( SEE-BELOW) Calcium 2.43 mmol/L ( 2.10-2.60) Albumin 32 g/L ( 35-50 ) AP 90 IU/L ( 30-120 ) GGT 19 IU/L ( 10-65 ) ALT 14 IU/L ( <45 ) AST 22 IU/L ( <35 ) Bili Total 10 umol/L ( <19 ) Protein Total 77 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/116"/> </subject> <reason> <text value="TIA Slurred Speech Facial Droop Cardiac Hx"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986901-16258670"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T22:30:00Z"/> <issued value="2012-04-06T00:07:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/141"/> <resource> <DiagnosticReport> <id value="141"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968901 Date: 05/04/12 Time: 22:30 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 120L g/L 130-170 WCC 9.3 x10^9/L 4.0-11.0 PLT 220 x10^9/L 140-400 RCC 4.13L x10^12/L 4.50-5.70 PCV 0.35L L/L 0.40-0.50 MCV 85.5 fL 80.0-96.0 MCH 29.0 pg 27.0-33.0 MCHC 340 g/L 320-360 RDW 14.4 % 11.0-15.0 White Cell Differential Neut 5.6 x10^9/L 2.0-8.0 Lymph 2.8 x10^9/L 1.2-4.0 Mono 0.7 x10^9/L 0.1-1.0 Eos 0.2 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/116"/> </subject> <reason> <text value="TIA Slurred Speech Facial Droop Cardiac Hx"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968901-16258669"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T22:30:00Z"/> <issued value="2012-04-05T23:37:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/142"/> <resource> <DiagnosticReport> <id value="142"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z666913 Z076504 Z968911 Date: 27/11/11 30/03/12 05/04/12 Therapeut Time: 11:27 19:15 22:56 Units Range -------- -------- -------- -------- -------- ------ --------- PLASMA Paracetamol <60 <60 <60 umol/L AS-BELOW Salicylate <0.30 <0.30 mmol/L <2.9 * Paracetamol * The significance of the plasma concentration depends on the timing of the sample after ingestion. Hepato-toxicity may be seen with a plasma concentration of 1000 umol/L at 4 hours after ingestion or 600 umol/L at 8 hours after ingestion. * Salicylate * The significance of the plasma concentration depends on the timing of the sample after ingestion. Toxicity may be seen with a plasma concentration of greater than 3 mmol/L. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/117"/> </subject> <reason> <text value="Collapse"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968911-16258668"/> </identifier> <status value="final"/> <code> <text value="Therapeutic Drugs"/> </code> <subject> <reference value="Patient/117"/> </subject> <effectiveDateTime value="2012-04-05T22:56:00Z"/> <issued value="2012-04-06T00:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/143"/> <resource> <DiagnosticReport> <id value="143"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 3.5 mmol/L ( 3.5-5.5 ) Chloride 100 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 76 umol/L ( 49-90 ) (Creatinine) 0.076 mmol/L ( 0.05-0.09) Urea 6.5 mmol/L ( 2.5-8.3 ) eGFR 68 ( SEE-BELOW) Calcium 2.33 mmol/L ( 2.10-2.60) Phosphate 1.27 mmol/L ( 0.8-1.5 ) Magnesium 0.78 mmol/L ( 0.8-1.0 ) Albumin 39 g/L ( 35-50 ) AP 53 IU/L ( 30-120 ) GGT 13 IU/L ( 10-65 ) ALT 11 IU/L ( <34 ) AST 9 IU/L ( <31 ) Bili Total 17 umol/L ( <19 ) Protein Total 70 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/117"/> </subject> <reason> <text value="Collapse"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968911-16258667"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/117"/> </subject> <effectiveDateTime value="2012-04-05T22:56:00Z"/> <issued value="2012-04-06T00:06:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/144"/> <resource> <DiagnosticReport> <id value="144"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z466067 Z267256 Z076504 Z067795 Z968911 Date: 05/12/11 07/12/11 30/03/12 31/03/12 05/04/12 Time: 09:25 07:40 19:15 06:00 22:56 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 115 105L 115 110L 105L g/L 115-150 WCC 10.0 8.0 3.9L 4.5 5.2 x10^9/L 4.0-11.0 PLT 508H 560H 200 189 208 x10^9/L 140-400 RCC 3.74L 3.42L 3.73L 3.56L 3.43L x10^12/L 3.80-5.10 PCV 0.34L 0.30L 0.33L 0.32L 0.30L L/L 0.35-0.45 MCV 89.9 89.0 89.2 88.8 88.8 fL 80.0-96.0 MCH 30.7 30.7 30.8 30.9 30.7 pg 27.0-33.0 MCHC 342 345 345 348 346 g/L 320-360 RDW 13.6 13.3 12.9 13.0 13.1 % 11.0-15.0 White Cell Differential Neut 4.8 3.5 1.7L 2.0 1.5L x10^9/L 2.0-8.0 Lymph 3.4 3.5 1.9 2.1 3.3 x10^9/L 1.2-4.0 Mono 1.5H 0.8 0.3 0.3 0.4 x10^9/L 0.1-1.0 Eos 0.3 0.2 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 11Z276256 07/12/11 07:40 Comment: Specimen taken more than 12 hours before receipt in lab. 12Z067504 30/03/12 19:15 Film Comment : Mild neutropenia. Red cells and platelets appear normal. Comment: Please note mild neutropenia. ? cause. A repeat FBE may be of value. 12Z067795 31/03/12 06:00 Comment: Please note fall in haemoglobin. 12Z986911 05/04/12 22:56 Film Comment : Film scanned. Comment: Mild neutropenia. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/117"/> </subject> <reason> <text value="Collapse"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986911-16258666"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/117"/> </subject> <effectiveDateTime value="2012-04-05T22:56:00Z"/> <issued value="2012-04-06T08:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/145"/> <resource> <DiagnosticReport> <id value="145"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561762 Z516364 Z561766 Z561868 Z516968 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 15:28 17:29 20:59 23:13 23:13 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.31L 7.38 7.37 7.38 7.38 7.35-7.45 pCO2 45 36 37 37 37 mmHg 35-45 HCO3(Std) 21L 22 22 22 22 mmol/L 22.0-30.0 Base Excess -3.7L -3.1L -3.4L -2.9 -2.9 mmol/L -3.0/3.0 pO2 210H 97 157H 129H 129H mmHg 75-100 O2 Sat 99 98 99 99 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.6 4.6 4.6 4.4 4.4 mmol/L 3.5-5.5 Sodium 131L 130L 129L 130L 130L mmol/L 135-145 Chloride 103 103 102 102 102 mmol/L 95-110 iCa++ 1.12 1.10L 1.12 1.14 1.14 mmol/L 1.12-1.30 Glucose 9.8H 9.0H 9.4H 9.7H 9.7H mmol/L 3.6-7.7 Lactate 0.8 0.7 0.7 0.7 0.7 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 90L 87L 81L 84L 84L g/L 115-150 Reduced Hb 0.6 2.1 0.8 1.0 1.0 % 0-5 CarbOxy Hb 0.6 0.9 0.8 0.9 0.9 % 0.5-1.5 Meth Hb 1.0 1.3 1.2 1.1 1.1 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561968-16258665"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T23:13:00Z"/> <issued value="2012-04-05T23:17:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/146"/> <resource> <DiagnosticReport> <id value="146"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561061 Z561762 Z516364 Z561766 Z561868 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 14:08 15:28 17:29 20:59 23:13 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.32L 7.31L 7.38 7.37 7.38 7.35-7.45 pCO2 42 45 36 37 37 mmHg 35-45 HCO3(Std) 21L 21L 22 22 22 mmol/L 22.0-30.0 Base Excess -4.0L -3.7L -3.1L -3.4L -2.9 mmol/L -3.0/3.0 pO2 203H 210H 97 157H 129H mmHg 75-100 O2 Sat 99 99 98 99 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.4 4.6 4.6 4.6 4.4 mmol/L 3.5-5.5 Sodium 131L 131L 130L 129L 130L mmol/L 135-145 Chloride 104 103 103 102 102 mmol/L 95-110 iCa++ 1.10L 1.12 1.10L 1.12 1.14 mmol/L 1.12-1.30 Glucose 10.5H 9.8H 9.0H 9.4H 9.7H mmol/L 3.6-7.7 Lactate 1.1 0.8 0.7 0.7 0.7 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 94L 90L 87L 81L 84L g/L 115-150 Reduced Hb 0.7 0.6 2.1 0.8 1.0 % 0-5 CarbOxy Hb 0.8 0.6 0.9 0.8 0.9 % 0.5-1.5 Meth Hb 1.5 1.0 1.3 1.2 1.1 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516868-16258664"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T23:13:00Z"/> <issued value="2012-04-05T23:17:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/147"/> <resource> <DiagnosticReport> <id value="147"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516160 Z561262 Z561962 Z516166 Z561768 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 12:51 15:08 16:17 20:08 23:01 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.48H * * 7.48H 7.46H 7.35-7.45 pCO2 36 37 37 34L 39 mmHg 35-45 HCO3(Std) 27 27 27 mmol/L 22.0-30.0 Base Excess 2.8 2.1 3.3H mmol/L -3.0/3.0 pO2 76 76 78 88 89 mmHg 75-100 O2 Sat 96 96 96 97 97 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.4 3.9 3.9 4.1 5.4 mmol/L 3.5-5.5 Sodium 142 143 144 141 141 mmol/L 135-145 Chloride 112H 110 111H 113H 111H mmol/L 95-110 iCa++ 1.09L 1.11L 1.11L 1.07L 1.06L mmol/L 1.12-1.30 Glucose 9.0H 7.6 6.6 8.9H 11.2H mmol/L 3.6-7.7 Lactate 2.5H 1.6 1.6 1.9H 1.6 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 122L 125L 127L 128L 132 g/L 130-170 Reduced Hb 4.1 4.2 3.9 2.7 3.1 % 0-5 CarbOxy Hb 0.7 0.8 0.8 0.6 0.6 % 0.5-1.5 Meth Hb 1.4 1.5 1.3 1.3 1.5 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/119"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561768-16258663"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/119"/> </subject> <effectiveDateTime value="2012-04-05T23:01:00Z"/> <issued value="2012-04-05T23:06:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/148"/> <resource> <DiagnosticReport> <id value="148"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561547 Z516569 Z561666 Z561068 Z516668 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 10:42 12:34 20:56 22:30 22:58 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.42 7.40 7.39 7.40 7.41 7.35-7.45 pCO2 46H 47H 46H 43 42 mmHg 35-45 HCO3(Std) 28 28 26 26 26 mmol/L 22.0-30.0 Base Excess 4.6H 4.2H 2.6 1.8 1.7 mmol/L -3.0/3.0 pO2 103H 210H 78 89 88 mmHg 75-100 O2 Sat 98 100 95 97 98 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.8 4.2 4.6 4.3 4.7 mmol/L 3.5-5.5 Sodium 141 141 138 138 137 mmol/L 135-145 Chloride 109 109 109 109 107 mmol/L 95-110 iCa++ 1.11L 1.14 1.14 1.10L 1.12 mmol/L 1.12-1.30 Glucose 6.8 6.0 8.6H 7.3 7.4 mmol/L 3.6-7.7 Lactate 0.6 0.3 1.0 1.0 1.0 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 81L 80L 100L 102L 105L g/L 130-170 Reduced Hb 1.7 0.5 4.4 2.6 2.0 % 0-5 CarbOxy Hb 1.3 1.4 2.0H 1.9H 2.0H % 0.5-1.5 Meth Hb 1.7H 1.8H 1.3 1.2 1.0 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/120"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561668-16258662"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T22:58:00Z"/> <issued value="2012-04-05T23:03:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/149"/> <resource> <DiagnosticReport> <id value="149"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561568 Date: 05/04/12 Arterial Time: 22:57 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.48H 7.35-7.45 pCO2 38 mmHg 35-45 Base Excess 4.6H mmol/L -3.0/3.0 pO2 60L mmHg 75-100 O2 Sat 92L % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.3L mmol/L 3.5-5.5 Sodium 133L mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 116 g/L 115-150 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/112"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516568-16258661"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/112"/> </subject> <effectiveDateTime value="2012-04-05T22:57:00Z"/> <issued value="2012-04-05T23:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/150"/> <resource> <DiagnosticReport> <id value="150"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561467 Z561468 Date: 05/04/12 05/04/12 Arterial Time: 22:05 22:58 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 Deg. C pH 7.34L 7.34L 7.35-7.45 pCO2 32L 32L mmHg 35-45 HCO3(Std) 18.0L 18L mmol/L 22.0-30.0 Base Excess -7.9L -8.2L mmol/L -3.0/3.0 pO2 80 78 mmHg 75-100 O2 Sat 96.0 96 % 95-100 ELECTROLYTES (Whole Blood) Potassium * 3.5 mmol/L 3.5-5.5 Sodium 141 142 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 99L 101L g/L 115-150 05/04/12 12Z516467 General Comments: Potassium unavailable. Sample transported on ice. Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/121"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516468-16258660"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T22:58:00Z"/> <issued value="2012-04-05T23:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/151"/> <resource> <DiagnosticReport> <id value="151"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561463 Z516864 Z561765 Z561067 Z516368 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 16:46 18:10 19:54 21:22 22:36 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.36 7.40 7.36 7.24L 7.29L 7.35-7.45 pCO2 23L 21L 27L 44 37 mmHg 35-45 HCO3(Std) 16L 17L 17L 18L 18L mmol/L 22.0-30.0 Base Excess -11.8L -10.8L -9.4L -7.9L -8.1L mmol/L -3.0/3.0 pO2 138H 136H 306H 345H 141H mmHg 75-100 O2 Sat 99 100 100 100 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 5.7H 6.0H 5.6H 6.2H 6.0H mmol/L 3.5-5.5 Sodium 140 141 138 136 134L mmol/L 135-145 Chloride 107 106 107 105 106 mmol/L 95-110 iCa++ 0.99L 0.98L 0.97L 0.98L 0.95L mmol/L 1.12-1.30 Glucose 5.3 4.4 7.4 6.4 5.9 mmol/L 3.6-7.7 Lactate 12.3H 11.7H 9.3H 7.5H 5.9H mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 106L 109L 108L 108L 100L g/L 130-170 Reduced Hb 0.6 0.5 -0.2L -0.1L 0.9 % 0-5 CarbOxy Hb 1.7H 1.8H 1.4 1.3 1.5 % 0.5-1.5 Meth Hb 1.0 1.2 1.1 0.7 1.1 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/122"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561368-16258659"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/122"/> </subject> <effectiveDateTime value="2012-04-05T22:36:00Z"/> <issued value="2012-04-05T22:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/152"/> <resource> <DiagnosticReport> <id value="152"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561060 Z561268 Date: 05/04/12 05/04/12 Arterial Time: 12:53 22:36 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 Deg. C pH 7.47H 7.49H 7.35-7.45 pCO2 34L 34L mmHg 35-45 HCO3(Std) 26.0 27 mmol/L 22.0-30.0 Base Excess 1.1 2.5 mmol/L -3.0/3.0 pO2 58L 70L mmHg 75-100 O2 Sat 91.0L 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium * 3.3L mmol/L 3.5-5.5 Sodium 136 137 mmol/L 135-145 Chloride 108 mmol/L 95-110 iCa++ 1.14 mmol/L 1.12-1.30 Glucose 7.9H mmol/L 3.6-7.7 Lactate 1.8 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 115 101L g/L 115-150 Reduced Hb 0.8 % 0-5 CarbOxy Hb 1.2 % 0.5-1.5 Meth Hb 1.1 % 0-1.5 05/04/12 12Z516060 General Comments: Potassium unavailable. Sample transported on ice. Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/114"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516268-16258658"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T22:36:00Z"/> <issued value="2012-04-05T22:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/153"/> <resource> <DiagnosticReport> <id value="153"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type: Serum </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/123"/> </subject> <reason> <text value="Needlestick Recipient"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968990-16258657"/> </identifier> <status value="final"/> <code> <text value="Internal Serology"/> </code> <subject> <reference value="Patient/123"/> </subject> <effectiveDateTime value="2012-04-05T22:20:00Z"/> <issued value="2012-04-05T22:20:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/154"/> <resource> <DiagnosticReport> <id value="154"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type Serum HEPATITIS SEROLOGY Hepatitis B Surface Antibody (by Architect) : Moderate Positive HBsAB Titre : 44 IU/L Hepatitis B Surface Antibody Titres Interpretation ======================================= ================ < 10 IU/L Not Detected 10 - 100 IU/L Moderate Positive > 100 IU/L Detected ======================================= ================= </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/123"/> </subject> <reason> <text value="Needlestick Recipient"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968990-16258656"/> </identifier> <status value="final"/> <code> <text value="Needlestick Serology"/> </code> <subject> <reference value="Patient/123"/> </subject> <effectiveDateTime value="2012-04-05T22:20:00Z"/> <issued value="2012-04-05T22:20:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/155"/> <resource> <DiagnosticReport> <id value="155"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561594 Z561539 Z516763 Z561167 Z561168 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 08:02 12:24 17:03 21:26 22:33 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.37 7.32L 7.33L 7.39 7.41 7.35-7.45 pCO2 42 47H 46H 37 34L mmHg 35-45 HCO3(Std) 24 23 23 23 22 mmol/L 22.0-30.0 Base Excess -0.7 -1.6 -1.5 -2.1 -2.7 mmol/L -3.0/3.0 pO2 186H 115H 344H 239H 398H mmHg 75-100 O2 Sat 99 97 99 99 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.3 5.4 5.4 4.2 3.8 mmol/L 3.5-5.5 Sodium 141 137 136 134L 134L mmol/L 135-145 Chloride 113H 109 105 105 107 mmol/L 95-110 iCa++ 1.20 1.20 1.19 1.18 1.15 mmol/L 1.12-1.30 Glucose 7.1 10.4H 9.3H 13.8H 13.8H mmol/L 3.6-7.7 Lactate 1.4 1.0 1.3 1.7 1.6 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 81L 86L 83L 71L 66L g/L 115-150 Reduced Hb 1.1 2.5 0.9 1.2 0.9 % 0-5 CarbOxy Hb 0.8 0.7 0.6 0.6 0.6 % 0.5-1.5 Meth Hb 1.6H 2.0H 2.1H 1.9H 2.5H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/124"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516168-16258655"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T22:33:00Z"/> <issued value="2012-04-05T22:38:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/156"/> <resource> <DiagnosticReport> <id value="156"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> THYROID FUNCTION Free T4 18.5 pmol/L ( 9.0-26.0 ) Free T3 5.3 pmol/L ( 3.5-6.5 ) TSH 0.08 L mIU/L ( 0.1-4.0 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/124"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968898-16258654"/> </identifier> <status value="final"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-06T01:08:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/157"/> <resource> <DiagnosticReport> <id value="157"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561595 Z561547 Z516569 Z561666 Z561068 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 08:49 10:42 12:34 20:56 22:30 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.42 7.42 7.40 7.39 7.40 7.35-7.45 pCO2 43 46H 47H 46H 43 mmHg 35-45 HCO3(Std) 27 28 28 26 26 mmol/L 22.0-30.0 Base Excess 3.3H 4.6H 4.2H 2.6 1.8 mmol/L -3.0/3.0 pO2 105H 103H 210H 78 89 mmHg 75-100 O2 Sat 98 98 100 95 97 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.6 4.8 4.2 4.6 4.3 mmol/L 3.5-5.5 Sodium 141 141 141 138 138 mmol/L 135-145 Chloride 108 109 109 109 109 mmol/L 95-110 iCa++ 1.11L 1.11L 1.14 1.14 1.10L mmol/L 1.12-1.30 Glucose 7.6 6.8 6.0 8.6H 7.3 mmol/L 3.6-7.7 Lactate 0.7 0.6 0.3 1.0 1.0 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 83L 81L 80L 100L 102L g/L 130-170 Reduced Hb 1.6 1.7 0.5 4.4 2.6 % 0-5 CarbOxy Hb 1.5 1.3 1.4 2.0H 1.9H % 0.5-1.5 Meth Hb 1.4 1.7H 1.8H 1.3 1.2 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/120"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516068-16258653"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T22:30:00Z"/> <issued value="2012-04-05T22:35:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/158"/> <resource> <DiagnosticReport> <id value="158"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z886959 Z968226 Z968410 Z386038 Z968970 Date: 04/04/12 04/04/12 05/04/12 05/04/12 05/04/12 Time: 05:10 18:13 00:15 10:00 22:20 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.2 1.3 1.3 1.4H 0.8-1.3 APTT 73H 49H 50H 52H 45H secs 23-36 Fibrinogen 4.1 4.0 3.8 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968970-16258652"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/125"/> </subject> <effectiveDateTime value="2012-04-05T22:20:00Z"/> <issued value="2012-04-05T22:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/159"/> <resource> <DiagnosticReport> <id value="159"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366362 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/126"/> </subject> <reason> <text value="Febrile >38"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968980-16258651"/> </identifier> <status value="final"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/126"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-10T00:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/160"/> <resource> <DiagnosticReport> <id value="160"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561546 Z516519 Z561561 Z561964 Z516967 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 09:19 12:19 14:24 18:18 22:28 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.46H 7.43 7.42 7.48H * 7.35-7.45 pCO2 44 52H 53H 45 mmHg 35-45 HCO3(Std) 30 32H 32H 33H mmol/L 22.0-30.0 Base Excess 6.9H 9.1H 8.6H 9.2H mmol/L -3.0/3.0 pO2 62L 86 131H 81 mmHg 75-100 O2 Sat 92L 96 98 96 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.1 3.8 4.4 4.1 mmol/L 3.5-5.5 Sodium 144 143 144 145 mmol/L 135-145 Chloride 110 106 107 109 mmol/L 95-110 iCa++ 1.11L 1.11L 1.09L 1.11L mmol/L 1.12-1.30 Glucose 7.7 7.6 7.5 7.8H mmol/L 3.6-7.7 Lactate 1.0 0.7 0.5 0.6 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 102L 115 111L 104L g/L 115-150 Reduced Hb 7.6H 3.6 1.6 3.6 % 0-5 CarbOxy Hb 1.3 1.0 1.1 1.2 % 0.5-1.5 Meth Hb 1.6H 1.7H 1.9H 1.4 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/127"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561967-16258650"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/127"/> </subject> <effectiveDateTime value="2012-04-05T22:28:00Z"/> <issued value="2012-04-06T06:21:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/161"/> <resource> <DiagnosticReport> <id value="161"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z763774 SPECIMEN Specimen Type : Urine Midstream CHEMISTRY pH 5.0 Protein NEGATIVE Specific Grav. 1.009 Blood NEGATIVE Glucose NEGATIVE Leucocytes NEGATIVE MICROSCOPY Leucocytes 1 x10^6/L ( <2x10^6/L ) Red Blood Cells Nil x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE 1. Streptococcus agalactiae (group B) 10^7 cfu/L SENSITIVITIES: 1 Amoxicillin S Cotrimoxazole S Nitrofurantoin S Penicillin S Vancomycin S ORGANISM 1: Isolates of beta haemolytic streptococci (Groups A, B, C and G) susceptible to penicillin are considered susceptible to ampicillin, amoxicillin, augmentin, cefazolin, cephalothin, cefotaxime, ceftriaxone, cefepime and meropenem. Group B Streptococcus is part of the normal vaginal flora. It may be significant in pregnant patients causing intrauterine, perinatal or neonatal infection. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/128"/> </subject> <reason> <text value="Appendiceal Abscess"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986960-16258649"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/128"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-09T11:38:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/162"/> <resource> <DiagnosticReport> <id value="162"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561063 Z561963 Z516366 Z561567 Z561867 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 16:20 17:16 20:36 22:13 22:25 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.42 7.41 7.40 * 7.39 7.35-7.45 pCO2 34L 35 36 40 mmHg 35-45 HCO3(Std) 23 23 23 24 mmol/L 22.0-30.0 Base Excess -1.9 -2.4 -1.8 -0.4 mmol/L -3.0/3.0 pO2 68L 85 74L 59L mmHg 75-100 O2 Sat 94L 99 95 90L % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.8 3.6 4.1 3.8 mmol/L 3.5-5.5 Sodium 140 141 140 141 mmol/L 135-145 Chloride 111H 112H 113H 110 mmol/L 95-110 iCa++ 1.17 1.15 1.18 1.19 mmol/L 1.12-1.30 Glucose 5.7 5.5 5.8 6.1 mmol/L 3.6-7.7 Lactate 0.8 0.8 0.8 0.9 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 104L 103L 112L 117L g/L 130-170 Reduced Hb 5.5H 0.8 5.0 9.6H % 0-5 CarbOxy Hb 1.4 1.1 1.2 1.2 % 0.5-1.5 Meth Hb 1.1 1.5 1.4 1.6H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/129"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516867-16258648"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/129"/> </subject> <effectiveDateTime value="2012-04-05T22:25:00Z"/> <issued value="2012-04-05T22:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/163"/> <resource> <DiagnosticReport> <id value="163"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> VITAMINS AND NUTRITION Retinol (Vitamin A) * umol/L( 0.7-3.0 ) Test Referred to: Melbourne Pathology Date Packed: 00/00/00 Date Dispatched: 00/00/00 Vitamin 25 D TF nmol/L( SEE-BELOW Vitamin E * umol/L(11-45 ) Test Referred to: Melbourne Pathology Date Packed: 00/00/00 Date Dispatched: 00/00/00 Comment: sample not protected from light ward notified for recollection </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968950-16258646"/> </identifier> <status value="partial"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/130"/> </subject> <effectiveDateTime value="2012-04-05T20:20:00Z"/> <issued value="2012-04-10T07:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/164"/> <resource> <DiagnosticReport> <id value="164"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z167860 Z868247 Z986950 Date: 02/04/12 03/04/12 05/04/12 Time: 05:50 00:00 20:20 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR * 1.2 1.1 0.8-1.3 APTT 24 24 secs 23-36 Fibrinogen 2.3 2.7 g/L 2.0-5.0 12Z167860 02/04/12 05:50 Comment: * Please note: no specimen received. CSR notified ward APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986950-16258645"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/130"/> </subject> <effectiveDateTime value="2012-04-05T20:20:00Z"/> <issued value="2012-04-05T22:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/165"/> <resource> <DiagnosticReport> <id value="165"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 4.2 mmol/L ( 3.5-5.5 ) Chloride 98 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 75 umol/L ( 49-90 ) (Creatinine) 0.075 mmol/L ( 0.05-0.09) Urea 4.0 mmol/L ( 2.5-8.3 ) eGFR 74 ( SEE-BELOW) Calcium 2.05 mmol/L ( 2.10-2.60) Phosphate 0.96 mmol/L ( 0.8-1.5 ) Magnesium 0.78 mmol/L ( 0.8-1.0 ) Albumin 23 g/L ( 35-50 ) C-React Prot 2 mg/L ( <5 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986950-16258644"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/130"/> </subject> <effectiveDateTime value="2012-04-05T20:20:00Z"/> <issued value="2012-04-05T23:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/166"/> <resource> <DiagnosticReport> <id value="166"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z167860 Z986368 Z968950 Date: 02/04/12 04/04/12 05/04/12 Time: 05:50 23:00 20:20 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 97L 112L 107L g/L 115-150 WCC 11.9H 8.1 9.3 x10^9/L 4.0-11.0 PLT 349 285 347 x10^9/L 140-400 RCC 3.79L 4.48 4.29 x10^12/L 3.80-5.10 PCV 0.31L 0.35 0.34L L/L 0.35-0.45 MCV 80.6 78.8L 79.9L fL 80.0-96.0 MCH 25.5L 25.0L 24.9L pg 27.0-33.0 MCHC 317L 317L 311L g/L 320-360 RDW 21.5H 21.0H 21.8H % 11.0-15.0 ESR 30H mm in 1hr 2-12 White Cell Differential Neut 7.4 3.4 5.2 x10^9/L 2.0-8.0 Lymph 3.1 3.9 3.3 x10^9/L 1.2-4.0 Mono 1.1H 0.7 0.6 x10^9/L 0.1-1.0 Eos 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.1 x10^9/L 0.0-0.1 Bands 0.4 x10^9/L 0.0-0.5 12Z167860 02/04/12 05:50 Film Comment : White cells show mild monocytosis and nild toxic changes in the neutrophils. Manual differential. Red cells show moderate numbers of target cells and some stomatocytes. Platelets appear normal. Conclusion: No clinical information provided. ? Infection / inflammation Note anaemia, suggest iron studies. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968950-16258643"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/130"/> </subject> <effectiveDateTime value="2012-04-05T20:20:00Z"/> <issued value="2012-04-05T22:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/167"/> <resource> <DiagnosticReport> <id value="167"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Comment: Potassium unavailable. Sample transported on ice. Request No: Z561767 Date: 05/04/12 Arterial Time: 22:24 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.32L 7.35-7.45 pCO2 43 mmHg 35-45 HCO3(Std) 21.0L mmol/L 22.0-30.0 Base Excess -3.4L mmol/L -3.0/3.0 pO2 53L mmHg 75-100 O2 Sat 85.0L % 95-100 ELECTROLYTES (Whole Blood) Potassium * mmol/L 3.5-5.5 Sodium 139 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 97L g/L 115-150 05/04/12 12Z516767 General Comments: Potassium unavailable. Sample transported on ice. Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/131"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561767-16258642"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/131"/> </subject> <effectiveDateTime value="2012-04-05T22:24:00Z"/> <issued value="2012-04-05T22:27:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/168"/> <resource> <DiagnosticReport> <id value="168"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 4.0 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 28 mmol/L ( 22-30 ) Creatinine 86 umol/L ( 64-104 ) (Creatinine) 0.086 mmol/L ( 0.05-0.11) Urea 12.2 mmol/L ( 2.5-8.3 ) eGFR 73 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/132"/> </subject> <reason> <text value="Fall"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986930-16258641"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/132"/> </subject> <effectiveDateTime value="2012-04-05T22:20:00Z"/> <issued value="2012-04-05T23:16:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/169"/> <resource> <DiagnosticReport> <id value="169"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968930 Date: 05/04/12 Time: 22:20 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 131 g/L 130-170 WCC 11.6H x10^9/L 4.0-11.0 PLT 220 x10^9/L 140-400 RCC 3.65L x10^12/L 4.50-5.70 PCV 0.38L L/L 0.40-0.50 MCV 104.1H fL 80.0-96.0 MCH 35.8H pg 27.0-33.0 MCHC 344 g/L 320-360 RDW 14.9 % 11.0-15.0 White Cell Differential Neut 9.3H x10^9/L 2.0-8.0 Lymph 1.2 x10^9/L 1.2-4.0 Mono 0.9 x10^9/L 0.1-1.0 Eos 0.0 x10^9/L 0.0-0.5 Baso 0.1 x10^9/L 0.0-0.1 12Z986930 05/04/12 22:20 Film Comment : Red cells are mildly macrocytic with occasional target cells. Mild neutrophilia. Conclusion: Common causes of macrocytosis include liver disease, B12/folate deficiency, and certain drugs including chemotherapy. Suggest liver function tests, serum B12/folate levels, and review drug history if cause not already known. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/132"/> </subject> <reason> <text value="Fall"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968930-16258640"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/132"/> </subject> <effectiveDateTime value="2012-04-05T22:20:00Z"/> <issued value="2012-04-06T08:48:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/170"/> <resource> <DiagnosticReport> <id value="170"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968940 Date: 05/04/12 Time: 22:00 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 0.8-1.3 APTT 27 secs 23-36 Fibrinogen 4.0 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/128"/> </subject> <reason> <text value="Appendiceal Abscess"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986940-16258639"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/128"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-05T22:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/171"/> <resource> <DiagnosticReport> <id value="171"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 139 mmol/L ( 135-145 ) Potassium 3.9 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 54 umol/L ( 49-90 ) (Creatinine) 0.054 mmol/L ( 0.05-0.09) Urea 3.4 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 38 g/L ( 35-50 ) AP 90 IU/L ( 30-120 ) GGT 61 IU/L ( 10-65 ) ALT 23 IU/L ( <34 ) AST 25 IU/L ( <31 ) Bili Total 6 umol/L ( <19 ) Protein Total 86 g/L ( 65-85 ) C-React Prot 4 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/128"/> </subject> <reason> <text value="Appendiceal Abscess"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986940-16258638"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/128"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-06T01:17:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/172"/> <resource> <DiagnosticReport> <id value="172"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z362853 Z236704 Z363276 Z566600 Z986940 Date: 09/02/12 10/02/12 11/02/12 08/03/12 05/04/12 Time: 05:25 05:00 05:45 12:00 22:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 111L 109L 111L 140 133 g/L 115-150 WCC 12.9H 5.3 5.2 10.6 6.0 x10^9/L 4.0-11.0 PLT 358 359 380 288 373 x10^9/L 140-400 RCC 3.62L 3.45L 3.53L 4.43 4.25 x10^12/L 3.80-5.10 PCV 0.33L 0.31L 0.32L 0.40 0.39 L/L 0.35-0.45 MCV 90.6 90.5 90.2 90.4 92.3 fL 80.0-96.0 MCH 30.7 31.6 31.3 31.6 31.4 pg 27.0-33.0 MCHC 339 350 347 349 340 g/L 320-360 RDW 14.6 14.3 14.4 16.2H 14.8 % 11.0-15.0 White Cell Differential Neut 10.5H 3.5 2.4 9.1H 3.0 x10^9/L 2.0-8.0 Lymph 1.3 1.2 2.0 1.0L 2.5 x10^9/L 1.2-4.0 Mono 0.9 0.5 0.5 0.5 0.4 x10^9/L 0.1-1.0 Eos 0.0 0.1 0.2 0.1 0.1 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/128"/> </subject> <reason> <text value="Appendiceal Abscess"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968940-16258637"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/128"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-05T22:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/173"/> <resource> <DiagnosticReport> <id value="173"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561556 Z561559 Z516662 Z561764 Z561667 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 09:21 12:31 15:23 17:56 22:18 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.30L 7.31L * * 7.35 7.35-7.45 pCO2 39 41 39 37 36 mmHg 35-45 HCO3(Std) 19L 20L 20L mmol/L 22.0-30.0 Base Excess -6.4L -5.1L -4.8L mmol/L -3.0/3.0 pO2 111H 104H 98 85 92 mmHg 75-100 O2 Sat 98 98 97 96 97 % 95-100 ELECTROLYTES (Whole Blood) Potassium 2.7L 4.4 4.0 3.8 4.5 mmol/L 3.5-5.5 Sodium 153H 152H 152H 154H 153H mmol/L 135-145 Chloride 125H 126H 125H 125H 125H mmol/L 95-110 iCa++ 1.28 1.24 1.26 1.25 1.24 mmol/L 1.12-1.30 Glucose 7.6 7.5 6.6 6.9 6.9 mmol/L 3.6-7.7 Lactate 1.8 1.5 1.8 1.7 1.9H mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 100L 100L 96L 101L 105L g/L 130-170 Reduced Hb 2.3 2.4 2.7 3.6 3.3 % 0-5 CarbOxy Hb 0.5 0.6 0.6 0.7 0.6 % 0.5-1.5 Meth Hb 1.3 1.9H 1.6H 1.5 1.6H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/133"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516667-16258636"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/133"/> </subject> <effectiveDateTime value="2012-04-05T22:18:00Z"/> <issued value="2012-04-05T22:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/174"/> <resource> <DiagnosticReport> <id value="174"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z486606 Z468827 Z968920 Date: 02/04/12 04/04/12 05/04/12 Time: 11:40 09:45 22:10 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 1.1 1.2 0.8-1.3 APTT 24 24 22L secs 23-36 Fibrinogen 2.6 2.4 2.3 g/L 2.0-5.0 12Z986920 05/04/12 22:10 Comment: Please note : Low APTT. ? Cause ? Pre-activation of specimen. Suggest repeat. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968920-16258635"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/134"/> </subject> <effectiveDateTime value="2012-04-05T22:10:00Z"/> <issued value="2012-04-05T22:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/175"/> <resource> <DiagnosticReport> <id value="175"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 4.6 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 24 mmol/L ( 22-30 ) Creatinine 110 umol/L ( 64-104 ) (Creatinine) 0.110 mmol/L ( 0.05-0.11) Urea 11.1 mmol/L ( 2.5-8.3 ) eGFR 58 ( SEE-BELOW) Calcium 2.34 mmol/L ( 2.10-2.60) Phosphate 1.51 mmol/L ( 0.8-1.5 ) Magnesium 0.81 mmol/L ( 0.7-1.1 ) Albumin 34 g/L ( 35-50 ) AP 99 IU/L ( 30-120 ) GGT 32 IU/L ( 10-65 ) ALT 37 IU/L ( <45 ) AST 26 IU/L ( <35 ) Bili Total 15 umol/L ( <19 ) Protein Total 69 g/L ( 65-85 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968920-16258634"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/134"/> </subject> <effectiveDateTime value="2012-04-05T22:10:00Z"/> <issued value="2012-04-05T22:47:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/176"/> <resource> <DiagnosticReport> <id value="176"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z468606 Z568213 Z986920 Date: 02/04/12 05/04/12 05/04/12 Time: 11:40 10:40 22:10 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 147 137 140 g/L 130-170 WCC 10.1 11.2H 16.1H x10^9/L 4.0-11.0 PLT 71L 89L 82L x10^9/L 140-400 RCC 4.45L 4.21L 4.36L x10^12/L 4.50-5.70 PCV 0.42 0.40 0.41 L/L 0.40-0.50 MCV 95.1 95.7 94.8 fL 80.0-96.0 MCH 32.9 32.6 32.2 pg 27.0-33.0 MCHC 346 341 340 g/L 320-360 RDW 13.6 13.0 13.1 % 11.0-15.0 White Cell Differential Neut 7.9 9.0H 14.7H x10^9/L 2.0-8.0 Lymph 1.7 1.5 0.8L x10^9/L 1.2-4.0 Mono 0.2 0.6 0.6 x10^9/L 0.1-1.0 Eos 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 0.3 x10^9/L 0.0-0.5 12Z468606 02/04/12 11:40 Film Comment : Moderate thrombocytopenia. Occasional reactive lymphocytes. Manual differential. Red cells are mainly normocytic normochromic with occasional elongated cells. Conclusion: Known history of immune thrombocytopenic purpura (ITP). Suggest follow up FBEs to monitor platelet count. Comment: Film reveiwed by Dr Radio Xray - Haematology Registrar 12Z568213 05/04/12 10:40 Comment: Note neutrophilia. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986920-16258633"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/134"/> </subject> <effectiveDateTime value="2012-04-05T22:10:00Z"/> <issued value="2012-04-05T22:34:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/177"/> <resource> <DiagnosticReport> <id value="177"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Troponin I 0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/135"/> </subject> <reason> <text value="Chest Pain FI"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968910-16258632"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/135"/> </subject> <effectiveDateTime value="2012-04-05T22:05:00Z"/> <issued value="2012-04-05T22:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/178"/> <resource> <DiagnosticReport> <id value="178"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Troponin I <0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/136"/> </subject> <reason> <text value="Serial Troponins"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986900-16258631"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/136"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-05T22:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/179"/> <resource> <DiagnosticReport> <id value="179"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> No Test Requested NTRC </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/137"/> </subject> <reason> <text value="R/Central Chest Pain Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968899-16258630"/> </identifier> <status value="partial"/> <code> <text value="Central Reception"/> </code> <subject> <reference value="Patient/137"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-05T22:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/180"/> <resource> <DiagnosticReport> <id value="180"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.1 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 30 mmol/L ( 22-30 ) Creatinine 94 umol/L ( 64-104 ) (Creatinine) 0.094 mmol/L ( 0.05-0.11) Urea 5.3 mmol/L ( 2.5-8.3 ) eGFR 75 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/137"/> </subject> <reason> <text value="R/Central Chest Pain Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968899-16258629"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/137"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-05T23:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/181"/> <resource> <DiagnosticReport> <id value="181"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z568703 Z169290 Z886775 Z169620 Z968899 Date: 30/01/07 08/06/09 24/08/09 20/07/11 05/04/12 Time: 17:50 08:30 02:10 06:30 22:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 161 136 151 141 138 g/L 130-170 WCC 6.9 7.3 10.2 13.8H 4.2 x10^9/L 4.0-11.0 PLT 299 229 280 207 159 x10^9/L 140-400 RCC 5.44 4.47L 4.98 4.67 4.55 x10^12/L 4.50-5.70 PCV 0.47 0.40 0.44 0.41 0.40 L/L 0.40-0.50 MCV 85.9 89.7 88.4 87.8 87.3 fL 80.0-96.0 MCH 29.6 30.3 30.3 30.2 30.4 pg 27.0-33.0 MCHC 345 338 343 344 348 g/L 320-360 RDW 12.7 13.1 12.6 13.0 13.0 % 11.0-15.0 White Cell Differential Neut 4.6 4.6 7.6 11.0H 3.8 x10^9/L 2.0-8.0 Lymph 1.4 2.1 1.8 1.4 0.2L x10^9/L 1.2-4.0 Mono 0.7 0.5 0.6 1.2H 0.1 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.1 0.2 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/137"/> </subject> <reason> <text value="R/Central Chest Pain Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986899-16258628"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/137"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-05T22:32:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/182"/> <resource> <DiagnosticReport> <id value="182"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 3.5 mmol/L ( 3.5-5.5 ) Chloride 107 mmol/L ( 95-110 ) HCO3 24 mmol/L ( 22-30 ) Creatinine 60 umol/L ( 49-90 ) (Creatinine) 0.060 mmol/L ( 0.05-0.09) Urea 6.1 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968889-16258627"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/138"/> </subject> <effectiveDateTime value="2012-04-05T22:11:00Z"/> <issued value="2012-04-05T22:47:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/183"/> <resource> <DiagnosticReport> <id value="183"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968889 Date: 05/04/12 Time: 22:11 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 128 g/L 115-150 WCC 9.9 x10^9/L 4.0-11.0 PLT 303 x10^9/L 140-400 RCC 3.89 x10^12/L 3.80-5.10 PCV 0.37 L/L 0.35-0.45 MCV 94.8 fL 80.0-96.0 MCH 32.9 pg 27.0-33.0 MCHC 347 g/L 320-360 RDW 12.1 % 11.0-15.0 White Cell Differential Neut 6.8 x10^9/L 2.0-8.0 Lymph 2.2 x10^9/L 1.2-4.0 Mono 0.8 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986889-16258626"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/138"/> </subject> <effectiveDateTime value="2012-04-05T22:11:00Z"/> <issued value="2012-04-05T22:32:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/184"/> <resource> <DiagnosticReport> <id value="184"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z860599 SPECIMEN Specimen Type : Swab Description : site not stated GRAM STAIN Leucocytes + Gram positive cocci + CULTURE 1. Staphylococcus aureus ++ SENSITIVITIES 1 Clindamycin S Cotrimoxazole S Erythromycin S Fusidic Acid S Oxacillin S Penicillin S Rifampicin S Vancomycin S This oxacillin susceptible isolate will also be susceptible to flucloxacillin, methicillin, augmentin, cloxacillin, cephalexin, cephalothin and cefazolin. This clindamycin sensitive isolate will also be sensitive to lincomycin. COMMENT Dry swab received only - swab in TRANSPORT MEDIUM is optimal for culture. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/139"/> </subject> <reason> <text value="Collapsed Low BP"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986879-16258625"/> </identifier> <status value="final"/> <code> <text value="Wounds/Tips/Ent/Eye"/> </code> <subject> <reference value="Patient/139"/> </subject> <effectiveDateTime value="2012-04-05T22:00:00Z"/> <issued value="2012-04-09T12:08:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/185"/> <resource> <DiagnosticReport> <id value="185"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561062 Z561063 Z516963 Z561366 Z561567 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 14:47 16:20 17:16 20:36 22:13 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.40 7.42 7.41 7.40 * 7.35-7.45 pCO2 38 34L 35 36 mmHg 35-45 HCO3(Std) 24 23 23 23 mmol/L 22.0-30.0 Base Excess -0.9 -1.9 -2.4 -1.8 mmol/L -3.0/3.0 pO2 67L 68L 85 74L mmHg 75-100 O2 Sat 93L 94L 99 95 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.0 3.8 3.6 4.1 mmol/L 3.5-5.5 Sodium 140 140 141 140 mmol/L 135-145 Chloride 111H 111H 112H 113H mmol/L 95-110 iCa++ 1.21 1.17 1.15 1.18 mmol/L 1.12-1.30 Glucose 5.6 5.7 5.5 5.8 mmol/L 3.6-7.7 Lactate 0.8 0.8 0.8 0.8 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 106L 104L 103L 112L g/L 130-170 Reduced Hb 6.4H 5.5H 0.8 5.0 % 0-5 CarbOxy Hb 1.3 1.4 1.1 1.2 % 0.5-1.5 Meth Hb 1.3 1.1 1.5 1.4 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/129"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516567-16258624"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/129"/> </subject> <effectiveDateTime value="2012-04-05T22:13:00Z"/> <issued value="2012-04-06T06:21:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/186"/> <resource> <DiagnosticReport> <id value="186"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> URINE Urine Creatinine 11.5 mmol/L Urine Creatinine Excretion mmol/D ( 7-13 ) Creatinine Clearance ml/sec ( 1.5-2.5 ) Creatinine Clearance ml/min ( 90-150 ) Urine Protein 0.34 g/L Urine Protein Excretion g/D ( <0.15 ) Protein/Creat Ratio 30 mg/mmol Creat ( 15-35 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968769-16258623"/> </identifier> <status value="final"/> <code> <text value="Urine Chemistry"/> </code> <subject> <reference value="Patient/140"/> </subject> <effectiveDateTime value="2012-04-05T18:11:00Z"/> <issued value="2012-04-07T16:54:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/187"/> <resource> <DiagnosticReport> <id value="187"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> LAB.NUMBER: Z364920 SURVEILLANCE SCREENING CULTURE SCREENING TEST FOR VRE GROIN SWAB VRE not detected </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/141"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986895-16258622"/> </identifier> <status value="final"/> <code> <text value="Surveillance"/> </code> <subject> <reference value="Patient/141"/> </subject> <effectiveDateTime value="2012-04-05T20:00:00Z"/> <issued value="2012-04-08T09:50:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/188"/> <resource> <DiagnosticReport> <id value="188"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z761461 Z663728 Z676651 Z364144 Z968859 Date: 11/10/08 21/12/08 28/09/11 16/02/12 05/04/12 Time: 09:45 21:20 12:45 07:55 21:50 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 2.2H 3.3H 1.1 1.2 1.1 0.8-1.3 APTT 28 28 secs 23-36 Fibrinogen 3.9 4.7 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986859-16258621"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/142"/> </subject> <effectiveDateTime value="2012-04-05T21:50:00Z"/> <issued value="2012-04-05T22:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/189"/> <resource> <DiagnosticReport> <id value="189"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 5.2 mmol/L ( 3.5-5.5 ) Chloride 107 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 127 umol/L ( 64-104 ) (Creatinine) 0.127 mmol/L ( 0.05-0.11) Urea 16.8 mmol/L ( 2.5-8.3 ) eGFR 47 ( SEE-BELOW) Calcium 2.38 mmol/L ( 2.10-2.60) Phosphate 1.11 mmol/L ( 0.8-1.5 ) Magnesium 0.94 mmol/L ( 0.7-1.1 ) Albumin 32 g/L ( 35-50 ) AP 201 IU/L ( 30-120 ) GGT 360 IU/L ( 10-65 ) ALT 17 IU/L ( <45 ) AST 31 IU/L ( <35 ) Bili Total 12 umol/L ( <19 ) Protein Total 79 g/L ( 65-85 ) Troponin I 0.08 ug/L (See Below ) CK 43 IU/L ( <175 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968859-16258620"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/142"/> </subject> <effectiveDateTime value="2012-04-05T21:50:00Z"/> <issued value="2012-04-05T22:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/190"/> <resource> <DiagnosticReport> <id value="190"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z167305 Z868378 Z766119 Z367707 Z968859 Date: 01/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 09:16 06:00 11:40 08:20 21:50 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 93L 95L 92L 98L 94L g/L 130-170 WCC 7.5 7.2 7.2 8.0 9.0 x10^9/L 4.0-11.0 PLT 200 214 * 226 244 x10^9/L 140-400 RCC 3.80L 3.92L 3.83L 4.01L 3.91L x10^12/L 4.50-5.70 PCV 0.28L 0.29L 0.29L 0.30L 0.30L L/L 0.40-0.50 MCV 74.2L 74.6L 74.9L 75.7L 75.8L fL 80.0-96.0 MCH 24.5L 24.3L 24.1L 24.5L 24.1L pg 27.0-33.0 MCHC 330 326 322 323 318L g/L 320-360 RDW 15.7H 15.6H 15.7H 15.7H 16.1H % 11.0-15.0 White Cell Differential Neut 4.9 5.1 5.9 5.5 5.8 x10^9/L 2.0-8.0 Lymph 1.3 0.9L 0.7L 1.5 1.9 x10^9/L 1.2-4.0 Mono 0.6 0.1 0.4 0.6 0.7 x10^9/L 0.1-1.0 Eos 0.6H 0.6H 0.1 0.3 0.6H x10^9/L 0.0-0.5 Baso 0.1 0.2H 0.0 0.0 0.1 x10^9/L 0.0-0.1 Bands 0.2 x10^9/L 0.0-0.5 12Z886378 03/04/12 06:00 Film Comment : Manual differential. Red cells are microcytic hypochromic with some polychromasia, elongated cells and occasional target cells. Platelets appear normal. Conclusion: Mild Eosinophilia persists. Known Beta-Thalassaemia Minor. Iron studies may be of value. Suggest repeat FBE. Film reviewed by Dr Radio Xray - Haematology Registrar 12Z766119 04/04/12 11:40 Film Comment : Platelets appear normocytic normochromic with occasional fibrin strands noted. ? accuracy of platelet count. Red cells are unchanged. White cells are unremarkable. Conclusion: Known beta thalassaemia minor. Suggest repeat FBE for an accurate platelet count. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986859-16258619"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/142"/> </subject> <effectiveDateTime value="2012-04-05T21:50:00Z"/> <issued value="2012-04-05T22:32:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/191"/> <resource> <DiagnosticReport> <id value="191"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968315 Z968465 Z986643 Z968743 Z968869 Date: 04/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Time: 21:10 03:15 10:54 16:10 22:05 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.3 0.8-1.3 APTT 105H 44H 38H 40H 40H secs 23-36 Fibrinogen 4.9 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/143"/> </subject> <reason> <text value="Heparin Infusion"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986869-16258618"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/143"/> </subject> <effectiveDateTime value="2012-04-05T22:05:00Z"/> <issued value="2012-04-05T22:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/192"/> <resource> <DiagnosticReport> <id value="192"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Comment: Potassium unavailable. Sample transported on ice. Request No: Z516467 Date: 05/04/12 Arterial Time: 22:05 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.34L 7.35-7.45 pCO2 32L mmHg 35-45 HCO3(Std) 18.0L mmol/L 22.0-30.0 Base Excess -7.9L mmol/L -3.0/3.0 pO2 80 mmHg 75-100 O2 Sat 96.0 % 95-100 ELECTROLYTES (Whole Blood) Potassium * mmol/L 3.5-5.5 Sodium 141 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 99L g/L 115-150 05/04/12 12Z561467 General Comments: Potassium unavailable. Sample transported on ice. Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/121"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561467-16258617"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T22:05:00Z"/> <issued value="2012-04-05T22:11:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/193"/> <resource> <DiagnosticReport> <id value="193"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> URINE Period ru. Hrs Volume nk ml Urine Creatinine 2.2 mmol/L Urine Creatinine Excretion mmol/D ( 7-13 ) Urine Protein 0.51 g/L Urine Protein Excretion g/D ( <0.15 ) Protein/Creat Ratio 232 H mg/mmol Creat ( 15-35 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968849-16258616"/> </identifier> <status value="final"/> <code> <text value="Urine Chemistry"/> </code> <subject> <reference value="Patient/144"/> </subject> <effectiveDateTime value="2012-04-05T21:58:00Z"/> <issued value="2012-04-05T22:16:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/194"/> <resource> <DiagnosticReport> <id value="194"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z736764 SPECIMEN Specimen Type : Urine Type Not Stated CHEMISTRY pH 6.5 Protein + Specific Grav. 1.012 Blood + Glucose + Leucocytes NEGATIVE MICROSCOPY Leucocytes 5 x10^6/L ( <2x10^6/L ) Red Blood Cells 2 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells + STANDARD BACTERIAL CULTURE No Growth -Detection limit 10^7 CFU/L </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968849-16258615"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/144"/> </subject> <effectiveDateTime value="2012-04-05T21:58:00Z"/> <issued value="2012-04-07T08:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/195"/> <resource> <DiagnosticReport> <id value="195"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z986839 Date: 05/04/12 Time: 21:40 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 0.8-1.3 APTT 21L secs 23-36 Fibrinogen 4.5 g/L 2.0-5.0 12Z968839 05/04/12 21:40 Comment: Please note : Low APTT. ? Cause ? Pre-activation of specimen. Suggest repeat. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/145"/> </subject> <reason> <text value="PR Bleeding"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968839-16258614"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/145"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-05T22:28:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/196"/> <resource> <DiagnosticReport> <id value="196"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 143 mmol/L ( 135-145 ) Potassium 4.5 mmol/L ( 3.5-5.5 ) Chloride 105 mmol/L ( 95-110 ) HCO3 30 mmol/L ( 22-30 ) Creatinine 77 umol/L ( 64-104 ) (Creatinine) 0.077 mmol/L ( 0.05-0.11) Urea 7.5 mmol/L ( 2.5-8.3 ) eGFR 86 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/145"/> </subject> <reason> <text value="PR Bleeding"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968839-16258613"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/145"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-05T22:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/197"/> <resource> <DiagnosticReport> <id value="197"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z986839 Date: 05/04/12 Time: 21:40 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 143 g/L 130-170 WCC 7.2 x10^9/L 4.0-11.0 PLT 171 x10^9/L 140-400 RCC 4.61 x10^12/L 4.50-5.70 PCV 0.41 L/L 0.40-0.50 MCV 88.4 fL 80.0-96.0 MCH 31.1 pg 27.0-33.0 MCHC 352 g/L 320-360 RDW 13.8 % 11.0-15.0 White Cell Differential Neut 5.5 x10^9/L 2.0-8.0 Lymph 1.0L x10^9/L 1.2-4.0 Mono 0.7 x10^9/L 0.1-1.0 Eos 0.0 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/145"/> </subject> <reason> <text value="PR Bleeding"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968839-16258612"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/145"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-05T22:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/198"/> <resource> <DiagnosticReport> <id value="198"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 139 mmol/L ( 135-145 ) Potassium 4.7 mmol/L ( 3.5-5.5 ) Chloride 101 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 127 umol/L ( 49-90 ) (Creatinine) 0.127 mmol/L ( 0.05-0.09) Urea 16.2 mmol/L ( 2.5-8.3 ) eGFR 35 ( SEE-BELOW) Troponin I 0.04 ug/L (See Below ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968829-16258611"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/146"/> </subject> <effectiveDateTime value="2012-04-05T21:53:00Z"/> <issued value="2012-04-05T22:44:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/199"/> <resource> <DiagnosticReport> <id value="199"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z864851 Z864950 Z836163 Z863134 Z968829 Date: 04/03/12 04/03/12 07/03/12 08/03/12 05/04/12 Time: 07:48 09:40 10:15 09:55 21:53 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 103L 93L 81L 84L 96L g/L 115-150 WCC 5.6 6.8 5.6 4.8 6.7 x10^9/L 4.0-11.0 PLT 267 283 240 230 302 x10^9/L 140-400 RCC 3.45L 3.17L 2.77L 2.80L 3.50L x10^12/L 3.80-5.10 PCV 0.31L 0.28L 0.25L 0.25L 0.30L L/L 0.35-0.45 MCV 89.7 87.3 88.8 88.3 84.9 fL 80.0-96.0 MCH 29.7 29.2 29.4 30.2 27.4 pg 27.0-33.0 MCHC 331 334 330 342 323 g/L 320-360 RDW 16.5H 16.5H 16.7H 16.9H 16.9H % 11.0-15.0 White Cell Differential Neut 4.0 5.2 3.9 3.5 4.5 x10^9/L 2.0-8.0 Lymph 0.8L 0.8L 0.7L 0.6L 0.8L x10^9/L 1.2-4.0 Mono 0.4 0.4 0.6 0.5 0.8 x10^9/L 0.1-1.0 Eos 0.4 0.4 0.5 0.3 0.5 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.1 x10^9/L 0.0-0.1 12Z846851 04/03/12 07:48 Film Comment : Red cells are mainly normocytic normochromic with some elongated cells, target cells, polychromatic cells and mild rouleaux. Platelets show occasional large fomrs. White cells appear normal. 12Z863134 08/03/12 09:55 Film Comment : Red cell changes persist. Film scanned. Conclusion: Note persistent anaemia. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986829-16258610"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/146"/> </subject> <effectiveDateTime value="2012-04-05T21:53:00Z"/> <issued value="2012-04-05T22:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1100"/> <resource> <DiagnosticReport> <id value="1100"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 139 mmol/L ( 135-145 ) Potassium 3.9 mmol/L ( 3.5-5.5 ) Chloride 110 mmol/L ( 95-110 ) HCO3 18 mmol/L ( 22-30 ) Creatinine 132 umol/L ( 49-90 ) (Creatinine) 0.132 mmol/L ( 0.05-0.09) Urea 10.7 mmol/L ( 2.5-8.3 ) eGFR 35 ( SEE-BELOW) Calcium 2.09 mmol/L ( 2.10-2.60) Phosphate 1.66 mmol/L ( 0.8-1.5 ) Magnesium 1.10 mmol/L ( 0.8-1.0 ) Albumin 28 g/L ( 35-50 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986819-16258609"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-05T22:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1101"/> <resource> <DiagnosticReport> <id value="1101"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968356 Z986691 Z968819 Date: 04/04/12 05/04/12 05/04/12 Time: 22:01 10:00 21:40 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 109L 90L 100L g/L 115-150 WCC 7.3 8.8 12.8H x10^9/L 4.0-11.0 PLT 184 170 206 x10^9/L 140-400 RCC 3.45L 2.82L 3.23L x10^12/L 3.80-5.10 PCV 0.32L 0.26L 0.30L L/L 0.35-0.45 MCV 92.5 92.1 92.4 fL 80.0-96.0 MCH 31.5 31.9 31.0 pg 27.0-33.0 MCHC 340 346 335 g/L 320-360 RDW 15.8H 16.5H 16.3H % 11.0-15.0 White Cell Differential Neut 6.7 8.0 11.4H x10^9/L 2.0-8.0 Lymph 0.5L 0.7L 0.5L x10^9/L 1.2-4.0 Mono 0.1 0.0L 0.9 x10^9/L 0.1-1.0 Eos 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.1 0.1 x10^9/L 0.0-0.1 12Z968691 05/04/12 10:00 Comment: Intra-op </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968819-16258608"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-05T22:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1102"/> <resource> <DiagnosticReport> <id value="1102"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968694 Z986770 Z968745 Z968803 Z986809 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Time: 11:25 14:57 17:00 19:00 21:30 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 0.8-1.3 APTT 55H 44H * 67H 61H secs 23-36 Fibrinogen 4.3 g/L 2.0-5.0 12Z968803 05/04/12 19:00 Comment: Further testing with a heparin resistant reagent confirmed the presence of heparin. Please indicate anticoagulant therapy on request form. 12Z968745 05/04/12 17:00 Comment: * Insufficient specimen to perform APTT. Ward informed. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968809-16258607"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/147"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-05T22:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1103"/> <resource> <DiagnosticReport> <id value="1103"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561163 Z516164 Z561865 Z561566 Z516367 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 16:22 17:26 20:00 20:52 21:52 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.28L 7.17L 7.31L 7.37 7.37 7.35-7.45 pCO2 51H 50H 41 35 32L mmHg 35-45 HCO3(Std) 20L 21L 20L mmol/L 22.0-30.0 Base Excess -2.3 -9.8L -4.8L -4.6L -6.0L mmol/L -3.0/3.0 pO2 141H 233H 245H 134H 160H mmHg 75-100 O2 Sat 98 98 99 99 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.9 3.7 4.2 4.3 4.2 mmol/L 3.5-5.5 Sodium 141 144 141 142 141 mmol/L 135-145 Chloride 115H 114H 115H mmol/L 95-110 iCa++ 1.07L 1.06L 1.07L mmol/L 1.12-1.30 Glucose 10.8H 10.7H 11.0H mmol/L 3.6-7.7 Lactate 1.0 1.2 1.1 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 104L 92L 94L 95L 98L g/L 130-170 Reduced Hb 0.8 1.4 1.0 % 0-5 CarbOxy Hb 0.3L 0.5 0.6 % 0.5-1.5 Meth Hb 1.6H 1.7H 1.6H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/148"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561367-16258606"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/148"/> </subject> <effectiveDateTime value="2012-04-05T21:52:00Z"/> <issued value="2012-04-05T21:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1104"/> <resource> <DiagnosticReport> <id value="1104"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561267 Date: 05/04/12 Arterial Time: 21:49 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.37 7.35-7.45 pCO2 53H mmHg 35-45 Base Excess 5.0H mmol/L -3.0/3.0 pO2 19L mmHg 75-100 O2 Sat 25L % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.6 mmol/L 3.5-5.5 Sodium 142 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 149 g/L 130-170 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/145"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516267-16258605"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/145"/> </subject> <effectiveDateTime value="2012-04-05T21:49:00Z"/> <issued value="2012-04-05T21:51:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1105"/> <resource> <DiagnosticReport> <id value="1105"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 142 mmol/L ( 135-145 ) Potassium 3.9 mmol/L ( 3.5-5.5 ) Chloride 105 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 50 umol/L ( 49-90 ) (Creatinine) 0.050 mmol/L ( 0.05-0.09) Urea 4.4 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 40 g/L ( 35-50 ) AP 91 IU/L ( 30-120 ) GGT 28 IU/L ( 10-65 ) ALT 34 IU/L ( <34 ) AST 22 IU/L ( <31 ) Bili Total 7 umol/L ( <19 ) Protein Total 80 g/L ( 65-85 ) Troponin I <0.02 ug/L (See Below ) C-React Prot 5 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/124"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986898-16258604"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-05T22:58:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1106"/> <resource> <DiagnosticReport> <id value="1106"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968898 Date: 05/04/12 Time: 21:40 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 120 g/L 115-150 WCC 6.9 x10^9/L 4.0-11.0 PLT 250 x10^9/L 140-400 RCC 4.16 x10^12/L 3.80-5.10 PCV 0.34L L/L 0.35-0.45 MCV 81.1 fL 80.0-96.0 MCH 28.9 pg 27.0-33.0 MCHC 356 g/L 320-360 RDW 13.4 % 11.0-15.0 White Cell Differential Neut 3.8 x10^9/L 2.0-8.0 Lymph 2.6 x10^9/L 1.2-4.0 Mono 0.4 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/124"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968898-16258603"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T21:40:00Z"/> <issued value="2012-04-05T22:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1107"/> <resource> <DiagnosticReport> <id value="1107"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA CK 344 IU/L ( <175 ) CKMB Mass 34.0 ug/L ( <4 ) LIPIDS </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/149"/> </subject> <reason> <text value="Trial See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968888-16258602"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/149"/> </subject> <effectiveDateTime value="2012-04-05T21:44:00Z"/> <issued value="2012-04-06T03:49:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1108"/> <resource> <DiagnosticReport> <id value="1108"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z066808 SPECIMEN Specimen Type: Faeces Description: Unformed CLOSTRIDIUM DIFFICILE C.difficile Culture: C.difficile NOT isolated COMMENT * Faeces examination for patients in hospital for >3 days will ONLY have C.difficile tests performed. If the clinical condition requires more extensive culture, other pathogen detection, or if the clinical condition warrants further investigation, please contact the Microbiology Registrar. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/150"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968878-16258601"/> </identifier> <status value="final"/> <code> <text value="Faeces"/> </code> <subject> <reference value="Patient/150"/> </subject> <effectiveDateTime value="2012-04-05T21:00:00Z"/> <issued value="2012-04-07T14:25:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1109"/> <resource> <DiagnosticReport> <id value="1109"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z996588 SPECIMEN Specimen Type : Tracheal Aspirate MICROSCOPY GRAM STAIN Pus Cells + No organisms seen CULTURE Standard culture: ++ Mixed upper respiratory tract flora </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968868-16258600"/> </identifier> <status value="final"/> <code> <text value="Respiratory M/C/S"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-07T12:54:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1110"/> <resource> <DiagnosticReport> <id value="1110"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z736754 SPECIMEN Specimen Type : Urine Type Not Stated CHEMISTRY pH 5.5 Protein + Specific Grav. >=1.030 Blood NEGATIVE Glucose NEGATIVE Leucocytes NEGATIVE MICROSCOPY Leucocytes 4 x10^6/L ( <2x10^6/L ) Red Blood Cells Nil x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE No Growth -Detection limit 10^7 CFU/L </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968868-16258599"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-07T08:55:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1111"/> <resource> <DiagnosticReport> <id value="1111"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366352 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968868-16258598"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-09T22:49:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1112"/> <resource> <DiagnosticReport> <id value="1112"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Bili Total * umol/L ( <19 ) Protein Total * g/L ( 65-85 ) Comment: The requested tests were not completed as no sample was received. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="S\H/A Anneurism"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968858-16258597"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-05T23:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1113"/> <resource> <DiagnosticReport> <id value="1113"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Miscellaneous Fluid Fluid Type: CSF Cerebrospinal Fluid Csf Protein 0.22 g/L ( 0.15-0.45 Csf Glucose 3.6 mmol/L ( 2.5-5.0) Xanthochromia Test Date of Symptom Onset: 04/04/2012 Time of Symptom Onset: 12:00 Date of Lumbar Puncture: 05/04/2012 Time of Lumbar Puncture: 21:30 Hand Delivered?: no Time Difference: 33:30 Xan Result As below Xanthochromia Comment: Oxyhaemoglobin present but no significant bilirubin. The concentration of oxyhaemoglobin may mask a small but significant increase in bilirubin. Subarachnoid haemorrhage not excluded. NOTE: This xanthochromia result cannot be fully relied upon as specimens were not collected / forwarded according to protocol. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="S\H/A Anneurism"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986858-16258596"/> </identifier> <status value="final"/> <code> <text value="Csf & Fluid Chemistr"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-05T23:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1114"/> <resource> <DiagnosticReport> <id value="1114"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z262849 SPECIMEN Specimen Type : CSF Lumbar Puncture MACROSCOPIC APPEARANCE MACROSCOPIC APPEARANCE CSF Total volume: 7 ml(s) TUBE 3 TUBE 1 Clear and colourless Faintly bloodstained CELL COUNT: x10^6/L CELL COUNT: x10^6/L Erythrocytes 3 Erythrocytes 114 Polymorphs 0 Polymorphs 0 Lymphocytes 0 Lymphocytes 0 CULTURE No Growth After 2 Days. COMMENT This CSF specimen will be cultured on routine media for 48 hours. Please contact the Microbiology registrar if either extended culture or special media are required. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="S\H/A Anneurism"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968858-16258595"/> </identifier> <status value="final"/> <code> <text value="CSF M/C/S"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-08T10:12:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1115"/> <resource> <DiagnosticReport> <id value="1115"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z764221 Z566945 Z765513 Z765914 Z986838 Date: 28/07/11 09/03/12 10/03/12 11/03/12 05/04/12 Time: 16:20 04:30 06:10 01:20 21:25 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 2.6H 2.7H 3.4H 3.5H 1.9H 0.8-1.3 APTT 31 secs 23-36 Fibrinogen 3.2 g/L 2.0-5.0 12Z765513 10/03/12 06:10 Comment: Please indicate anticoagulant therapy on request form. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/152"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968838-16258594"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/152"/> </subject> <effectiveDateTime value="2012-04-05T21:25:00Z"/> <issued value="2012-04-05T22:28:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1116"/> <resource> <DiagnosticReport> <id value="1116"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 143 mmol/L ( 135-145 ) Potassium 4.3 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 26 mmol/L ( 22-30 ) Creatinine 89 umol/L ( 49-90 ) (Creatinine) 0.089 mmol/L ( 0.05-0.09) Urea 8.5 mmol/L ( 2.5-8.3 ) eGFR 53 ( SEE-BELOW) Troponin I 0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/152"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968838-16258593"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/152"/> </subject> <effectiveDateTime value="2012-04-05T21:25:00Z"/> <issued value="2012-04-05T22:29:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1117"/> <resource> <DiagnosticReport> <id value="1117"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z765513 Z765823 Z756914 Z165519 Z968838 Date: 10/03/12 10/03/12 11/03/12 12/03/12 05/04/12 Time: 06:10 19:00 01:20 06:27 21:25 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 115 * 116 109L 112L g/L 115-150 WCC 5.2 7.2 7.3 9.6 x10^9/L 4.0-11.0 PLT 144 * 164 154 172 x10^9/L 140-400 RCC 3.90 3.98 3.71L 3.83 x10^12/L 3.80-5.10 PCV 0.34L 0.35 0.32L 0.34L L/L 0.35-0.45 MCV 87.3 87.8 87.1 87.5 fL 80.0-96.0 MCH 29.5 29.2 29.3 29.3 pg 27.0-33.0 MCHC 338 332 337 335 g/L 320-360 RDW 15.6H 15.5H 15.5H 15.6H % 11.0-15.0 White Cell Differential Neut 3.2 4.7 5.3 6.7 x10^9/L 2.0-8.0 Lymph 1.4 1.7 1.4 2.0 x10^9/L 1.2-4.0 Mono 0.4 0.6 0.5 0.7 x10^9/L 0.1-1.0 Eos 0.2 0.2 0.1 0.2 x10^9/L 0.0-0.5 Baso 0.0 0.1 0.0 0.1 x10^9/L 0.0-0.1 12Z756823 10/03/12 19:00 Comment: * Please note: no specimen received. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/152"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986838-16258592"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/152"/> </subject> <effectiveDateTime value="2012-04-05T21:25:00Z"/> <issued value="2012-04-05T22:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1118"/> <resource> <DiagnosticReport> <id value="1118"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type Serum Test performed at Friends Laboratory COMMENT: This serum sample has been stored for 3 months. If clinically indicated please send convalescent sera 2-3 weeks after symptom onset for Mycoplasma, Influenza, Chlamydia and Q fever or 4-6 weeks after symptom onset for Legionella. More rapid results are available for Legionella pneumophila and Pneumococcus by urinary antigen testing, or for Influenza by PCR of nose/throat swabs. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/153"/> </subject> <reason> <text value="Chest Pain Worse On Exercise"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968848-16258591"/> </identifier> <status value="final"/> <code> <text value="Micro Sendout"/> </code> <subject> <reference value="Patient/153"/> </subject> <effectiveDateTime value="2012-04-05T21:30:00Z"/> <issued value="2012-04-06T12:52:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1119"/> <resource> <DiagnosticReport> <id value="1119"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516524 Z561594 Z561539 Z516763 Z561167 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 06:18 08:02 12:24 17:03 21:26 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.36 7.37 7.32L 7.33L 7.39 7.35-7.45 pCO2 37 42 47H 46H 37 mmHg 35-45 HCO3(Std) 21L 24 23 23 23 mmol/L 22.0-30.0 Base Excess -3.7L -0.7 -1.6 -1.5 -2.1 mmol/L -3.0/3.0 pO2 105H 186H 115H 344H 239H mmHg 75-100 O2 Sat 97 99 97 99 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.5 4.3 5.4 5.4 4.2 mmol/L 3.5-5.5 Sodium 145 141 137 136 134L mmol/L 135-145 Chloride 118H 113H 109 105 105 mmol/L 95-110 iCa++ 1.11L 1.20 1.20 1.19 1.18 mmol/L 1.12-1.30 Glucose 5.3 7.1 10.4H 9.3H 13.8H mmol/L 3.6-7.7 Lactate 0.8 1.4 1.0 1.3 1.7 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 74L 81L 86L 83L 71L g/L 115-150 Reduced Hb 2.7 1.1 2.5 0.9 1.2 % 0-5 CarbOxy Hb 0.8 0.8 0.7 0.6 0.6 % 0.5-1.5 Meth Hb 2.4H 1.6H 2.0H 2.1H 1.9H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/124"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561167-16258590"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T21:26:00Z"/> <issued value="2012-04-05T21:30:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1120"/> <resource> <DiagnosticReport> <id value="1120"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561261 Z516463 Z561864 Z561765 Z516067 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 14:13 16:46 18:10 19:54 21:22 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.26L 7.36 7.40 7.36 7.24L 7.35-7.45 pCO2 26L 23L 21L 27L 44 mmHg 35-45 HCO3(Std) 14L 16L 17L 17L 18L mmol/L 22.0-30.0 Base Excess -14.4L -11.8L -10.8L -9.4L -7.9L mmol/L -3.0/3.0 pO2 142H 138H 136H 306H 345H mmHg 75-100 O2 Sat 99 99 100 100 100 % 95-100 ELECTROLYTES (Whole Blood) Potassium 5.0 5.7H 6.0H 5.6H 6.2H mmol/L 3.5-5.5 Sodium 142 140 141 138 136 mmol/L 135-145 Chloride 109 107 106 107 105 mmol/L 95-110 iCa++ 0.98L 0.99L 0.98L 0.97L 0.98L mmol/L 1.12-1.30 Glucose 5.2 5.3 4.4 7.4 6.4 mmol/L 3.6-7.7 Lactate 15.0H 12.3H 11.7H 9.3H 7.5H mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 99L 106L 109L 108L 108L g/L 130-170 Reduced Hb 1.2 0.6 0.5 -0.2L -0.1L % 0-5 CarbOxy Hb 1.4 1.7H 1.8H 1.4 1.3 % 0.5-1.5 Meth Hb 1.2 1.0 1.2 1.1 0.7 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/122"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561067-16258589"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/122"/> </subject> <effectiveDateTime value="2012-04-05T21:22:00Z"/> <issued value="2012-04-05T21:26:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1121"/> <resource> <DiagnosticReport> <id value="1121"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 4.0 mmol/L ( 3.5-5.5 ) Chloride 111 mmol/L ( 95-110 ) HCO3 21 mmol/L ( 22-30 ) Creatinine 75 umol/L ( 64-104 ) (Creatinine) 0.075 mmol/L ( 0.05-0.11) Urea 7.0 mmol/L ( 2.5-8.3 ) eGFR 89 ( SEE-BELOW) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986808-16258588"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/154"/> </subject> <effectiveDateTime value="2012-04-05T21:10:00Z"/> <issued value="2012-04-05T22:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1122"/> <resource> <DiagnosticReport> <id value="1122"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z069574 Z616341 Z968385 Z968583 Z986808 Date: 28/10/11 02/11/11 04/04/12 05/04/12 05/04/12 Time: 11:10 13:00 21:25 06:15 21:10 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 134 133 156 155 121L g/L 130-170 WCC 7.0 11.6H 12.6H 12.8H 8.7 x10^9/L 4.0-11.0 PLT 298 315 339 341 283 x10^9/L 140-400 RCC 4.35L 4.31L 5.10 5.03 3.90L x10^12/L 4.50-5.70 PCV 0.40 0.40 0.47 0.46 0.36L L/L 0.40-0.50 MCV 91.5 92.1 91.8 92.3 91.6 fL 80.0-96.0 MCH 30.7 30.8 30.5 30.9 31.0 pg 27.0-33.0 MCHC 336 335 333 335 339 g/L 320-360 RDW 15.2H 15.2H 14.8 14.5 14.4 % 11.0-15.0 White Cell Differential Neut 4.7 8.8H 10.8H 9.1H 6.2 x10^9/L 2.0-8.0 Lymph 1.7 1.8 1.1L 0.5L 1.7 x10^9/L 1.2-4.0 Mono 0.4 1.0 0.6 0.6 0.8 x10^9/L 0.1-1.0 Eos 0.0 0.0 0.1 0.0 0.1 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.1 0.0 0.0 x10^9/L 0.0-0.1 Bands 2.6H x10^9/L 0.0-0.5 11Z661341 02/11/11 13:00 Comment: Note: mild neutrophilia. Instrument differential and parameters reported. 12Z968583 05/04/12 06:15 Film Comment : Mild neutrophilia with toxic changes and a moderate left shift. Manual differential. Red cells are mainly normocytic normochromic with occasional elongated cells. Platelets appear normal. Conclusion: ? Infection / inflammation. repeat FBE may be of value. 12Z986808 05/04/12 21:10 Comment: Please note fall in haemoglobin and platelet count since the previous examination. ?Rehydration. Suggest repeat. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968808-16258587"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/154"/> </subject> <effectiveDateTime value="2012-04-05T21:10:00Z"/> <issued value="2012-04-05T21:35:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1123"/> <resource> <DiagnosticReport> <id value="1123"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 133 mmol/L ( 135-145 ) Potassium 3.7 mmol/L ( 3.5-5.5 ) Chloride 99 mmol/L ( 95-110 ) HCO3 25 mmol/L ( 22-30 ) Creatinine 175 umol/L ( 49-90 ) (Creatinine) 0.175 mmol/L ( 0.05-0.09) Urea 9.1 mmol/L ( 2.5-8.3 ) eGFR 28 ( SEE-BELOW) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986818-16258586"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/155"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T22:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1124"/> <resource> <DiagnosticReport> <id value="1124"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 133 mmol/L ( 135-145 ) Potassium 3.7 mmol/L ( 3.5-5.5 ) Chloride 99 mmol/L ( 95-110 ) HCO3 25 mmol/L ( 22-30 ) Creatinine 175 umol/L ( 49-90 ) (Creatinine) 0.175 mmol/L ( 0.05-0.09) Urea 9.1 mmol/L ( 2.5-8.3 ) eGFR 28 ( SEE-BELOW) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968818-16258586"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/155"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T22:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1125"/> <resource> <DiagnosticReport> <id value="1125"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z376489 Z868657 Z868982 Z986405 Z968818 Date: 03/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 09:38 16:45 03:45 02:35 20:10 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 95L 84L 97L 93L 81L g/L 115-150 WCC 7.8 11.4H 8.1 9.1 6.8 x10^9/L 4.0-11.0 PLT 127L 142 110L 123L 125L x10^9/L 140-400 RCC 3.22L 2.90L 3.29L 3.16L 2.75L x10^12/L 3.80-5.10 PCV 0.27L 0.24L 0.28L 0.27L 0.23L L/L 0.35-0.45 MCV 85.1 84.0 85.1 86.3 85.1 fL 80.0-96.0 MCH 29.5 29.1 29.4 29.4 29.3 pg 27.0-33.0 MCHC 346 346 345 340 344 g/L 320-360 RDW 14.2 14.3 14.9 14.3 15.0 % 11.0-15.0 White Cell Differential Neut 6.4 8.1H 6.5 7.6 5.2 x10^9/L 2.0-8.0 Lymph 0.9L 1.6 1.0L 0.8L 1.1L x10^9/L 1.2-4.0 Mono 0.4 1.0 0.5 0.6 0.5 x10^9/L 0.1-1.0 Eos 0.0 0.1 0.0 0.1 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 0.2 x10^9/L 0.0-0.5 Meta 0.3H x10^9/L 0.0 NRBC 1H /100WBCs 0 NRBC Abs 0.1H x10^9/L 0 12Z868657 03/04/12 16:45 Film Comment : Manual differential. Mild neutrophilia with slight left shift. A rare nucleated red blood cell seen and increased rouleaux. Mild thrombocytopenia. Conclusion: Please note fall in haemoglobin since the previous examination. ? any infection / inflammation. No clinical information provided. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968818-16258585"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/155"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T21:36:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1126"/> <resource> <DiagnosticReport> <id value="1126"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Anti-Factor Xa Assay (Plasma) Heparin Level by Anti-Xa 0.07 U/mL Anti-Factor Xa Comment: Reference range for Anti-Xa level depends upon route, time, dose and reason for anticoagulation. Therapeutic anticoagulation with LMWH (such as Enoxaparin) generally does not require routine monitoring. However, anti-Xa levels are recommended for patients on LMWH requiring dose adjustment in settings of (1) renal impairment, (2) obesity and (3) pregnancy. To assist interpretation of therapeutic ranges, anti-Xa levels should be collected four hours after the third dose. For less common indications such a patients at high risk of bleeding, and interpretation of results, please contact the on-call laboratory Haematology registrar or Haematologist via ACME switchboard. Tests of Hypercoagulability (Plasma) Antithrombin (Functional) 88 % (80-120) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986818-16258584"/> </identifier> <status value="final"/> <code> <text value="Special Coagulation"/> </code> <subject> <reference value="Patient/155"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T22:07:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1127"/> <resource> <DiagnosticReport> <id value="1127"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z367489 Z886657 Z868982 Z968405 Z986818 Date: 03/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 09:38 16:45 03:45 02:35 20:10 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.2 1.2 1.3 1.3 1.3 0.8-1.3 APTT 74H 70H 59H 64H 66H secs 23-36 Fibrinogen 6.5H 6.7H 6.4H 7.3H 6.2H g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968818-16258583"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/155"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T21:48:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1128"/> <resource> <DiagnosticReport> <id value="1128"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type: Urine Legionella Antigen by Immunochromatography : NOT Detected S.pneumoniae Antigen by Immunochromatography : NOT Detected GENERAL COMMENT: LEGIONELLA URINARY ANTIGEN: Presumptive negative for Legionella pneumophila serogroup 1 antigen in urine. Infection due to Legionella cannot be ruled out since other serogroups and species may cause disease. Antigen may not be present in urine in early infection. Please send another urine if clinically indicated. STREPTOCOCCUS PNEUMONIAE ANTIGEN: Presumptive negative for pneumococcal pneumonia. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/153"/> </subject> <reason> <text value="Chest Pain Worse On Exercise"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986828-16258582"/> </identifier> <status value="final"/> <code> <text value="Internal Serology"/> </code> <subject> <reference value="Patient/153"/> </subject> <effectiveDateTime value="2012-04-05T21:17:00Z"/> <issued value="2012-04-10T12:51:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1129"/> <resource> <DiagnosticReport> <id value="1129"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 4.6 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 161 umol/L ( 64-104 ) (Creatinine) 0.161 mmol/L ( 0.05-0.11) Urea 16.4 mmol/L ( 2.5-8.3 ) eGFR 37 ( SEE-BELOW) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968897-16258581"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/156"/> </subject> <effectiveDateTime value="2012-04-05T21:05:00Z"/> <issued value="2012-04-05T22:22:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1130"/> <resource> <DiagnosticReport> <id value="1130"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z996578 SPECIMEN Specimen Type : Sputum MICROSCOPY GRAM STAIN Macroscopic Description Mucoid Pus:Epithelial Cell Ratio <25:10 Pus Cells Occasional Squamous Epithelial Cells ++ Gram positive cocci + Gram positive bacilli + Gram negative bacilli + yeasts Occasional Standard bacterial culture is not indicated as the ratio of pus to epithelial cells, or the bacteria seen in the Gram stain indicate salivary contamination. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968887-16258579"/> </identifier> <status value="final"/> <code> <text value="Respiratory M/C/S"/> </code> <subject> <reference value="Patient/157"/> </subject> <effectiveDateTime value="2012-04-05T21:10:00Z"/> <issued value="2012-04-06T14:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1131"/> <resource> <DiagnosticReport> <id value="1131"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516566 Z561599 Z561862 Z516564 Z561866 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 09:24 12:42 15:58 17:46 21:08 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.32L 7.37 7.37 7.36 7.38 7.35-7.45 pCO2 35 34L 34L 35 33L mmHg 35-45 HCO3(Std) 18L 20L 20L 20L 20L mmol/L 22.0-30.0 Base Excess -7.3L -5.1L -5.0L -5.3L -4.8L mmol/L -3.0/3.0 pO2 129H 112H 117H 95 81 mmHg 75-100 O2 Sat 99 98 99 98 96 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.4 3.9 4.6 4.3 4.2 mmol/L 3.5-5.5 Sodium 135 134L 135 137 135 mmol/L 135-145 Chloride 110 110 110 110 109 mmol/L 95-110 iCa++ 1.06L 1.05L 1.08L 1.09L 1.08L mmol/L 1.12-1.30 Glucose 8.7H 9.0H 7.6 6.7 10.3H mmol/L 3.6-7.7 Lactate 2.5H 2.1H 2.8H 2.6H 2.0H mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 80L 79L 80L 81L 81L g/L 115-150 Reduced Hb 1.3 1.7 1.1 2.4 3.7 % 0-5 CarbOxy Hb 0.7 0.6 0.7 0.6 0.6 % 0.5-1.5 Meth Hb 1.1 1.6H 1.1 0.8 1.1 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/158"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561866-16258578"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/158"/> </subject> <effectiveDateTime value="2012-04-05T21:08:00Z"/> <issued value="2012-04-05T21:12:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1132"/> <resource> <DiagnosticReport> <id value="1132"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> THYROID FUNCTION TSH 2.52 mIU/L ( 0.1-4.0 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/135"/> </subject> <reason> <text value="Chest Pain Fi"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968704-16258577"/> </identifier> <status value="final"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/135"/> </subject> <effectiveDateTime value="2012-04-05T16:52:00Z"/> <issued value="2012-04-05T21:58:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1133"/> <resource> <DiagnosticReport> <id value="1133"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z736744 SPECIMEN Specimen Type : Urine In/Out Catheter CHEMISTRY pH 5.5 Protein TRACE Specific Grav. 1.018 Blood NEGATIVE Glucose NEGATIVE Leucocytes + MICROSCOPY Leucocytes 5 x10^6/L ( <2x10^6/L ) Red Blood Cells Nil x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE No Growth -Detection limit 10^7 CFU/L </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968867-16258576"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/159"/> </subject> <effectiveDateTime value="2012-04-05T20:20:00Z"/> <issued value="2012-04-07T08:55:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1134"/> <resource> <DiagnosticReport> <id value="1134"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z736734 SPECIMEN Specimen Type : Urine Midstream CHEMISTRY pH 5.5 Protein + Specific Grav. 1.025 Blood NEGATIVE Glucose NEGATIVE Leucocytes TRACE MICROSCOPY Leucocytes 28 x10^6/L ( <2x10^6/L ) Red Blood Cells 6 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells ++ STANDARD BACTERIAL CULTURE No Growth -Detection limit 10^7 CFU/L </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/139"/> </subject> <reason> <text value="Collapsed Low BP"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968877-16258575"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/139"/> </subject> <effectiveDateTime value="2012-04-05T21:00:00Z"/> <issued value="2012-04-07T08:55:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1135"/> <resource> <DiagnosticReport> <id value="1135"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z736724 SPECIMEN Specimen Type : Urine Type Not Stated CHEMISTRY pH 5.0 Protein NEGATIVE Specific Grav. 1.014 Blood NEGATIVE Glucose NEGATIVE Leucocytes NEGATIVE MICROSCOPY Leucocytes 1 x10^6/L ( <2x10^6/L ) Red Blood Cells 3 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE No Growth -Detection limit 10^7 CFU/L </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968857-16258574"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/160"/> </subject> <effectiveDateTime value="2012-04-05T20:45:00Z"/> <issued value="2012-04-07T08:55:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1136"/> <resource> <DiagnosticReport> <id value="1136"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z176645 Z868279 Z868875 Z986450 Z968847 Date: 01/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 22:00 02:00 00:30 00:10 20:59 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 1.0 1.0 1.1 1.1 0.8-1.3 APTT 28 26 28 27 25 secs 23-36 Fibrinogen 6.8H 7.8H 7.9H 8.9H 8.0H g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968847-16258573"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T20:59:00Z"/> <issued value="2012-04-05T21:27:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1137"/> <resource> <DiagnosticReport> <id value="1137"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.9 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 43 umol/L ( 64-104 ) (Creatinine) 0.043 mmol/L ( 0.05-0.11) Urea 3.5 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Calcium 2.16 mmol/L ( 2.10-2.60) Phosphate 1.42 mmol/L ( 0.8-1.5 ) Magnesium 0.81 mmol/L ( 0.7-1.1 ) Albumin 21 g/L ( 35-50 ) AP 117 IU/L ( 30-120 ) GGT 172 IU/L ( 10-65 ) ALT 31 IU/L ( <45 ) AST 58 IU/L ( <35 ) Bili Total 17 umol/L ( <19 ) Protein Total 55 g/L ( 65-85 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968847-16258572"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T20:59:00Z"/> <issued value="2012-04-05T21:47:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1138"/> <resource> <DiagnosticReport> <id value="1138"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z176645 Z868279 Z868875 Z986450 Z968847 Date: 01/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 22:00 02:00 00:30 00:10 20:59 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 83L 79L 80L 82L 96L g/L 130-170 WCC 12.7H 9.2 8.1 10.9 16.1H x10^9/L 4.0-11.0 PLT 147 190 236 321 410H x10^9/L 140-400 RCC 2.70L 2.54L 2.55L 2.64L 3.12L x10^12/L 4.50-5.70 PCV 0.24L 0.23L 0.23L 0.24L 0.28L L/L 0.40-0.50 MCV 90.5 90.2 90.1 91.3 89.3 fL 80.0-96.0 MCH 30.9 31.1 31.3 31.0 30.8 pg 27.0-33.0 MCHC 341 345 347 340 344 g/L 320-360 RDW 14.4 14.5 14.7 14.6 14.3 % 11.0-15.0 White Cell Differential Neut 9.6H 5.5 5.1 7.6 11.6H x10^9/L 2.0-8.0 Lymph 1.7 2.3 1.1L 1.5 0.5L x10^9/L 1.2-4.0 Mono 1.3H 0.6 1.4H 1.5H 2.6H x10^9/L 0.1-1.0 Eos 0.1 0.3 0.3 0.3 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.1 0.0 x10^9/L 0.0-0.1 Bands 0.5 0.2 1.4H x10^9/L 0.0-0.5 12Z868279 03/04/12 02:00 Film Comment : Neutrophils show a slight left shift and mild toxic changes. Manual differential. Red cells are mainly normocytic normochromic with some target cells, polychromatic cells and mild rouleaux. Platelets appear normal. 12Z886875 04/04/12 00:30 Film Comment : Manual differential. 12Z968847 05/04/12 20:59 Film Comment : Manual differential. Mild neutrophilia and monocytosis with left shift and slight toxic granulation. Red cells essentially unchanged. Conclusion: Increase in leucocyte count since the last examination. ? any acute infection / inflammation. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968847-16258571"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T20:59:00Z"/> <issued value="2012-04-05T22:29:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1139"/> <resource> <DiagnosticReport> <id value="1139"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z763714 SPECIMEN Specimen Type : Urine Type Not Stated CHEMISTRY pH 7.5 Protein ++ Specific Grav. 1.017 Blood NEGATIVE Glucose NEGATIVE Leucocytes NEGATIVE MICROSCOPY Leucocytes 3 x10^6/L ( <2x10^6/L ) Red Blood Cells 5 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE No Growth -Detection limit 10^7 CFU/L </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/161"/> </subject> <reason> <text value="Febrile FI"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968837-16258570"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/161"/> </subject> <effectiveDateTime value="2012-04-05T20:45:00Z"/> <issued value="2012-04-07T08:55:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1140"/> <resource> <DiagnosticReport> <id value="1140"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Cortisol 37 L nmol/L ( 120-650 ) Cortisol Diurnal Variation:AM (0800 - 0900): 150 - 650 nmol/L PM (1500 - 1600): 120 - 400 nmol/L </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968827-16258569"/> </identifier> <status value="final"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/162"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T23:44:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1141"/> <resource> <DiagnosticReport> <id value="1141"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 3.6 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 31 mmol/L ( 22-30 ) Creatinine 88 umol/L ( 64-104 ) (Creatinine) 0.088 mmol/L ( 0.05-0.11) Urea 4.9 mmol/L ( 2.5-8.3 ) eGFR 88 ( SEE-BELOW) Osmolality 290 mosm/kg( 280-300 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968827-16258568"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/162"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T22:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1142"/> <resource> <DiagnosticReport> <id value="1142"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> URINE Period ru. Hrs Volume nk ml Urine Sodium 147 mmol/L Urine Sodium Excretion mmol/D ( 75-300 ) Urine Potassium 29 mmol/L Urine Potassium Excretion mmol/D ( 40-100 ) Urine Osmolality 618 mmol/L ( 50-1200 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986827-16258567"/> </identifier> <status value="final"/> <code> <text value="Urine Chemistry"/> </code> <subject> <reference value="Patient/162"/> </subject> <effectiveDateTime value="2012-04-05T20:10:00Z"/> <issued value="2012-04-05T22:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1143"/> <resource> <DiagnosticReport> <id value="1143"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561509 Z516061 Z561762 Z561364 Z516766 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 11:42 14:08 15:28 17:29 20:59 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.15L 7.32L 7.31L 7.38 7.37 7.35-7.45 pCO2 58H 42 45 36 37 mmHg 35-45 HCO3(Std) 17L 21L 21L 22 22 mmol/L 22.0-30.0 Base Excess -8.0L -4.0L -3.7L -3.1L -3.4L mmol/L -3.0/3.0 pO2 73L 203H 210H 97 157H mmHg 75-100 O2 Sat 89L 99 99 98 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 5.4 4.4 4.6 4.6 4.6 mmol/L 3.5-5.5 Sodium 130L 131L 131L 130L 129L mmol/L 135-145 Chloride 100 104 103 103 102 mmol/L 95-110 iCa++ 1.24 1.10L 1.12 1.10L 1.12 mmol/L 1.12-1.30 Glucose 13.9H 10.5H 9.8H 9.0H 9.4H mmol/L 3.6-7.7 Lactate 7.7H 1.1 0.8 0.7 0.7 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 99L 94L 90L 87L 81L g/L 115-150 Reduced Hb 10.6H 0.7 0.6 2.1 0.8 % 0-5 CarbOxy Hb 0.9 0.8 0.6 0.9 0.8 % 0.5-1.5 Meth Hb 1.3 1.5 1.0 1.3 1.2 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561766-16258566"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T20:59:00Z"/> <issued value="2012-04-05T21:03:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1144"/> <resource> <DiagnosticReport> <id value="1144"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> URINE Period ru. Hrs Volume nk ml Urine Sodium 87 mmol/L Urine Sodium Excretion mmol/D ( 75-300 ) Urine Potassium 81 mmol/L Urine Potassium Excretion mmol/D ( 40-100 ) Urine Osmolality 612 mmol/L ( 50-1200 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986817-16258565"/> </identifier> <status value="final"/> <code> <text value="Urine Chemistry"/> </code> <subject> <reference value="Patient/163"/> </subject> <effectiveDateTime value="2012-04-05T20:15:00Z"/> <issued value="2012-04-05T22:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1145"/> <resource> <DiagnosticReport> <id value="1145"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.1 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 91 umol/L ( 64-104 ) (Creatinine) 0.091 mmol/L ( 0.05-0.11) Urea 5.4 mmol/L ( 2.5-8.3 ) eGFR 78 ( SEE-BELOW) Osmolality 295 mosm/kg( 280-300 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968817-16258564"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/163"/> </subject> <effectiveDateTime value="2012-04-05T20:15:00Z"/> <issued value="2012-04-05T22:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1146"/> <resource> <DiagnosticReport> <id value="1146"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 128 mmol/L ( 135-145 ) Potassium 5.0 mmol/L ( 3.5-5.5 ) Chloride 94 mmol/L ( 95-110 ) HCO3 24 mmol/L ( 22-30 ) Creatinine 189 umol/L ( 64-104 ) (Creatinine) 0.189 mmol/L ( 0.05-0.11) Urea 20.8 mmol/L ( 2.5-8.3 ) eGFR 34 ( SEE-BELOW) Albumin 34 g/L ( 35-50 ) AP 46 IU/L ( 30-120 ) GGT 30 IU/L ( 10-65 ) ALT 25 IU/L ( <45 ) AST 31 IU/L ( <35 ) Bili Total 31 umol/L ( <19 ) Protein Total 73 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/113"/> </subject> <reason> <text value="Gastro"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968896-16258563"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T20:55:00Z"/> <issued value="2012-04-05T21:46:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1147"/> <resource> <DiagnosticReport> <id value="1147"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968896 Date: 05/04/12 Time: 20:55 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 142 g/L 130-170 WCC 10.1 x10^9/L 4.0-11.0 PLT 109L x10^9/L 140-400 RCC 4.47L x10^12/L 4.50-5.70 PCV 0.41 L/L 0.40-0.50 MCV 92.6 fL 80.0-96.0 MCH 31.7 pg 27.0-33.0 MCHC 343 g/L 320-360 RDW 12.8 % 11.0-15.0 White Cell Differential Neut 5.4 x10^9/L 2.0-8.0 Lymph 0.5L x10^9/L 1.2-4.0 Mono 0.3 x10^9/L 0.1-1.0 Eos 0.0 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 Bands 3.8H x10^9/L 0.0-0.5 Meta 0.1H x10^9/L 0.0 12Z968896 05/04/12 20:55 Film Comment : Manual differential. Mild neutrophilia with prominent left shift and moderate vaccuolation. Red cells are normocytic normochromic. Mild thrombocytopenia with occasional large forms. Conclusion: Features suggestive of infection / inflammation. Suggest repeat FBE to confirm thrombocytopenia. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/113"/> </subject> <reason> <text value="Gastro"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986896-16258562"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T20:55:00Z"/> <issued value="2012-04-05T22:04:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1148"/> <resource> <DiagnosticReport> <id value="1148"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.3 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 85 umol/L ( 64-104 ) (Creatinine) 0.085 mmol/L ( 0.05-0.11) Urea 4.1 mmol/L ( 2.5-8.3 ) eGFR 85 ( SEE-BELOW) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968807-16258561"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/164"/> </subject> <effectiveDateTime value="2012-04-05T20:56:00Z"/> <issued value="2012-04-05T21:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1149"/> <resource> <DiagnosticReport> <id value="1149"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968807 Date: 05/04/12 Time: 20:56 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 143 g/L 130-170 WCC 9.3 x10^9/L 4.0-11.0 PLT 294 x10^9/L 140-400 RCC 4.23L x10^12/L 4.50-5.70 PCV 0.41 L/L 0.40-0.50 MCV 97.1H fL 80.0-96.0 MCH 33.8H pg 27.0-33.0 MCHC 348 g/L 320-360 RDW 11.9 % 11.0-15.0 White Cell Differential Neut 6.3 x10^9/L 2.0-8.0 Lymph 2.2 x10^9/L 1.2-4.0 Mono 0.7 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.1 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986807-16258560"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/164"/> </subject> <effectiveDateTime value="2012-04-05T20:56:00Z"/> <issued value="2012-04-05T21:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1150"/> <resource> <DiagnosticReport> <id value="1150"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561523 Z561595 Z516547 Z561569 Z561666 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 05:29 08:49 10:42 12:34 20:56 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.38 7.42 7.42 7.40 7.39 7.35-7.45 pCO2 47H 43 46H 47H 46H mmHg 35-45 HCO3(Std) 26 27 28 28 26 mmol/L 22.0-30.0 Base Excess 2.4 3.3H 4.6H 4.2H 2.6 mmol/L -3.0/3.0 pO2 78 105H 103H 210H 78 mmHg 75-100 O2 Sat 96 98 98 100 95 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.0 4.6 4.8 4.2 4.6 mmol/L 3.5-5.5 Sodium 139 141 141 141 138 mmol/L 135-145 Chloride 106 108 109 109 109 mmol/L 95-110 iCa++ 1.14 1.11L 1.11L 1.14 1.14 mmol/L 1.12-1.30 Glucose 8.7H 7.6 6.8 6.0 8.6H mmol/L 3.6-7.7 Lactate 0.6 0.7 0.6 0.3 1.0 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 87L 83L 81L 80L 100L g/L 130-170 Reduced Hb 4.2 1.6 1.7 0.5 4.4 % 0-5 CarbOxy Hb 1.4 1.5 1.3 1.4 2.0H % 0.5-1.5 Meth Hb 1.3 1.4 1.7H 1.8H 1.3 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/120"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516666-16258559"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T20:56:00Z"/> <issued value="2012-04-05T21:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1151"/> <resource> <DiagnosticReport> <id value="1151"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516360 Z561163 Z561164 Z516865 Z561566 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 13:39 16:22 17:26 20:00 20:52 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.32L 7.28L 7.17L 7.31L 7.37 7.35-7.45 pCO2 45 51H 50H 41 35 mmHg 35-45 HCO3(Std) 20L 21L mmol/L 22.0-30.0 Base Excess -3.1L -2.3 -9.8L -4.8L -4.6L mmol/L -3.0/3.0 pO2 110H 141H 233H 245H 134H mmHg 75-100 O2 Sat 95 98 98 99 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.0 3.9 3.7 4.2 4.3 mmol/L 3.5-5.5 Sodium 138 141 144 141 142 mmol/L 135-145 Chloride 115H 114H mmol/L 95-110 iCa++ 1.07L 1.06L mmol/L 1.12-1.30 Glucose 10.8H 10.7H mmol/L 3.6-7.7 Lactate 1.0 1.2 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 109L 104L 92L 94L 95L g/L 130-170 Reduced Hb 0.8 1.4 % 0-5 CarbOxy Hb 0.3L 0.5 % 0.5-1.5 Meth Hb 1.6H 1.7H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/148"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561566-16258558"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/148"/> </subject> <effectiveDateTime value="2012-04-05T20:52:00Z"/> <issued value="2012-04-05T20:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1153"/> <resource> <DiagnosticReport> <id value="1153"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type: Viral Swab RESPIRATORY VIRUS PCR Influenza A PCR (ABI Taqman) : Not detected Influenza B PCR (ABI Taqman) : DETECTED RSV PCR (ABI Taqman) : Not Detected Rhinovirus PCR (ABI Taqman) : Not Detected GENERAL COMMENT: Please note this result has been notified to the State Department of Health. Notification by the referring medical practitioner is also required under the Public Health and Wellbeing Regulations 2009. To notify, go to http://www.state.gov/xxx or call 1-800-555-2123 to contact the State Department of Health. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968886-16258557"/> </identifier> <status value="final"/> <code> <text value="Internal Serology"/> </code> <subject> <reference value="Patient/161"/> </subject> <effectiveDateTime value="2012-04-05T20:52:00Z"/> <issued value="2012-04-09T11:39:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1152"/> <resource> <DiagnosticReport> <id value="1152"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366342 SPECIMENS Specimen Type : Blood Cultures Description : Not-stated Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/140"/> </subject> <reason> <text value="Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968832-16258556"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/140"/> </subject> <effectiveDateTime value="2012-04-05T18:57:00Z"/> <issued value="2012-04-09T21:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1154"/> <resource> <DiagnosticReport> <id value="1154"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516466 Date: 05/04/12 Arterial Time: 20:52 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.40 7.35-7.45 pCO2 36 mmHg 35-45 Base Excess -2.1 mmol/L -3.0/3.0 pO2 81 mmHg 75-100 O2 Sat 96 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.3 mmol/L 3.5-5.5 Sodium 138 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 148 g/L 130-170 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/153"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561466-16258555"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/153"/> </subject> <effectiveDateTime value="2012-04-05T20:52:00Z"/> <issued value="2012-04-05T20:54:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1155"/> <resource> <DiagnosticReport> <id value="1155"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Troponin I 0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/165"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968876-16258554"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/165"/> </subject> <effectiveDateTime value="2012-04-05T20:30:00Z"/> <issued value="2012-04-05T21:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1162"/> <resource> <DiagnosticReport> <id value="1162"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA C-React Prot 149 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/167"/> </subject> <reason> <text value="Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z546943-16258547"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/167"/> </subject> <effectiveDateTime value="2012-04-05T20:40:00Z"/> <issued value="2012-04-05T21:46:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1163"/> <resource> <DiagnosticReport> <id value="1163"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366332 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/167"/> </subject> <reason> <text value="Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z564943-16258546"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/167"/> </subject> <effectiveDateTime value="2012-04-05T20:40:00Z"/> <issued value="2012-04-09T22:49:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1170"/> <resource> <DiagnosticReport> <id value="1170"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Vitamin 25 D TF nmol/L( SEE-BELOW </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/168"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968856-16258539"/> </identifier> <status value="partial"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/168"/> </subject> <effectiveDateTime value="2012-04-05T20:39:00Z"/> <issued value="2012-04-05T20:39:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1171"/> <resource> <DiagnosticReport> <id value="1171"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z986856 Date: 05/04/12 Time: 20:39 Units Ref Range -------- -------- -------- -------- -------- ------- --------- Serum Vitamin B12 and Folate Studies Vit B12 979H pmol/L 150-600 Ser Fol 44.2 nmol/L >12.2 Iron Studies (Plasma/serum) Ferritin 182.0 ug/L 15-200 Iron 15 umol/L 10-30 Transferrin 2.33 g/L 1.9-3.2 Transf'n IBC 58.4 umol/L 47.6-80.2 Transf'n Sat 25 % 14.7-37.4 NOTE NEW REFERENCE RANGES FOR FOLATE From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur Serum Folate Deficient - <7.63 nmol/L Serum Folate Indeterminate - 7.64 to 12.2 nmol/L Old Ref Ranges prior to 27th April 2004 Serum Folate - 6.0 to 38.0 nmol/L Red Cell Folate - 350 to 1350 nmol/L </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/168"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968856-16258538"/> </identifier> <status value="final"/> <code> <text value="Haem Iron/B12 & Fol"/> </code> <subject> <reference value="Patient/168"/> </subject> <effectiveDateTime value="2012-04-05T20:39:00Z"/> <issued value="2012-04-06T08:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1172"/> <resource> <DiagnosticReport> <id value="1172"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 134 mmol/L ( 135-145 ) Potassium 3.9 mmol/L ( 3.5-5.5 ) Chloride 96 mmol/L ( 95-110 ) HCO3 20 mmol/L ( 22-30 ) Creatinine 56 umol/L ( 49-90 ) (Creatinine) 0.056 mmol/L ( 0.05-0.09) Urea 3.1 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Glucose 3.2 mmol/L ( 3.3-7.7 ) (fasting) NoInfo Calcium 2.56 mmol/L ( 2.10-2.60) Phosphate 1.03 mmol/L ( 0.8-1.5 ) Magnesium 0.75 mmol/L ( 0.8-1.0 ) Albumin 43 g/L ( 35-50 ) AP 60 IU/L ( 30-120 ) GGT 23 IU/L ( 10-65 ) ALT 17 IU/L ( <34 ) AST 24 IU/L ( <31 ) Bili Total 13 umol/L ( <19 ) Protein Total 83 g/L ( 65-85 ) C-React Prot 2 mg/L ( <5 ) LIPIDS </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/168"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968856-16258537"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/168"/> </subject> <effectiveDateTime value="2012-04-05T20:39:00Z"/> <issued value="2012-04-05T21:14:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1173"/> <resource> <DiagnosticReport> <id value="1173"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968856 Date: 05/04/12 Time: 20:39 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 132 g/L 115-150 WCC 6.6 x10^9/L 4.0-11.0 PLT 396 x10^9/L 140-400 RCC 4.23 x10^12/L 3.80-5.10 PCV 0.38 L/L 0.35-0.45 MCV 90.4 fL 80.0-96.0 MCH 31.3 pg 27.0-33.0 MCHC 346 g/L 320-360 RDW 12.7 % 11.0-15.0 White Cell Differential Neut 2.9 x10^9/L 2.0-8.0 Lymph 3.0 x10^9/L 1.2-4.0 Mono 0.5 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/168"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986856-16258536"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/168"/> </subject> <effectiveDateTime value="2012-04-05T20:39:00Z"/> <issued value="2012-04-05T20:52:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1180"/> <resource> <DiagnosticReport> <id value="1180"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 134 mmol/L ( 135-145 ) Potassium 4.3 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 49 umol/L ( 49-90 ) (Creatinine) 0.049 mmol/L ( 0.05-0.09) Urea 4.4 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/169"/> </subject> <reason> <text value="Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986846-16258529"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/169"/> </subject> <effectiveDateTime value="2012-04-05T20:39:00Z"/> <issued value="2012-04-05T21:14:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1181"/> <resource> <DiagnosticReport> <id value="1181"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z861610 Z156358 Z366626 Z467684 Z986846 Date: 25/07/11 05/12/11 26/03/12 05/04/12 05/04/12 Time: 15:30 13:45 13:55 13:30 20:39 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 129 133 149 139 123 g/L 115-150 WCC 10.4 5.4 9.4 13.1H 13.2H x10^9/L 4.0-11.0 PLT 172 179 208 188 156 x10^9/L 140-400 RCC 3.97 4.16 4.56 4.26 3.76L x10^12/L 3.80-5.10 PCV 0.38 0.40 0.44 0.41 0.36 L/L 0.35-0.45 MCV 96.3H 94.8 95.8 97.3H 95.8 fL 80.0-96.0 MCH 32.4 31.9 32.7 32.5 32.7 pg 27.0-33.0 MCHC 337 336 341 334 341 g/L 320-360 RDW 13.6 13.2 13.8 13.7 13.1 % 11.0-15.0 ESR 67H mm in 1hr 2-20 White Cell Differential Neut 8.9H 3.9 8.2H 12.2H 12.5H x10^9/L 2.0-8.0 Lymph 0.9L 1.0L 0.5L 0.1L 0.3L x10^9/L 1.2-4.0 Mono 0.6 0.4 0.5 0.8 0.2 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.1 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.1 0.1 0.0 0.1 x10^9/L 0.0-0.1 12Z467684 05/04/12 13:30 Film Comment : White cells show mild neutrophilia. Manual differential. Red cells and platelets appear normal. 12Z968846 05/04/12 20:39 Comment: Instrument differential and parameters reported. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/169"/> </subject> <reason> <text value="Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968846-16258528"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/169"/> </subject> <effectiveDateTime value="2012-04-05T20:39:00Z"/> <issued value="2012-04-05T21:04:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1182"/> <resource> <DiagnosticReport> <id value="1182"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366322 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/169"/> </subject> <reason> <text value="Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968846-16258527"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/169"/> </subject> <effectiveDateTime value="2012-04-05T20:39:00Z"/> <issued value="2012-04-09T22:49:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1183"/> <resource> <DiagnosticReport> <id value="1183"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z763704 SPECIMEN Specimen Type : Urine Midstream CHEMISTRY pH 6.0 Protein TRACE Specific Grav. 1.026 Blood NEGATIVE Glucose NEGATIVE Leucocytes +++ MICROSCOPY Leucocytes 336 x10^6/L ( <2x10^6/L ) Red Blood Cells 35 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells ++ STANDARD BACTERIAL CULTURE 1. Pseudomonas aeruginosa 10^8-10^9 cfu/L SENSITIVITIES: 1 Ceftazidime S Ciprofloxacin S Gentamicin S Meropenem S Tazocin S Timentin S </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/126"/> </subject> <reason> <text value="Febrile >38"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968836-16258526"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/126"/> </subject> <effectiveDateTime value="2012-04-05T20:25:00Z"/> <issued value="2012-04-09T08:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1187"/> <resource> <DiagnosticReport> <id value="1187"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z969568 SPECIMEN Specimen Type : Sputum MICROSCOPY GRAM STAIN Macroscopic Description Mucopurulent Pus:Epithelial Cell Ratio >25:10 Pus Cells ++ Squamous Epithelial Cells + Gram negative bacilli Occasional CULTURE Standard culture: +++ Mixed upper respiratory tract flora </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968826-16258522"/> </identifier> <status value="final"/> <code> <text value="Respiratory M/C/S"/> </code> <subject> <reference value="Patient/170"/> </subject> <effectiveDateTime value="2012-04-05T20:38:00Z"/> <issued value="2012-04-08T11:37:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1188"/> <resource> <DiagnosticReport> <id value="1188"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561660 Z516062 Z561063 Z561963 Z516366 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 13:53 14:47 16:20 17:16 20:36 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.32L 7.40 7.42 7.41 7.40 7.35-7.45 pCO2 48H 38 34L 35 36 mmHg 35-45 HCO3(Std) 23 24 23 23 23 mmol/L 22.0-30.0 Base Excess -1.6 -0.9 -1.9 -2.4 -1.8 mmol/L -3.0/3.0 pO2 189H 67L 68L 85 74L mmHg 75-100 O2 Sat 99 93L 94L 99 95 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.2 4.0 3.8 3.6 4.1 mmol/L 3.5-5.5 Sodium 142 140 140 141 140 mmol/L 135-145 Chloride 110 111H 111H 112H 113H mmol/L 95-110 iCa++ 1.27 1.21 1.17 1.15 1.18 mmol/L 1.12-1.30 Glucose 5.6 5.6 5.7 5.5 5.8 mmol/L 3.6-7.7 Lactate 0.9 0.8 0.8 0.8 0.8 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 106L 106L 104L 103L 112L g/L 130-170 Reduced Hb 0.7 6.4H 5.5H 0.8 5.0 % 0-5 CarbOxy Hb 1.3 1.3 1.4 1.1 1.2 % 0.5-1.5 Meth Hb 1.7H 1.3 1.1 1.5 1.4 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/129"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561366-16258521"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/129"/> </subject> <effectiveDateTime value="2012-04-05T20:36:00Z"/> <issued value="2012-04-05T20:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1189"/> <resource> <DiagnosticReport> <id value="1189"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 135 mmol/L ( 135-145 ) Potassium 5.8 mmol/L ( 3.5-5.5 ) Chloride 98 mmol/L ( 95-110 ) HCO3 22 mmol/L ( 22-30 ) Creatinine 281 umol/L ( 49-90 ) (Creatinine) 0.281 mmol/L ( 0.05-0.09) Urea 26.5 mmol/L ( 2.5-8.3 ) eGFR 14 ( SEE-BELOW) C-React Prot 2 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/144"/> </subject> <reason> <text value="Nausea And Vomiting FI"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986816-16258520"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/144"/> </subject> <effectiveDateTime value="2012-04-05T20:20:00Z"/> <issued value="2012-04-05T20:20:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1190"/> <resource> <DiagnosticReport> <id value="1190"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366312 SPECIMENS Specimen Type : Blood Cultures Description : Central Line Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968806-16258519"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/171"/> </subject> <effectiveDateTime value="2012-04-05T20:06:00Z"/> <issued value="2012-04-09T21:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1191"/> <resource> <DiagnosticReport> <id value="1191"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 3.0 mmol/L ( 3.5-5.5 ) Chloride 108 mmol/L ( 95-110 ) HCO3 21 mmol/L ( 22-30 ) Creatinine 62 umol/L ( 49-90 ) (Creatinine) 0.062 mmol/L ( 0.05-0.09) Urea 5.3 mmol/L ( 2.5-8.3 ) eGFR 86 ( SEE-BELOW) Calcium 2.25 mmol/L ( 2.10-2.60) Phosphate 0.75 mmol/L ( 0.8-1.5 ) Magnesium 0.79 mmol/L ( 0.8-1.0 ) Albumin 22 g/L ( 35-50 ) AP 104 IU/L ( 30-120 ) GGT 24 IU/L ( 10-65 ) ALT 17 IU/L ( <34 ) AST 20 IU/L ( <31 ) Bili Total 5 umol/L ( <19 ) Protein Total 56 g/L ( 65-85 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968885-16258518"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/131"/> </subject> <effectiveDateTime value="2012-04-05T20:00:00Z"/> <issued value="2012-04-05T21:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1192"/> <resource> <DiagnosticReport> <id value="1192"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z176927 Z868800 Z868980 Z986417 Z968885 Date: 02/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 12:30 18:30 02:10 03:30 20:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 119 112L 105L 97L 91L g/L 115-150 WCC 15.3H 8.9 14.0H 13.1H 15.5H x10^9/L 4.0-11.0 PLT 233 * 194 157 177 x10^9/L 140-400 RCC 4.14 3.89 3.70L 3.36L 3.24L x10^12/L 3.80-5.10 PCV 0.35 0.33L 0.31L 0.29L 0.27L L/L 0.35-0.45 MCV 84.7 85.4 84.4 85.2 83.7 fL 80.0-96.0 MCH 28.8 28.9 28.4 28.8 28.2 pg 27.0-33.0 MCHC 340 338 337 338 337 g/L 320-360 RDW 17.9H 18.0H 17.5H 17.8H 17.6H % 11.0-15.0 White Cell Differential Neut 11.3H 7.3 10.6H 12.7H 14.9H x10^9/L 2.0-8.0 Lymph 2.4 0.1L 0.4L 0.2L 0.2L x10^9/L 1.2-4.0 Mono 1.3H 0.1 0.0L 0.2 0.2 x10^9/L 0.1-1.0 Eos 0.3 0.0 0.1 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 1.4H 2.8H 0.3 x10^9/L 0.0-0.5 12Z167927 02/04/12 12:30 Comment: Note mild neutrophilia and mild monocytosis. 12Z886800 03/04/12 18:30 Film Comment : Red cells show mild anisocytosis and mild rouleaux. Moderate left shift and mild vacuolation in the neutrophils. Manual differential. * Film shows fibrin strands and platelet clumps suggestive of a partially clotted specimen. Accurate platelet count unavailable. Please repeat FBE. Conclusion: Suggestive of infection / inflammation. 12Z868980 04/04/12 02:10 Film Comment : Mild neutrophilia with left shift and mild vacuolation. Manual differential. 12Z968417 05/04/12 03:30 Comment: Instrument differential and parameters reported. 12Z986885 05/04/12 20:00 Film Comment : Red cells show some microcytes, elongated cells and mildly increased rouleaux. Manual differential. Mild neutrophilia. Slight vaccuolation noted. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968885-16258517"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/131"/> </subject> <effectiveDateTime value="2012-04-05T20:00:00Z"/> <issued value="2012-04-05T22:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1193"/> <resource> <DiagnosticReport> <id value="1193"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z806548 SPECIMEN Specimen Type : Fluid Description : Drain Collection Total specimen volume: 3 ml(s) MICROSCOPY GRAM STAIN Leucocytes +++ Yeast cells + Specimen clotted - cell count not possible. CULTURE 1. Candida albicans +++ </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/172"/> </subject> <reason> <text value="Drain Fluid. Prev Vre And Kleb Pneumo Rx Teicoplan/Tazo"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968779-16258516"/> </identifier> <status value="partial"/> <code> <text value="Sterile Sites M/C/S"/> </code> <subject> <reference value="Patient/172"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-09T12:07:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1194"/> <resource> <DiagnosticReport> <id value="1194"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516527 Z561960 Z561162 Z516464 Z561266 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 10:32 14:05 14:50 17:35 20:21 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.41 * 7.38 7.36 7.39 7.35-7.45 pCO2 35 37 38 35 37 mmHg 35-45 HCO3(Std) 23 23 20L 22 mmol/L 22.0-30.0 Base Excess -2.2 -2.1 -5.0L -2.5 mmol/L -3.0/3.0 pO2 134H 113H 203H 89 102H mmHg 75-100 O2 Sat 99 99 100 97 98 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.3 4.0 4.3 4.1 4.1 mmol/L 3.5-5.5 Sodium 138 139 138 139 138 mmol/L 135-145 Chloride 109 108 109 109 109 mmol/L 95-110 iCa++ 1.10L 1.10L 1.09L 1.09L 1.11L mmol/L 1.12-1.30 Glucose 7.3 8.3H 7.4 8.7H 8.1H mmol/L 3.6-7.7 Lactate 1.3 1.2 1.5 1.6 1.2 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 91L 89L 90L 86L 87L g/L 130-170 Reduced Hb 0.9 1.4 0.4 3.0 1.9 % 0-5 CarbOxy Hb 1.8H 1.8H 1.5 1.7H 1.6H % 0.5-1.5 Meth Hb 1.2 1.7H 1.1 1.5 1.1 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/119"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561266-16258515"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/119"/> </subject> <effectiveDateTime value="2012-04-05T20:21:00Z"/> <issued value="2012-04-05T20:25:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1195"/> <resource> <DiagnosticReport> <id value="1195"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> LAB.NUMBER: Z769310 SURVEILLANCE SCREENING CULTURE SCREENING TEST FOR VRE RECTAL SWAB VRE not detected </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/126"/> </subject> <reason> <text value="On Admission"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968875-16258514"/> </identifier> <status value="final"/> <code> <text value="Surveillance"/> </code> <subject> <reference value="Patient/126"/> </subject> <effectiveDateTime value="2012-04-05T20:00:00Z"/> <issued value="2012-04-08T09:51:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1196"/> <resource> <DiagnosticReport> <id value="1196"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Troponin I <0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/173"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968865-16258513"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/173"/> </subject> <effectiveDateTime value="2012-04-05T20:00:00Z"/> <issued value="2012-04-05T21:04:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1199"/> <resource> <DiagnosticReport> <id value="1199"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium * mmol/L ( 135-145 ) Potassium * mmol/L ( 3.5-5.5 ) Chloride * mmol/L ( 95-110 ) HCO3 * mmol/L ( 22-30 ) Creatinine * umol/L ( 64-104 ) (Creatinine) * mmol/L ( 0.05-0.11) Urea * mmol/L ( 2.5-8.3 ) eGFR N/A ( SEE-BELOW) Comment: The requested tests were not completed as the sample was labeled incorrectly. Ward notified. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968855-16258510"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/175"/> </subject> <effectiveDateTime value="2012-04-05T20:12:00Z"/> <issued value="2012-04-05T21:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1200"/> <resource> <DiagnosticReport> <id value="1200"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968855 Date: 05/04/12 Time: 20:12 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb * g/L 130-170 PLT * x10^9/L 140-400 12Z968855 05/04/12 20:12 Comment: The specimen received was mislabeled. The ward has been notified and a new sample requested. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986855-16258509"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/175"/> </subject> <effectiveDateTime value="2012-04-05T20:12:00Z"/> <issued value="2012-04-05T20:51:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1201"/> <resource> <DiagnosticReport> <id value="1201"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z536992 Z968835 Date: 19/02/10 05/04/12 Time: 08:30 19:30 Units Ref Range -------- -------- -------- -------- -------- ------- --------- Serum Vitamin B12 and Folate Studies Vit B12 334 333 pmol/L 150-600 Ser Fol >54.0 23.2 nmol/L >12.2 Iron Studies (Plasma/serum) Ferritin 215.0 ug/L 30-300 Iron 25 umol/L 10-35 Transferrin 2.69 g/L 1.9-3.2 Transf'n IBC 67.4 umol/L 47.6-80.2 Transf'n Sat 38 % 14.7-43.6 NOTE NEW REFERENCE RANGES FOR FOLATE From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur Serum Folate Deficient - <7.63 nmol/L Serum Folate Indeterminate - 7.64 to 12.2 nmol/L Old Ref Ranges prior to 27th April 2004 Serum Folate - 6.0 to 38.0 nmol/L Red Cell Folate - 350 to 1350 nmol/L </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/176"/> </subject> <reason> <text value="Acute Alcohol Withdrawal"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968835-16258507"/> </identifier> <status value="final"/> <code> <text value="Haem Iron/B12 & Fol"/> </code> <subject> <reference value="Patient/176"/> </subject> <effectiveDateTime value="2012-04-05T19:30:00Z"/> <issued value="2012-04-06T09:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1202"/> <resource> <DiagnosticReport> <id value="1202"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z563488 Z986835 Date: 18/02/10 05/04/12 Time: 11:30 19:30 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 1.0 0.8-1.3 APTT 25 25 secs 23-36 Fibrinogen 3.4 3.5 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/176"/> </subject> <reason> <text value="Acute Alcohol Withdrawal"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968835-16258506"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/176"/> </subject> <effectiveDateTime value="2012-04-05T19:30:00Z"/> <issued value="2012-04-05T21:04:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1203"/> <resource> <DiagnosticReport> <id value="1203"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Vitamin 25 D TF nmol/L( SEE-BELOW </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/176"/> </subject> <reason> <text value="Acute Alcohol Withdrawal"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986835-16258505"/> </identifier> <status value="partial"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/176"/> </subject> <effectiveDateTime value="2012-04-05T19:30:00Z"/> <issued value="2012-04-05T19:30:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1204"/> <resource> <DiagnosticReport> <id value="1204"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z668490 Z536488 Z563992 R059163 Z968835 Date: 26/02/08 18/02/10 19/02/10 11/11/10 05/04/12 Time: 08:35 11:30 08:30 11:50 19:30 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 139 143 140 130 124L g/L 130-170 WCC 6.0 13.1H 9.2 8.4 5.4 x10^9/L 4.0-11.0 PLT 216 253 226 265 227 x10^9/L 140-400 RCC 6.70H 6.75H 6.63H 6.16H 5.89H x10^12/L 4.50-5.70 PCV 0.43 0.43 0.42 0.40 0.38L L/L 0.40-0.50 MCV 64.1L 64.1L 63.4L 64.7L 65.2L fL 80.0-96.0 MCH 20.7L 21.2L 21.1L 21.0L 21.0L pg 27.0-33.0 MCHC 323 330 333 325 322 g/L 320-360 RDW 16.3H 15.8H 16.2H 15.3H 16.5H % 11.0-15.0 White Cell Differential Neut 3.2 9.7H 5.1 5.5 2.9 x10^9/L 2.0-8.0 Lymph 2.0 2.1 2.8 1.9 1.8 x10^9/L 1.2-4.0 Mono 0.6 1.2H 1.1H 0.7 0.6 x10^9/L 0.1-1.0 Eos 0.2 0.1 0.2 0.2 0.2 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/176"/> </subject> <reason> <text value="Acute Alcohol Withdrawal"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968835-16258504"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/176"/> </subject> <effectiveDateTime value="2012-04-05T19:30:00Z"/> <issued value="2012-04-05T20:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1205"/> <resource> <DiagnosticReport> <id value="1205"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 4.2 mmol/L ( 3.5-5.5 ) Chloride 100 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 85 umol/L ( 64-104 ) (Creatinine) 0.085 mmol/L ( 0.05-0.11) Urea 4.1 mmol/L ( 2.5-8.3 ) eGFR 87 ( SEE-BELOW) Albumin 37 g/L ( 35-50 ) AP 62 IU/L ( 30-120 ) GGT 184 IU/L ( 10-65 ) ALT 95 IU/L ( <45 ) AST 74 IU/L ( <35 ) Bili Total 13 umol/L ( <19 ) Protein Total 77 g/L ( 65-85 ) C-React Prot 12 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/176"/> </subject> <reason> <text value="Acute Alcohol Withdrawal"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968835-16258503"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/176"/> </subject> <effectiveDateTime value="2012-04-05T19:30:00Z"/> <issued value="2012-04-05T20:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1206"/> <resource> <DiagnosticReport> <id value="1206"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366302 SPECIMENS Specimen Type : Blood Cultures Description : Not-stated Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/177"/> </subject> <reason> <text value="T+ 38.7C"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968825-16258502"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/177"/> </subject> <effectiveDateTime value="2012-04-05T20:04:00Z"/> <issued value="2012-04-09T21:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1207"/> <resource> <DiagnosticReport> <id value="1207"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z656878 Z968616 Z766236 Z986763 Z968815 Date: 01/10/10 05/04/12 05/04/12 05/04/12 05/04/12 Time: 11:00 11:55 13:47 16:26 20:04 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 2.5H * 4.4H 1.3 1.3 0.8-1.3 APTT 43H * 34 28 27 secs 23-36 Fibrinogen 7.3H * 3.2 3.4 3.0 g/L 2.0-5.0 PT 43.1 secs PT mix 14.2 secs 12Z766236 05/04/12 13:47 PT Mix : 50/50 mixture of the patient's plasma with normal plasma - CORRECTED. 12Z986616 05/04/12 11:55 Comment: * Specimen clotted. ED informed. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968815-16258501"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/148"/> </subject> <effectiveDateTime value="2012-04-05T20:04:00Z"/> <issued value="2012-04-05T21:04:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1208"/> <resource> <DiagnosticReport> <id value="1208"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 142 mmol/L ( 135-145 ) Potassium 4.3 mmol/L ( 3.5-5.5 ) Chloride 114 mmol/L ( 95-110 ) HCO3 22 mmol/L ( 22-30 ) Creatinine 106 umol/L ( 64-104 ) (Creatinine) 0.106 mmol/L ( 0.05-0.11) Urea 7.4 mmol/L ( 2.5-8.3 ) eGFR 59 ( SEE-BELOW) Calcium 1.80 mmol/L ( 2.10-2.60) Phosphate 1.05 mmol/L ( 0.8-1.5 ) Magnesium 0.63 mmol/L ( 0.7-1.1 ) Albumin 26 g/L ( 35-50 ) AP 50 IU/L ( 30-120 ) GGT 13 IU/L ( 10-65 ) ALT 18 IU/L ( <45 ) AST 25 IU/L ( <35 ) Bili Total 13 umol/L ( <19 ) Protein Total 51 g/L ( 65-85 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968815-16258500"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/148"/> </subject> <effectiveDateTime value="2012-04-05T20:04:00Z"/> <issued value="2012-04-05T21:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1209"/> <resource> <DiagnosticReport> <id value="1209"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z167500 Z663514 Z166157 Z968616 Z968815 Date: 29/09/10 30/09/10 01/10/10 05/04/12 05/04/12 Time: 10:35 09:28 08:05 11:55 20:04 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 123L 118L 127L 124L 90L g/L 130-170 WCC 9.2 6.6 5.8 11.3H 13.3H x10^9/L 4.0-11.0 PLT 268 244 258 240 164 x10^9/L 140-400 RCC 4.01L 3.83L 4.11L 3.97L 2.90L x10^12/L 4.50-5.70 PCV 0.36L 0.35L 0.37L 0.36L 0.27L L/L 0.40-0.50 MCV 90.5 90.4 91.1 91.5 92.3 fL 80.0-96.0 MCH 30.7 30.8 31.0 31.2 31.1 pg 27.0-33.0 MCHC 340 341 340 341 337 g/L 320-360 RDW 13.5 13.1 13.1 13.0 13.0 % 11.0-15.0 White Cell Differential Neut 7.5 5.4 4.2 7.7 10.6H x10^9/L 2.0-8.0 Lymph 0.8L 0.5L 0.8L 2.6 0.7L x10^9/L 1.2-4.0 Mono 0.7 0.5 0.5 0.7 0.7 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.2 0.2 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.1 0.0 x10^9/L 0.0-0.1 Bands 1.3H x10^9/L 0.0-0.5 12Z986616 05/04/12 11:55 Comment: Mildly reduced haemoglobin level. 12Z968815 05/04/12 20:04 Film Comment : Manual differential. Mild neutrophilia with left shift. Red cells show some elongated cells. Platelets appear normal. Conclusion: Please note fall in haemoglobin since the previous examination. Recent tissue damage / trauma. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986815-16258499"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/148"/> </subject> <effectiveDateTime value="2012-04-05T20:04:00Z"/> <issued value="2012-04-05T22:11:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1211"/> <resource> <DiagnosticReport> <id value="1211"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561577 Z561160 Z516262 Z561962 Z561166 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 10:50 12:51 15:08 16:17 20:08 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.46H 7.48H * * 7.48H 7.35-7.45 pCO2 37 36 37 37 34L mmHg 35-45 HCO3(Std) 27 27 27 mmol/L 22.0-30.0 Base Excess 2.8 2.8 2.1 mmol/L -3.0/3.0 pO2 78 76 76 78 88 mmHg 75-100 O2 Sat 96 96 96 96 97 % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.8 4.4 3.9 3.9 4.1 mmol/L 3.5-5.5 Sodium 140 142 143 144 141 mmol/L 135-145 Chloride 112H 112H 110 111H 113H mmol/L 95-110 iCa++ 1.08L 1.09L 1.11L 1.11L 1.07L mmol/L 1.12-1.30 Glucose 10.5H 9.0H 7.6 6.6 8.9H mmol/L 3.6-7.7 Lactate 1.7 2.5H 1.6 1.6 1.9H mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 118L 122L 125L 127L 128L g/L 130-170 Reduced Hb 4.0 4.1 4.2 3.9 2.7 % 0-5 CarbOxy Hb 0.6 0.7 0.8 0.8 0.6 % 0.5-1.5 Meth Hb 1.5 1.4 1.5 1.3 1.3 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/119"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516166-16258497"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/119"/> </subject> <effectiveDateTime value="2012-04-05T20:08:00Z"/> <issued value="2012-04-05T20:12:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1212"/> <resource> <DiagnosticReport> <id value="1212"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516502 Z561861 Z561362 Z516264 Z561066 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 03:10 14:31 15:18 17:26 20:05 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.41 7.45 7.28L 7.43 7.43 7.35-7.45 pCO2 43 40 24L 42 41 mmHg 35-45 HCO3(Std) 27 28 14L 28 27 mmol/L 22.0-30.0 Base Excess 2.8 3.6H -14.2L 3.9H 2.8 mmol/L -3.0/3.0 pO2 134H 189H 131H 73L 92 mmHg 75-100 O2 Sat 99 100 99 96 98 % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.9 4.3 5.3 4.1 4.2 mmol/L 3.5-5.5 Sodium 146H 145 142 145 143 mmol/L 135-145 Chloride 115H 112H 108 109 110 mmol/L 95-110 iCa++ 1.13 1.10L 1.02L 1.11L 1.06L mmol/L 1.12-1.30 Glucose 8.5H 6.6 3.4L 6.8 7.0 mmol/L 3.6-7.7 Lactate 0.8 0.9 14.5H 0.7 0.6 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 75L 79L 103L 77L 75L g/L 130-170 Reduced Hb 0.7 0.4 1.3 3.8 2.0 % 0-5 CarbOxy Hb 1.2 1.4 1.6H 1.4 1.4 % 0.5-1.5 Meth Hb 1.0 1.8H 1.3 1.5 1.3 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/179"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561066-16258496"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/179"/> </subject> <effectiveDateTime value="2012-04-05T20:05:00Z"/> <issued value="2012-04-05T20:10:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1213"/> <resource> <DiagnosticReport> <id value="1213"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> THYROID FUNCTION TSH 1.55 mIU/L ( 0.1-4.0 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/174"/> </subject> <reason> <text value="Palpitation"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968805-16258495"/> </identifier> <status value="final"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/174"/> </subject> <effectiveDateTime value="2012-04-05T19:50:00Z"/> <issued value="2012-04-05T20:51:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1214"/> <resource> <DiagnosticReport> <id value="1214"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z986805 Date: 05/04/12 Time: 19:50 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 141 g/L 130-170 WCC 9.7 x10^9/L 4.0-11.0 PLT 204 x10^9/L 140-400 RCC 4.74 x10^12/L 4.50-5.70 PCV 0.41 L/L 0.40-0.50 MCV 87.7 fL 80.0-96.0 MCH 29.8 pg 27.0-33.0 MCHC 340 g/L 320-360 RDW 13.4 % 11.0-15.0 White Cell Differential Neut 7.7 x10^9/L 2.0-8.0 Lymph 1.2 x10^9/L 1.2-4.0 Mono 0.8 x10^9/L 0.1-1.0 Eos 0.0 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/174"/> </subject> <reason> <text value="Palpitation"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968805-16258494"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/174"/> </subject> <effectiveDateTime value="2012-04-05T19:50:00Z"/> <issued value="2012-04-05T20:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1215"/> <resource> <DiagnosticReport> <id value="1215"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 136 mmol/L ( 135-145 ) Potassium 4.1 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 66 umol/L ( 64-104 ) (Creatinine) 0.066 mmol/L ( 0.05-0.11) Urea 4.3 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Calcium 2.34 mmol/L ( 2.10-2.60) Phosphate 0.92 mmol/L ( 0.8-1.5 ) Magnesium 0.82 mmol/L ( 0.7-1.1 ) Albumin 38 g/L ( 35-50 ) Troponin I 0.03 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/174"/> </subject> <reason> <text value="Palpitation"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968805-16258493"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/174"/> </subject> <effectiveDateTime value="2012-04-05T19:50:00Z"/> <issued value="2012-04-05T20:51:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1216"/> <resource> <DiagnosticReport> <id value="1216"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z763793 SPECIMEN Specimen Type : Urine Type Not Stated CHEMISTRY pH 5.5 Protein NEGATIVE Specific Grav. 1.013 Blood NEGATIVE Glucose NEGATIVE Leucocytes NEGATIVE MICROSCOPY Leucocytes 8 x10^6/L ( <2x10^6/L ) Red Blood Cells 13 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells + STANDARD BACTERIAL CULTURE 10^8-10^9 cfu/L Mixed organisms including: staphylococci, streptococci and diphtheroid bacilli. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986894-16258492"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/180"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-07T10:14:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1217"/> <resource> <DiagnosticReport> <id value="1217"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561588 Z561661 Z516761 Z561665 Z561965 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 11:30 14:28 14:28 19:43 20:02 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.41 * * * 7.40 7.35-7.45 pCO2 38 36 36 41 mmHg 35-45 HCO3(Std) 24 25 mmol/L 22.0-30.0 Base Excess -0.4 0.7 mmol/L -3.0/3.0 pO2 90 90 90 76 mmHg 75-100 O2 Sat 98 98 98 96 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.3 3.7 3.7 3.7 mmol/L 3.5-5.5 Sodium 147H 148H 148H 148H mmol/L 135-145 Chloride 119H 118H 118H 119H mmol/L 95-110 iCa++ 1.10L 1.10L 1.10L 1.11L mmol/L 1.12-1.30 Glucose 8.5H 8.5H 8.5H 8.4H mmol/L 3.6-7.7 Lactate 1.0 1.0 1.0 0.9 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 94L 101L 101L 97L g/L 130-170 Reduced Hb 1.9 1.8 1.8 3.8 % 0-5 CarbOxy Hb 1.9H 1.8H 1.8H 1.5 % 0.5-1.5 Meth Hb 1.4 1.3 1.3 1.1 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/181"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516965-16258491"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/181"/> </subject> <effectiveDateTime value="2012-04-05T20:02:00Z"/> <issued value="2012-04-05T20:14:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1218"/> <resource> <DiagnosticReport> <id value="1218"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Prothrombin Gene Mutation Analysis G20210A Substitution Result: Factor V Gene Mutation Analysis G1691A Substitution Result: </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968884-16258490"/> </identifier> <status value="partial"/> <code> <text value="Molecular Haem"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T20:00:00Z"/> <issued value="2012-04-05T20:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1219"/> <resource> <DiagnosticReport> <id value="1219"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> URINE Period ru. Hrs Volume na ml Urine Creatinine 7.6 mmol/L Urine Creatinine Excretion mmol/D ( 8.0-17 ) Urine Protein 0.12 g/L Urine Protein Excretion g/D ( <0.15 ) Protein/Creat Ratio 16 mg/mmol Creat ( 15-35 ) Urine Microalbumin 43 H mg/L ( <15 ) Urine Microalb Excretion ug/min ( <20.0 ) MicroAlb/Creat Ratio 5.66 H mg/mmol creat ( <2.5 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986874-16258489"/> </identifier> <status value="final"/> <code> <text value="Urine Chemistry"/> </code> <subject> <reference value="Patient/183"/> </subject> <effectiveDateTime value="2012-04-05T19:57:00Z"/> <issued value="2012-04-06T04:06:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1220"/> <resource> <DiagnosticReport> <id value="1220"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561549 Z516360 Z561163 Z561164 Z516865 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 12:27 13:39 16:22 17:26 20:00 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.30L 7.32L 7.28L 7.17L 7.31L 7.35-7.45 pCO2 45 45 51H 50H 41 mmHg 35-45 HCO3(Std) 20L mmol/L 22.0-30.0 Base Excess -3.7L -3.1L -2.3 -9.8L -4.8L mmol/L -3.0/3.0 pO2 322H 110H 141H 233H 245H mmHg 75-100 O2 Sat 97 95 98 98 99 % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.9 4.0 3.9 3.7 4.2 mmol/L 3.5-5.5 Sodium 140 138 141 144 141 mmol/L 135-145 Chloride 115H mmol/L 95-110 iCa++ 1.07L mmol/L 1.12-1.30 Glucose 10.8H mmol/L 3.6-7.7 Lactate 1.0 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 117L 109L 104L 92L 94L g/L 130-170 Reduced Hb 0.8 % 0-5 CarbOxy Hb 0.3L % 0.5-1.5 Meth Hb 1.6H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/148"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561865-16258488"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/148"/> </subject> <effectiveDateTime value="2012-04-05T20:00:00Z"/> <issued value="2012-04-05T20:04:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1221"/> <resource> <DiagnosticReport> <id value="1221"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 136 mmol/L ( 135-145 ) Potassium 4.1 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 26 mmol/L ( 22-30 ) Creatinine 51 umol/L ( 64-104 ) (Creatinine) 0.051 mmol/L ( 0.05-0.11) Urea 5.0 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 30 g/L ( 35-50 ) AP 224 IU/L ( 30-120 ) GGT 468 IU/L ( 10-65 ) ALT 88 IU/L ( <45 ) AST 77 IU/L ( <35 ) Bili Total 103 umol/L ( <19 ) Protein Total 64 g/L ( 65-85 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986854-16258486"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/184"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-05T21:39:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1222"/> <resource> <DiagnosticReport> <id value="1222"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z766130 Z886994 Z866826 Z968535 Z986854 Date: 03/04/12 04/04/12 04/04/12 05/04/12 05/04/12 Time: 08:41 03:45 11:10 04:45 19:40 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 111L 107L 111L 92L 86L g/L 130-170 WCC 7.2 5.7 5.7 5.7 7.8 x10^9/L 4.0-11.0 PLT 157 155 164 161 167 x10^9/L 140-400 RCC 3.42L 3.34L 3.45L 2.84L 2.64L x10^12/L 4.50-5.70 PCV 0.32L 0.32L 0.32L 0.27L 0.25L L/L 0.40-0.50 MCV 94.3 94.2 93.7 93.8 94.6 fL 80.0-96.0 MCH 32.5 32.0 32.3 32.5 32.5 pg 27.0-33.0 MCHC 345 340 345 346 344 g/L 320-360 RDW 12.3 13.1 12.8 13.2 13.3 % 11.0-15.0 White Cell Differential Neut 6.0 4.5 4.3 4.5 6.7 x10^9/L 2.0-8.0 Lymph 0.5L 0.5L 0.8L 0.5L 0.5L x10^9/L 1.2-4.0 Mono 0.5 0.5 0.5 0.5 0.5 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.2 0.2 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.1 0.0 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968854-16258485"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/184"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-05T20:14:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1223"/> <resource> <DiagnosticReport> <id value="1223"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561579 Z561261 Z516463 Z561864 Z561765 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 12:36 14:13 16:46 18:10 19:54 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.17L 7.26L 7.36 7.40 7.36 7.35-7.45 pCO2 28L 26L 23L 21L 27L mmHg 35-45 HCO3(Std) 11L 14L 16L 17L 17L mmol/L 22.0-30.0 Base Excess -17.1L -14.4L -11.8L -10.8L -9.4L mmol/L -3.0/3.0 pO2 161H 142H 138H 136H 306H mmHg 75-100 O2 Sat 98 99 99 100 100 % 95-100 ELECTROLYTES (Whole Blood) Potassium 6.2H 5.0 5.7H 6.0H 5.6H mmol/L 3.5-5.5 Sodium 139 142 140 141 138 mmol/L 135-145 Chloride 110 109 107 106 107 mmol/L 95-110 iCa++ 1.02L 0.98L 0.99L 0.98L 0.97L mmol/L 1.12-1.30 Glucose 6.9 5.2 5.3 4.4 7.4 mmol/L 3.6-7.7 Lactate 13.9H 15.0H 12.3H 11.7H 9.3H mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 101L 99L 106L 109L 108L g/L 130-170 Reduced Hb 1.6 1.2 0.6 0.5 -0.2L % 0-5 CarbOxy Hb 1.1 1.4 1.7H 1.8H 1.4 % 0.5-1.5 Meth Hb 1.3 1.2 1.0 1.2 1.1 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/122"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516765-16258484"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/122"/> </subject> <effectiveDateTime value="2012-04-05T19:54:00Z"/> <issued value="2012-04-05T19:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1224"/> <resource> <DiagnosticReport> <id value="1224"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z986844 Date: 05/04/12 Time: 19:45 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 0.8-1.3 APTT 111H secs 23-36 Fibrinogen 3.6 g/L 2.0-5.0 12Z968844 05/04/12 19:45 Comment: Further testing with a heparin resistant reagent confirmed the presence of heparin. Suggest repeat. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/185"/> </subject> <reason> <text value="Post Angio + Stent"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968844-16258483"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/185"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-05T20:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1225"/> <resource> <DiagnosticReport> <id value="1225"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 4.0 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 26 mmol/L ( 22-30 ) Creatinine 68 umol/L ( 64-104 ) (Creatinine) 0.068 mmol/L ( 0.05-0.11) Urea 3.9 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Calcium 2.30 mmol/L ( 2.10-2.60) Phosphate 1.17 mmol/L ( 0.8-1.5 ) Magnesium 0.88 mmol/L ( 0.7-1.1 ) Albumin 34 g/L ( 35-50 ) AP 96 IU/L ( 30-120 ) GGT 102 IU/L ( 10-65 ) ALT 50 IU/L ( <45 ) AST 128 IU/L ( <35 ) Bili Total 8 umol/L ( <19 ) Protein Total 65 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/185"/> </subject> <reason> <text value="Post Angio + Stent"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968844-16258482"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/185"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-05T20:18:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1226"/> <resource> <DiagnosticReport> <id value="1226"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z986844 Date: 05/04/12 Time: 19:45 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 141 g/L 130-170 WCC 7.2 x10^9/L 4.0-11.0 PLT 218 x10^9/L 140-400 RCC 4.64 x10^12/L 4.50-5.70 PCV 0.41 L/L 0.40-0.50 MCV 88.8 fL 80.0-96.0 MCH 30.4 pg 27.0-33.0 MCHC 342 g/L 320-360 RDW 13.1 % 11.0-15.0 White Cell Differential Neut 5.0 x10^9/L 2.0-8.0 Lymph 1.5 x10^9/L 1.2-4.0 Mono 0.6 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 12Z968844 05/04/12 19:45 Film Comment : Film scanned. The blood film shows no diagnostic features. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/185"/> </subject> <reason> <text value="Post Angio + Stent"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968844-16258481"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/185"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-05T22:06:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1227"/> <resource> <DiagnosticReport> <id value="1227"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z763783 SPECIMEN Specimen Type : Urine Catheter Specimen CHEMISTRY pH 7.5 Protein TRACE Specific Grav. 1.013 Blood +++ Glucose NEGATIVE Leucocytes +++ MICROSCOPY Leucocytes 920 x10^6/L ( <2x10^6/L ) Red Blood Cells 6940 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE 1. Escherichia coli >10^9 cfu/L SENSITIVITIES: 1 Ciprofloxacin S Cotrimoxazole R Gentamicin S Meropenem S Nitrofurantoin I Trimethoprim R ORGANISM 1: This organism has a raised ceftazidime and/ or ceftriaxone MIC. This would suggest that treatment of this organism with cephalosporins, aztreonam and all penicillins including augmentin, tazocin and timentin could lead to rapid emergence of resistance and clinical failure. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968834-16258480"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/186"/> </subject> <effectiveDateTime value="2012-04-05T17:00:00Z"/> <issued value="2012-04-09T08:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1228"/> <resource> <DiagnosticReport> <id value="1228"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 142 mmol/L ( 135-145 ) Potassium 3.8 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 67 umol/L ( 64-104 ) (Creatinine) 0.067 mmol/L ( 0.05-0.11) Urea 6.0 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) C-React Prot 24 mg/L ( <5 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968824-16258479"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/187"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-05T20:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1229"/> <resource> <DiagnosticReport> <id value="1229"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z916147 Z968416 Z968824 Date: 13/07/09 15/09/09 05/04/12 Time: 16:20 14:00 19:45 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 140 138 129L g/L 130-170 WCC 8.4 7.2 7.8 x10^9/L 4.0-11.0 PLT 538H 456H 373 x10^9/L 140-400 RCC 4.78 4.74 4.28L x10^12/L 4.50-5.70 PCV 0.41 0.41 0.37L L/L 0.40-0.50 MCV 86.1 86.4 86.8 fL 80.0-96.0 MCH 29.3 29.1 30.1 pg 27.0-33.0 MCHC 341 336 347 g/L 320-360 RDW 12.3 12.9 12.4 % 11.0-15.0 Retics % 1.09 % 0.5-2.0 Retics 52.1 x10^9/L 20-130 White Cell Differential Neut 5.4 4.4 5.2 x10^9/L 2.0-8.0 Lymph 2.1 1.8 1.2 x10^9/L 1.2-4.0 Mono 0.5 0.5 1.1H x10^9/L 0.1-1.0 Eos 0.3 0.4 0.3 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 x10^9/L 0.0-0.1 09Z916147 13/07/09 16:20 Film Comment : Red cells and leucocytes are unremarkable. Mild thrombocytosis. Conclusion: ? reactive thrombocytosis. Suggest follow up FBE. 09Z968416 15/09/09 14:00 Film Comment : Platelets are frequent large. Red cell and white cell morphology is unremarkable. Conclusion: See trephine report. Dr Lab Labfellow Comment: FBE with BMAT. Report to follow. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968824-16258478"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/187"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-05T20:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1231"/> <resource> <DiagnosticReport> <id value="1231"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Does the patient have a previously diagnosed prostatic disease? (Y/N) N PSA * \XE6\g/L (<4.0 ) Comment: The requested tests were not completed as no sample was received. Ward notified. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/188"/> </subject> <reason> <text value="Urinary Symptoms 2/52 With Loin Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968814-16258476"/> </identifier> <status value="final"/> <code> <text value="Tumour Markers"/> </code> <subject> <reference value="Patient/188"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-06T07:38:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1232"/> <resource> <DiagnosticReport> <id value="1232"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.9 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 30 mmol/L ( 22-30 ) Creatinine 83 umol/L ( 64-104 ) (Creatinine) 0.083 mmol/L ( 0.05-0.11) Urea 6.5 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/188"/> </subject> <reason> <text value="Urinary Symptoms 2/52 With Loin Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968814-16258475"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/188"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-05T20:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1233"/> <resource> <DiagnosticReport> <id value="1233"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968814 Date: 05/04/12 Time: 19:45 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 152 g/L 130-170 WCC 6.8 x10^9/L 4.0-11.0 PLT 203 x10^9/L 140-400 RCC 5.02 x10^12/L 4.50-5.70 PCV 0.44 L/L 0.40-0.50 MCV 88.6 fL 80.0-96.0 MCH 30.2 pg 27.0-33.0 MCHC 341 g/L 320-360 RDW 12.1 % 11.0-15.0 White Cell Differential Neut 3.7 x10^9/L 2.0-8.0 Lymph 2.3 x10^9/L 1.2-4.0 Mono 0.6 x10^9/L 0.1-1.0 Eos 0.2 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/188"/> </subject> <reason> <text value="Urinary Symptoms 2/52 With Loin Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986814-16258474"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/188"/> </subject> <effectiveDateTime value="2012-04-05T19:45:00Z"/> <issued value="2012-04-05T20:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1234"/> <resource> <DiagnosticReport> <id value="1234"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Patient ID/Specimen/Reporting Errors ** This Test Is For Laboratory Statistical Use Only ** </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="Sah"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986893-16258473"/> </identifier> <status value="partial"/> <code> <text value="Central Reception"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-05T19:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1235"/> <resource> <DiagnosticReport> <id value="1235"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Albumin * g/L ( 35-50 ) AP * IU/L ( 30-120 ) GGT * IU/L ( 10-65 ) ALT * IU/L ( <34 ) AST * IU/L ( <31 ) Bili Total * umol/L ( <19 ) Protein Total * g/L ( 65-85 ) Comment: The requested tests were not completed as no sample was received.Lfts added to Z968840. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="Sah"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968893-16258472"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-05T20:15:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1236"/> <resource> <DiagnosticReport> <id value="1236"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968893 Date: 05/04/12 Time: 19:40 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 0.8-1.3 APTT 30 secs 23-36 Fibrinogen 3.4 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="Sah"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968893-16258471"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-05T20:32:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1237"/> <resource> <DiagnosticReport> <id value="1237"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 132 mmol/L ( 135-145 ) Potassium * mmol/L ( 3.5-5.5 ) Chloride 96 mmol/L ( 95-110 ) HCO3 22 mmol/L ( 22-30 ) Creatinine 116 umol/L ( 49-90 ) (Creatinine) 0.116 mmol/L ( 0.05-0.09) Urea 9.3 mmol/L ( 2.5-8.3 ) eGFR 41 ( SEE-BELOW) Albumin 38 g/L ( 35-50 ) AP 107 IU/L ( 30-120 ) GGT 187 IU/L ( 10-65 ) ALT 32 IU/L ( <34 ) AST * IU/L ( <31 ) Bili Total * umol/L ( <19 ) Protein Total 74 g/L ( 65-85 ) Troponin I <0.02 ug/L (See Below ) CK 811 IU/L ( <145 ) Comment: Haemolysed. Some tests (*) unavailable. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/178"/> </subject> <reason> <text value="Increasing Sob On Exerion Post Surgery 3/52 Ago ? Pe"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968804-16258470"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/178"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-05T20:35:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1238"/> <resource> <DiagnosticReport> <id value="1238"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z256564 Z368815 Z965898 Z936275 Z968804 Date: 24/03/12 25/03/12 26/03/12 27/03/12 05/04/12 Time: 10:45 10:15 08:15 09:10 19:40 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 116 119 117 106L * g/L 115-150 WCC 11.7H 11.6H 9.5 9.9 x10^9/L 4.0-11.0 PLT 578H 677H 674H 649H * x10^9/L 140-400 RCC 3.99 4.18 4.04 3.69L x10^12/L 3.80-5.10 PCV 0.34L 0.36 0.34L 0.31L L/L 0.35-0.45 MCV 84.3 84.9 84.2 83.8 fL 80.0-96.0 MCH 29.0 28.5 29.0 28.7 pg 27.0-33.0 MCHC 343 336 344 343 g/L 320-360 RDW 13.8 13.6 13.9 13.9 % 11.0-15.0 White Cell Differential Neut 8.9H 8.9H 6.7 7.5 x10^9/L 2.0-8.0 Lymph 1.5 1.4 1.8 1.3 x10^9/L 1.2-4.0 Mono 0.9 1.0 0.8 0.9 x10^9/L 0.1-1.0 Eos 0.3 0.2 0.2 0.1 x10^9/L 0.0-0.5 Baso 0.1 0.1 0.0 0.0 x10^9/L 0.0-0.1 12Z368815 25/03/12 10:15 Comment: Note moderate thrombocytosis. ? reactive. Instrument differential and parameters reported. 12Z986804 05/04/12 19:40 Comment: * Specimen clotted. ED informed. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/178"/> </subject> <reason> <text value="Increasing Sob On Exerion Post Surgery 3/52 Ago ? Pe"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968804-16258469"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/178"/> </subject> <effectiveDateTime value="2012-04-05T19:40:00Z"/> <issued value="2012-04-05T20:17:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1239"/> <resource> <DiagnosticReport> <id value="1239"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516535 Z561588 Z561661 Z516761 Z561665 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 08:12 11:30 14:28 14:28 19:43 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.42 7.41 * * * 7.35-7.45 pCO2 36 38 36 36 mmHg 35-45 HCO3(Std) 24 24 mmol/L 22.0-30.0 Base Excess -0.6 -0.4 mmol/L -3.0/3.0 pO2 84 90 90 90 mmHg 75-100 O2 Sat 98 98 98 98 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.0 4.3 3.7 3.7 mmol/L 3.5-5.5 Sodium 146H 147H 148H 148H mmol/L 135-145 Chloride 120H 119H 118H 118H mmol/L 95-110 iCa++ 1.10L 1.10L 1.10L 1.10L mmol/L 1.12-1.30 Glucose 8.9H 8.5H 8.5H 8.5H mmol/L 3.6-7.7 Lactate 0.9 1.0 1.0 1.0 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 94L 94L 101L 101L g/L 130-170 Reduced Hb 2.3 1.9 1.8 1.8 % 0-5 CarbOxy Hb 1.9H 1.9H 1.8H 1.8H % 0.5-1.5 Meth Hb 0.7 1.4 1.3 1.3 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/181"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561665-16258468"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/181"/> </subject> <effectiveDateTime value="2012-04-05T19:43:00Z"/> <issued value="2012-04-06T06:21:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1240"/> <resource> <DiagnosticReport> <id value="1240"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z860538 SPECIMEN Specimen Type : Biopsy Description : Left Lateral Foot MICROSCOPY GRAM STAIN Leucocytes + Epithelial Cells + No organisms seen CULTURE No Growth After 2 Days. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/189"/> </subject> <reason> <text value="Known Endocarditis, Vasculitic Rash Past, ?septic Embol"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968843-16258467"/> </identifier> <status value="final"/> <code> <text value="Sterile Sites M/C/S"/> </code> <subject> <reference value="Patient/189"/> </subject> <effectiveDateTime value="2012-04-05T19:21:00Z"/> <issued value="2012-04-09T11:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1240a"/> <resource> <DiagnosticReport> <id value="1240a"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z768114 Z816561 Z968883 Date: 08/02/10 11/02/10 05/04/12 Time: 18:00 08:08 19:28 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 1.1 1.0 0.8-1.3 APTT 27 26 secs 23-36 Fibrinogen 3.4 3.5 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/190"/> </subject> <reason> <text value="Trauma"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968883-16258465"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/190"/> </subject> <effectiveDateTime value="2012-04-05T19:28:00Z"/> <issued value="2012-04-05T20:10:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1241"/> <resource> <DiagnosticReport> <id value="1241"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 4.1 mmol/L ( 3.5-5.5 ) Chloride 103 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 90 umol/L ( 64-104 ) (Creatinine) 0.090 mmol/L ( 0.05-0.11) Urea 4.3 mmol/L ( 2.5-8.3 ) eGFR 80 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/190"/> </subject> <reason> <text value="Trauma"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968883-16258464"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/190"/> </subject> <effectiveDateTime value="2012-04-05T19:28:00Z"/> <issued value="2012-04-05T20:06:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1242"/> <resource> <DiagnosticReport> <id value="1242"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z861419 Z863387 Z476650 Z269106 Z968883 Date: 12/02/10 25/02/10 15/04/10 29/07/10 05/04/12 Time: 08:13 15:24 14:38 14:25 19:28 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 144 137 130 150 146 g/L 130-170 WCC 10.3 9.8 7.0 7.1 15.0H x10^9/L 4.0-11.0 PLT 190 215 204 200 225 x10^9/L 140-400 RCC 4.91 4.63 4.32L 5.02 4.81 x10^12/L 4.50-5.70 PCV 0.43 0.41 0.38L 0.44 0.44 L/L 0.40-0.50 MCV 88.0 87.5 87.7 88.3 90.4 fL 80.0-96.0 MCH 29.3 29.6 30.0 29.9 30.3 pg 27.0-33.0 MCHC 333 339 343 338 335 g/L 320-360 RDW 13.5 13.8 14.6 14.0 15.2H % 11.0-15.0 White Cell Differential Neut 2.8 6.3 3.8 4.6 12.7H x10^9/L 2.0-8.0 Lymph 6.3H 2.3 2.3 1.7 1.5 x10^9/L 1.2-4.0 Mono 0.9 0.9 0.5 0.6 0.6 x10^9/L 0.1-1.0 Eos 0.1 0.2 0.4 0.2 0.2 x10^9/L 0.0-0.5 Baso 0.1 0.1 0.1 0.0 0.1 x10^9/L 0.0-0.1 12Z986883 05/04/12 19:28 Comment: Please note mild neutrophilia </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/190"/> </subject> <reason> <text value="Trauma"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986883-1625846422"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/190"/> </subject> <effectiveDateTime value="2012-04-05T19:28:00Z"/> <issued value="2012-04-05T19:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1243"/> <resource> <DiagnosticReport> <id value="1243"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> HISTOPATHOLOGY Lab No: 2021X023532 CLINICAL NOTES: ?Viral (illigible) ?Early EM. Widespread erythematous plaque. MACROSCOPIC DESCRIPTION: "Biopsy back": Two punch biopsies each 3mm across and 3mm deep. A1. (TJB) MICROSCOPIC DESCRIPTION: DIAGNOSIS: Pathologist: To Follow </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968833-16258462"/> </identifier> <status value="partial"/> <code> <text value="New Histology Rep"/> </code> <subject> <reference value="Patient/191"/> </subject> <effectiveDateTime value="2012-04-05T19:20:00Z"/> <issued value="2012-04-05T19:20:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1244"/> <resource> <DiagnosticReport> <id value="1244"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> HISTOPATHOLOGY Lab No: 2021X023531 CLINICAL NOTES: Shave biopsy (L) nose ?BCC ?(illigible) papule of the nose. MACROSCOPIC DESCRIPTION: "Shave biopsy nose": A white shaving of skin with a raised white nodule and brown top all measuring 6x5x2mm. Specimen bisected, A1. (TJB) MICROSCOPIC DESCRIPTION: DIAGNOSIS: Pathologist: To Follow </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968853-16258461"/> </identifier> <status value="partial"/> <code> <text value="New Histology Rep"/> </code> <subject> <reference value="Patient/192"/> </subject> <effectiveDateTime value="2012-04-05T19:23:00Z"/> <issued value="2012-04-05T19:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1245"/> <resource> <DiagnosticReport> <id value="1245"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z361399 Z968863 Date: 13/03/12 05/04/12 Time: 14:20 19:24 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.3 1.3 0.8-1.3 APTT 28 secs 23-36 Fibrinogen 4.8 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/139"/> </subject> <reason> <text value="89/M Collapsed, Low Bp"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986883-1625846433"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/139"/> </subject> <effectiveDateTime value="2012-04-05T19:24:00Z"/> <issued value="2012-04-05T19:24:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1246"/> <resource> <DiagnosticReport> <id value="1246"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 135 mmol/L ( 135-145 ) Potassium 4.4 mmol/L ( 3.5-5.5 ) Chloride 100 mmol/L ( 95-110 ) HCO3 25 mmol/L ( 22-30 ) Creatinine 104 umol/L ( 64-104 ) (Creatinine) 0.104 mmol/L ( 0.05-0.11) Urea 8.6 mmol/L ( 2.5-8.3 ) eGFR 58 ( SEE-BELOW) Albumin 24 g/L ( 35-50 ) AP 172 IU/L ( 30-120 ) GGT 59 IU/L ( 10-65 ) ALT 22 IU/L ( <45 ) AST 27 IU/L ( <35 ) Bili Total 84 umol/L ( <19 ) Protein Total 62 g/L ( 65-85 ) C-React Prot 109 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/139"/> </subject> <reason> <text value="89/M Collapsed, Low Bp"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968863-16258459"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/139"/> </subject> <effectiveDateTime value="2012-04-05T19:24:00Z"/> <issued value="2012-04-05T19:24:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1247"/> <resource> <DiagnosticReport> <id value="1247"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z965662 Z361399 Z986863 Date: 28/04/11 13/03/12 05/04/12 Time: 12:30 14:20 19:24 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 148 116L 110L g/L 130-170 WCC 7.4 10.1 14.0H x10^9/L 4.0-11.0 PLT 223 274 305 x10^9/L 140-400 RCC 4.65 3.59L 3.39L x10^12/L 4.50-5.70 PCV 0.42 0.33L 0.32L L/L 0.40-0.50 MCV 91.6 90.9 93.3 fL 80.0-96.0 MCH 31.9 32.4 32.5 pg 27.0-33.0 MCHC 348 356 348 g/L 320-360 RDW 14.5 16.5H 15.4H % 11.0-15.0 White Cell Differential Neut 5.5 7.8 11.4H x10^9/L 2.0-8.0 Lymph 1.2 1.1L 1.2 x10^9/L 1.2-4.0 Mono 0.6 1.0 1.2H x10^9/L 0.1-1.0 Eos 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.1 x10^9/L 0.0-0.1 Bands 0.2 x10^9/L 0.0-0.5 12Z361399 13/03/12 14:20 Film Comment : Red cells show numerous target cells and moderate anisocytosis. Manual differential. Platelets are plentiful. Conclusion: Suggestive of liver dysfunction. 12Z968863 05/04/12 19:24 Comment: Please note mild neutrophilia and mild monocytosis </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/139"/> </subject> <reason> <text value="89/M Collapsed, Low Bp"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986863-16258458"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/139"/> </subject> <effectiveDateTime value="2012-04-05T19:24:00Z"/> <issued value="2012-04-05T19:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1248"/> <resource> <DiagnosticReport> <id value="1248"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> URINE Period ru. Hrs Volume na ml Urine Creatinine 3.0 mmol/L Urine Creatinine Excretion mmol/D ( 7-13 ) Urine Protein 0.57 g/L Urine Protein Excretion g/D ( <0.15 ) Protein/Creat Ratio 190 H mg/mmol Creat ( 15-35 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/124"/> </subject> <reason> <text value="Pre Organ "/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968873-16258457"/> </identifier> <status value="final"/> <code> <text value="Urine Chemistry"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T19:20:00Z"/> <issued value="2012-04-05T19:49:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1249"/> <resource> <DiagnosticReport> <id value="1249"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> HISTOPATHOLOGY Lab No: 2021X023528 CLINICAL NOTES: 2 x punch biopsy (L) lateral foot. ?Immune mediated vasculitis. Known endocarditis vasculitic rash post x 1. ?Septic emboli. ?Thrombotic vasculitis. MACROSCOPIC DESCRIPTION: "Biopsy left foot": A 3mm core of skin 3mm deep. A1. (TJB) MICROSCOPIC DESCRIPTION: DIAGNOSIS: Pathologist: To Follow </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/189"/> </subject> <reason> <text value="Known Endocarditis, Vasculitic Rash Past, ?septic Embol"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986843-16258456"/> </identifier> <status value="partial"/> <code> <text value="New Histology Rep"/> </code> <subject> <reference value="Patient/189"/> </subject> <effectiveDateTime value="2012-04-05T19:21:00Z"/> <issued value="2012-04-05T19:21:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1250"/> <resource> <DiagnosticReport> <id value="1250"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> ISSUED PRODUCT REPORT Product Issued: Intragam P 12g 200mL Product Batch: 4740600000 Product Quantity: 3 Date/Time Issued: 05/04/2010 19:28 Product administered by: __________________________________________ Date administered : __________________________________________ Time administered : __________________________________________ Product Issued: Intragam P 3g 50mL Product Batch: 4740500001 Product Quantity: 1 Date/Time Issued: 05/04/2010 19:28 Product administered by: __________________________________________ Date administered : __________________________________________ Time administered : __________________________________________ Products must be administered immediately upon receipt, or returned to the Blood Bank. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/193"/> </subject> <reason> <text value="Ivig-Intragram 39G"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z867193-16258455"/> </identifier> <status value="final"/> <code> <text value="Bbank Other Products"/> </code> <subject> <reference value="Patient/193"/> </subject> <effectiveDateTime value="2012-04-05T19:15:00Z"/> <issued value="2012-04-06T06:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1251"/> <resource> <DiagnosticReport> <id value="1251"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516565 Date: 05/04/12 Arterial Time: 19:20 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.32L 7.35-7.45 pCO2 59H mmHg 35-45 Base Excess 4.1H mmol/L -3.0/3.0 pO2 33L mmHg 75-100 O2 Sat 57L % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.0 mmol/L 3.5-5.5 Sodium 139 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 151 g/L 130-170 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/190"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561565-16258454"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/190"/> </subject> <effectiveDateTime value="2012-04-05T19:20:00Z"/> <issued value="2012-04-05T19:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1252"/> <resource> <DiagnosticReport> <id value="1252"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Calcium 1.55 mmol/L ( 2.10-2.60) Phosphate 1.28 mmol/L ( 0.8-1.5 ) Magnesium 0.95 mmol/L ( 0.7-1.1 ) Albumin 22 g/L ( 35-50 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968823-16258453"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/194"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T19:46:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1253"/> <resource> <DiagnosticReport> <id value="1253"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z763773 SPECIMEN Specimen Type : Urine Type Not Stated CHEMISTRY pH 5.5 Protein NEGATIVE Specific Grav. 1.010 Blood NEGATIVE Glucose NEGATIVE Leucocytes NEGATIVE MICROSCOPY Leucocytes 3 x10^6/L ( <2x10^6/L ) Red Blood Cells 2 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil Red blood cell count unreliable due to low specific gravity. STANDARD BACTERIAL CULTURE 10^8 cfu/L Mixed organisms including: staphylococci, streptococci and diphtheroid bacilli. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/195"/> </subject> <reason> <text value="Recurrent Falls"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986813-16258452"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/195"/> </subject> <effectiveDateTime value="2012-04-05T19:00:00Z"/> <issued value="2012-04-07T10:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1254"/> <resource> <DiagnosticReport> <id value="1254"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968503 Z968694 Z986770 Z968745 Z968803 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Time: 06:00 11:25 14:57 17:00 19:00 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 1.1 0.8-1.3 APTT 104H 55H 44H * 67H secs 23-36 Fibrinogen 4.3 4.3 g/L 2.0-5.0 12Z986803 05/04/12 19:00 Comment: Further testing with a heparin resistant reagent confirmed the presence of heparin. Please indicate anticoagulant therapy on request form. 12Z968745 05/04/12 17:00 Comment: * Insufficient specimen to perform APTT. Ward informed. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986803-16258451"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/147"/> </subject> <effectiveDateTime value="2012-04-05T19:00:00Z"/> <issued value="2012-04-05T19:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1255"/> <resource> <DiagnosticReport> <id value="1255"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> ISSUED PRODUCT REPORT Product Issued: Kiovig 20g 200mL Product Batch: LE12M354AC Product Quantity: 1 Date/Time Issued: 05/04/2010 09:18 Product administered by: __________________________________________ Date administered : __________________________________________ Time administered : __________________________________________ Product Issued: Kiovig 10g 100mL Product Batch: LE12L001AC Product Quantity: 1 Date/Time Issued: 05/04/2010 09:18 Product administered by: __________________________________________ Date administered : __________________________________________ Time administered : __________________________________________ Products must be administered immediately upon receipt, or returned to the Blood Bank. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/196"/> </subject> <reason> <text value="Kovig Ivig- 30G"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z876183-16258450"/> </identifier> <status value="final"/> <code> <text value="Bbank Other Products"/> </code> <subject> <reference value="Patient/196"/> </subject> <effectiveDateTime value="2012-04-05T19:10:00Z"/> <issued value="2012-04-05T19:18:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1256"/> <resource> <DiagnosticReport> <id value="1256"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z461110 Z516465 Date: 28/03/12 05/04/12 Arterial Time: 19:21 19:11 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 Deg. C pH 7.42 7.38 7.35-7.45 pCO2 36 33L mmHg 35-45 Base Excess -0.5 -5.1L mmol/L -3.0/3.0 pO2 80 86 mmHg 75-100 O2 Sat 96 96 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.2 6.0H mmol/L 3.5-5.5 Sodium 138 132L mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 100L 93L g/L 115-150 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/144"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561465-16258449"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/144"/> </subject> <effectiveDateTime value="2012-04-05T19:11:00Z"/> <issued value="2012-04-05T19:13:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1257"/> <resource> <DiagnosticReport> <id value="1257"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 3.9 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 28 mmol/L ( 22-30 ) Creatinine 59 umol/L ( 64-104 ) (Creatinine) 0.059 mmol/L ( 0.05-0.11) Urea 3.5 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Calcium 2.09 mmol/L ( 2.10-2.60) Phosphate 1.62 mmol/L ( 0.8-1.5 ) Magnesium 0.73 mmol/L ( 0.7-1.1 ) Albumin 30 g/L ( 35-50 ) Troponin I 0.70 ug/L (See Below ) CK 247 IU/L ( <175 ) CKMB Mass * ug/L ( <4 ) C-React Prot 166 mg/L ( <5 ) Comment: The CKMB was not measured on this sample. It has been replaced by Troponin. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/197"/> </subject> <reason> <text value="Cags X3 24/24 Post"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986892-16258448"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/197"/> </subject> <effectiveDateTime value="2012-04-05T18:55:00Z"/> <issued value="2012-04-05T20:14:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1268"/> <resource> <DiagnosticReport> <id value="1268"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z860270 Z886554 Z968892 Date: 22/02/12 03/04/12 05/04/12 Time: 08:10 11:45 18:55 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 155 134 99L g/L 130-170 WCC 9.8 7.5 8.9 x10^9/L 4.0-11.0 PLT 232 220 165 x10^9/L 140-400 RCC 5.39 4.53 3.44L x10^12/L 4.50-5.70 PCV 0.46 0.40 0.30L L/L 0.40-0.50 MCV 85.3 87.3 86.4 fL 80.0-96.0 MCH 28.7 29.5 28.8 pg 27.0-33.0 MCHC 336 337 333 g/L 320-360 RDW 14.1 14.6 14.8 % 11.0-15.0 White Cell Differential Neut 7.4 4.9 7.6 x10^9/L 2.0-8.0 Lymph 1.7 2.0 0.6L x10^9/L 1.2-4.0 Mono 0.5 0.5 0.6 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 x10^9/L 0.0-0.1 12Z968892 05/04/12 18:55 Comment: Please note fall in haemoglobin and platelet count since the previous examination. Post CAGS. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/197"/> </subject> <reason> <text value="Cags X3 24/24 Post"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968892-16258447"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/197"/> </subject> <effectiveDateTime value="2012-04-05T18:55:00Z"/> <issued value="2012-04-05T19:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1258"/> <resource> <DiagnosticReport> <id value="1258"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> FLT3 Mutation Analysis Internal Tandem Duplication (ITD): FLT3 ITD Allelic Ratio: Tyrosine Kinase Domain 2 (TK2) Result: Nucleophosmin (NPM1) Gene Mutation Analysis Exon 12 Indel Result: Comment CCAAT/Enhancer Binding Protein Alpha (C/EBPA) Gene Mutation Analysis CEBPA Result: Comment </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/198"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="5003-3385"/> </identifier> <status value="partial"/> <code> <text value="Molecular Haem"/> </code> <subject> <reference value="Patient/198"/> </subject> <effectiveDateTime value="2012-04-05T17:15:00Z"/> <issued value="2012-04-05T17:15:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1259"/> <resource> <DiagnosticReport> <id value="1259"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561564 Z516576 Z561361 Z561663 Z516365 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 06:54 09:27 14:18 17:00 19:04 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.48H 7.50H * 7.51H * 7.35-7.45 pCO2 37 36 31L 34L 34L mmHg 35-45 HCO3(Std) 28 29 28 mmol/L 22.0-30.0 Base Excess 4.1H 4.5H 3.7H mmol/L -3.0/3.0 pO2 76 90 86 89 86 mmHg 75-100 O2 Sat 96 98 98 98 97 % 95-100 ELECTROLYTES (Whole Blood) Potassium 3.7 4.2 3.8 4.2 3.8 mmol/L 3.5-5.5 Sodium 142 142 140 141 141 mmol/L 135-145 Chloride 109 109 107 108 106 mmol/L 95-110 iCa++ 1.12 1.11L 1.09L 1.09L 1.12 mmol/L 1.12-1.30 Glucose 7.1 5.9 13.0H 13.4H 12.6H mmol/L 3.6-7.7 Lactate 0.9 1.0 1.0 1.5 1.4 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 90L 94L 92L 88L 88L g/L 130-170 Reduced Hb 3.7 1.8 2.2 2.2 2.6 % 0-5 CarbOxy Hb 1.2 1.1 1.3 1.3 1.3 % 0.5-1.5 Meth Hb 1.2 1.0 1.5 1.2 1.4 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/115"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561365-16258445"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T19:04:00Z"/> <issued value="2012-04-06T06:21:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1260"/> <resource> <DiagnosticReport> <id value="1260"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z964790 Z665812 Z566826 Z467914 Z968872 Date: 02/10/05 09/10/05 16/10/05 19/10/05 05/04/12 Time: 19:00 18:50 17:28 05:15 18:50 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 1.1 1.1 1.1 2.6H 0.8-1.3 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/153"/> </subject> <reason> <text value="Chest Pain Worse On Exercise"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986872-16258444"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/153"/> </subject> <effectiveDateTime value="2012-04-05T18:50:00Z"/> <issued value="2012-04-05T19:48:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1261"/> <resource> <DiagnosticReport> <id value="1261"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Troponin I * ug/L (See Below ) Comment: A troponin has been measured for this patient in recent hours. If chest pain is ongoing, a repeat troponin should not be done till at least 4 hours after the last one. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/153"/> </subject> <reason> <text value="Chest Pain Worse On Exercise"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968872-16258443"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/153"/> </subject> <effectiveDateTime value="2012-04-05T18:50:00Z"/> <issued value="2012-04-05T19:25:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1262"/> <resource> <DiagnosticReport> <id value="1262"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z868702 Z868897 Z986862 Date: 03/04/12 04/04/12 05/04/12 Therapeut Time: 18:40 02:10 18:45 Units Range -------- -------- -------- -------- -------- ------ --------- PLASMA Carbamazepine 44 umol/L 20-50 Hrs Since Dose No Info HH:MM WHOLE BLOOD Cyclosporin 113 384 ng/mL AS-BELOW Hrs Since Dose No Info 02:00 HH:MM * Note Cyclosporin Method Change. * From 26/07/2010 Cyclosporin is measured on an ADVIA Centaur Results will be approx 15% lower than previously Tentative Pre-dose therapeutic range: 80-320 ng/ml Trial 2hr Post-dose therapeutic range: 900-1400 ng/ml (Mth 0-1) 800-1200 ng/ml (Mth 1-6) 800-1000 ng/ml (Mth >6) Cyclosporin levels vary widely, depending on drug therapy. These ranges should be used as a guide only. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/199"/> </subject> <reason> <text value="2Hrs Post Dose"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986862-16258442"/> </identifier> <status value="final"/> <code> <text value="Therapeutic Drugs"/> </code> <subject> <reference value="Patient/199"/> </subject> <effectiveDateTime value="2012-04-05T18:45:00Z"/> <issued value="2012-04-05T20:39:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1263"/> <resource> <DiagnosticReport> <id value="1263"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z360130 Z306741 Z564088 Z666062 Z986852 Date: 25/04/07 27/04/07 02/04/12 04/04/12 05/04/12 Time: 19:00 06:00 15:25 09:10 18:58 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 1.1 1.0 1.0 1.2 0.8-1.3 APTT 29 28 26 secs 23-36 Fibrinogen 4.0 3.9 2.4 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/100"/> </subject> <reason> <text value="Post Op MVR"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968852-16258441"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/100"/> </subject> <effectiveDateTime value="2012-04-05T18:58:00Z"/> <issued value="2012-04-05T19:48:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1264"/> <resource> <DiagnosticReport> <id value="1264"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 4.0 mmol/L ( 3.5-5.5 ) Chloride 109 mmol/L ( 95-110 ) HCO3 26 mmol/L ( 22-30 ) Creatinine 64 umol/L ( 49-90 ) (Creatinine) 0.064 mmol/L ( 0.05-0.09) Urea 7.1 mmol/L ( 2.5-8.3 ) eGFR 81 ( SEE-BELOW) Calcium 1.88 mmol/L ( 2.10-2.60) Phosphate 0.77 mmol/L ( 0.8-1.5 ) Magnesium 1.45 mmol/L ( 0.8-1.0 ) Albumin 25 g/L ( 35-50 ) AP 68 IU/L ( 30-120 ) GGT 119 IU/L ( 10-65 ) ALT 42 IU/L ( <34 ) AST 72 IU/L ( <31 ) Bili Total 18 umol/L ( <19 ) Protein Total 47 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/100"/> </subject> <reason> <text value="Post Op MVR"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986852-16258440"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/100"/> </subject> <effectiveDateTime value="2012-04-05T18:58:00Z"/> <issued value="2012-04-05T19:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1265"/> <resource> <DiagnosticReport> <id value="1265"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z360130 Z546088 Z666062 Z968852 Date: 25/04/07 02/04/12 04/04/12 05/04/12 Time: 19:00 15:25 09:10 18:58 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 133 124 118 103L g/L 115-150 WCC 6.7 8.3 7.0 10.4 x10^9/L 4.0-11.0 PLT 284 258 236 132L x10^9/L 140-400 RCC 4.22 3.91 3.71L 3.29L x10^12/L 3.80-5.10 PCV 0.38 0.36 0.34L 0.30L L/L 0.35-0.45 MCV 90.3 91.4 91.2 92.4 fL 80.0-96.0 MCH 31.5 31.6 31.7 31.4 pg 27.0-33.0 MCHC 349 346 348 340 g/L 320-360 RDW 12.7 13.9 14.3 14.1 % 11.0-15.0 White Cell Differential Neut 3.8 5.1 5.4 9.2H x10^9/L 2.0-8.0 Lymph 2.1 2.1 1.0L 0.6L x10^9/L 1.2-4.0 Mono 0.5 0.8 0.3 0.5 x10^9/L 0.1-1.0 Eos 0.3 0.4 0.3 0.1 x10^9/L 0.0-0.5 Baso 0.1 0.1 0.0 0.0 x10^9/L 0.0-0.1 12Z986852 05/04/12 18:58 Comment: Please note fall in haemoglobin and platelet count since the previous examination. Post MVR. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/100"/> </subject> <reason> <text value="Post Op MVR"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968852-16258439"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/100"/> </subject> <effectiveDateTime value="2012-04-05T18:58:00Z"/> <issued value="2012-04-05T19:42:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1266"/> <resource> <DiagnosticReport> <id value="1266"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> No Test Requested NTRC </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/195"/> </subject> <reason> <text value="Recurrent Falls"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986842-16258438"/> </identifier> <status value="partial"/> <code> <text value="Central Reception"/> </code> <subject> <reference value="Patient/195"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T18:30:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1267"/> <resource> <DiagnosticReport> <id value="1267"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 4.4 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 26 mmol/L ( 22-30 ) Creatinine 72 umol/L ( 49-90 ) (Creatinine) 0.072 mmol/L ( 0.05-0.09) Urea 8.4 mmol/L ( 2.5-8.3 ) eGFR 66 ( SEE-BELOW) Calcium 2.38 mmol/L ( 2.10-2.60) Phosphate 1.26 mmol/L ( 0.8-1.5 ) Magnesium 0.84 mmol/L ( 0.8-1.0 ) Albumin 34 g/L ( 35-50 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/195"/> </subject> <reason> <text value="Recurrent Falls"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968842-16258437"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/195"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T19:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1269"/> <resource> <DiagnosticReport> <id value="1269"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z476146 Z968842 Date: 22/09/10 05/04/12 Time: 17:05 18:30 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 116 119 g/L 115-150 WCC 6.5 9.0 x10^9/L 4.0-11.0 PLT 229 235 x10^9/L 140-400 RCC 3.75L 3.84 x10^12/L 3.80-5.10 PCV 0.33L 0.34L L/L 0.35-0.45 MCV 88.1 89.4 fL 80.0-96.0 MCH 31.0 31.0 pg 27.0-33.0 MCHC 352 347 g/L 320-360 RDW 13.2 13.6 % 11.0-15.0 White Cell Differential Neut 4.4 7.2 x10^9/L 2.0-8.0 Lymph 1.4 1.2 x10^9/L 1.2-4.0 Mono 0.5 0.6 x10^9/L 0.1-1.0 Eos 0.1 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/195"/> </subject> <reason> <text value="Recurrent Falls"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968842-16258436"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/195"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T19:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1270"/> <resource> <DiagnosticReport> <id value="1270"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366391 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/140"/> </subject> <reason> <text value="Febrile"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968832-16258435"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/140"/> </subject> <effectiveDateTime value="2012-04-05T18:57:00Z"/> <issued value="2012-04-09T21:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1271"/> <resource> <DiagnosticReport> <id value="1271"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Drugs of Abuse Screen (Urine) Ampht-TypeSubst Negative Benzodiazepines Negative Cannabinoids Negative Opiates Negative Cocaine Barbiturates Methadone TCA General Comments: </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/101"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968812-16258434"/> </identifier> <status value="final"/> <code> <text value="Drug Screen (Toxic)"/> </code> <subject> <reference value="Patient/101"/> </subject> <effectiveDateTime value="2012-04-05T18:56:00Z"/> <issued value="2012-04-10T10:58:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1272"/> <resource> <DiagnosticReport> <id value="1272"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z996558 SPECIMEN Specimen Type : Sputum MICROSCOPY GRAM STAIN Macroscopic Description Mucopurulent Pus:Epithelial Cell Ratio >25:10 Pus Cells +++ Squamous Epithelial Cells Occasional Gram positive cocci + Gram positive bacilli Occasional CULTURE Standard culture: +++ Mixed upper respiratory tract flora </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968822-16258433"/> </identifier> <status value="final"/> <code> <text value="Respiratory M/C/S"/> </code> <subject> <reference value="Patient/169"/> </subject> <effectiveDateTime value="2012-04-05T18:05:00Z"/> <issued value="2012-04-08T11:35:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1273"/> <resource> <DiagnosticReport> <id value="1273"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z886371 Z868965 Z968069 Z986477 Z968802 Date: 03/04/12 04/04/12 04/04/12 05/04/12 05/04/12 Time: 02:50 05:25 12:30 02:55 17:45 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 89L 96L 100L 83L 94L g/L 130-170 WCC 2.4L 2.9L 2.6L 2.0L 3.1L x10^9/L 4.0-11.0 PLT 21L 7L 32L 17L 41L x10^9/L 140-400 RCC 2.71L 3.00L 3.07L 2.60L 2.90L x10^12/L 4.50-5.70 PCV 0.25L 0.27L 0.28L 0.24L 0.27L L/L 0.40-0.50 MCV 92.2 90.6 90.9 91.8 91.5 fL 80.0-96.0 MCH 32.7 32.1 32.5 31.9 32.2 pg 27.0-33.0 MCHC 355 354 358 347 352 g/L 320-360 RDW 15.7H 15.2H 15.4H 15.3H 15.0 % 11.0-15.0 White Cell Differential Neut 2.1 2.0 2.4 1.5L x10^9/L 2.0-8.0 Lymph 0.1L 0.1L 0.1L 0.0L x10^9/L 1.2-4.0 Mono 0.1 0.3 0.1 0.1 x10^9/L 0.1-1.0 Eos 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 0.5 0.3 x10^9/L 0.0-0.5 Meta 0.1H x10^9/L 0.0 Myelo 0.0 x10^9/L 0.0 NRBC 2H /100WBCs 0 NRBC Abs 0.0 x10^9/L 0 12Z868965 04/04/12 05:25 Film Comment : Marked thrombocytopenia. Neutrophils show a moderate left shift and mild toxic changes. Manual differential. Red cells show no significant changes - see previous report. Conclusion: Known CMML -> AML. Please note fall in platelet count since the last examination. ? Therapy related. 12Z986477 05/04/12 02:55 Film Comment : Moderate anaemia with red cells showing occasional target cells and polychromatic macrocytes. Platelets are markedly reduced in number. White cells show a mild neutropenia with a mild left shift showing mild toxic changes. Conclusion: History of Bone Marrow Transplant for CMML -> AML. Please note mild fall in haemoglobin since the last examination. Manual differential. 12Z968802 05/04/12 17:45 Comment: Post platelet increment Instrument parameters reported. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/102"/> </subject> <reason> <text value="Post Platelet Increment"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968802-16258432"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/102"/> </subject> <effectiveDateTime value="2012-04-05T17:45:00Z"/> <issued value="2012-04-05T17:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1274"/> <resource> <DiagnosticReport> <id value="1274"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Amylase 527 IU/L ( 22-100 ) Lipase 741 IU/L ( <60 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968891-16258431"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/103"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T19:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1277"/> <resource> <DiagnosticReport> <id value="1277"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 3.8 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 21 mmol/L ( 22-30 ) Creatinine 110 umol/L ( 64-104 ) (Creatinine) 0.110 mmol/L ( 0.05-0.11) Urea 10.1 mmol/L ( 2.5-8.3 ) eGFR 57 ( SEE-BELOW) Calcium 2.16 mmol/L ( 2.10-2.60) Phosphate 1.31 mmol/L ( 0.8-1.5 ) Magnesium 0.82 mmol/L ( 0.7-1.1 ) Albumin 27 g/L ( 35-50 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/106"/> </subject> <reason> <text value="Post Angiogram Anaemia"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968861-16258427"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/106"/> </subject> <effectiveDateTime value="2012-04-05T17:45:00Z"/> <issued value="2012-04-05T17:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1278"/> <resource> <DiagnosticReport> <id value="1278"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z167899 Z868451 Z586852 Z367717 Z968861 Date: 02/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 10:00 06:20 11:39 08:00 17:45 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 86L 85L 82L 87L 77L g/L 130-170 WCC 6.4 5.9 6.0 6.0 4.9 x10^9/L 4.0-11.0 PLT 101L 112L 131L 155 150 x10^9/L 140-400 RCC 2.69L 2.73L 2.60L 2.89L 2.49L x10^12/L 4.50-5.70 PCV 0.24L 0.25L 0.23L 0.26L 0.22L L/L 0.40-0.50 MCV 90.0 90.5 90.1 89.9 90.4 fL 80.0-96.0 MCH 32.0 31.1 31.5 30.0 30.8 pg 27.0-33.0 MCHC 356 344 349 334 341 g/L 320-360 RDW 14.9 14.8 14.8 14.6 14.3 % 11.0-15.0 ESR >140H 135H mm in 1hr 2-14 White Cell Differential Neut 4.7 4.8 5.0 5.2 3.7 x10^9/L 2.0-8.0 Lymph 1.1L 0.8L 0.7L 0.6L 0.9L x10^9/L 1.2-4.0 Mono 0.4 0.3 0.2 0.2 0.3 x10^9/L 0.1-1.0 Eos 0.1 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 12Z176899 02/04/12 10:00 Comment: Please note mild fall in haemoglobin since the previous examination. Please note: no clinical details given. 12Z868451 03/04/12 06:20 Comment: Instrument differential and parameters reported. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/106"/> </subject> <reason> <text value="Post Angiogram Anaemia"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986861-16258426"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/106"/> </subject> <effectiveDateTime value="2012-04-05T17:45:00Z"/> <issued value="2012-04-05T17:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1279"/> <resource> <DiagnosticReport> <id value="1279"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z868595 Z968157 Z986851 Date: 03/04/12 04/04/12 05/04/12 Time: 12:10 15:45 18:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 155 139 129L g/L 130-170 WCC 10.3 11.5H 15.4H x10^9/L 4.0-11.0 PLT 290 301 291 x10^9/L 140-400 RCC 4.85 4.29L 4.01L x10^12/L 4.50-5.70 PCV 0.44 0.39L 0.37L L/L 0.40-0.50 MCV 91.5 91.5 91.6 fL 80.0-96.0 MCH 32.0 32.5 32.1 pg 27.0-33.0 MCHC 349 355 351 g/L 320-360 RDW 12.5 13.1 12.9 % 11.0-15.0 White Cell Differential Neut 7.0 7.9 14.3H x10^9/L 2.0-8.0 Lymph 2.1 2.6 0.3L x10^9/L 1.2-4.0 Mono 0.8 0.7 0.2 x10^9/L 0.1-1.0 Eos 0.3 0.3 0.0 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.0 x10^9/L 0.0-0.1 Bands 0.5 x10^9/L 0.0-0.5 Meta 0.2H x10^9/L 0.0 12Z968851 05/04/12 18:00 Film Comment : Manual differential. Mild neutrophilia with slight left shift. Red cells and platelets appear normal. Conclusion: ? Post-op. No clinical information provided. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986851-16258425"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/107"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T21:44:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1280"/> <resource> <DiagnosticReport> <id value="1280"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561531 Z561573 Z516506 Z561558 Z561265 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 02:06 05:48 08:52 11:25 18:54 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.38 7.38 7.40 7.32L 7.34L 7.35-7.45 pCO2 39 40 35 42 41 mmHg 35-45 HCO3(Std) 23 23 22 21L 22 mmol/L 22.0-30.0 Base Excess -1.7 -1.6 -2.9 -3.9L -3.0 mmol/L -3.0/3.0 pO2 105H 92 124H 191H 78 mmHg 75-100 O2 Sat 98 97 99 99 95 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.1 3.8 3.7 3.6 3.8 mmol/L 3.5-5.5 Sodium 141 141 140 141 141 mmol/L 135-145 Chloride 112H 114H 114H 113H 109 mmol/L 95-110 iCa++ 1.11L 1.07L 1.07L 1.08L 1.09L mmol/L 1.12-1.30 Glucose 5.3 5.3 5.6 5.7 8.1H mmol/L 3.6-7.7 Lactate 0.4 0.4 0.4 0.4 0.8 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 114L 115 117 119 124 g/L 115-150 Reduced Hb 1.9 3.2 1.2 0.7 4.9 % 0-5 CarbOxy Hb 0.9 0.8 0.9 0.8 1.0 % 0.5-1.5 Meth Hb 1.7H 1.8H 1.4 1.8H 2.0H % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/199"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516265-16258424"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/199"/> </subject> <effectiveDateTime value="2012-04-05T18:54:00Z"/> <issued value="2012-04-05T18:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1281"/> <resource> <DiagnosticReport> <id value="1281"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> No Test Requested NTRS </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/108"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968841-16258423"/> </identifier> <status value="final"/> <code> <text value="Central Reception"/> </code> <subject> <reference value="Patient/108"/> </subject> <effectiveDateTime value="2012-04-05T18:46:00Z"/> <issued value="2012-04-06T00:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1282"/> <resource> <DiagnosticReport> <id value="1282"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z168394 Z168607 Z866625 Z968841 Date: 17/03/12 17/03/12 19/03/12 05/04/12 Therapeut Time: 06:20 20:20 20:45 18:46 Units Range -------- -------- -------- -------- -------- ------ --------- PLASMA Phenytoin 60 37L 23L umol/L 40-80 Hrs Since Dose No Info No Info No Info HH:MM Vancomycin 11 mg/L AS-BELOW Hrs Since Dose No Info HH:MM VANCOMYCIN THERAPEUTIC RANGE Pre Dose (Trough) level: 10 - 20 mg/L Post Dose (Peak) level : Not recommended </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/108"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986841-16258422"/> </identifier> <status value="final"/> <code> <text value="Therapeutic Drugs"/> </code> <subject> <reference value="Patient/108"/> </subject> <effectiveDateTime value="2012-04-05T18:46:00Z"/> <issued value="2012-04-05T19:42:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1283"/> <resource> <DiagnosticReport> <id value="1283"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 4.4 mmol/L ( 3.5-5.5 ) Chloride 101 mmol/L ( 95-110 ) HCO3 29 mmol/L ( 22-30 ) Creatinine 57 umol/L ( 49-90 ) (Creatinine) 0.057 mmol/L ( 0.05-0.09) Urea 3.9 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 32 g/L ( 35-50 ) AP 129 IU/L ( 30-120 ) GGT 264 IU/L ( 10-65 ) ALT 55 IU/L ( <34 ) AST 30 IU/L ( <31 ) Bili Total <5 umol/L ( <19 ) Protein Total 69 g/L ( 65-85 ) C-React Prot 19 mg/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/108"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986841-16258421"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/108"/> </subject> <effectiveDateTime value="2012-04-05T18:46:00Z"/> <issued value="2012-04-05T19:42:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1284"/> <resource> <DiagnosticReport> <id value="1284"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z168607 Z186804 Z866625 Z866706 Z986841 Date: 17/03/12 18/03/12 19/03/12 20/03/12 05/04/12 Time: 20:20 06:40 20:45 01:30 18:46 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 114L 110L 112L 112L 118 g/L 115-150 WCC 15.2H 13.7H 10.2 10.1 3.8L x10^9/L 4.0-11.0 PLT 249 248 290 306 255 x10^9/L 140-400 RCC 3.73L 3.65L 3.69L 3.67L 3.91 x10^12/L 3.80-5.10 PCV 0.33L 0.33L 0.33L 0.33L 0.35 L/L 0.35-0.45 MCV 89.6 90.5 88.9 89.4 88.7 fL 80.0-96.0 MCH 30.6 30.2 30.4 30.5 30.2 pg 27.0-33.0 MCHC 341 333 342 341 340 g/L 320-360 RDW 12.6 12.4 12.6 12.2 13.0 % 11.0-15.0 White Cell Differential Neut 13.5H 12.2H 7.5 8.4H 2.6 x10^9/L 2.0-8.0 Lymph 0.7L 0.8L 1.8 1.1L 0.5L x10^9/L 1.2-4.0 Mono 1.0 0.7 0.8 0.5 0.6 x10^9/L 0.1-1.0 Eos 0.0 0.0 0.0 0.0 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.1 0.0 0.0 x10^9/L 0.0-0.1 12Z168607 17/03/12 20:20 Comment: Note: mild neutrophilia. Instrument differential and parameters reported. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/108"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968841-16258420"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/108"/> </subject> <effectiveDateTime value="2012-04-05T18:46:00Z"/> <issued value="2012-04-05T19:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1285"/> <resource> <DiagnosticReport> <id value="1285"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z736763 SPECIMEN Specimen Type : Urine Midstream CHEMISTRY pH 6.5 Protein NEGATIVE Specific Grav. 1.026 Blood NEGATIVE Glucose NEGATIVE Leucocytes NEGATIVE MICROSCOPY Leucocytes 1 x10^6/L ( <2x10^6/L ) Red Blood Cells Nil x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE No Growth -Detection limit 10^7 CFU/L </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/188"/> </subject> <reason> <text value="Urinary Symptoms 2/52 With Loin Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968831-16258419"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/188"/> </subject> <effectiveDateTime value="2012-04-05T18:45:00Z"/> <issued value="2012-04-07T08:54:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1286"/> <resource> <DiagnosticReport> <id value="1286"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z686947 Z868416 Z968183 Z986440 Z968821 Date: 17/01/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 10:55 08:15 13:53 01:00 18:49 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.2 1.1 1.5H 1.3 1.4H 0.8-1.3 APTT 30 27 33 35 35 secs 23-36 Fibrinogen 6.4H 4.8 1.9L 2.3 4.2 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968821-16258418"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/109"/> </subject> <effectiveDateTime value="2012-04-05T18:49:00Z"/> <issued value="2012-04-05T19:34:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1287"/> <resource> <DiagnosticReport> <id value="1287"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 5.2 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 24 mmol/L ( 22-30 ) Creatinine 93 umol/L ( 49-90 ) (Creatinine) 0.093 mmol/L ( 0.05-0.09) Urea 6.4 mmol/L ( 2.5-8.3 ) eGFR 53 ( SEE-BELOW) Calcium 1.94 mmol/L ( 2.10-2.60) Phosphate 1.44 mmol/L ( 0.8-1.5 ) Magnesium 1.12 mmol/L ( 0.8-1.0 ) Albumin 20 g/L ( 35-50 ) Troponin I 7.09 ug/L (See Below ) CKMB Mass * ug/L ( <4 ) Comment: The CKMB was not measured on this sample. It has been replaced by Troponin </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968821-16258417"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/109"/> </subject> <effectiveDateTime value="2012-04-05T18:49:00Z"/> <issued value="2012-04-05T21:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1288"/> <resource> <DiagnosticReport> <id value="1288"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z086981 Z868416 Z968183 Z986440 Z968821 Date: 16/03/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 12:00 08:15 13:53 01:00 18:49 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 119 125 85L 74L 74L g/L 115-150 WCC 6.4 5.9 10.9 9.7 14.1H x10^9/L 4.0-11.0 PLT 227 253 92L 124L 130L x10^9/L 140-400 RCC 3.88 4.09 2.75L 2.34L 2.43L x10^12/L 3.80-5.10 PCV 0.35 0.37 0.24L 0.21L 0.22L L/L 0.35-0.45 MCV 90.5 90.6 88.5 89.8 90.2 fL 80.0-96.0 MCH 30.6 30.5 30.8 31.8 30.3 pg 27.0-33.0 MCHC 338 337 348 354 336 g/L 320-360 RDW 15.0 15.7H 15.0 15.5H 15.6H % 11.0-15.0 White Cell Differential Neut 4.3 3.7 9.2H 8.7H 11.7H x10^9/L 2.0-8.0 Lymph 1.6 1.6 1.1L 0.5L 1.4 x10^9/L 1.2-4.0 Mono 0.4 0.4 0.5 0.4 1.1H x10^9/L 0.1-1.0 Eos 0.1 0.1 0.0 0.1 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 12Z968183 04/04/12 13:53 Comment: Please note fall in haemoglobin and platelet count since the previous examination. ?Post op. Suggest repeat. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968821-16258416"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/109"/> </subject> <effectiveDateTime value="2012-04-05T18:49:00Z"/> <issued value="2012-04-05T19:01:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1289"/> <resource> <DiagnosticReport> <id value="1289"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Blank Report? </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986811-16258415"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T17:50:00Z"/> <issued value="2012-04-06T00:03:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1290"/> <resource> <DiagnosticReport> <id value="1290"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type: Serum Varicella zoster virus IgG Antibody (by EIA) : EBV-VCA IgG Antibody by EIA : EBV-VCA IgM Antibody by EIA : Mycoplasma pneumoniae IgG Antibody by EIA : GENERAL COMMENT: MYCOPLASMA SEROLOGY: Recommend repeat mycoplasma serology in 2-3 weeks if clinically indicated. Other atypical pneumonia serology will only be performed on paired sera. This serum sample has been stored for 3 months. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968811-16258414"/> </identifier> <status value="partial"/> <code> <text value="Internal Serology"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T17:50:00Z"/> <issued value="2012-04-05T17:50:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1291"/> <resource> <DiagnosticReport> <id value="1291"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type : Serum HIV 1/2 SEROLOGY HIV-1/2 Ag/Ab Combo by Architect: </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968811-16258413"/> </identifier> <status value="partial"/> <code> <text value="HIV Serology"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T17:50:00Z"/> <issued value="2012-04-05T17:50:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1292"/> <resource> <DiagnosticReport> <id value="1292"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type : Serum Request No: Z968811 Date: 05/04/12 Time: 17:50 Units RefRange ------------ ------------ ------------ ------ -------- Specimen Serum Antinuclear Antibodies Antinuclear abs TF </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986811-16258412"/> </identifier> <status value="partial"/> <code> <text value="Immunology Auto-Abs"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T17:50:00Z"/> <issued value="2012-04-05T17:50:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1293"/> <resource> <DiagnosticReport> <id value="1293"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z968811 Date: 05/04/12 Time: 17:50 Units Ref Range -------- -------- -------- -------- -------- ------- --------- Serum Vitamin B12 and Folate Studies Vit B12 395 pmol/L 150-600 Ser Fol 29.6 nmol/L >12.2 NOTE NEW REFERENCE RANGES FOR FOLATE From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur Serum Folate Deficient - <7.63 nmol/L Serum Folate Indeterminate - 7.64 to 12.2 nmol/L Old Ref Ranges prior to 27th April 2004 Serum Folate - 6.0 to 38.0 nmol/L Red Cell Folate - 350 to 1350 nmol/L </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986811-16258411"/> </identifier> <status value="final"/> <code> <text value="Haem Iron/B12 & Fol"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T17:50:00Z"/> <issued value="2012-04-05T19:48:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1294"/> <resource> <DiagnosticReport> <id value="1294"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968365 Z968811 Date: 04/04/12 05/04/12 Time: 21:25 17:50 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 142 g/L 115-150 WCC 9.1 x10^9/L 4.0-11.0 PLT 273 x10^9/L 140-400 RCC 4.43 x10^12/L 3.80-5.10 PCV 0.41 L/L 0.35-0.45 MCV 93.0 fL 80.0-96.0 MCH 31.9 pg 27.0-33.0 MCHC 343 g/L 320-360 RDW 13.0 % 11.0-15.0 ESR 22H mm in 1hr 2-12 White Cell Differential Neut 5.8 x10^9/L 2.0-8.0 Lymph 2.4 x10^9/L 1.2-4.0 Mono 0.7 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.1 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986811-16258410"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/110"/> </subject> <effectiveDateTime value="2012-04-05T17:50:00Z"/> <issued value="2012-04-05T19:38:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1295"/> <resource> <DiagnosticReport> <id value="1295"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> No Test Requested NTRESR </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/111"/> </subject> <reason> <text value="Chronic Idiopathic Urticaria"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z568456-16258409"/> </identifier> <status value="partial"/> <code> <text value="Central Reception"/> </code> <subject> <reference value="Patient/111"/> </subject> <effectiveDateTime value="2012-04-05T11:45:00Z"/> <issued value="2012-04-05T11:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1296"/> <resource> <DiagnosticReport> <id value="1296"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> No Test Requested NTRESR </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/112"/> </subject> <reason> <text value="On Clozapine"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z966082-16258408"/> </identifier> <status value="partial"/> <code> <text value="Central Reception"/> </code> <subject> <reference value="Patient/112"/> </subject> <effectiveDateTime value="2012-04-05T08:30:00Z"/> <issued value="2012-04-05T08:30:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1297"/> <resource> <DiagnosticReport> <id value="1297"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z564933 Date: 05/04/12 Time: 18:30 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 0.8-1.3 APTT 25 secs 23-36 Fibrinogen 3.7 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z564933-16258407"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T19:25:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1298"/> <resource> <DiagnosticReport> <id value="1298"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.2 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 28 mmol/L ( 22-30 ) Creatinine 91 umol/L ( 64-104 ) (Creatinine) 0.091 mmol/L ( 0.05-0.11) Urea 6.8 mmol/L ( 2.5-8.3 ) eGFR 72 ( SEE-BELOW) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z564933-16258406"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T19:21:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1299"/> <resource> <DiagnosticReport> <id value="1299"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z546933 Date: 05/04/12 Time: 18:30 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 135 g/L 130-170 WCC 10.6 x10^9/L 4.0-11.0 PLT 365 x10^9/L 140-400 RCC 4.42L x10^12/L 4.50-5.70 PCV 0.40 L/L 0.40-0.50 MCV 90.5 fL 80.0-96.0 MCH 30.5 pg 27.0-33.0 MCHC 337 g/L 320-360 RDW 14.6 % 11.0-15.0 White Cell Differential Neut 5.6 x10^9/L 2.0-8.0 Lymph 3.8 x10^9/L 1.2-4.0 Mono 0.8 x10^9/L 0.1-1.0 Eos 0.4 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z564933-16258405"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/113"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T18:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1300"/> <resource> <DiagnosticReport> <id value="1300"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366381 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/161"/> </subject> <reason> <text value="Febrile FI"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968801-16258404"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/161"/> </subject> <effectiveDateTime value="2012-04-05T18:44:00Z"/> <issued value="2012-04-09T21:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1301"/> <resource> <DiagnosticReport> <id value="1301"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> No Test Requested NTRS NTRF </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968890-16258403"/> </identifier> <status value="final"/> <code> <text value="Central Reception"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T18:40:00Z"/> <issued value="2012-04-06T00:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1302"/> <resource> <DiagnosticReport> <id value="1302"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366371 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986890-16258402"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T18:40:00Z"/> <issued value="2012-04-09T21:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1303"/> <resource> <DiagnosticReport> <id value="1303"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z760824 Z269341 Z516888 Z968890 Date: 20/03/06 10/03/10 07/03/12 05/04/12 Time: 00:50 14:45 19:46 18:40 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.1 1.1 1.0 1.2 0.8-1.3 APTT 29 29 26 27 secs 23-36 Fibrinogen 7.2H 6.0H 6.3H 7.6H g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986890-16258401"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T18:40:00Z"/> <issued value="2012-04-05T19:25:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1304"/> <resource> <DiagnosticReport> <id value="1304"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 136 mmol/L ( 135-145 ) Potassium 4.0 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 25 mmol/L ( 22-30 ) Creatinine 158 umol/L ( 64-104 ) (Creatinine) 0.158 mmol/L ( 0.05-0.11) Urea 8.8 mmol/L ( 2.5-8.3 ) eGFR 37 ( SEE-BELOW) Calcium 2.48 mmol/L ( 2.10-2.60) Phosphate 0.85 mmol/L ( 0.8-1.5 ) Magnesium 0.72 mmol/L ( 0.7-1.1 ) Albumin 25 g/L ( 35-50 ) AP 75 IU/L ( 30-120 ) GGT 40 IU/L ( 10-65 ) ALT 11 IU/L ( <45 ) AST 15 IU/L ( <35 ) Bili Total 20 umol/L ( <19 ) Protein Total 64 g/L ( 65-85 ) LD 438 IU/L ( 210-420 ) Uric Acid 0.42 mmol/L ( 0.2-0.47 ) C-React Prot 184 mg/L ( <5 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986890-16258400"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T18:40:00Z"/> <issued value="2012-04-05T19:20:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1305"/> <resource> <DiagnosticReport> <id value="1305"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z561888 Z956556 Z767991 Z968706 Z986890 Date: 07/03/12 14/03/12 16/03/12 05/04/12 05/04/12 Time: 19:46 10:50 10:20 17:15 18:40 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb * 101L 106L 87L 83L g/L 130-170 WCC 9.7 8.8 7.9 7.3 x10^9/L 4.0-11.0 PLT * 228 221 344 330 x10^9/L 140-400 RCC 3.69L 3.86L 3.14L 2.95L x10^12/L 4.50-5.70 PCV 0.30L 0.32L 0.26L 0.25L L/L 0.40-0.50 MCV 82.2 83.7 83.7 84.2 fL 80.0-96.0 MCH 27.5 27.6 27.8 28.2 pg 27.0-33.0 MCHC 334 330 332 335 g/L 320-360 RDW 17.3H 17.0H 19.0H 19.3H % 11.0-15.0 White Cell Differential Neut 8.7H 7.0 5.3 5.0 x10^9/L 2.0-8.0 Lymph 0.6L 1.3 1.6 1.3 x10^9/L 1.2-4.0 Mono 0.3 0.4 0.9 0.8 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.1 0.1 0.1 x10^9/L 0.0-0.1 12Z561888 07/03/12 19:46 Comment: Note: No sample collected. Transit lounge closed at 1800. CSR: Pls ring tomorrow for fbe recollection. 12Z968706 05/04/12 17:15 Film Comment : Red cells show moderate anisocytosis, some stomatocytes and increased rouleaux. Unremarkable leucocytes and platelets. Conclusion: Please note fall in haemoglobin since the previous examination. Suggest repeat FBE to confirm results. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968890-16258399"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/114"/> </subject> <effectiveDateTime value="2012-04-05T18:40:00Z"/> <issued value="2012-04-05T18:57:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1306"/> <resource> <DiagnosticReport> <id value="1306"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 5.0 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 26 mmol/L ( 22-30 ) Creatinine 100 umol/L ( 49-90 ) (Creatinine) 0.100 mmol/L ( 0.05-0.09) Urea 11.7 mmol/L ( 2.5-8.3 ) eGFR 47 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/115"/> </subject> <reason> <text value="Atheroma With Complete Occlusions R/L Legs"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968880-16258398"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T19:20:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1307"/> <resource> <DiagnosticReport> <id value="1307"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z336811 Z867542 Z963499 Z096739 Z968880 Date: 12/02/12 14/02/12 15/02/12 16/02/12 05/04/12 Time: 11:10 08:25 09:15 07:25 18:30 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 105L 112L 113L 114L 114L g/L 115-150 WCC 8.7 4.6 3.8L 4.6 5.9 x10^9/L 4.0-11.0 PLT 161 181 166 208 222 x10^9/L 140-400 RCC 3.40L 3.67L 3.63L 3.70L 3.59L x10^12/L 3.80-5.10 PCV 0.30L 0.32L 0.32L 0.33L 0.32L L/L 0.35-0.45 MCV 89.6 87.5 87.5 88.1 89.9 fL 80.0-96.0 MCH 30.9 30.5 31.1 30.8 31.7 pg 27.0-33.0 MCHC 345 349 356 349 352 g/L 320-360 RDW 14.7 14.8 14.2 14.8 15.0 % 11.0-15.0 White Cell Differential Neut 7.2 3.2 2.3 2.6 4.1 x10^9/L 2.0-8.0 Lymph 0.1L 0.9L 1.1L 1.5 1.2 x10^9/L 1.2-4.0 Mono 0.1 0.4 0.3 0.4 0.4 x10^9/L 0.1-1.0 Eos 0.0 0.1 0.1 0.1 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 1.3H 0.0 x10^9/L 0.0-0.5 12Z363811 12/02/12 11:10 Film Comment : Mild neutrophilia with a left shift and toxic changes. Manual differential. Mild rouleaux, otherwise red cells and platelets show no significant changes - see previous report. Conclusion: Film may be suggestive of infection / inflammation. Repeat FBE may be of value. 12Z876542 14/02/12 08:25 Film Comment : Neutrophils show mild toxic changes. Manual differential. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/115"/> </subject> <reason> <text value="Atheroma With Complete Occlusions R/L Legs"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968880-16258397"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/115"/> </subject> <effectiveDateTime value="2012-04-05T18:30:00Z"/> <issued value="2012-04-05T18:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1308"/> <resource> <DiagnosticReport> <id value="1308"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 4.1 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 64 umol/L ( 64-104 ) (Creatinine) 0.064 mmol/L ( 0.05-0.11) Urea 3.5 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 40 g/L ( 35-50 ) AP 96 IU/L ( 30-120 ) GGT 40 IU/L ( 10-65 ) ALT 22 IU/L ( <45 ) AST 23 IU/L ( <35 ) Bili Total 5 umol/L ( <19 ) Protein Total 71 g/L ( 65-85 ) Troponin I <0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/136"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968870-16258396"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/136"/> </subject> <effectiveDateTime value="2012-04-05T18:35:00Z"/> <issued value="2012-04-05T19:29:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1309"/> <resource> <DiagnosticReport> <id value="1309"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968870 Date: 05/04/12 Time: 18:35 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 145 g/L 130-170 WCC 12.3H x10^9/L 4.0-11.0 PLT 298 x10^9/L 140-400 RCC 4.92 x10^12/L 4.50-5.70 PCV 0.42 L/L 0.40-0.50 MCV 85.5 fL 80.0-96.0 MCH 29.5 pg 27.0-33.0 MCHC 345 g/L 320-360 RDW 13.4 % 11.0-15.0 White Cell Differential Neut 8.9H x10^9/L 2.0-8.0 Lymph 2.3 x10^9/L 1.2-4.0 Mono 0.8 x10^9/L 0.1-1.0 Eos 0.3 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/136"/> </subject> <reason> <text value="Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986870-16258395"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/136"/> </subject> <effectiveDateTime value="2012-04-05T18:35:00Z"/> <issued value="2012-04-05T18:56:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1310"/> <resource> <DiagnosticReport> <id value="1310"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366361 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986850-16258393"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-09T21:19:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1311"/> <resource> <DiagnosticReport> <id value="1311"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 136 mmol/L ( 135-145 ) Potassium 3.4 mmol/L ( 3.5-5.5 ) Chloride 95 mmol/L ( 95-110 ) HCO3 28 mmol/L ( 22-30 ) Creatinine 90 umol/L ( 64-104 ) (Creatinine) 0.090 mmol/L ( 0.05-0.11) Urea 8.2 mmol/L ( 2.5-8.3 ) eGFR 70 ( SEE-BELOW) Albumin 38 g/L ( 35-50 ) AP 133 IU/L ( 30-120 ) GGT 332 IU/L ( 10-65 ) ALT 62 IU/L ( <45 ) AST 52 IU/L ( <35 ) Bili Total 16 umol/L ( <19 ) Protein Total 79 g/L ( 65-85 ) C-React Prot 54 mg/L ( <5 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986850-16258392"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T19:17:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1312"/> <resource> <DiagnosticReport> <id value="1312"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z164731 Z556133 Z868834 Z968397 Z986850 Date: 11/05/11 13/05/11 03/04/12 04/04/12 05/04/12 Time: 00:45 04:55 23:30 20:30 18:10 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 102L 108L 110L 108L 113L g/L 130-170 WCC 7.5 6.0 8.0 5.9 6.0 x10^9/L 4.0-11.0 PLT 101L 100L 106L 97L 97L x10^9/L 140-400 RCC 3.18L 3.35L 3.47L 3.42L 3.56L x10^12/L 4.50-5.70 PCV 0.29L 0.32L 0.32L 0.32L 0.33L L/L 0.40-0.50 MCV 92.7 94.3 92.3 93.4 93.5 fL 80.0-96.0 MCH 32.0 32.3 31.7 31.7 31.9 pg 27.0-33.0 MCHC 345 343 344 340 341 g/L 320-360 RDW 14.6 14.0 14.8 15.4H 15.5H % 11.0-15.0 White Cell Differential Neut 5.8 4.2 6.7 4.6 4.2 x10^9/L 2.0-8.0 Lymph 1.0L 1.0L 0.6L 0.7L 0.9L x10^9/L 1.2-4.0 Mono 0.5 0.7 0.7 0.7 0.8 x10^9/L 0.1-1.0 Eos 0.1 0.1 0.0 0.0 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 11Z164731 11/05/11 00:45 Film Comment : Platelets are mildly reduced in number. Red cells show slight polychromasia. Leucocytes are unremarkable. Conclusion: ? Cause of persistent mild thrombocytopenia. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968850-16258391"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/116"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T18:46:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1313"/> <resource> <DiagnosticReport> <id value="1313"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z546768 Z666092 Z564961 Z986693 Z564923 Date: 03/04/12 04/04/12 05/04/12 05/04/12 05/04/12 Time: 07:20 09:35 08:45 10:50 18:15 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 4.3H 4.0H 6.2H 6.6H 6.9H 0.8-1.3 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/117"/> </subject> <reason> <text value="See Slip"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z564923-16258390"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/117"/> </subject> <effectiveDateTime value="2012-04-05T18:15:00Z"/> <issued value="2012-04-05T19:34:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1314"/> <resource> <DiagnosticReport> <id value="1314"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 3.7 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 55 umol/L ( 49-90 ) (Creatinine) 0.055 mmol/L ( 0.05-0.09) Urea 4.0 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 40 g/L ( 35-50 ) AP 111 IU/L ( 30-120 ) GGT 16 IU/L ( 10-65 ) ALT 18 IU/L ( <34 ) AST 23 IU/L ( <31 ) Bili Total 9 umol/L ( <19 ) Protein Total 80 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="Headache"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968840-16258389"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T18:18:00Z"/> <issued value="2012-04-05T20:12:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1315"/> <resource> <DiagnosticReport> <id value="1315"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z986840 Date: 05/04/12 Time: 18:18 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 132 g/L 115-150 WCC 5.9 x10^9/L 4.0-11.0 PLT 245 x10^9/L 140-400 RCC 4.23 x10^12/L 3.80-5.10 PCV 0.38 L/L 0.35-0.45 MCV 90.8 fL 80.0-96.0 MCH 31.1 pg 27.0-33.0 MCHC 342 g/L 320-360 RDW 12.7 % 11.0-15.0 White Cell Differential Neut 4.1 x10^9/L 2.0-8.0 Lymph 1.3 x10^9/L 1.2-4.0 Mono 0.4 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="Headache"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968840-16258388"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T18:18:00Z"/> <issued value="2012-04-05T18:46:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1316"/> <resource> <DiagnosticReport> <id value="1316"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z986840 Date: 05/04/12 Time: 18:18 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 132 g/L 115-150 WCC 5.9 x10^9/L 4.0-11.0 PLT 245 x10^9/L 140-400 RCC 4.23 x10^12/L 3.80-5.10 PCV 0.38 L/L 0.35-0.45 MCV 90.8 fL 80.0-96.0 MCH 31.1 pg 27.0-33.0 MCHC 342 g/L 320-360 RDW 12.7 % 11.0-15.0 White Cell Differential Neut 4.1 x10^9/L 2.0-8.0 Lymph 1.3 x10^9/L 1.2-4.0 Mono 0.4 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/151"/> </subject> <reason> <text value="Headache"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968840-16258388"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/151"/> </subject> <effectiveDateTime value="2012-04-05T18:18:00Z"/> <issued value="2012-04-05T18:46:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1317"/> <resource> <DiagnosticReport> <id value="1317"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 3.8 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 26 mmol/L ( 22-30 ) Creatinine 80 umol/L ( 64-104 ) (Creatinine) 0.080 mmol/L ( 0.05-0.11) Urea 5.3 mmol/L ( 2.5-8.3 ) eGFR 81 ( SEE-BELOW) Troponin I 1.02 ug/L (See Below ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968830-16258387"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/157"/> </subject> <effectiveDateTime value="2012-04-05T18:15:00Z"/> <issued value="2012-04-05T19:24:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1318"/> <resource> <DiagnosticReport> <id value="1318"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366351 SPECIMENS Specimen Type : Blood Cultures Description : Venous/peripheral Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986820-16258386"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/157"/> </subject> <effectiveDateTime value="2012-04-05T18:15:00Z"/> <issued value="2012-04-09T21:17:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1319"/> <resource> <DiagnosticReport> <id value="1319"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968860 Date: 05/04/12 Time: 18:15 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.0 0.8-1.3 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Trauma MVA"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986860-16258384"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T18:15:00Z"/> <issued value="2012-04-05T19:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1320"/> <resource> <DiagnosticReport> <id value="1320"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> REPRODUCTIVE HORMONES/ANDROGENS Quant Pregnancy (hCG) <2 IU/L ( <5 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Trauma MVA"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986860-16258383"/> </identifier> <status value="final"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T18:15:00Z"/> <issued value="2012-04-05T19:25:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1321"/> <resource> <DiagnosticReport> <id value="1321"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968860 Date: 05/04/12 Time: 18:15 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 136 g/L 115-150 WCC 16.5H x10^9/L 4.0-11.0 PLT 291 x10^9/L 140-400 RCC 4.38 x10^12/L 3.80-5.10 PCV 0.39 L/L 0.35-0.45 MCV 89.8 fL 80.0-96.0 MCH 31.1 pg 27.0-33.0 MCHC 347 g/L 320-360 RDW 12.2 % 11.0-15.0 White Cell Differential Neut 14.1H x10^9/L 2.0-8.0 Lymph 1.4 x10^9/L 1.2-4.0 Mono 0.9 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 12Z986860 05/04/12 18:15 Comment: Please note mild neutrophilia </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Trauma MVA"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968860-16258382"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T18:15:00Z"/> <issued value="2012-04-05T18:39:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1322"/> <resource> <DiagnosticReport> <id value="1322"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 4.2 mmol/L ( 3.5-5.5 ) Chloride 111 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 81 umol/L ( 49-90 ) (Creatinine) 0.081 mmol/L ( 0.05-0.09) Urea 6.0 mmol/L ( 2.5-8.3 ) eGFR 68 ( SEE-BELOW) Albumin 34 g/L ( 35-50 ) AP 51 IU/L ( 30-120 ) GGT 31 IU/L ( 10-65 ) ALT 47 IU/L ( <34 ) AST 51 IU/L ( <31 ) Bili Total 6 umol/L ( <19 ) Protein Total 67 g/L ( 65-85 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Trauma MVA"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986860-16258381"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T18:15:00Z"/> <issued value="2012-04-05T20:09:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1323"/> <resource> <DiagnosticReport> <id value="1323"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Blood Bank Request Received - Specimen NOT Processed Sample Error Date of Birth incorrect / missmatch Comments / Steps Taken DOB on specimen "02/03/1975". Ward informed new specimen and request form required for GS. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968709-16258380"/> </identifier> <status value="final"/> <code> <text value="Duplicate Requests"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T19:24:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1324"/> <resource> <DiagnosticReport> <id value="1324"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z516065 Date: 05/04/12 Arterial Time: 18:24 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 Deg. C pH 7.32L 7.35-7.45 pCO2 52H mmHg 35-45 Base Excess 0.4 mmol/L -3.0/3.0 pO2 24L mmHg 75-100 O2 Sat 40L % 95-100 ELECTROLYTES (Whole Blood) Potassium 5.6H mmol/L 3.5-5.5 Sodium 141 mmol/L 135-145 BLOOD CO-OXIMETRY Total Hb 140 g/L 115-150 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/118"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z561065-16258379"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/118"/> </subject> <effectiveDateTime value="2012-04-05T18:24:00Z"/> <issued value="2012-04-05T18:26:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1325"/> <resource> <DiagnosticReport> <id value="1325"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z986663 Z968744 Z968810 Date: 05/04/12 05/04/12 05/04/12 Time: 11:00 16:55 18:05 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 188H 189H 185H g/L 130-170 WCC 9.6 10.2 9.4 x10^9/L 4.0-11.0 PLT 143 * 153 x10^9/L 140-400 RCC 6.09H 6.14H 6.03H x10^12/L 4.50-5.70 PCV 0.55H 0.55H 0.55H L/L 0.40-0.50 MCV 90.1 89.8 91.0 fL 80.0-96.0 MCH 30.9 30.8 30.6 pg 27.0-33.0 MCHC 343 343 337 g/L 320-360 RDW 13.3 13.1 13.3 % 11.0-15.0 White Cell Differential Neut 6.2 5.5 6.3 x10^9/L 2.0-8.0 Lymph 2.4 3.5 2.0 x10^9/L 1.2-4.0 Mono 0.8 0.8 0.9 x10^9/L 0.1-1.0 Eos 0.1 0.4 0.1 x10^9/L 0.0-0.5 Baso 0.1 0.0 0.1 x10^9/L 0.0-0.1 12Z986663 05/04/12 11:00 Film Comment : Red cells are normocytic normochromic. White cells are unremarkable. Platelets appear normal. Comment: Please note mildly raised haemoglobin. 12Z968744 05/04/12 16:55 Film Comment : Film scanned. Manual differential. Conclusion: * Film shows fibrin strands suggestive of a partially clotted specimen. Accurate platelet count unavailable. Please repeat FBE. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968810-16258378"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/119"/> </subject> <effectiveDateTime value="2012-04-05T18:05:00Z"/> <issued value="2012-04-05T18:46:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1326"/> <resource> <DiagnosticReport> <id value="1326"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 139 mmol/L ( 135-145 ) Potassium 3.5 mmol/L ( 3.5-5.5 ) Chloride 102 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 59 umol/L ( 49-90 ) (Creatinine) 0.059 mmol/L ( 0.05-0.09) Urea 4.2 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/120"/> </subject> <reason> <text value="Pleuritic Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968800-16258377"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T18:41:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1327"/> <resource> <DiagnosticReport> <id value="1327"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z646826 Z968800 Date: 20/10/06 05/04/12 Time: 15:45 18:10 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 130 130 g/L 115-150 WCC 6.0 11.6H x10^9/L 4.0-11.0 PLT 283 280 x10^9/L 140-400 RCC 4.26 4.14 x10^12/L 3.80-5.10 PCV 0.37 0.37 L/L 0.35-0.45 MCV 87.4 89.0 fL 80.0-96.0 MCH 30.5 31.4 pg 27.0-33.0 MCHC 349 353 g/L 320-360 RDW 13.7 13.1 % 11.0-15.0 White Cell Differential Neut 3.2 7.5 x10^9/L 2.0-8.0 Lymph 2.1 2.6 x10^9/L 1.2-4.0 Mono 0.5 1.2H x10^9/L 0.1-1.0 Eos 0.2 0.2 x10^9/L 0.0-0.5 Baso 0.0 0.1 x10^9/L 0.0-0.1 12Z968800 05/04/12 18:10 Comment: Please note mild monocytosis </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/120"/> </subject> <reason> <text value="Pleuritic Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968800-16258376"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T18:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1328"/> <resource> <DiagnosticReport> <id value="1328"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968800 Date: 05/04/12 Time: 18:10 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) D-Dimer <220 ug/L <500 Effective from 1st July 2009, the methodology of D-Dimer will be changed to STAGO D-Dimer reagents (LIATEST). NB the reference range is unchanged </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/120"/> </subject> <reason> <text value="Pleuritic Chest Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986800-16258375"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/120"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T19:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1329"/> <resource> <DiagnosticReport> <id value="1329"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> REPRODUCTIVE HORMONES/ANDROGENS Quant Pregnancy (hCG) <2 IU/L ( <5 ) MISCELLANEOUS HbA1c(HPLC) TF mmol/molHb HbA1c(HPLC) % (See Below) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986799-16258374"/> </identifier> <status value="partial"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T18:54:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1330"/> <resource> <DiagnosticReport> <id value="1330"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z167743 Z886298 Z868818 Z968482 Z986799 Date: 02/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 02:00 01:31 02:15 01:40 18:10 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 94L 88L 80L 83L 76L g/L 115-150 WCC 18.5H 7.2 4.4 5.2 8.4 x10^9/L 4.0-11.0 PLT 175 154 127L 165 164 x10^9/L 140-400 RCC 2.81L 2.67L 2.42L 2.51L 2.37L x10^12/L 3.80-5.10 PCV 0.28L 0.26L 0.23L 0.24L 0.22L L/L 0.35-0.45 MCV 98.1H 96.2H 96.7H 96.3H 95.0 fL 80.0-96.0 MCH 33.7H 33.1H 33.1H 33.1H 32.0 pg 27.0-33.0 MCHC 343 344 342 344 338 g/L 320-360 RDW 13.6 13.8 14.1 14.3 13.3 % 11.0-15.0 White Cell Differential Neut 12.9H 6.4 3.0 3.9 6.7 x10^9/L 2.0-8.0 Lymph 0.7L 0.6L 0.7L 1.1L 0.4L x10^9/L 1.2-4.0 Mono 0.2 0.1 0.0L 0.0L 0.3 x10^9/L 0.1-1.0 Eos 0.0 0.1 0.2 0.2 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 4.4H 0.6H 0.9H x10^9/L 0.0-0.5 Meta 0.2H x10^9/L 0.0 NRBC 2H /100WBCs 0 NRBC Abs 0.1H x10^9/L 0 12Z167743 02/04/12 02:00 Film Comment : White cells show mild neutrophilia with mild left shift and mild toxic changes. Manual differential. Red cells show mild macrocytosis. Platelets appear normal. Conclusion: Recent trauma. 12Z868298 03/04/12 01:31 Comment: Instrument differential and parameters reported. 12Z886818 04/04/12 02:15 Film Comment : Moderate anaemia with mild polychromasia. Occasional nucleated red blood cells. Mild left shift in the neutrophils. Manual differential. Mild thrombocytopenia. Conclusion: Consistent with infection / inflammation. 12Z968482 05/04/12 01:40 Comment: Instrument differential and parameters reported. 12Z968799 05/04/12 18:10 Film Comment : Manual differential. Neutrophils show left shift with mild toxic granulation. Red cells are normocytic normochromic with increased rouleaux. Platelets appear normal. Conclusion: Recent tissue damage/trauma. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968799-16258373"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T21:04:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1331"/> <resource> <DiagnosticReport> <id value="1331"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z167743 Z886298 Z868818 Z968482 Z986799 Date: 02/04/12 03/04/12 04/04/12 05/04/12 05/04/12 Time: 02:00 01:31 02:15 01:40 18:10 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.6H 1.2 1.1 1.3 1.3 0.8-1.3 APTT 35 36 37H 34 34 secs 23-36 Fibrinogen 5.2H 5.9H 6.2H 7.1H 8.0H g/L 2.0-5.0 PT 17.3 secs PT mix 14.3 secs 12Z167743 02/04/12 02:00 PT Mix : 50/50 mixture of the patient's plasma with normal plasma - CORRECTED. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968799-16258372"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T19:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1332"/> <resource> <DiagnosticReport> <id value="1332"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 5.2 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 24 mmol/L ( 22-30 ) Creatinine 50 umol/L ( 49-90 ) (Creatinine) 0.050 mmol/L ( 0.05-0.09) Urea 4.0 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 21 g/L ( 35-50 ) AP 75 IU/L ( 30-120 ) GGT 19 IU/L ( 10-65 ) ALT 40 IU/L ( <34 ) AST 46 IU/L ( <31 ) Bili Total 8 umol/L ( <19 ) Protein Total 55 g/L ( 65-85 ) Troponin I 0.42 ug/L (See Below ) CK 295 IU/L ( <145 ) Amylase 51 IU/L ( 22-100 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968799-16258371"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T19:30:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1333"/> <resource> <DiagnosticReport> <id value="1333"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z969548 SPECIMEN Specimen Type : Sputum MICROSCOPY GRAM STAIN Macroscopic Description Mucoid Pus:Epithelial Cell Ratio >25:10 Pus Cells ++ Squamous Epithelial Cells Occasional Gram positive cocci Occasional Gram positive bacilli Occasional Gram negative bacilli Occasional CULTURE Standard culture: + Mixed upper respiratory tract flora </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/141"/> </subject> <reason> <text value="Febrile . Neutripaenic"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986789-16258370"/> </identifier> <status value="final"/> <code> <text value="Respiratory M/C/S"/> </code> <subject> <reference value="Patient/141"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-08T11:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1334"/> <resource> <DiagnosticReport> <id value="1334"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561543 Z561546 Z516519 Z561561 Z561964 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 05:39 09:19 12:19 14:24 18:18 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.49H 7.46H 7.43 7.42 7.48H 7.35-7.45 pCO2 44 44 52H 53H 45 mmHg 35-45 HCO3(Std) 32H 30 32H 32H 33H mmol/L 22.0-30.0 Base Excess 8.7H 6.9H 9.1H 8.6H 9.2H mmol/L -3.0/3.0 pO2 70L 62L 86 131H 81 mmHg 75-100 O2 Sat 94L 92L 96 98 96 % 95-100 ELECTROLYTES (Whole Blood) Potassium 4.2 4.1 3.8 4.4 4.1 mmol/L 3.5-5.5 Sodium 143 144 143 144 145 mmol/L 135-145 Chloride 106 110 106 107 109 mmol/L 95-110 iCa++ 1.15 1.11L 1.11L 1.09L 1.11L mmol/L 1.12-1.30 Glucose 7.4 7.7 7.6 7.5 7.8H mmol/L 3.6-7.7 Lactate 1.1 1.0 0.7 0.5 0.6 mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 99L 102L 115 111L 104L g/L 115-150 Reduced Hb 5.5H 7.6H 3.6 1.6 3.6 % 0-5 CarbOxy Hb 1.2 1.3 1.0 1.1 1.2 % 0.5-1.5 Meth Hb 1.6H 1.6H 1.7H 1.9H 1.4 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/127"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516964-16258369"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/127"/> </subject> <effectiveDateTime value="2012-04-05T18:18:00Z"/> <issued value="2012-04-05T18:23:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1335"/> <resource> <DiagnosticReport> <id value="1335"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Miscellaneous Fluid Fluid Type: Drainage LD 4303 IU/L Amylase 390 IU/L </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/172"/> </subject> <reason> <text value="Drain Fluid. Prev Vre And Kleb Pneumo Rx Teicoplan/Tazo"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968779-16258368"/> </identifier> <status value="final"/> <code> <text value="Csf & Fluid Chemistr"/> </code> <subject> <reference value="Patient/172"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T21:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1336"/> <resource> <DiagnosticReport> <id value="1336"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z763753 SPECIMEN Specimen Type : Urine Type Not Stated CHEMISTRY pH 5.5 Protein TRACE Specific Grav. 1.018 Blood NEGATIVE Glucose NEGATIVE Leucocytes TRACE MICROSCOPY Leucocytes 17 x10^6/L ( <2x10^6/L ) Red Blood Cells 1 x10^6/L ( <13x10^6/L ) Squamous Epithelial Cells Nil STANDARD BACTERIAL CULTURE >10^9 cfu/L Mixed organisms including: staphylococci, streptococci, diphtheroid bacilli \T\ gram negative bacilli. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986769-16258366"/> </identifier> <status value="final"/> <code> <text value="Urine M/C/S"/> </code> <subject> <reference value="Patient/140"/> </subject> <effectiveDateTime value="2012-04-05T18:11:00Z"/> <issued value="2012-04-07T10:22:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1337"/> <resource> <DiagnosticReport> <id value="1337"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z860589 SPECIMEN Specimen Type : Swab Description : Throat CULTURE +++ Mixed upper respiratory tract flora No Beta haemolytic streptococci isolated. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/121"/> </subject> <reason> <text value="ga Streps"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986759-16258365"/> </identifier> <status value="final"/> <code> <text value="Wounds/Tips/Ent/Eye"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-09T12:08:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1338"/> <resource> <DiagnosticReport> <id value="1338"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type: Throat Swab RESPIRATORY VIRUS PCR Influenza A PCR (ABI Taqman) : Not Detected Influenza B PCR (ABI Taqman) : Not Detected RSV PCR (ABI Taqman) : Not Detected Rhinovirus PCR (ABI Taqman) : Not Detected GENERAL COMMENT: Please note: Expired swab recieved (March 12). A negative result may not be a true indicator of patient status. Any further swabs recieved past their use-by date will not be processed. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/121"/> </subject> <reason> <text value="ga Streps"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986759-16258364"/> </identifier> <status value="final"/> <code> <text value="Internal Serology"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-07T16:52:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1339"/> <resource> <DiagnosticReport> <id value="1339"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type: Serum EBV-VCA IgG Antibody by EIA : EBV-VCA IgM Antibody by EIA : Mycoplasma pneumoniae IgG Antibody by EIA : GENERAL COMMENT: Recommend repeat mycoplasma serology in 2-3 weeks if clinically indicated. Other atypical pneumonia serology will only be performed on paired sera. This serum sample has been stored for 3 months. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968749-16258363"/> </identifier> <status value="partial"/> <code> <text value="Internal Serology"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T18:00:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1340"/> <resource> <DiagnosticReport> <id value="1340"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Lab No : Z366341 SPECIMENS Specimen Type : Blood Cultures Description : Not-stated Aerobic bottle 4 days Negative Anaerobic bottle 4 days Negative </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968749-16258362"/> </identifier> <status value="partial"/> <code> <text value="Blood Cultures"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-09T20:35:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1341"/> <resource> <DiagnosticReport> <id value="1341"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.4 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 27 mmol/L ( 22-30 ) Creatinine 74 umol/L ( 64-104 ) (Creatinine) 0.074 mmol/L ( 0.05-0.11) Urea 5.1 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 38 g/L ( 35-50 ) AP 68 IU/L ( 30-120 ) GGT 20 IU/L ( 10-65 ) ALT 31 IU/L ( <45 ) AST 36 IU/L ( <35 ) Bili Total 12 umol/L ( <19 ) Protein Total 75 g/L ( 65-85 ) C-React Prot 44 mg/L ( <5 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968749-16258361"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T18:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1342"/> <resource> <DiagnosticReport> <id value="1342"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968749 Date: 05/04/12 Time: 18:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 139 g/L 130-170 WCC 4.6 x10^9/L 4.0-11.0 PLT 119L x10^9/L 140-400 RCC 4.18L x10^12/L 4.50-5.70 PCV 0.40 L/L 0.40-0.50 MCV 95.8 fL 80.0-96.0 MCH 33.3H pg 27.0-33.0 MCHC 348 g/L 320-360 RDW 13.8 % 11.0-15.0 White Cell Differential Neut 3.1 x10^9/L 2.0-8.0 Lymph 0.8L x10^9/L 1.2-4.0 Mono 0.4 x10^9/L 0.1-1.0 Eos 0.3 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 12Z968749 05/04/12 18:00 Film Comment : Red cells show occasional macrocytes. Mild thrombocytopenia. Unremarkable leucocytes. Conclusion: Suggest repeat FBE to confirm platelet count. </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986749-16258360"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/121"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T21:15:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1343"/> <resource> <DiagnosticReport> <id value="1343"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 3.9 mmol/L ( 3.5-5.5 ) Chloride 104 mmol/L ( 95-110 ) HCO3 24 mmol/L ( 22-30 ) Creatinine 90 umol/L ( 64-104 ) (Creatinine) 0.090 mmol/L ( 0.05-0.11) Urea 7.5 mmol/L ( 2.5-8.3 ) eGFR 75 ( SEE-BELOW) Troponin I <0.02 ug/L (See Below ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/123"/> </subject> <reason> <text value="Sob On Exertion"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968739-16258359"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/123"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T18:53:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1344"/> <resource> <DiagnosticReport> <id value="1344"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968739 Date: 05/04/12 Time: 18:02 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 136 g/L 130-170 WCC 8.0 x10^9/L 4.0-11.0 PLT 222 x10^9/L 140-400 RCC 4.32L x10^12/L 4.50-5.70 PCV 0.39L L/L 0.40-0.50 MCV 89.5 fL 80.0-96.0 MCH 31.6 pg 27.0-33.0 MCHC 353 g/L 320-360 RDW 13.1 % 11.0-15.0 White Cell Differential Neut 5.5 x10^9/L 2.0-8.0 Lymph 1.6 x10^9/L 1.2-4.0 Mono 0.7 x10^9/L 0.1-1.0 Eos 0.2 x10^9/L 0.0-0.5 Baso 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/123"/> </subject> <reason> <text value="Sob On Exertion"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986739-16258358"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/123"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T18:32:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1346"/> <resource> <DiagnosticReport> <id value="1346"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: Z561578 Z561579 Z516261 Z561463 Z561864 Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12 Arterial Time: 11:28 12:36 14:13 16:46 18:10 Units Ref Range -------- -------- -------- -------- -------- ------ --------- BLOOD GASES Temperature 37.0 37.0 37.0 37.0 37.0 Deg. C pH 7.18L 7.17L 7.26L 7.36 7.40 7.35-7.45 pCO2 19L 28L 26L 23L 21L mmHg 35-45 HCO3(Std) 10L 11L 14L 16L 17L mmol/L 22.0-30.0 Base Excess -20.1L -17.1L -14.4L -11.8L -10.8L mmol/L -3.0/3.0 pO2 516H 161H 142H 138H 136H mmHg 75-100 O2 Sat 100 98 99 99 100 % 95-100 ELECTROLYTES (Whole Blood) Potassium 6.8H 6.2H 5.0 5.7H 6.0H mmol/L 3.5-5.5 Sodium 135 139 142 140 141 mmol/L 135-145 Chloride 109 110 109 107 106 mmol/L 95-110 iCa++ 1.09L 1.02L 0.98L 0.99L 0.98L mmol/L 1.12-1.30 Glucose 6.9 6.9 5.2 5.3 4.4 mmol/L 3.6-7.7 Lactate 12.4H 13.9H 15.0H 12.3H 11.7H mmol/L 0.2-1.8 BLOOD CO-OXIMETRY Total Hb 103L 101L 99L 106L 109L g/L 130-170 Reduced Hb -0.1L 1.6 1.2 0.6 0.5 % 0-5 CarbOxy Hb 1.3 1.1 1.4 1.7H 1.8H % 0.5-1.5 Meth Hb 1.1 1.3 1.2 1.0 1.2 % 0-1.5 Note: Reference Ranges shown are for arterial blood only. Venous blood ranges for pH pCO2 pO2 are: pH 7.31 - 7.41 pCO2 40 - 50 mmHg pO2 30 - 50 mmHg </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/122"/> </subject> <reason> <text value="Automatic Request Registration"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z516864-16258356"/> </identifier> <status value="final"/> <code> <text value="Blood Gas"/> </code> <subject> <reference value="Patient/122"/> </subject> <effectiveDateTime value="2012-04-05T18:10:00Z"/> <issued value="2012-04-05T18:15:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1347"/> <resource> <DiagnosticReport> <id value="1347"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Prothrombin Gene Mutation Analysis G20210A Substitution Result: Factor V Gene Mutation Analysis G1691A Substitution Result: </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968709-16258355"/> </identifier> <status value="partial"/> <code> <text value="Molecular Haem"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T18:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1348"/> <resource> <DiagnosticReport> <id value="1348"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 138 mmol/L ( 135-145 ) Potassium 3.6 mmol/L ( 3.5-5.5 ) Chloride 105 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 65 umol/L ( 64-104 ) (Creatinine) 0.065 mmol/L ( 0.05-0.11) Urea 1.9 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Lactate 1.2 mmol/L ( 0.2-1.8 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986709-16258354"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T18:44:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1349"/> <resource> <DiagnosticReport> <id value="1349"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z968709 Date: 05/04/12 Time: 18:02 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 3.3H 0.8-1.3 APTT 51H secs 23-36 Fibrinogen 3.8 g/L 2.0-5.0 APTT mix 30.9 secs 12Z986709 05/04/12 18:02 APTT Mix: 50/50 mixture of the patient's plasma with normal plasma - CORRECTED. APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968709-16258353"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T19:26:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1350"/> <resource> <DiagnosticReport> <id value="1350"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z968709 Date: 05/04/12 Time: 18:02 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 150 g/L 130-170 WCC 8.0 x10^9/L 4.0-11.0 PLT 189 x10^9/L 140-400 RCC 4.24L x10^12/L 4.50-5.70 PCV 0.43 L/L 0.40-0.50 MCV 100.3H fL 80.0-96.0 MCH 35.2H pg 27.0-33.0 MCHC 351 g/L 320-360 RDW 13.3 % 11.0-15.0 White Cell Differential Neut 5.1 x10^9/L 2.0-8.0 Lymph 2.0 x10^9/L 1.2-4.0 Mono 0.8 x10^9/L 0.1-1.0 Eos 0.1 x10^9/L 0.0-0.5 Baso 0.1 x10^9/L 0.0-0.1 12Z968709 05/04/12 18:02 Film Comment : Red cells are mildly macrocytic with some target cells. Unremarkable leucocytes and platelets Conclusion: Common causes of macrocytosis include liver disease, B12/folate deficiency, hypothyroidism, alcohol, smoking, and certain drugs including chemotherapy. Suggest liver function tests, serum B12/folate levels, and review drug history if cause not already known. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986709-16258352"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T20:59:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1351"/> <resource> <DiagnosticReport> <id value="1351"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Specimen Type : Serum Request No: Z986709 Date: 05/04/12 Time: 18:02 Units RefRange ------------ ------------ ------------ ------ -------- Specimen Serum Anti-Cardiolipin Anti-Cardio.IgG TF GPL U 0-20.0 ACL COMMENT ACL-IgM is not performed routinely on requests of ACL antibodies. Some patients with anti-phospholipid antibody syndrome have undetectable IgG anti-cardiolipin antibodies. Further testing for IgM ACL may also be indicated. Please contact the immunopathology registrar for further advice on 9342 8023. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968709-16258351"/> </identifier> <status value="partial"/> <code> <text value="Immunology Auto-Abs"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T18:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1352"/> <resource> <DiagnosticReport> <id value="1352"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Tests of Hypercoagulability (Plasma) Tests for APC Resistance (Plasma) n-APC Ratio n-APC Ratio Reference Ranges : > 0.86 : Normal 0.80-0.86 : Borderline < 0.80 : Abnormal Tests for Lupus Inhibitor (Plasma) APTT (Filtered) T/F sec (25.0-37.0) LAS Ratio/LAC Ratio ( <1.20 ) Lupus Inhibitor Comment: T/F </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/182"/> </subject> <reason> <text value="Thrombophilic Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968709-16258350"/> </identifier> <status value="partial"/> <code> <text value="Special Coagulation"/> </code> <subject> <reference value="Patient/182"/> </subject> <effectiveDateTime value="2012-04-05T18:02:00Z"/> <issued value="2012-04-05T18:02:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1353"/> <resource> <DiagnosticReport> <id value="1353"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Blank Report? </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986729-16258349"/> </identifier> <status value="partial"/> <code> <text value="ECG Trace"/> </code> <subject> <reference value="Patient/124"/> </subject> <effectiveDateTime value="2012-04-05T17:12:00Z"/> <issued value="2012-04-05T17:12:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1354"/> <resource> <DiagnosticReport> <id value="1354"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 141 mmol/L ( 135-145 ) Potassium 3.2 mmol/L ( 3.5-5.5 ) Chloride 111 mmol/L ( 95-110 ) HCO3 23 mmol/L ( 22-30 ) Creatinine 63 umol/L ( 64-104 ) (Creatinine) 0.063 mmol/L ( 0.05-0.11) Urea 4.6 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Calcium 2.12 mmol/L ( 2.10-2.60) Phosphate 0.83 mmol/L ( 0.8-1.5 ) Magnesium 0.69 mmol/L ( 0.7-1.1 ) Albumin 23 g/L ( 35-50 ) </pre> </div> </text> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968798-16258348"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/125"/> </subject> <effectiveDateTime value="2012-04-05T17:30:00Z"/> <issued value="2012-04-05T18:43:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1355"/> <resource> <DiagnosticReport> <id value="1355"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: Z246532 Z968160 Z968308 Z986534 Z968788 Date: 18/02/12 04/04/12 04/04/12 05/04/12 05/04/12 Time: 09:45 12:40 22:56 06:45 18:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 95L 65L 76L 79L 88L g/L 130-170 WCC 7.3 6.4 8.0 5.7 5.9 x10^9/L 4.0-11.0 PLT 278 335 327 318 323 x10^9/L 140-400 RCC 4.40L 3.48L 3.82L 3.92L 4.20L x10^12/L 4.50-5.70 PCV 0.30L 0.21L 0.25L 0.26L 0.28L L/L 0.40-0.50 MCV 67.3L 60.4L 65.1L 66.2L 67.1L fL 80.0-96.0 MCH 21.6L 18.5L 19.9L 20.3L 20.8L pg 27.0-33.0 MCHC 321 307L 306L 307L 310L g/L 320-360 RDW 17.1H 19.0H 23.3H 22.6H 25.8H % 11.0-15.0 White Cell Differential Neut 5.3 4.4 5.2 3.8 3.6 x10^9/L 2.0-8.0 Lymph 1.4 1.4 1.9 1.3 1.4 x10^9/L 1.2-4.0 Mono 0.5 0.5 0.7 0.5 0.7 x10^9/L 0.1-1.0 Eos 0.1 0.0 0.1 0.1 0.1 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 12Z968160 04/04/12 12:40 Film Comment : Marked hypochromic, microcytic anaemia with some elongated cells and occasional acanthocytes. Occasional hypersegmented neutrophils seen. Platelets appear normal. Conclusion: Suggestive of iron deficiency anaemia. Suggest correlation with iron studies. Film reviewed by Dr Radio Xray - Haematology Registrar </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/126"/> </subject> <reason> <text value="Anaemia"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968788-16258347"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/126"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T18:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1356"/> <resource> <DiagnosticReport> <id value="1356"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Req No: R017388 Z767169 Z968719 Date: 20/03/08 30/09/10 05/04/12 Time: 02:37 22:50 18:00 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 148 146 153 g/L 130-170 WCC 7.9 11.4H 7.3 x10^9/L 4.0-11.0 PLT 239 176 167 x10^9/L 140-400 RCC 5.16 5.09 5.32 x10^12/L 4.50-5.70 PCV 0.43 0.42 0.44 L/L 0.40-0.50 MCV 83.0 81.9 82.9 fL 80.0-96.0 MCH 28.6 28.6 28.7 pg 27.0-33.0 MCHC 345 349 346 g/L 320-360 RDW 12.0 12.4 12.7 % 11.0-15.0 White Cell Differential Neut 3.2 8.2H 5.3 x10^9/L 2.0-8.0 Lymph 3.5 2.1 1.5 x10^9/L 1.2-4.0 Mono 0.5 0.9 0.4 x10^9/L 0.1-1.0 Eos 0.6H 0.2 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 x10^9/L 0.0-0.1 </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/127"/> </subject> <reason> <text value="Mba 80Km With Headstrike, Loc And R Neck Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986719-16258345"/> </identifier> <status value="final"/> <code> <text value="FBE & Routine Haem"/> </code> <subject> <reference value="Patient/127"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T18:31:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1357"/> <resource> <DiagnosticReport> <id value="1357"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> CUMULATIVE REPORT Request No: Z986719 Date: 05/04/12 Time: 18:00 Units Ref. -------- -------- -------- -------- -------- ------ ----- Coagulation (Plasma) INR 1.2 0.8-1.3 APTT 28 secs 23-36 Fibrinogen 2.4 g/L 2.0-5.0 APTT Therapeutic range for IV Heparin therapy = 60-85 seconds From 9.12.2010 APTT normal range 23 - 36 seconds. </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/127"/> </subject> <reason> <text value="Mba 80Km With Headstrike, Loc And R Neck Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968719-16258344"/> </identifier> <status value="final"/> <code> <text value="Routine Coagulation"/> </code> <subject> <reference value="Patient/127"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T18:36:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1358"/> <resource> <DiagnosticReport> <id value="1358"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 140 mmol/L ( 135-145 ) Potassium 4.2 mmol/L ( 3.5-5.5 ) Chloride 106 mmol/L ( 95-110 ) HCO3 28 mmol/L ( 22-30 ) Creatinine 77 umol/L ( 64-104 ) (Creatinine) 0.077 mmol/L ( 0.05-0.11) Urea 6.1 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Albumin 44 g/L ( 35-50 ) AP 98 IU/L ( 30-120 ) GGT 29 IU/L ( 10-65 ) ALT 26 IU/L ( <45 ) AST 24 IU/L ( <35 ) Bili Total 12 umol/L ( <19 ) Protein Total 76 g/L ( 65-85 ) Lipase 154 IU/L ( <60 ) Lactate 0.6 mmol/L ( 0.2-1.8 ) EtOH 4.7 mmol/L (See Below ) EtOH 0.02 gm% </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/127"/> </subject> <reason> <text value="Mba 80Km With Headstrike, Loc And R Neck Pain"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968719-16258343"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/127"/> </subject> <effectiveDateTime value="2012-04-05T18:00:00Z"/> <issued value="2012-04-05T18:45:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1364"/> <resource> <DiagnosticReport> <id value="1364"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> Request No: R008346 Z986797 Date: 26/10/10 05/04/12 Time: 22:23 17:39 Units Ref Range -------- -------- -------- -------- -------- ------- --------- Serum Vitamin B12 and Folate Studies Vit B12 >1476H 295 pmol/L 150-600 Ser Fol >54.0 >54.0 nmol/L >12.2 Iron Studies (Plasma/serum) Ferritin 388.0H ug/L 15-200 Iron 7L umol/L 10-30 Transferrin 2.18 g/L 1.9-3.2 Transf'n IBC 54.6 umol/L 47.6-80.2 Transf'n Sat 13L % 14.7-37.4 NOTE NEW REFERENCE RANGES FOR FOLATE From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur Serum Folate Deficient - <7.63 nmol/L Serum Folate Indeterminate - 7.64 to 12.2 nmol/L Old Ref Ranges prior to 27th April 2004 Serum Folate - 6.0 to 38.0 nmol/L Red Cell Folate - 350 to 1350 nmol/L </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/132"/> </subject> <reason> <text value="Delerium Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="|RE||"/> </identifier> <status value="final"/> <code> <text value="Haem Iron/B12 & Fol"/> </code> <subject> <reference value="Patient/132"/> </subject> <effectiveDateTime value="2012-04-05T17:39:00Z"/> <issued value="2012-04-05T21:40:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1365"/> <resource> <DiagnosticReport> <id value="1365"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> THYROID FUNCTION TSH 1.09 mIU/L ( 0.1-4.0 ) </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/132"/> </subject> <reason> <text value="Delerium Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z968797-16258336"/> </identifier> <status value="final"/> <code> <text value="Endo / Nutrition"/> </code> <subject> <reference value="Patient/132"/> </subject> <effectiveDateTime value="2012-04-05T17:39:00Z"/> <issued value="2012-04-05T20:53:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://hl7.org/fhir/DiagnosticReport/1366"/> <resource> <DiagnosticReport> <id value="1366"/> <meta> <lastUpdated value="2012-04-14T10:35:23Z"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre> SERUM/PLASMA Sodium 137 mmol/L ( 135-145 ) Potassium 3.4 mmol/L ( 3.5-5.5 ) Chloride 101 mmol/L ( 95-110 ) HCO3 25 mmol/L ( 22-30 ) Creatinine 48 umol/L ( 49-90 ) (Creatinine) 0.048 mmol/L ( 0.05-0.09) Urea 6.8 mmol/L ( 2.5-8.3 ) eGFR >90 ( SEE-BELOW) Glucose 4.6 mmol/L ( 3.3-7.7 ) (fasting) NoInfo Calcium 2.42 mmol/L ( 2.10-2.60) Phosphate 1.37 mmol/L ( 0.8-1.5 ) Magnesium 0.81 mmol/L ( 0.8-1.0 ) Albumin 29 g/L ( 35-50 ) AP 166 IU/L ( 30-120 ) GGT 222 IU/L ( 10-65 ) ALT 134 IU/L ( <4 ) AST 56 IU/L ( <1 ) Bili Total 6 umol/L ( <19 ) Protein Total 77 g/L ( 65-85 ) C-React Prot 23 mg/L ( <5 ) LIPIDS </pre> </div> </text> <contained> <DiagnosticOrder> <id value="req"/> <subject> <reference value="Patient/132"/> </subject> <reason> <text value="Delerium Screen"/> </reason> </DiagnosticOrder> </contained> <identifier> <system value="http://acme.com/lab/reports"/> <value value="12Z986797-16258335"/> </identifier> <status value="final"/> <code> <text value="General Biochemistry"/> </code> <subject> <reference value="Patient/132"/> </subject> <effectiveDateTime value="2012-04-05T17:39:00Z"/> <issued value="2012-04-05T18:17:00Z"/> <performer> <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/> <display value="Acme Laboratory, Inc"/> </performer> <request> <reference value="#req"/> </request> </DiagnosticReport> </resource> </entry> </Bundle>
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.
© HL7.org 2011+. FHIR DSTU2 (v1.2.0-7447) generated on Fri, Dec 11, 2015 17:41+1100.
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