STU 3 Candidate

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Diagnosticreport-example-ghp.xml

Raw XML (canonical form)

An Example of a report with multiple specimen and panels (id = "ghp")

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="ghp"/>
  <meta>
    <lastUpdated value="2015-08-16T10:35:23Z"/>
  </meta>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ghp</p><p><b>meta</b>: </p><p><b>contained</b>: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
         , , , , , , , , , , , </p><p><b>identifier</b>: ghp-example</p><p><b>status</b>: final</p><p><b>code</b>: General Health Profile <span>(Details : {http://acme.com/labs/reports code 'GHP' = '??', given as 'General Health Profile'})</span></p><p><b>subject</b>: <a>Patient/pat2</a></p><p><b>effective</b>: 16/08/2015 4:40:17 PM</p><p><b>issued</b>: 17/08/2015 4:40:17 PM</p><p><b>performer</b>: <a>Acme Laboratory, Inc</a></p><p><b>specimen</b>: </p><ul><li>Red Top Tube. Generated Summary: id: rtt; 20150816-00124; Serum sample <span>(Details : {SNOMED CT code '119364003' = 'Serum specimen (specimen)', given as 'Serum
             sample'})</span>; Patient/pat2</li><li>Lavender Top Tube. Generated Summary: id: ltt; 20150816-00124; Blood specimen with EDTA
           <span>(Details : {SNOMED CT code '445295009' = 'Blood specimen with edetic acid (specimen)',
             given as 'Blood specimen with EDTA'})</span>; Patient/pat2</li><li>Urine Sample. Generated Summary: id: urine; 20150816-00124; Urine specimen <span>(Details : {SNOMED CT code '122575003' = 'Urine specimen (specimen)', given as 'Urine
             specimen'})</span>; Patient/pat2</li></ul><p><b>result</b>: </p><ul><li>Chemistry Panel. Generated Summary: id: p1; status: final; Comprehensive metabolic 2000
           panel - Serum or Plasma <span>(Details : {LOINC code '24323-8' = 'Comprehensive metabolic 2000 panel - Serum or Plasma',
             given as 'Comprehensive metabolic 2000 panel - Serum or Plasma'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li><li>CBC. Generated Summary: id: p2; status: final; Complete blood count (hemogram) panel -
           Blood by Automated count <span>(Details : {LOINC code '58410-2' = 'Complete blood count (hemogram) panel - Blood by Automated
             count', given as 'Complete blood count (hemogram) panel - Blood by Automated count'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li><li>Urinalysis. Generated Summary: id: p3; status: final; Urinalysis macro (dipstick) panel
           - Urine <span>(Details : {LOINC code '24357-6' = 'Urinalysis macro (dipstick) panel - Urine', given
             as 'Urinalysis macro (dipstick) panel - Urine'})</span>; effective: 16/08/2015 4:40:17 PM; issued: 17/08/2015 4:40:17 PM; Acme Laboratory, Inc</li></ul></div></text><contained>
    <Specimen>
      <id value="rtt"/>
      <accessionIdentifier>
        <system value="http://acme.com/labs/accession-ids"/>
        <value value="20150816-00124"/>
      </accessionIdentifier>
      <type>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="119364003"/>
          <display value="Serum sample"/>
        </coding>
      </type>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <collection>
        <collector>
          <reference value="Practitioner/f202"/>
        </collector>
        <collectedDateTime value="2015-08-16T06:40:17Z"/>
      </collection>
      <container>
        <type>
          <coding>
            <system value="http://acme.com/labs"/>
            <code value="SST"/>
            <display value="Serum Separator Tube"/>
          </coding>
        </type>
      </container>
    </Specimen>
  </contained>
  <contained>
    <Specimen>
      <id value="ltt"/>
      <accessionIdentifier>
        <system value="http://acme.com/labs/accession-ids"/>
        <value value="20150816-00124"/>
      </accessionIdentifier>
      <type>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="445295009"/>
          <display value="Blood specimen with EDTA"/>
        </coding>
      </type>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <collection>
        <collector>
          <reference value="Practitioner/f202"/>
        </collector>
        <collectedDateTime value="2015-08-16T06:40:17Z"/>
      </collection>
      <container>
        <type>
          <coding>
            <system value="http://acme.com/labs"/>
            <code value="LTT"/>
            <display value="Lavender Top Tube"/>
          </coding>
        </type>
      </container>
    </Specimen>
  </contained>
  <contained>
    <Specimen>
      <id value="urine"/>
      <accessionIdentifier>
        <system value="http://acme.com/labs/accession-ids"/>
        <value value="20150816-00124"/>
      </accessionIdentifier>
      <type>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="122575003"/>
          <display value="Urine specimen"/>
        </coding>
      </type>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <collection>
        <collector>
          <reference value="Practitioner/f202"/>
        </collector>
        <collectedDateTime value="2015-08-16T06:40:17Z"/>
      </collection>
      <container>
        <type>
          <coding>
            <system value="http://acme.com/labs"/>
            <code value="UCUP"/>
            <display value="100mL sterile cup"/>
          </coding>
        </type>
      </container>
    </Specimen>
  </contained>
  <contained>
    <Observation>
      <id value="p2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="58410-2"/>
          <display value="Complete blood count (hemogram) panel - Blood by Automated count"/>
        </coding>
      </code>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <specimen>
        <reference value="#ltt"/>
        <display value="Lavender Top Tube"/>
      </specimen>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r1"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r2"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r3"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r4"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r5"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r6"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r7"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r8"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r9"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r10"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r11"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r12"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r13"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r14"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r15"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r16"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#r17"/>
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="718-7"/>
          <display value="Hemoglobin [Mass/volume] in Blood"/>
        </coding>
        <text value="Haemoglobin"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="176"/>
        <unit value="g/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="g/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="135"/>
          <unit value="g/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/L"/>
        </low>
        <high>
          <value value="180"/>
          <unit value="g/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="789-8"/>
          <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
        </coding>
        <text value="Red Cell Count"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="5.9"/>
        <unit value="x10*12/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*12/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="4.2"/>
          <unit value="x10*12/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*12/L"/>
        </low>
        <high>
          <value value="6.0"/>
          <unit value="x10*12/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*12/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="4544-3"/>
          <display value="Hematocrit [Volume Fraction] of Blood by Automated count"/>
        </coding>
        <text value="Haematocrit"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="55"/>
        <unit value="%"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="38"/>
          <unit value="%"/>
        </low>
        <high>
          <value value="52"/>
          <unit value="%"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="787-2"/>
          <display value="Erythrocyte mean corpuscular volume [Entitic volume] by Automated count"/>
        </coding>
        <text value="Mean Cell Volume"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="99"/>
        <unit value="fL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="fL"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="80"/>
          <unit value="fL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="fL"/>
        </low>
        <high>
          <value value="98"/>
          <unit value="fL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="fL"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="785-6"/>
          <display value="Erythrocyte mean corpuscular hemoglobin [Entitic mass] by Automated count"/>
        </coding>
        <text value="Mean Cell Haemoglobin"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="36"/>
        <unit value="pg"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="pg"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="27"/>
          <unit value="pg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="pg"/>
        </low>
        <high>
          <value value="35"/>
          <unit value="pg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="pg"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="777-3"/>
          <display value="Platelets [#/volume] in Blood by Automated count"/>
        </coding>
        <text value="Platelet Count"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="444"/>
        <unit value="x10*9/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*9/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="150"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </low>
        <high>
          <value value="450"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r7"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="6690-2"/>
          <display value="Leukocytes [#/volume] in Blood by Automated count"/>
        </coding>
        <text value="White Cell Count"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="4.6"/>
        <unit value="x10*9/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*9/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="4.0"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </low>
        <high>
          <value value="11.0"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="770-8"/>
          <display value="Neutrophils/100 leukocytes in Blood by Automated count"/>
        </coding>
        <text value="Neutrophils"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="20"/>
        <unit value="%"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r9"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="751-8"/>
          <display value="Neutrophils [#/volume] in Blood by Automated count"/>
        </coding>
        <text value="Neutrophils"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.9"/>
        <unit value="x10*9/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*9/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="LL"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="2.0"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </low>
        <high>
          <value value="7.5"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r10"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="736-9"/>
          <display value="Lymphocytes/100 leukocytes in Blood by Automated count"/>
        </coding>
        <text value="Lymphocytes"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="20"/>
        <unit value="%"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r11"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="731-0"/>
          <display value="Lymphocytes [#/volume] in Blood by Automated count"/>
        </coding>
        <text value="Lymphocytes"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.9"/>
        <unit value="x10*9/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*9/L"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system value="http://hl7.org/fhir/v2/0078"/>
          <code value="L"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="1.1"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </low>
        <high>
          <value value="4.0"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r12"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="5905-5"/>
          <display value="Monocytes/100 leukocytes in Blood by Automated count"/>
        </coding>
        <text value="Monocytes"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="20"/>
        <unit value="%"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="r13"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="742-7"/>
          <display value="Monocytes [#/volume] in Blood by Automated count"/>
        </coding>
        <text value="Monocytes"/>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="0.9"/>
        <unit value="x10*9/L"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="10*9/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="0.2"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
        </low>
        <high>
          <value value="1.0"/>
          <unit value="x10*9/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*9/L"/>
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        <coding>
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    <Observation>
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        <coding>
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        <coding>
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        <type value="has-member"/>
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        <coding>
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          <system value="http://loinc.org"/>
          <code value="2532-0"/>
          <display value="Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="11274001"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="131"/>
        <unit value="U/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="80"/>
          <unit value="U/L"/>
        </low>
        <high>
          <value value="250"/>
          <unit value="U/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o17"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2000-8"/>
          <display value="Calcium [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="71878006"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="2.38"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="2.65"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o18"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="13959-2"/>
          <display value="Calcium.ionized [Moles/volume] in Serum or Plasma by calculation"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="166708003"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="2.39"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="2.25"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="2.65"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o19"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="14879-1"/>
          <display value="Phosphate [Moles/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104866001"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1.5"/>
        <unit value="mmol/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="0.8"/>
          <unit value="mmol/L"/>
        </low>
        <high>
          <value value="1.5"/>
          <unit value="mmol/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o20"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2885-2"/>
          <display value="Protein [Mass/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="74040009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="67"/>
        <unit value="g/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="60"/>
          <unit value="g/L"/>
        </low>
        <high>
          <value value="82"/>
          <unit value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o21"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="1751-7"/>
          <display value="Albumin [Mass/volume] in Serum or Plasma"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104485008"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="42"/>
        <unit value="g/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="35"/>
          <unit value="g/L"/>
        </low>
        <high>
          <value value="50"/>
          <unit value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="o22"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="10834-0"/>
          <display value="Globulin [Mass/volume] in Serum by calculation"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="104979009"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="25"/>
        <unit value="g/L"/>
      </valueQuantity>
      <referenceRange>
        <low>
          <value value="20"/>
          <unit value="g/L"/>
        </low>
        <high>
          <value value="40"/>
          <unit value="g/L"/>
        </high>
      </referenceRange>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="p3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="24357-6"/>
          <display value="Urinalysis macro (dipstick) panel - Urine"/>
        </coding>
      </code>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u1"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u2"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u3"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u4"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u5"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u6"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u7"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u8"/>
        </target>
      </related>
      <related>
        <type value="has-member"/>
        <target>
          <reference value="#u9"/>
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u1"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2756-5"/>
          <display value="pH of Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="5.0"/>
        <unit value="pH"/>
      </valueQuantity>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u2"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2887-8"/>
          <display value="Protein [Presence] in Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u3"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2965-2"/>
          <display value="Specific gravity of Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1.009"/>
      </valueQuantity>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u4"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="33051-4"/>
          <display value="Erythrocytes [Presence] in Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u5"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2349-9"/>
          <display value="Glucose [Presence] in Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u6"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="33052-2"/>
          <display value="Leukocytes [Presence] in Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="260385009"/>
          <display value="Negative"/>
        </coding>
      </valueCodeableConcept>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u7"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="30405-5"/>
          <display value="Leukocytes [#/volume] in Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <unit value="/uL"/>
      </valueQuantity>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u8"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="30391-7"/>
          <display value="Erythocytes [#/volume] in Urine"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;"/>
        <unit value="/uL"/>
      </valueQuantity>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="u9"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="13654-9"/>
          <display value="Epithelial cells.squamous [#/volume] in Urine sediment"/>
        </coding>
      </code>
      <subject>
        <reference value="Patient/pat2"/>
      </subject>
      <effectiveDateTime value="2015-08-16T06:40:17Z"/>
      <issued value="2015-08-17T06:40:17Z"/>
      <performer>
        <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
        <display value="Acme Laboratory, Inc"/>
      </performer>
      <valueQuantity>
        <value value="1"/>
        <comparator value="&lt;"/>
        <unit value="/mL"/>
      </valueQuantity>
      <specimen>
        <reference value="#urine"/>
        <display value="Urine Sample"/>
      </specimen>
    </Observation>
  </contained>
  <identifier>
    <system value="http://acme.com/lab/reports"/>
    <value value="ghp-example"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://acme.com/labs/reports"/>
      <code value="GHP"/>
      <display value="General Health Profile"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/pat2"/>
  </subject>
  <effectiveDateTime value="2015-08-16T06:40:17Z"/>
  <issued value="2015-08-17T06:40:17Z"/>
  <performer>
    <reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
    <display value="Acme Laboratory, Inc"/>
  </performer>
  <specimen>
    <reference value="#rtt"/>
    <display value="Red Top Tube"/>
  </specimen>
  <specimen>
    <reference value="#ltt"/>
    <display value="Lavender Top Tube"/>
  </specimen>
  <specimen>
    <reference value="#urine"/>
    <display value="Urine Sample"/>
  </specimen>
  <result>
    <reference value="#p1"/>
    <display value="Chemistry Panel"/>
  </result>
  <result>
    <reference value="#p2"/>
    <display value="CBC"/>
  </result>
  <result>
    <reference value="#p3"/>
    <display value="Urinalysis"/>
  </result>
</DiagnosticReport>

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.